ACO Name and Location

KentuckyOne Health Partners, LLC
Previous Names: N/A
1401 Harrodsburg Road, Suite B-395
Lexington, KY 40504

ACO Primary Contact

Primary Contact Name  Dorothy Lockhart
Primary Contact Phone Number  859.313.2390
Primary Contact Email Address Dorothy.Lockhart@CHISaintJosephHealth.org

Organizational Information

ACO participants:

ACO Participants ACO Participant in Joint Venture (Enter Y or N)
KENTUCKY CARDIOLOGY, PLLC  N
EMMANUEL YUMANG, MD, PLLC  N
TAYLOR REGIONAL MEDICAL GROUP, LLC  N
SANDEEP KAPOOR, PLLC  N
THOMAS P. VON UNRUG MD INC  N
DOUGLAS NESBITT  N
TAYLOR COUNTY HOSPITAL DISTRICT HEALTH FACILITIES CORPORATION  N
RHEUMATOLOGY ASSOCIATES  N
SAINT JOSEPH HEALTH SYSTEM, INC.  N
FLAGET HEALTHCARE INC  N
KENTUCKYONE HEALTH MEDICAL GROUP INC  N

ACO governing body:

MEMBER Member’s Voting Power  

Membership Type

 

ACO Participant Legal Business Name/DBA if Applicable

Last Name First Name Title/Position
Schumacher Larry System SVP of Operations & CEO, Southeast Division 1 Vote ACO Participant Representative Saint Joseph Health System Inc.
Salley Robert MD 1 Vote ACO Participant Representative CHI Saint Joseph Medical Group Inc.
Coburn Thomas MD 1 Vote ACO Participant Representative CHI Saint Joseph Medical Group Inc.
Waldridge, II Ron MD (Chair) 1 Vote ACO Participant Representative Independent Provider
Qazi Mubashir MD 1 Vote ACO Participant Representative Kentucky Cardiology
Goulson Daniel MD/CMO 1 Vote ACO Participant Representative Saint Joseph Health System Inc.
Bavishi Viren MD/President 1 Vote ACO Participant Representative CHI Saint Joseph Medical Group Inc.
Spitser Christy Treasurer 0 Vote ACO Participant Representative Saint Joseph Health System Inc.
Knox Christi CRO 0 Vote ACO Participant Representative Saint Joseph Health System Inc.
George William Secretary 0 Vote ACO Participant Representative Saint Joseph Health System Inc.
Ewen Julianne DNP, APRN, FAANP 1 Vote ACO Participant Representative CHI Saint Joseph Medical Group Inc.
Von Unrug Thomas MD 1 Vote ACO Participant Representative Independent Provider
Rexroat Rose Voting Member 1 Vote Medicare Beneficiary Representative

Key ACO clinical and administrative leadership:

Dorothy Lockhart, MBA, MSN, RN ACO Executive
Viren Bavishi, MD Medical Director
Christi Knox Compliance Officer
Thomas Coburn, MD Quality Assurance/Improvement Officer

Associated committees and committee leadership:

Committee Name

Committee Leader Name and Position

 Executive Committee  Ron Waldridge, II, MD, Chair
 Governance Committee  Viren Bavishi, MD, Chair
 Quality & Value Committee  Thomas Coburn, MD, Chair

Types of ACO participants, or combinations of participants, that formed the ACO:

  • Networks of individual practices of ACO professionals
  • Hospital employing ACO professionals

Shared Savings and Losses Shared Savings Distribution

Amount of Shared Savings/Losses

First Agreement Period

  • Performance Year 2019, $12,029.38

Shared Savings Distribution

  • First Agreement Period
    • Performance Year 2019
      • Proportion invested in infrastructure: 80%
      • Proportion invested in redesigned care processes/resources: 20%
      • Proportion of distribution to ACO participants: N/A

     

    Quality Performance Results

ACO # Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 87.24 85.86
ACO-2 CAHPS: How Well Your Providers Communicate  94.01  94.11
ACO-3 CAHPS: Patients’ Rating of Provider  92.90  92.69
ACO-4 CAHPS: Access to Specialist  80.92  81.54
ACO-5 CAHPS: Health Promotion and Education  50.77  60.44
ACO-6 CAHPS: Shared Decision Making  61.02  62.78
ACO-7 CAHPS: Health Status/Functional Status  71.68  73.79
ACO-34 CAHPS: Stewardship of Patient Resources  27.99  26.17
ACO-45 CAHPS: Courteous and Helpful Office Staff  91.38  92.84
ACO-46 CAHPS: Care Coordination  87.86  86.89
ACO-14 Preventative Care and Screening: Influenza Immunization  69.81  74.77
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention  78.57  78.04
ACO-19 Colorectal Cancer Screen  73.23  70.76
ACO-20 Breast Cancer Screening  71.22  73.84
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease  84.58  82.17
ACO-27 Diabetes: Hemoglobin A1c Poor Control (>9%)  12.31  13.88
ACO-28 Controlling High Blood Pressure  74.7  75.04

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

For Previous Year’s Financial and Quality Performance Results, please visit data.cms.gov

Payment Rule Waivers

  • Skilled Nursing Facility (SNF) 3-day Rule Waiver:
    • Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR §425.612.

  • Waiver for Payment for Telehealth Services:
    • Our ACO clinicians do not provide telehealth services using the flexibilities under 42 CFR §425.612(f) and 42 CFR §425.613.

  • Beneficiary Incentive Program (BIP):
    • Our ACO does not use the Beneficiary Incentive Program (BIP) established under 42 CFR §425.304(c).