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Annual Public Reporting

ACO Name and Location

KentuckyOne Health Partners, LLC
1401 Harrodsburg Road, Suite B-395
Lexington, KY 40504

ACO Primary Contact

Dorothy Lockhart, Market Vice President, CHI Saint Joseph Health Partners
859.313.2390
[email protected]

Organizational Information

ACO Participants

 

ACO Participants ACO Participant in Joint Venture (Y or N)
Kentucky Cardiology N
Emmanuel Yumang, MD, PLLC     N
Taylor Regional Medical Group, LLC
 N
Thomas P. Von Unrug MD Inc. N
Douglas Nesbitt N
Taylor County Hospital District Health Facilities Corporation N
Saint Joseph Health System, Inc. N
Flaget HealthCare Inc. N
KentuckyOne Health Medical Group, Inc. N

ACO Governing Body

Member First Name Member Last Name Member Title/Position Member's Voting Power (Expressed as a percentage) Membership Type

ACO Participant Legal
Business Name,
if applicable
Anthony Houston PhD/CEO 14.3% ACO Participant Representative Saint Joseph Health System, Inc.
Thomas Coburn MD 14.3% ACO Participant Representative CommonSpirit Health
Mubashir Qazi MD 14.3% ACO Participant Representative Kentucky Cardiology, PLLC
Daniel Goulson MD/CMO Chair 14.3% ACO Participant Representative Saint Joseph Health System, Inc.
Christy Spitser Treasurer 0 Other Saint Joseph Health System Inc.
David Walsh CRO 0 Other CommonSpirit Health
William George Secretary 0 Other Saint Joseph Health System Inc.
Julianne Ewen DNP 14.3% ACO Participant Representative CHI Saint Joseph Medical Group, Inc.
Thomas VonUnrug MD Vice Chair 14.3% ACO Participant Representative Thomas P. Von Unrug MD Inc.
Rose Rexroat Voting Member 14.3% Medicare Benficiary Representative N/A
           

Key ACO Clinical and Administrative Leadership

Leaders Title/Position
Dorothy Lockhart, MBA, MSN, RN ACO Executive
James Duncan, MD Medical Director
David Walsh Compliance Officer
Thomas Coburn, MD Quality Assurance/Improvement Officer

Associated Committees and Committee Leadership

Comittee Name Committee Leader Name and Position
Executive Committee Daniel Goulson, MD, Chair
Governance Committee James Duncan, 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:

Second Agreement Period

  • Performance Year 2022, $2,292,145.00
  • Performance Year 2021, $0
  • Performance Year 2020, $3,298,841.72
  • Performance Year 2019, $12,029.38

Shared Savings Distribution:

Second Agreement Period

  • Performance Year 2022  
    •  Proportion invested in infrastructure: 30%
    • Proportion invested in redesigned care processes/resources: 10%
    • Proportion of distribution to ACO participants: 60%
  • Performance Year 2021
    • Proportion invested in infrastructure: N/A
    • Proportion invested in redesigned care processes/resources: N/A
    • Proportion of distribution to ACO participants: N/A
  • Performance Year 2020
    • Proportion invested in infrastructure: 28%
    • Proportion invested in redesigned care processes/resources: 30%
    • Proportion of distribution to ACO participants: 42%
  • Performance Year 2019A
    • Proportion invested in infrastructure: 80%
    • Proportion invested in redesigned care processes/resources: 20%

Quality Performance Results

2022 Quality Performance Results:

Quality performance results are based on CMS Web Interface Measure Set

Measure # Measure Name Collection Type Rate ACO Mean
Quality ID# 001 Diabetes: Hemoglobin A1c (HvA1C) Poor Control [1] CMS Web Interface 10.13 10.71
Quality ID# 134 Preventative Care and Screening: Screening for Depression and Follow-Up Plan CMS Web Interface 44.33 76.97
Quality ID# 236 Controlling High Blood Pressure CMS Web Interface 74.47 76.16
Quality ID# 318 Fall: Screening for Future Fall Risk CMS Web Interface 90.85 87.83
Quality ID# 110 Preventative Care and Screening: Influenza Immunization CMS Web Interface 73.44 77.34
Quality ID# 226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 70.91 79.27
Quality ID# 113 Colorectal Cancer Screening CMS Web Interface 75.20 75.32
Quality ID# 112 Breast Cancer Screening CMS Web Interface 75.87 78.07
Quality ID# 438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 81.52 86.37
Quality ID# 370 Depression Remission at Twelve Months CMS Web Interface 2.56 16.03
Quality ID# 321 CAHPS for MIPS [3] CAHPS for MIPS N/A N/A
Measure# 479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1] Administrative Claims .1319 .1510
Measure# 484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Condition [1] Administrative Claims 25.48 30.97
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS for MIPS Survey 83.51 83.96
CAHPS-2 How Well Providers Communicate CAHPS for MIPS Survey 94.40 93.47
CAHPS-3 Patient's Rating of Provider CAHPS for MIPS Survey 92.72 92.06
CAHPS-4 Access to Specialists CAHPS for MIPS Survey 82.13 77.00
CAHPS-5 Health Promotion and Education CAHPS for MIPS Survey 56.29 62.68
CAHPS-6 Shared Decision Making CAHPS for MIPS Survey 63.29 60.97
CAHPS-7 Health Status and Functional Status CAHPS for MIPS Survey 70.69 73.06
CAHPS-8 Care Coordination CAHPS for MIPS Survey 88.04 85.46
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS Survey 92.01 91.97
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS Survey 34.31 25.62

[1] A lower performance rate corresponds to higher quality.
[2] For PY 2022, the CMS Web Interface measures Quality ID #438 and Quality ID #270 do not have benchmarks, and therefore were not scored.
[3] CAHPS for MIPS is a composite measure, so numerator, denominator and performance rate values are not applicable (N/A). The CAHPS for MIPS composite score is calculated as the average number of points across scored Summary Survey Measures (SSMs) (86 FR 65256).

For previous years’ 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.