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Annual Public Reporting

ACO Name and Location

KentuckyOne Health Partners, LLC
1451 Harrodsburg Road, Suite D-502
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
Thomas P. Von Unrug MD Inc. N
Douglas Nesbitt N
Saint Joseph Health System, Inc. N
Flaget HealthCare Inc. N
KentuckyOne Health Medical Group, Inc. N
James Duncan, MD, Consulting Service PLLC 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
Thomas Coburn MD 16.66% ACO Participant Representative CommonSpirit Health
Mubashir Qazi MD 16.66% ACO Participant Representative Kentucky Cardiology, PLLC
Daniel Goulson MD/CMO Chair 16.66% 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
Julianne Ewen DNP 16.66% ACO Participant Representative CHI Saint Joseph Medical Group, Inc.
Thomas VonUnrug MD Vice Chair 16.66% ACO Participant Representative Thomas P. Von Unrug MD Inc.
Rose Rexroat Voting Member 16.66% 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 2023, -$30,676.35
  • 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 2023 
    •  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 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

2023 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 8.75 9.84
Quality ID# 134 Preventative Care and Screening: Screening for Depression and Follow-Up Plan CMS Web Interface 61.41 80.97
Quality ID# 236 Controlling High Blood Pressure CMS Web Interface 77.67 77.80
Quality ID# 318 Fall: Screening for Future Fall Risk CMS Web Interface 92.14 89.42
Quality ID# 110 Preventative Care and Screening: Influenza Immunization CMS Web Interface 62.50 70.76
Quality ID# 226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 64.71 72.29
Quality ID# 113 Colorectal Cancer Screening CMS Web Interface 82.62 77.14
Quality ID# 112 Breast Cancer Screening CMS Web Interface 77.08 80.36
Quality ID# 438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 84.19 87.05
Quality ID# 370 Depression Remission at Twelve Months CMS Web Interface 0.00 16.58
Quality ID# 321 CAHPS for MIPS [3] CAHPS for MIPS 7.38 6.25
Measure# 479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1] Administrative Claims .1557 .1553
Measure# 484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Condition [1] Administrative Claims N/A 35.39
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS for MIPS Survey 86.12 83.68
CAHPS-2 How Well Providers Communicate CAHPS for MIPS Survey 93.74 93.69
CAHPS-3 Patient's Rating of Provider CAHPS for MIPS Survey 93.12 92.14
CAHPS-4 Access to Specialists CAHPS for MIPS Survey 78.98 75.97
CAHPS-5 Health Promotion and Education CAHPS for MIPS Survey 66.00 63.93
CAHPS-6 Shared Decision Making CAHPS for MIPS Survey 62.22 61.60
CAHPS-7 Health Status and Functional Status CAHPS for MIPS Survey 74.04 74.12
CAHPS-8 Care Coordination CAHPS for MIPS Survey 85.69 85.77
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS Survey 92.38 92.31
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS Survey 28.62 26.69

[1] A lower performance rate corresponds to higher quality.
[2] For PY 2023, 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.