MercyCare ACO Public Reporting
ACO Name and Location
MercyCare Accountable Care Organization, LLC
701 10th Street SE Cedar Rapids, IA 52403
ACO Primary Contact
Tony Myers, MD
319-389-6100
tmeyers@mercycare.org
Organizational Information
ACO Participants
|
ACO Participants
|
ACO Participants in Joint Venture
(Enter Y or N)
|
|
MercyCare Management, Inc
|
N
|
|
MercyCare Diabetes Center
|
N
|
ACO Governing Body
|
Member
|
Title/Position
|
Member's Voting Power - Expressed as a percentage or number
|
Membership Type
|
ACO Participant Legal Business Name/ DBA, If Applicable
|
|
Tim Charles
|
CEO
|
1
|
ACO Participant Representative
|
MercyCare Management, Inc.
|
|
Timothy Quinn, MD
|
CCO
|
1
|
ACO Participant Representative
|
MercyCare Management, Inc.
|
|
Nathan VanGenderen
|
CFO
|
1
|
ACO Participant Representative
|
MercyCare Management, Inc.
|
|
Tony Myers, MD
|
Executive Medical Director
|
1
|
ACO Participant Representative
|
MercyCare Diabetes Center
|
Key Clinical and Administrative Leadership
- Timothy Quinn, MD, ACO Executive
- Tony Myers, MD, Medical Director
- Ann Peraud Cooke, Compliance Officer
- Kara Burg, Quality Assurance/Improvement Officer
Associated Committees and Committee Leadership
- ACO Monitoring and Planning Committee - Tony Myers MD, Executive Medical Director
- Physical Leadership Council, Executive Committee - Vince Reid MD, Chairman
Type of ACO Participants, or Combinations of Participants, that formed the ACO
- Hospital employing ACO professionals
- ACO professionals in a group practice arrangement
Shared Savings and Losses
Amount of Shared Savings/Losses
- First Agreement Period
- Performance Year 2019, $897,857
Shared Savings Distribution
- First Agreement Period
- Performance Year 2019
- Proportion invested in infrastructure: 11%
- Proportion invested in redesigned care processes/resources: 2%
- Proportion of distribution to ACO participants: 87%
- Note: Our ACO participated in multiple performance years during Calendar Year 2019. Distribution of shared savings reported for Performance Year 2019 therefore represents the distribution of the net shared savings across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.
Quality Performance Results
2019 Quality Performance Results
ACO Quality Measure Number
|
Measure Name
|
Rate
|
ACO Mean
|
|
ACO1
|
CAHPS: Getting Timely Care, Appointments, and information
|
89.46
|
85.86
|
|
ACO2
|
CAHPS: How Well your Providers Communicate
|
95.64 |
94.11 |
|
ACO3
|
CAHPS: Patients’ Rating of Provider
|
93.76 |
92.69 |
|
ACO4
|
CAHPS: Access to Specialists
|
81.49 |
81.54 |
|
ACO5
|
CAHPS: Health Promotion and Education
|
59.49 |
60.44 |
|
ACO6
|
CAHPS: Shared Decision Making
|
57.56 |
62.78 |
|
ACO7
|
CAHPS: Health Status/ Functional Status
|
76.48 |
73.79 |
|
ACO34
|
CAHPS: Stewardship of Patient Resources
|
25 |
26.17 |
|
ACO45
|
CAHPS: Courteous and Helpful Office Staff
|
96.62 |
92.84 |
|
ACO46
|
CAHPS: Care Coordination
|
89.22 |
86.89 |
|
ACO8
|
Risk- Standardized All Condition Readmission
|
14.41 |
14.86 |
|
ACO38
|
Risk- Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions
|
53.17 |
58.15 |
|
ACO43
|
Ambulatory Sensitive Condition Composite (AHRQ Prevention Quality Indicator)
|
2.08 |
1.87 |
|
ACO13
|
Falls: Screening for Future Fall Risk
|
86.69 |
84.04 |
|
ACO14
|
Preventive Care and Screening: Influenza Immunization
|
75.85 |
74.77 |
|
ACO17
|
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
|
75 |
78.04 |
|
ACO18
|
Preventive Care and Screening: Screening for Depression and Follow-up Plan
|
68.4 |
70.40 |
|
ACO19
|
Colorectal Cancer Screening
|
74.51 |
70.76 |
|
ACO20
|
Breast Cancer Screening
|
71.43 |
73.84 |
|
ACO42
|
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
|
83.98 |
82.17 |
|
ACO27
|
Diabetes Mellitus: Hemoglobin A1c Poor Control
|
9.56 |
13.88 |
|
ACO28
|
Hypertension (HTN): Controlling High Blood Pressure
|
81.85 |
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 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.
- Waiver for Payment for Telehealth Services:
- Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR § 425.612(f) and 42 CFR § 425.613.
