The Centers for Medicare & Medicaid Services (CMS) established accountable care organization (ACO) models to promote care coordination and lower costs.
As a Medicare Shared Savings (MSSP) ACO, Rainier Health Network’s performance is measured by quality measures established by CMS.
ACO Name and Location
Franciscan Northwest Physicians Health Network, LLC
Previous Names: N/A
1149 Market Street
MS 10-34
Tacoma, Washington, 98402
ACO Primary Contact
| Primary Contact Name |
Paulette Cranshaw |
| Primary Contact Phone Number |
253-428-8444 |
| Primary Contact Email Address |
RHN@chifranciscan.org |
Organizational Information
ACO participants:
|
ACO Participants
|
ACO Participant in Joint Venture
|
|
Adam Nickel
|
N
|
|
Allcare Medical Clinic Inc.
|
N
|
|
Amos Shirman
|
N
|
|
Bonney Lake Medical Center
|
N
|
|
Cynthia Taylor, MD
|
N
|
|
Daniel Gottlieb
|
N
|
|
DANIEL ZIPEROVICH
|
N
|
|
David C Reed MD PLLC
|
N
|
|
DONALD LOOMIS
|
N
|
|
Electrodiagnosis & Rehabilitation Associates Of Tacoma Ps
|
N
|
|
Enumclaw Regional Hospital Association
|
N
|
|
Fhs Inpatient Team
|
N
|
|
Franciscan Health System
|
N
|
|
Franciscan Medical Group
|
N
|
|
George Ankuta
|
N
|
|
Hanmi Medical Clinic Llc
|
N
|
|
Harrison Medical Center
|
N
|
|
HARRY A. PIERCE, DO, PS
|
N
|
|
Highline Medical Center
|
N
|
|
Home Towne Family Medicine, PLLC
|
N
|
|
Hsushi Yeh
|
N
|
|
Integrated Neurology Health Services, PS
|
N
|
|
Jeanne Isaacson, M.D., Pc
|
N
|
|
Jeff Cooper Do Pllc
|
N
|
|
Jeffrey Evans
|
N
|
|
Jeffrey Frankel
|
N
|
|
JEFFREY HOFF
|
N
|
|
Kenneth L P Morton Md Pc
|
N
|
|
KENT FAMILY PRACTICE PS
|
N
|
|
Kevin Kennedy
|
N
|
|
Key Medical Center, PLLC
|
N
|
|
Lisa Cowden
|
N
|
|
Marcus R. Kauffman, MD, PLLC
|
N
|
|
MB2K LLC
|
N
|
|
Michael E Blatner Md Ps
|
N
|
|
Michael Steiner
|
N
|
|
Northwest Family & Spinal Clinic Inc Ps
|
N
|
|
Northwest Vein And Aesthetic Center Ps
|
N
|
|
Nw Pain Management And Rehabilitation Associates, Inc
|
N
|
|
OLYMPIC INTERNAL MEDICINE, INC., P.S.
|
N
|
|
Pacific Cardiovascular DPM, PS
|
N
|
|
Pacific Podiatry Group, Ps
|
N
|
|
Peninsula Family Medical Center
|
N
|
|
PENINSULA RAD ONC CTR LLC
|
N
|
|
PORTLAND AVENUE CLINIC MANAGEMENT
|
N
|
|
Primary Care Northwest Pllc
|
N
|
|
Proliance Surgeons, Inc, PS
|
N
|
|
Puget Sound Allergy Asthma & Immunology
|
N
|
|
Puyallup Dermatology Clinic Inc P.S.
|
N
|
|
Rainier Nephrology, PLLC
|
N
|
|
Razan R Al-Kudsi Md
|
N
|
|
Robert K Chow Md Ps
|
N
|
|
Saint Clare Hospital
|
N
|
|
SALISH INTEGRATIVE MEDICINE INC
|
N
|
|
Seatac Primary Care Physicians, Inc.
|
N
|
|
Sheldon J Cowen MDPS
|
N
|
|
Skin Cancer Clinic Of Seattle Inc Ps
|
N
|
|
Sound Clinical Medicine, P.S.
|
N
|
|
South Puget Sound Neurology PLLC
|
N
|
|
South Seattle Nephrology Associates
|
N
|
|
St Francis Community Hospital
|
N
|
|
Steve Feller
|
N
|
|
Steven Mcclean Md Pc
|
N
|
|
Synergy Health
|
N
|
|
Tacoma Radiation Center Inc
|
N
|
|
TERRILL HARRINGTON
|
N
|
|
TLC Physicians PLLC
|
N
|
|
WEST HILL MEDICAL CLINIC 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
|
|
Mercado, MD
|
Francis
|
Physician Member/Board Chair
|
1
|
ACO Participant
|
Franciscan Medical Group
|
|
Fitzgerald
|
Mike
|
Treasurer
|
1
|
ACO Participant
|
Franciscan Health System
|
|
Verzosa, MD
|
Jude
|
Physician Member/CMO
|
1
|
ACO Participant
|
Franciscan Medical Group
|
|
Kennedy-Schlicher, MD
|
Jessica
|
Physician Member
|
1
|
ACO Participant
|
Franciscan Health System
|
|
Ross, MD
|
Andrew
|
Physician Member
|
1
|
Community Stakeholder
|
N/A
|
|
Semerdjian, MD
|
Greg
|
Physician Member
|
1
|
Medicare Beneficiary
|
N/A (Retired)
|
|
Watson, MD
|
Michael
|
Physician Member
|
1
|
ACO Participant
|
Harrison Medical Center
|
|
Lal
|
Dhyan
|
ACO Executive/Secretary
|
0
|
Ex-Officio
|
Franciscan Health System
|
Key ACO clinical and administrative leadership:
ACO Executive: Dhyan Lal
Medical Director: Jude Verzosa, MD
Compliance Officer: Christi Knox
Quality Assurance/Improvement Officer: Jude Verzosa, MD
Associated committees and committee leadership:
|
Committee Name
|
Committee Leader Name and Position
|
|
Quality of Care
|
Jude Verzosa, MD - Chair
|
|
Contracting & Product Developing
|
Dhyan Lal - Chair
|
|
Finance
|
Mike Fitzgerald - Chair
|
|
Executive
|
Francis Mercado, MD - Chair
|
Types of ACO participants, or combinations of participants, that formed the ACO:
- Partnerships or joint venture arrangements between hospitals and ACO professionals
Shared Savings and Losses
Amount of Shared Savings/Losses
- First Agreement Period
- Performance Year 2019, $9,982,459.69
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
2019 Quality Performance Results:
|
ACO#
|
Measure Name
|
Rate
|
ACO Mean
|
|
ACO-1
|
CAHPS: Getting Timely Care, Appointments, and Information
|
80.46
|
85.86
|
|
ACO-2
|
CAHPS: How Well Your Providers Communicate
|
91.62
|
94.11
|
|
ACO-3
|
CAHPS: Patients’ Rating of Provider
|
89.48
|
92.69
|
|
ACO-4
|
CAHPS: Access to Specialists
|
76.89
|
81.54
|
|
ACO-5
|
CAHPS: Health Promotion and Education
|
58.23
|
60.44
|
|
ACO-6
|
CAHPS: Shared Decision Making
|
61.35
|
62.78
|
|
ACO-7
|
CAHPS: Health Status/Functional Status
|
71.66
|
73.79
|
|
ACO-34
|
CAHPS: Stewardship of Patient Resources
|
21.43
|
26.17
|
|
ACO-45
|
CAHPS: Courteous and Helpful Office Staff
|
93.77
|
92.84
|
|
ACO-46
|
CAHPS: Care Coordination
|
84.21
|
86.89
|
|
ACO-14
|
Preventive Care and Screening: Influenza Immunization
|
72.54
|
74.77
|
|
ACO-17
|
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
|
81.25
|
78.04
|
|
ACO-18
|
Preventive Care and Screening: Screening for Depression and Follow-up Plan
|
57.66
|
70.40
|
|
ACO-19
|
Colorectal Cancer Screening
|
77.23
|
70.76
|
|
ACO-20
|
Breast Cancer Screening
|
77.06
|
73.84
|
|
ACO-42
|
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
|
91.48
|
82.17
|
|
ACO-27
|
Diabetes: Hemoglobin A1c Poor Control (>9%)
|
12.48
|
13.88
|
|
ACO-28
|
Controlling High Blood Pressure
|
78.68
|
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. In addition, the Centers for Medicare & Medicaid Services (CMS) waived the requirement for ACOs to field a CAHPS for ACOs survey data.
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.