MSSP Performance

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
Amos Shirman	N
Adam Nickel	N
Aesthetic General Dermatology Of Seattle	N
Allcare Medical Clinic Inc.	N
Bonney Lake Medical Center	N
Cynthia Taylor, MD	N
Daniel Gottlieb	N
DANIEL ZIPEROVICH	N
David C Reed MD PLLC	N
Dennis N Gusman	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 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 Physicians Medical Group, PLLC	N
Northwest Vein And Aesthetic Center Ps	N
Nw Pain Management And Rehabilitation Associates, Inc	N
Nw Regional Hospital For Respiratory & Complex Care	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
Surgical Associates Northwest, P.C.	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	Member's Voting Power	Membership Type	ACO Participant Legal Business Name/DBA, if Applicable
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
Roes, MD	William	Physician Member	1	ACO Participant	Key Medical Center, PLLC
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.

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.