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 |
[email protected] |
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
|
|
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
|
|
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 HOFF
|
N
|
|
Kenneth L P Morton Md Pc
|
N
|
|
KENT FAMILY PRACTICE PS
|
N
|
|
Kevin Kennedy
|
N
|
|
Lisa Cowden
|
N
|
|
Marcus R. Kauffman, MD, PLLC
|
N
|
|
MB2K LLC
|
N
|
|
Michael E Blatner Md Ps
|
N
|
|
Michael Steiner
|
N
|
|
Northwest Vein And Aesthetic Center Ps
|
N
|
|
Nw Pain Management And Rehabilitation Associates, Inc
|
N
|
|
Olympic Internal Medicine, INC., P.S.
|
N
|
|
Pacific Podiatry Group, Ps
|
N
|
|
Peninsula Family Medical Center
|
N
|
|
Peninsula RAD ONC CTR LLC
|
N
|
|
Portland Avenue Clinic Management
|
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 PC
|
N
|
|
Synergy Health
|
N
|
|
Tacoma Radiation Center Inc
|
N
|
|
TERRILL HARRINGTON
|
N
|
|
TLC Physicians PLLC
|
N
|
|
VIRGINIA MASON MEDICAL CENTER
|
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
|
|
Verzosa, MD
|
Jude
|
Physician Member/CMO
|
1
|
ACO Participant
|
Franciscan Medical Group
|
|
Kennedy-Schlicher, MD
|
Jessica
|
Physician Member/Treasurer
|
1
|
ACO Participant
|
Franciscan Health System
|
| Lal |
Dhyan |
ACO Executive Secretary |
0 |
Ex-Officio |
Franciscan Health System |
|
Anderson
|
Michael
|
Member
|
1
|
ACO Participant
|
Franciscan Health System
|
|
Palermo, MD
|
Christine
|
Physician Member
|
1
|
ACO Participant
|
Virginia Mason Medical Center
|
|
Ramachandram, MD
|
Mythili
|
Physician Member
|
1
|
ACO Participant
|
Bonney Lake Medical Center
|
|
Semerdjian, MD
|
Greg
|
Physician Member
|
1
|
Medicare Beneficiary
|
N/A (Retired)
|
|
Watson, MD
|
Michael
|
Physician Member
|
1
|
ACO Participant
|
Harrison Medical Center
|
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
|
Jessica Kennedy-Schlicher - 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
- Third Agreement Period
- Performance Year 2020, $ 9,894,970.59
- Performance Year 2019, $ 9,982,459.69
- Second Agreement Period
- Performance Year 2018, $6,705,312
- Performance Year 2017, $0
- Performance Year 2016, $0
- First Agreement Period
- Performance Year 2015, $2,981,335
- Performance Year 2014, $0
- Performance Year 2013, $0
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.
Shared Savings Distribution
- Third Agreement Period
- Performance Year 2020
- Proportion invested in infrastructure: 80%
- Proportion invested in redesigned care processes/resources: 20%
- Proportion of distribution to ACO participants: N/A
- Performance Year 2019
- Proportion invested in infrastructure: 80%
- Proportion invested in redesigned care processes/resources: 20%
- Proportion of distribution to ACO participants: N/A
- Second Agreement Period
- Performance Year 2018
- Proportion invested in infrastructure: 80%
- Proportion invested in redesigned care processes/resources: 20%
- Proportion of distribution to ACO participants: 0
- Performance Year 2017
- 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 2016
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
- First Agreement Period
- Performance Year 2015
- Proportion invested in infrastructure: 20%
- Proportion invested in redesigned care processes/resources: 20%
- Proportion of distribution to ACO participants: 60%
- Performance Year 2014
- 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 2013
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
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
2020 Quality Performance Results:
|
ACO#
|
Measure Name
|
Rate
|
ACO Mean
|
|
ACO-38[1,2]
|
Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions
|
41.78
|
49.50
|
|
ACO-43[3]
|
Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))
|
0.45
|
0.95
|
|
ACO-13
|
Falls: Screening for Future Fall Risk
|
89.90
|
84.97
|
|
ACO-14
|
Preventive Care and Screening: Influenza Immunization
|
79.03
|
76.03
|
|
ACO-17
|
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
|
76.32
|
81.67
|
|
ACO-18
|
Preventive Care and Screening: Screening for Depression and Follow-up Plan
|
59.60
|
71.46
|
|
ACO-19
|
Colorectal Cancer Screening
|
76.38
|
72.59
|
|
ACO-20
|
Breast Cancer Screening
|
75.13
|
74.05
|
|
ACO-42
|
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
|
89.75
|
83.37
|
|
ACO-27
|
Diabetes Mellitus: Hemoglobin A1c Poor Control (>9%)
|
14.97
|
14.70
|
|
ACO-28
|
Hypertension (HTN): Controlling High Blood Pressure
|
73.13
|
72.87
|
Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.
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.