MSSP Performance

The Centers for Medicare & Medicaid Services (CMS) established accountable care organization (ACO) models to promote care coordination and lower costs. The Medicare Shared Savings Program (MSSP) rewards ACOs that achieve better care for patients while keeping costs low. Success is measured by the program’s 33 quality measures in four main areas:

  1. Patient/caregiver experience
  2. Preventive health
  3. Care coordination/patient safety
  4. At-risk population

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
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 Participant in Joint Venture

Eye Mds Of Puget Sound PLLC

N

Amos Shirman

N

George Ankuta

N

Daniel Gottlieb

N

Michael Steiner

N

Mark Alenick

N

Max Lee

N

Highline Internal Medicine Ps

N

Jeffrey L Evans, MD PLLC

N

Hanmi Medical Clinic LLC

N

Jeff Cooper Do PLLC

N

Robert C Wright Md Ps

N

Foot And Ankle Specialists PLLC

N

Rainier Nephrology, PLLC

N

Sumner Family Eyecare, PLLC

N

TLC Physicians PLLC

N

NW Pain Management And Rehabilitation Associates, Inc

N

WASEA Medical LLC

N

Home Towne Family Medicine, PLLC

N

South Seattle Nephrology Associates

N

Northwest Vein And Aesthetic Center Ps

N

South Puget Sound Neurology PLLC

N

Marcus R. Kauffman, MD, PLLC

N

Northwest Physicians Medical Group, PLLC

N

Pace Dermatology Associates PLLC

N

David C Reed MD PLLC

N

Burien Digestive Health Center LLC

N

Hsushi Yeh

N

Cynthia Taylor, MD

N

Key Medical Center, PLLC

N

Franciscan Health System

N

James Graber

N

Judith Marsden

N

Michael E Blatner MD Ps

N

Synergy Health

N

Integrated Neurology Health Services, PS

N

Paul Andrew Sueno MD PLLC

N

Retina Institute, PLLC

N

Adam Nickel

N

Adult And Geriatric Medicine PLLC

N

Sound Clinical Medicine, P.S.

N

Jeffrey Evans

N

Seattle Foot and Ankle Wellness Center

N

Tanya Wilke Family Medicine

N

Sarah Neitzel DPM PLLC

N

Bonney Lake Medical Center

N

Philip Vance

N

D Loomis

N

Lisa Cowden

N

Rena Wong

N

Daniel Ziperovich

N

Jeffrey Frankel

N

Jonathan Y Jin, MD

N

Pacific Cardiovascular DPM, PS

N

Seatac Primary Care Physicians, Inc.

N

Burien Medical Clinic

N

Center For Women's Health P C

N

Harrison Medical Center

N

Highline Medical Center

N

Enumclaw Regional Hospital Association

N

Hudson's Bay Medical Group

N

Edward W. Hartzler, MD, Inc, PS

N

David L Lukens, DO PS

N

Peninsula Family Medical Center

N

Max Lee, MD

N

James M Komorous MD PS

N

Puyallup Dermatology Clinic Inc PS

N

Electrodiagnosis & Rehabilitation Associates Of Tacoma PS

N

Barry Bockow, MD PS

N

NW Regional Hospital For Respiratory & Complex Care

N

North Kitsap Family Practice And Urgent Care PS

N

Northwest Family & Spinal Clinic Inc. PS

N

St Francis Communtiy Hospital

N

Steve Feller

N

Michael Steiner, MD

N

Pacific Podiatry Group, PS

N

Curtis Burnett MD

N

Allcare Medical Clinic Inc.

N

Dennis N Gusman

N

Tacoma Radiation Center Inc

N

Saint Clare Hospital

N

Southwest Portland Medical Clinic, Inc.

N

Cascade Eye & Skin Centers, PC

N

Doctors Clinic A Professional Corporation

N

Kevin Kennedy

N

Razan R Al-Kudsi MD

N

Portland Avenue Family Clinic Inc

N

Stephen Haggard, DPM

N

Proliance Surgeons, Inc., PS

N

R Skoglund MD, PLLC

N

Puget Sound Allergy Asthma & Immunology

N

Clearview Eye and Laser PLLC

N

Sheldon J Cowen MDPS

N

Ear Nose Throat And Allergy Associates

N

Kenneth L P Morton MD PC

N

Northwest Medical Specialties PLLC

N

Aesthetic General Dermatology Of Seattle

N

Franciscan Medical Group

N

FHS Inpatient Team

N

Primary Care Northwest PLLC

N

Surgical Associates Northwest, PC

N

Skin Cancer Clinic Of Seattle Inc. PS

N

Comprehensive Sleep Medicine Inc. PS

N

Jeanne Isaacson, M.D., Pc

N

Robert K Chow MD PS

N

Steven Mcclean MD PC

N

 

ACO governing body

Member

Member's Voting Power - Expressed as a percentage or number

Membership Type

ACO Participant Legal Business Name/DBA, if Applicable

Last Name

First Name

Title/Position

Mercado, MD

Francis

Ex-Offico

1

Other

Franciscan Medical Group

Fitzgerald

Mike

Treasurer

1

ACO Participant

Franciscan Health System

Marshall, MD

Michael

Voting Member

1

ACO Participant

Franciscan Health System

Roes, MD

William

Voting Member

1

ACO Participant

Key Medical Center

Kennedy-Schlicher, MD

Jessica

Voting Member

1

ACO Participant

Franciscan Medical Group

Ross, MD

Andrew

Voting Member

1

Community Stakeholder

N/A

Harrington, MD

Terrill

Voting Member

1

Community Stakeholder

N/A

Watson, MD

Michael

Voting Member

1

ACO Participant

Harrison Medical Center

Semerdjian, MD

Greg

Voting Member

1

Medicare Beneficiary

N/A (Retired)

Krueger, MD

John

Ex-Offico

0

ACO Participant

Franciscan Medical Group

Lal

Dhyan

Ex-Offico

0

Other

Franciscan Health System

 

Key ACO clinical and administrative leadership:

Dhyan Lal

ACO Executive

John Krueger, MD

Medical Director

John Wyckoff

Compliance Officer

N/A

Quality Assurance/Improvement Officer

 

Associated committees and committee leadership:

Committee Name

Committee Leader Name and Position

Quality of Care

Francis Mercado, MD, Co-Chair & John Krueger, MD, Co-Chair

Contracting & Product Development

Dhyan Lal, Chair

Finance

Mike Fitzgerald, Chair

Clinical Information Support & Development

Dhyan Lal, 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

  • Second Agreement Period
    • 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

Shared Savings Distribution

  • Second Agreement Period
    • 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

Quality Performance Results

2017 Quality Performance Results

ACO#

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

78.88

80.60

ACO-2

CAHPS: How Well Your Providers Communicate

92.45

93.13

ACO-3

CAHPS: Patients’ Rating of Provider

91.66

92.31

ACO-4

CAHPS: Access to Specialists

81.22

83.32

ACO-5

CAHPS: Health Promotion and Education

58.34

62.30

ACO-6

CAHPS: Shared Decision Making

74.52

75.85

ACO-7

CAHPS: Health Status/Functional Status

72.56

73.05

ACO-34

CAHPS: Stewardship of Patient Resources*

25.39

25.68

ACO-8

Risk Standardized, All Condition Readmission

14.23

15.01

ACO-35

Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)* Readmission

16.16

18.46

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes

46.71

53.95

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

63.34

79.16

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

53.35

61.74

ACO-43

Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))

1.18

1.93

ACO-11

Use of Certified EHR Technology

98.17

98.48

ACO-12

Medication Reconciliation

95.79

75.32

ACO-13

Falls: Screening for Future Fall Risk

53.38

74.38

ACO-44

Imaging Studies for Low Back Pain

65.89

67.32

ACO-14

Preventive Care and Screening: Influenza Immunization

62.00

72.52

ACO-15

Pneumonia Vaccination Status for Older Adults

67.05

72.92

ACO-16

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up

60.93

70.69

ACO-17

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

93.43

90.48

ACO-18

Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan

30.30

61.98

ACO-19

Colorectal Cancer Screening

59.11

64.58

ACO-20

Breast Cancer Screening

64.44

70.05

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

82.62

79.89

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

17.54

16.74

ACO-41

Diabetes: Eye Exam

45.87

50.37

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

69.57

71.47

ACO-30

Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic

92.89

86.86

 

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples.

Note: In the Quality Performance Results file(s) above, search for “Franciscan Northwest Physicians Health Network, LLC” or "Rainier Health Network" to view the quality performance results. This ACO can also be found by using the ACO ID A78337 in the public use files on data.cms.gov.

Payment Rule Waivers

  • Yes, our ACO does use the SNF 3-Day Rule Waiver.