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
|
|
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.
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.