MSSP Performance

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 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

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

Anderson

Michael

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

  • Third Agreement Period
    • 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

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 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

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

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-8

Risk Standardized, All Condition Readmission

14.01

14.86

ACO-7

CAHPS: Health Status/Functional Status

71.66

73.79

ACO-13

Falls: Screening for Future Fall Risk

90.10

84.04

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

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

50.03

58.15

ACO-43

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

1.07

1.87

 

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.