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 [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

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 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 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

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/Treasurer

1

ACO Participant

Virginia Mason Medical Center

Semerdjian, MD

Greg

Physician Member

1

Medicare Beneficiary

N/A (Retired)


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

Christine Palermo, MD - 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 2021, $ 13,631,865.68
    • 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 2021
      • Proportion invested in infrastructure: 80%
      • Proportion invested in redesigned care processes/resources: 20%
      • Proportion of distribution to ACO participants: N/A
    • 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

  

Quality Performance Results

2021 Quality Performance Results:

Quality performance results are based on CMS Web Interface

Measure#

Measure Name

Rate

ACO Mean

001

Diabetes: Hemoglobin A1c (HbA1c) Poor Control2

11.24

12.46

134

Preventative Care and Screening: Screening for Depression and Follow-up Plan

60.18

74.38

236

Controlling High Blood Pressure

74.58

74.87

318

Falls: Screening for Future Fall Risk

90.98

87.03

110

Preventative Care and Screening: Influenza Immunization

79.09

80.97

226

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

65.38

80.97

113

Colorectal Cancer Screening

81.25

73.63

112

Breast Cancer Screening

78.98

75.11

438

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

89.02

84.24

370

Depression Remission at Twelve Months 

3.80

15.50

321

CAHPS for MIPS3

N/A

N/A

479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2 0.1343 0.1540
MCC1 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)2 26.82 33.99
CAHPS-1
Getting Timely Care, Appointments, and Information
 
81.12 84.67

CAHPS-2
 
How Well Providers Communicate 91.79 93.56

CAHPS-3
 
Patient’s Rating of Provider 89.88 91.19

CAHPS-4
 
Access to Specialists 74.48 78.80

CAHPS-5
 
Health Promotion and Education 59.94 61.61

CAHPS-6

Shared Decision Making 60.49 60.89

CAHPS-7

Health Status and Functional Status 71.47 71.78

CAHPS-8

Care Coordination 85.52 85.66

CAHPS-9

Courteous and Helpful Office Staff 92.86 91.88

CAHPS-11

Stewardship of Patient Resources 20.49 24.71

 

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.