402-261-9530
info@OneHealthNE.com
Supporting and Growing Independent Medicine

ACO

ACO Name & Location

OneHealth Nebraska ACO, LLC

Previous Names: N/A

4600 Valley Road

Suite 250

Lincoln, NE 68510

ACO Primary Contact

Primary Contract Name Bob Rauner, MD, MPH
Primary Contract Phone Number 402.261.9530
Primary Contract Email Address brauner@OneHealthNE.com

Organizational Information

ACO Participants

ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Fallbrook Family Health Center Y
Nebraska Internal Medicine, P.C. Y
Lincoln Medical Education Partnership Y
South Lincoln Family Physicians, P.C. Y
East Lincoln Family Health Professionals, PC Y
LINCOLN FAMILY WELLNESS P C Y
Family Health & Wellness Center, P.c. Y

ACO Governing Body

Last Name First Name Title/Position Member’s Voting Power – Expressed as a percentage or number Membership Type ACO Participant Legal Business Name/DBA, if Applicable
Schneider Ed Voting Member/ Chair 1 Medicare Beneficiary Representative N/A
Brinkhoff April Voting Member 1 ACO Participant Representative Fallbrook Family Health Center
Webb Brandon Voting Member 1 ACO Participant Representative South Lincoln Family Physicians, PC
Schmidt Don Voting Member/ Vice Chair 1 ACO Participant Representative Nebraska Internal Medicine, PC

Key ACO clinical and administrative leadership

Steve Kros ACO Executive
Bob Rauner Medical Director
Donna Mertz Compliance Officer
Bob Rauner Quality Assurance/Improvement Officer

Associated committees and committee leadership

Committee Name Committee Leader Name and Position
Clinical Expectations Committee Bob Rauner, MD, MPH, ACO Medical Director

Types of ACO participants, or combinations of participants, that formed the ACO

  • Networks of individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2018, $0
    • Performance Year 2017, $0

Shared Savings Distribution

First Agreement Period

 

  • Performance Year 2018
    • 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 2017
    • 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

2018 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 89.07 86.14
ACO-2 CAHPS: How Well Your Providers Communicate 94.59 93.93
ACO-3 CAHPS: Patients’ Rating of Provider 92.67 92.45
ACO-4 CAHPS: Access to Specialists 85.89 81.50
ACO-5 CAHPS: Health Promotion and Education 59.55 59.26
ACO-6 CAHPS: Shared Decision Making 66.04 61.94
ACO-7 CAHPS: Health Status/Functional Status 75.68 73.35
ACO-34 CAHPS: Stewardship of Patient Resources 34.50 26.26
ACO-8 Risk-Standardized, All Condition Readmission 14.11 14.98
ACO-35 Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM) 16.59 18.59
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 34.65 37.01
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 60.93 76.75
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 54.56 59.00
ACO-43 Ambulatory Sensitive Condition Acute Composite: (AHRQ Prevention Quality Indicator (PQI) #91) 1.59 1.98
ACO-11 Use of Certified EHR Technology 98.36 98.20
ACO-12 Medication Reconciliation Post-Discharge 69.78 85.91
ACO-13 Falls: Screening for Future Fall Risk 89.92 79.73
ACO-44 Use of Imaging Studies for Low Back Pain 81.82 64.36
ACO-14 Preventive Care and Screening: Influenza Immunization 83.45 72.71
ACO-15 Pneumonia Vaccination Status for Older Adults 89.16 75.97
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up 64.95 76.83
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 53.33 72.81
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 72.38 66.74
ACO-19 Colorectal Cancer Screening 79.93 68.27
ACO-20 Breast Cancer Screening 82.98 71.96
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 76.06 81.47
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 8.57 15.51
ACO-41 Diabetes: Eye Exam 63.53 52.42
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 79.42 73.10
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet 92.33 88.92

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

Note: In the Quality Performance Results file(s) above, search for “OneHealth Nebraska ACO, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A3509 in the public use files on data.cms.gov.

Payment Rule Waivers

  • No, our ACO does not use the SNF 3-Day Rule Waiver.

Location

  • OneHealth Nebraska
  • 4600 Valley Road, Suite 400
  • Lincoln NE 68510

Contact

 

An independent physicians association dedicated to supporting and growing independent medicine in Lincoln, Crete and Grand Island.

 

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