Caravan Health ACO 15, LLC

Caravan Health ACO 15, LLC

dba Prairie Vista Care Organization An Accountable Care Organization (ACO) committed to improving patient outcomes through elevated value-based care.

dba Prairie Vista Care Organization An Accountable Care Organization (ACO) committed to improving patient outcomes through elevated value-based care.

ACO Name and Location
ACO Name and Location

Caravan Health ACO 15, LLC
dba Prairie Vista Care Organization
20 Burton Hills Blvd, Nashville, TN 37215

ACO Primary Contact
ACO Primary Contact

Teri Bergeleen
Phone: (605) 322-4576
Email: Teri.Bergeleen@avera.org 

Organizational Information

Organizational Information

ACO Participants

ACO Participant in Joint Venture

SIOUX CENTER HEALTH

Y

CITY OF REDFIELD

Y

REGIONAL HEALTH SERVICES OF HOWARD COUNTY

Y

AVERA GRANITE FALLS

Y

AVERA GETTYSBURG

Y

ST BENEDICT HEALTH CENTER

Y

PLATTE COMMUNITY MEMORIAL HOSPITAL INC

Y

LANDMANN JUNGMAN MEMORIAL HOSPITAL CORPORATION

Y

MARSHALL COUNTY MEMORIAL HOSPITAL

Y

Hendricks Community Hospital Assn & Retirement Home

Y

AVERA ST ANTHONYS HOSPITAL

Y

AVERA HOLY FAMILY

Y

Freeman Regional Health Services

Y

Hegg Memorial Hospital

Y

Pipestone County Medical Center

Y

Avera Tyler

Y

ACO Governing Body:

ACO Governing Body:

Due to rounding, 'Member's Voting Power" may not equal 100 percent.

Member First Name

Member Last Name

Member Title/Position

Member’s Voting Power

Membership Type

ACO Participant Legal Business Name

Lavonne

Koenen

Board Member

5.882%

Medicare Beneficiary Representative

N/A

Gale

Melissa

Vice-Chairman

5.882%

ACO Participant Representative

Landmann Jungman Memorial Hospital Corporation

Zevenbergen

Glenn

Board Member

5.882%

ACO Participant Representative

Hegg Memorial Hospital

Burris

Brad

Board Member

5.882%

ACO Participant Representative

Pipestone County Medical Center

Unruh

Courtney

Board Member

5.882%

ACO Participant Representative

Freeman Regional Health Services

Kooiman

Tom

Board Member

5.882%

ACO Participant Representative

Avera Granite Falls

Gollaher

Jeff

Board Member

5.882%

ACO Participant Representative

Hendricks Community Hospital Assn & Retirement Home

Weber

Lindsay

Board Member

5.882%

ACO Participant Representative

St. Benedict Health Center

Bergeleen

Teri

Board Member

0

Other

N/A

Burket

Mark

Board Member

5.882%

ACO Participant Representative

Platte Community Memorial Hospital Inc

Herzberg

Deb

Chairman

5.882%

ACO Participant Representative

Avera Holy Family

Nelson

Cory

Board Member

5.882%

ACO Participant Representative

Sioux Center Health

Sanger

Larissa

Board Member

5.882%

Other

N/A

Kozyra

John

Board Member

5.882%

ACO Participant Representative

Avera St Anthony’s Hospital

Basel

David

ACO Medical Director

5.882%

Other

N/A

Fosness

Nick

Board Member

5.882%

ACO Participant Representative

Marshall County Memorial Hospital

Sjurseth

Karen

Board Member

5.882%

ACO Participant Representative

City of Redfield

Key ACO Clinical and Administrative Leadership:

Key ACO Clinical and Administrative Leadership:

Key ACO Clinical and Administrative Leadership:

Key ACO Clinical and Administrative Leadership:

ACO Executive: Teri Bergeleen

ACO Executive: Teri Bergeleen

Medical Director: David Basel, MD

Medical Director: David Basel, MD

Compliance Officer: Kristen McKenna

Compliance Officer: Kristen McKenna

Quality Assurance/Improvement Officer: Eric Boyce

Quality Assurance/Improvement Officer: Eric Boyce

Associated Committees and Committee Leadership:

Associated Committees and Committee Leadership:

Committee Name

Committee Leader Name and Position

Information Technology Committee

Eric Boyce, Chairman

Care Coordination & Patient Engagement Committee

Michael Webber, Chairman

Evidence-Based Medicine Committee

David Basel, Chairman

Finance Committee

Teri Bergeleen, Chairman

Quality & Performance Improvement Committee

Michael Webber, Chairman

Types of ACO Participants, or Combinations of Participants, That Formed the ACO:

Types of ACO Participants, or Combinations of Participants, That Formed the ACO:

Types of ACO Participants, or Combinations of Participants, That Formed the ACO:

Types of ACO Participants, or Combinations of Participants, That Formed the ACO:

  • Critical Access Hospital (CAH) billing under Method II

  • Hospital employing ACO professionals

  • Partnerships or joint venture arrangements between hospitals and ACO professionals

  • Rural Health Clinic (RHC)

Shared Savings and Losses:

Shared Savings and Losses:

Shared Savings and Losses:

Shared Savings and Losses:

Amount of Shared Savings/Losses:

Amount of Shared Savings/Losses:

First Agreement Period

  • Performance Year 2018, $0

  • Performance Year 2019, $1,755,090.00

  • Performance Year 2020, $0

  • Performance Year 2021, $0

  • Performance Year 2022, $0

  • Performance Year 2023, $1,815,431

Note: Our ACO participated in multiple performance years during Calendar Year 2019. Shared savings/losses amount reported for Performance Year 2019 therefore represents net shared savings or losses 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:

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 2019

    • Proportion invested in infrastructure: 10%

    • Proportion invested in redesigned care processes/resources: 0%

    • Proportion of distribution to ACO participants: 90%

  • Performance Year 2020

    • 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 2021

      • 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 2022

      • 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 2023

      • 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

Quality Performance Results

Quality Performance Results

Quality Performance Results

2022 Quality Performance Results: *Quality performance results are based on CMS Web Interface

Measure #

Measure Name

Collection Type

Rate

ACO Mean

001

Diabetes: Hemoglobin A1c (HbA1c) Poor Control2

CMS Web Interface

7.36

10.71

134

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

CMS Web Interface

90.73

76.97

236

Controlling High Blood Pressure

CMS Web Interface

69.20

76.16

318

Falls: Screening for Future Fall Risk

CMS Web Interface

99.02

87.83

110

Preventative Care and Screening: Influenza Immunization

CMS Web Interface

82.21

77.34

226

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

CMS Web Interface

88.89

79.27

113

Colorectal Cancer Screening

CMS Web Interface

84.72

75.32

112

Breast Cancer Screening

CMS Web Interface

81.10

78.07

438

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

CMS Web Interface

87.50

86.37

370

Depression Remission at Twelve Months

CMS Web Interface

14.29

16.03

321

CAHPS for MIPS3

CMS Web Interface

N/A

N/A

479

Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2

CMS Web Interface

0.1276

0.1510

484

Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1]

CMS Web Interface

36.18

30.97

2023 Quality Performance Results: *Quality performance results are based on CMS Web Interface

Measure #

Measure Name

Collection Type

Rate

ACO Mean

001

Diabetes: Hemoglobin A1c (HbA1c) Poor Control2

CMS Web Interface

9.7

9.84

134

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

CMS Web Interface

82.84

80.97

236

Controlling High Blood Pressure

CMS Web Interface

75.95

77.8

318

Falls: Screening for Future Fall Risk

CMS Web Interface

97.35

89.42

110

Preventative Care and Screening: Influenza Immunization

CMS Web Interface

91.55

70.76

226

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

CMS Web Interface

69.23

79.29

113

Colorectal Cancer Screening

CMS Web Interface

81.1

77.14

112

Breast Cancer Screening

CMS Web Interface

78.95

80.36

438

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

CMS Web Interface

78.64

87.05

370

Depression Remission at Twelve Months

CMS Web Interface

16.53

16.58

321

CAHPS for MIPS3

CMS Web Interface

6.5

6.25

479

Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2

CMS Web Interface

0.1316

0.1553

484

Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1]

CMS Web Interface

41.47

35.39

Hospital Admission Rates for Patients with

Multiple Chronic Conditions [1]

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