Who is involved?


The sixteen clinics across Nebraska have formed a Limited Liability Corporation.

 

ACO Name and Location

SERPA ACO, LLC

995 E. Hwy 33

Suite 2

Crete, Nebraska 68333

ACO Primary Contact

Primary Contact Name

  Joleen TenHulzen Huneke

Primary Contact Phone Number 

  402 826 3737

Primary Contact Email Address

  jhuneke@serpa-aco.org

Organizational Information

ACO Participants

ACO Participant in Joint Venture  (Enter Y or N)

Fillmore County Medical Center, P.C.

N

Bloomfield Medical Clinic, P.C.

N

LifeCare Family Medicine of Bellevue, P.C.

N

Central Nebraska Medical Clinic, P.C.

N

Columbus Medical Center, PC

N

Butler County Clinic, P.C.

N

Plum Creek Medical Group, P.C.

N

Family Practice Associates, P.C.

N

Lincoln Family Medical Group, P.C.

N

Falls City Family Practice, P.C.

N

Family Medical Center of Hastings

N

Columbus Family Practice Associates PC

N

McCook Clinic, P.C.

N

York Medical Clinic, P.C.

N

Midlands Family Medicine

N

Lincoln Family Wellness PC

N

States Family Practice Llc

N

 

ACO governing body:

Member

Member's Voting Power

Membership Type

ACO Participant TIN Legal Business Name/DBA, if Applicable

Last Name

First Name

Title/Position

Hotovy

Patrick

MD, President

1

ACO Participant Representative

York Medical Clinic, P.C.

Pritchard

Logan

DO, Vice-President

1

ACO Participant Representative

Family Medical Center of Hastings

Bespalec

Jason

MD, Secretary/Treasurer

1

ACO Participant Representative

Fillmore County Medical Center, P.C.

Luckey

Gerald

MD, Executive Committee At-Large Member

1

ACO Participant Representative

Butler County Clinic, P.C.

Rock

Eileen

MD, Executive Committee At-Large Member

1

ACO Participant Representative

Lincoln Family Wellness PC

Discoe

Edward

MD, Executive Committee At-Large Member

1

ACO Participant Representative

Columbus Medical Center, PC

Citta

Jason

MD

1

ACO Participant Representative

Midlands Family Medicine

Eckmann

Riley

MD

1

ACO Participant Representative

Bloomfield Medical Clinic, P.C.

Finley

Brian

MD

1

ACO Participant Representative

LifeCare Family Medicine of Bellevue, P.C.

Ford

Edward

MD

1

ACO Participant Representative

Plum Creek Medical Group, P.C.

Jacobsen

Matt

MD

1

ACO Participant Representative

Lincoln Family Medical Group, P.C.

Messberger  

Rob

MD

1

ACO Participant Representative

Family Practice Associates, P.C.

Minnick

David

MD

1

ACO Participant Representative

Central Nebraska Medical Clinic, P.C.

Rosenquist

Dan

MD

1

ACO Participant Representative

Columbus Family Practice Associates PC

Tramp

Allan

MD

1

ACO Participant Representative

Falls City Family Practice, P.C.

West

John

MD

1

ACO Participant Representative

McCook Clinic, P.C.

Klosterman

Beth

 

1

Medicare Beneficiary Representative

 

 

Key ACO clinical and administrative leadership:

Joleen TenHulzen Huneke   

ACO Executive

Dale Michels, MD

Medical Director

Denise Mainquist

Compliance Officer

Gerald Luckey, MD

Quality Assurance/Improvement Officer

 

Associated committees and committee leadership:

Committee Name

Committee Leader Name and Position              

Compliance

Dan Rosenquist, MD – Chair                   

Finance

Jason Bespelac, MD – Chair

Contracting

Stewart Hinrichsen – Chair

Marketing/Communications  

Beth Klosterman & Tess Sinner                   – Co-Chairs

Information Management

Brian Rokusek - Chair

 

 

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

  • Second Agreement Period
    • Performance Year 2016, $0
  • First Agreement Period
    • Performance Year 2015, $0
    • Performance Year 2014, $0
    • Performance Year 2013, $0

Shared Savings Distribution

  • Second Agreement Period
    • 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: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • 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

2016 Quality Performance Results:

ACO# 

Measure Name

Rate   

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

 82.94   79.9

ACO-2

CAHPS: How Well Your Providers Communicate

 92.84  92.63

ACO-3

CAHPS: Patients' Rating of Provider

 92.59  91.93

ACO-4

CAHPS: Access to Specialists

 85.28  83.52

ACO-5

CAHPS: Health Promotion and Education

 57.93

 60

ACO-6

CAHPS: Shared Decision Making

 77.32  75.28

ACO-7

CAHPS: Health Status/Functional Status

 75.78  71.82

ACO-34

CAHPS: Stewardship of Patient Resources

 31.34  27.52

ACO-8

Risk-Standardized, All Condition Readmission

 13.97  14.7

ACO-35

Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM)

 17.2  18.17

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes

 50.12  53.2

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

 72.31  75.23

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

 55.68  59.81

ACO-9

Ambulatory Sensitive Conditions Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5)

 6.77  9.27

ACO-10

Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8 )

 12.87  14.53

ACO-11

Percent of PCPs who Successfully Meet Meaningful Use Requirements

 89.06  82.72

ACO-39

Documentation of Current Medications in the Medical Record

 93.85  87.54

ACO-13

Falls: Screening for Future Fall Risk

 96.86  64.04

ACO-14

Preventive Care and Screening: Influenza Immunization

 84.04  68.32

ACO-15

Pneumonia Vaccination Status for Older Adults

 86.34  69.21

ACO-16

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up

 66.06  74.45

ACO-17

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

 92.37  90.98

ACO-18

Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan

 81.06  53.63

ACO-19

Colorectal Cancer Screening

 70

 61.52

ACO-20

Breast Cancer Screening

 75.41  67.61

ACO-21

Preventive Care and Screening: Screening for High Blood Pressure and Follow-up Documented

 87.53  76.84

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

 75

 77.72

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

 11.85  18.24

ACO-41

Diabetes: Eye Exam  

 57.93  44.94

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

 76.15  70.52

ACO-30

Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic

 85.84   85.05

ACO-31

Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)

 91.94  88.67

ACO-33

Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy – for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%)

 83.33  79.67

 

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

 

Note: In the Quality Performance Results file(s) above, search for “SERPA ACO, LLC” or "SERPA-ACO" to view the quality performance results. This ACO can also be found by using the ACO ID A91256 in the public use files on data.cms.gov.

Payment Rule Waivers

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