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	Member's Voting Power	Membership Type
Pritchard	Logan	DO, President	1	ACO Participant Representative	Family Medical Center of Hastings
Bespalec	Jason	MD, Vice-President	1	ACO Participant Representative	Fillmore County Medical Center, P.C.
Discoe	Ed	MD, Secretary/Treasurer	1	ACO Participant Representative	Columbus Medical Center, PC
Hotovy	Patrick	MD, Past President	1	ACO Participant Representative	York Medical Center, PC
Rock	Eileen	MD, Executive Committee At-Large Member	1	ACO Participant Representative	Lincoln Family Wellness PC
Messbarger	Robert	MD, Executive Committee At-Large Member	1	ACO Participant Representative	Family Practice Associates, P.C.
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.
Luckey	Gerald	MD	1	ACO Participant Representative	Butler County Clinic, PC
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	80.51
ACO-2	CAHPS: How Well Your Providers Communicate	92.84	93.01
ACO-3	CAHPS: Patients' Rating of Provider	92.59	92.25
ACO-4	CAHPS: Access to Specialists	85.28	83.49
ACO-5	CAHPS: Health Promotion and Education	57.93	60.32
ACO-6	CAHPS: Shared Decision Making	77.32	75.40
ACO-7	CAHPS: Health Status/Functional Status	75.78	72.30
ACO-34	CAHPS: Stewardship of Patient Resources	31.34	26.97
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	76.79
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	70.69
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.

For 2016 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2016-Shared-Savings-Program-SSP-Accountable-Care-O/3jk5-q6dr/data
For 2015 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/Medicare-Shared-Savings-Program-Accountable-Care-O/x8va-z7cu
For 2014 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/Medicare-Shared-Savings-Program-Accountable-Care-O/ucce-hhpu
For 2013 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/Medicare-Shared-Savings-Program-Accountable-Care-O/yuq5-65xt

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