ACO Name and Location

SERPA ACO, LLC Previous Names: N/A 995 E. Hwy 33 Suite 2 Crete, NE 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 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
McCook Clinic, P.C.	N
York Medical Clinic, P.C.	N
Midlands Family Medicine	N

ACO governing body:

Member			Member's Voting Power – Expressed as a percentage or number	Membership Type	ACO Participant Legal Business Name/DBA, if Applicable
Last Name	First Name	Title/Position		Membership Type	ACO Participant Legal Business Name/DBA, if Applicable
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
Messbarger	Robert	MD, Executive Committee Member At-Large	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
Luckey	Gerald	MD	1	ACO Participant Representative	Butler County Clinic, P.C.
Minnick	David	MD	1	ACO Participant Representative	Central Nebraska Medical Clinic, P.C.
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	Dale Michels, 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 2017, $0
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 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: 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

2017 Quality Performance Results:

ACO#	Measure Name	Rate	ACO Mean
ACO-1	CAHPS: Getting Timely Care, Appointments, and Information	79.08	80.60
ACO-2	CAHPS: How Well Your Providers Communicate	92.91	93.13
ACO-3	CAHPS: Patients’ Rating of Provider	91.66	92.31
ACO-4	CAHPS: Access to Specialists	83.81	83.32
ACO-5	CAHPS: Health Promotion and Education	59.48	62.30
ACO-6	CAHPS: Shared Decision Making	76.64	75.85
ACO-7	CAHPS: Health Status/Functional Status	74.49	73.05
ACO-34	CAHPS: Stewardship of Patient Resources	30.44	25.68
ACO-8	Risk Standardized, All Condition Readmission	14.90	15.01
ACO-35	Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)	17.19	18.46
ACO-36	All-Cause Unplanned Admissions for Patients with Diabetes	54.31	53.95
ACO-37	All-Cause Unplanned Admissions for Patients with Heart Failure	75.49	79.16
ACO-38	All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions	61.70	61.74
ACO-43	Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))	2.26	1.93
ACO-11	Use of Certified EHR Technology	100.00	98.48
ACO-12	Medication Reconciliation	84.54	75.32
ACO-13	Falls: Screening for Future Fall Risk	83.93	75.32
ACO-44	Imaging Studies for Low Back Pain	80.00	67.32
ACO-14	Preventive Care and Screening: Influenza Immunization	85.21	72.52
ACO-15	Pneumonia Vaccination Status for Older Adults	88.54	72.92
ACO-16	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up	50.41	70.69
ACO-17	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	91.34	90.48
ACO-18	Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan	80.84	61.98
ACO-19	Colorectal Cancer Screening	72.76	64.58
ACO-20	Breast Cancer Screening	73.11	70.05
ACO-42	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	77.92	79.89
ACO-27	Diabetes Mellitus: Hemoglobin A1c Poor Control	10.43	16.74
ACO-41	Diabetes: Eye Exam	57.22	50.37
ACO-28	Hypertension (HTN): Controlling High Blood Pressure	73.85	71.47
ACO-30	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	92.23	86.86

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

For 2017 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2017-Shared-Savings-Program-SSP-Accountable-Care-O/gk7c-vejx/data
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/data
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/data
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/data

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