WRHS Clinically Integrated Network | White River Health System

WRHS Clinically Integrated Network

White River Health System Clinically Integrated Network, LLC

1710 Harrison Street

Batesville, Arkansas 72501

ACO Primary Contact

Jackie Crain

Phone: (870) 262-1342

Organizational Information

ACO Participants

ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Batesville Family Practice Clinic Y
Dr. Andy's Family Practice, PLLC Y
Mountain View Family Practice, P.A. Y
White River Diagnostic Clinic Y
White River Health System, Inc Y

ACO Governing Body

Member
Last Name First Name Title/Position Member's Voting Power Membership Type ACO Participant Legal Business Name/DBA, if Applicable
Bernard Doug MD/Chairperson 1 ACO Participant Representative White River Health System, Inc.
Steel Chris MD/ACO Vice Chairperson 1 ACO Participant Representative White River Health System, Inc.
Bishop Michelle MD/ACO Medical Director 1 ACO Participant Representative White River Health System, Inc.
Allen Julia MD/ACO Secretary 1 ACO Participant Representative Batesville Family Clinic/DBA Batesville Family Care
Davidson Andy MD/ACO Treasurer 1 ACO Participant Representative  White River Health System, Inc.
           
Angel Jeff MD/ACO Board of Managers Member 1 ACO Participant Representative White River Health System, Inc.
Bloch Lauren MD/ACO Board of Managers Member 1 ACO Participant Representative White River Health System, Inc.
Hunt Randall MD/ACO Board of Managers Member 1 ACO Participant Representative White River Health System, Inc.
Jones E.J.  MD/ACO Board of Managers Member 1 Community Stakeholder Representative N/A
Kerr Robin APRN/ACO Board of Managers Member 1 ACO Participant Representative White River Health System, Inc.
Paxson Gary ACO Participant Representative 1 ACO Participant Representative  White River Health System, Inc.
Smith John Ed ACO Medicare Beneficiary 1 Medicare Beneficiary Representative N/A
Sowers Hayden OD/ACO Board of Managers Member 1 Community Stakeholder Representative N/A
Subramanium Anandaraj MD/ACO Board of Managers Member 1 ACO Participant Representative Dr. Andy's Family Practice, PLLC
Weaver Jordan MD/ACO Executive 0 Community Stakeholder Representative N/A
Young Timothy MD/ACO Board of Managers Member 1 ACO Participant Representative White River Health System, Inc.

Key ACO Clinical and Administrative Leadership

Jordan Weaver, MD ACO Executive
Michelle Bishop, MD Medical Director
Kathy Thomas, MSN, CMSRN, CPHRM Compliance Officer
Chris Steel, MD Quality Assurance/Improvement Officer

Associated Committees and Committee Leadership

 
Committee Name Committee Leader Name and Position
Ad Hoc Committee Doug Bernard, MD
Finance Committee Shawna Ives, CPA, CCRS
Marketing Committee Julia Allen, MD
Quality Assurance and Clinical Informatics Chris Steel, MD
Specialty Advisory and Utilization Review Chris Steel, MD

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

  • Partnerships or joint venture arrangements between hospitals and ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2018 - $0.00

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

Quality Performance Results

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 90.02 86.14
ACO-2 CAHPS: How Well Your Providers Communicate 94.93 93.93
ACO-3 CAHPS: Patients' Rating of Provider 91.24 92.45
ACO-4 CAHPS: Access to Specialists 81.80 81.50
ACO-5 CAHPS: Health Promotion and Education 45.22 59.26
ACO-6 CAHPS: Shared Decision Making 60.91 61.94
ACO-7 CAHPS: Health Status/Functional Status 70.37 73.35
ACO-34 CAHPS: Stewardship of Patient Resources 29.83 26.26
ACO-8 Risk Standardized, All Condition Readmission 14.87 14.98
ACO-35 Skilled Nursing Facility 30-Day All Cause Readmission Measure 17.51 18.59
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 39.38 37.01
ACO-34 All-Cause Unplanned Admissions for Patients with Heart Failure 76.66 76.75
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 58.73 59.00
ACO-43 Ambulatory Sensitive Condition Acute Composite 2.19 1.98
ACO-11 Use of Certified EHR Technology 96.66%

97.66%

ACO-12 Medication Reconciliation Post-Discharge 77.62% 85.91%
ACO-13 Falls: Screening for Future Fall Risk 50.40% 79.73%
ACO-44 Use of Imaging Studies for Low Pack Pain 72.73%

64.36%

ACO-14 Preventive care and Screening: Influenza Immunization 70.04% 72.71%
ACO-15 Pneumonia Vaccination Status for Older Adults 60.64% 75.97%
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 47.32% 76.83%
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 76.92% 72.81%
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 27.47% 66.74%
ACO-19 Colorectal Cancer Screening 45.16% 68.2%
ACO-20 Breast Cancer Screening 52.80% 71.96%
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 86.11% 81.47%
Diabetes Composite Diabetes Composite 22.61% 46.80%
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 17.24% 15.51%
ACO-41 Diabetes Eye Exam 25.29%

52.42%

ACO-28 Hypertension (HTN): Controlling High Blood Pressure 64.64%

73.10%

ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or another Antithrombotic  85.60% 88.92%
  • For previous year's financial and quality performance results, please visit data.cms.gov

Payment Rule Waivers

  • Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
    • No, our ACO does not use the SNF 3-day Rule Waiver, pursant to 42 CFR 425.612. 
  • Waiver for Payment for Telehealth Services:
    • No, our ACO clinicians do not provide telehealth services using the flexibilties under 42 CFR 425.612(f) and 42 CFR 425.613.