Public Reporting

As required by the Centers for Medicare and Medicaid Services, the information on this page contains the Public Reporting information for the Nebraska Health Network Accountable Care Organization.

ACO Name and Location

Nebraska Health Network
9140 W. Dodge Road, Suite 400
Omaha, NE 68114

ACO Primary Contact

Lee Handke, PharmD, MBA
Chief Executive Officer
Email: lhandke@nebraskahealthnetwork.com
Phone: (402) 559-6464

Compliance Concerns
If you are a Medicare beneficiary, health care provider, NHN contractor, supplier or team member with potential ethical, legal or compliance-related concerns or questions, notify us today.

Organizational Information

ACO participants

ACO ParticipantsACO Participant in Joint Venture (Y or N)
Holmes & Munyon, PCN
West Broadway Clinic, PCN
Diabetes & Endocrine Associates, P.C.N
Jennie Edmundson Memorial HospitalN
Pulmonary Infectious Disease Associates, PCN
Nebraska Methodist HospitalN
RADIOLOGIC CENTER INCN
The Urology Center, PCN
Anesthesia West, PCN
Physicians Clinic Inc.N
Omaha OB-GYN Associates, PCN
MIDWEST GASTROINTESTINAL ASSOCIATES PCN
UNMC PhysiciansN
Pulmonary Medicine Institute, PCN
Midwest Regional Health Services LLCN
Nebraska Medical CenterN
Physician shaking hands

ACO Governing Body

Steven Bailey, MD: Chairman, Voting member, ACO Participant Representative, Physicians Clinic Inc

Don Darst, MD: Chair-Elect, Voting member, ACO Participant Representative, Midwest Regional Health Services, LLC

Stephanie Daubert: Secretary, Voting member, ACO Participant
Representative, Nebraska Medical Center

Jeff Francis: Treasurer, Voting member, ACO Participant Representative, Nebraska Methodist Hospital

Peter Whitted, MD: Past Chair, Voting member, ACO Participant Representative, UNMC Physicians

James Canedy, MD: Director, Voting member, ACO Participant Representative, UNMC Physicians

Brent Crouse, MD: Director, Voting member, ACO Participant Representative, UNMC Physicians

 

Jim Linder, MD: CEO/Director, Voting member, ACO Participant Representative, Nebraska Medical Center

Steve Goeser: CEO/Director, Voting member, ACO Participant Representative, Nebraska Methodist Hospital

Ken Tiojanco, MD: Director, Voting member, ACO Participant
Representative, Anesthesia West PC

William Shiffermiller, MD: Director, Voting member, ACO Participant Representative, Physicians Clinic Inc.

Kent Willadsen, MD: Director, Voting member, ACO Participant Representative, Physicians Clinic Inc.

Richard Hahn: Director, Voting member, Medicare Beneficiary Representative

Non-Voting Members

Peggy Helget: CNO, Non-voting member, ACO Participant Representative, Jennie Edmondson Memorial Hospital

Cory Shaw: Non-voting member, COO, ACO Participant Representative, Nebraska Medical Center

Key ACO Clinical & Administrative Leadership

Lee Handke, PharmD, MBA, ACO Executive

Michael Romano, MD, Medical Director

Michael Battreall, Compliance Officer

Katherine Miller, PharmD, BCPS, Quality Assurance/Improvement Officer

Mallory Callahan, MPAS, PA-C, Director of Population Health

Lindsay Cosimano, APR, Director of Marketing and Communications

Associated Committees & Committee Leadership

Value Based Performance Advisory Committee: Katherine Miller, PharmD, BCPS, Director of Clinical Integration

Membership Committee: John Mitchell, MD (Chairman)

Executive Committee of the Board:  Steven Bailey, MD (Chairman)

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 2017: $0

Shared Savings Distribution

First 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

Quality Performance Results

2017 Quality Performance Results

ACO#Measure NameRateACO Mean
ACO-1CAHPS: Getting Timely Care, Appointments and Information83.8980.60
ACO-2CAHPS: How Well Your Providers Communicate92.3993.13
ACO-3CAHPS: Patients' Rating of Provider92.4392.31
ACO-4CAHPS: Access to Specialists84.4883.32
ACO-5CAHPS: Health Promotion and Education60.1062.30
ACO-6CAHPS: Shared Decision Making72.0975.85
ACO-7CAHPS: Health Status/Functional Status72.2473.05
ACO-34CAHPS: Stewardship of Patient Resources25.2825.68
ACO-8Risk Standardized, All Condition Readmission14.3915.01
ACO-35Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)17.5018.46
ACO-37All-Cause Unplanned Admissions for Patients with Heart Failure80.4879.16
ACO-38All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions63.8861.74
ACO-43Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))1.881.93
ACO-11Use of Certified EHR Technology100.0098.48
ACO-12Medication Reconciliation90.7575.32
ACO-13Falls: Screening for Future Fall Risk72.6274.38
ACO-44Imaging Studies for Low Back Pain61.1867.32
ACO-14Preventive Care and Screening: Influenza Immunization83.3772.52
ACO-15Pneumonia Vaccination Status for Older Adults86.1872.92
ACO-16Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up59.1770.69
ACO-17Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention94.8290.48
ACO-18Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan69.6461.98
ACO-19Colorectal Cancer Screening64.0364.58
ACO-20Breast Cancer Screening77.5270.05
ACO-42Statin Therapy for the Prevention and Treatment of Cardiovascular Disease88.3679.89
ACO-27Diabetes Mellitus: Hemoglobin A1c Poor Control8.8716.74
ACO-41Diabetes: Eye Exam61.4750.37
ACO-28Hypertension (HTN): Controlling High Blood Pressure72.3271.47
ACO-30Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic88.3186.86

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 “Nebraska Health Network, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A94589 in the public use files on data.cms.gov.

Payment Rule Waivers

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

 

Updated Feb. 13, 2019

Resources

For general questions or additional information about Accountable Care Organizations for Medicare Beneficiaries, please visit the Medicare website or call 1-800-MEDICARE or 1-800-633-4227. TTY users should call 1-877-486-2048.