Public Reporting

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

ACO Name and Location

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

ACO Primary Contact

Lindsay Cosimano, APR
Director of Marketing and Communications
Email: lcosimano@nebraskahealthnetwork.com
Phone: (402) 552-2507

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

Holmes & Munyon, PC

West Broadway Clinic, P.C.

Diabetes & Endocrine Associates, P.C.

Jennie Edmundson Memorial Hospital

Pulmonary Infectious Disease Associates, P.C.

Nebraska Methodist Hospital

Radiological Center Inc.

The Urology Center, P.C.

Anesthesia West, P.C.

Methodist Physicians Clinic, Inc.

Omaha OB-GYN Associates, P.C.

Midwest Gastrointestinal Associates, P.C.

UNMC Physicians

Pulmonary Medicine Institute, P.C.

Midwest Regional Health Services, LLC

Nebraska Medical Center

ACO Participant in Joint Venture?

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Physician shaking hands

ACO Governing Body

Peter Whitted, MD: Chairman, Voting member, ACO Participant Representative, Nebraska Medical Center

Richard Hahn: Voting member, Medicare Beneficiary Representative

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

James Canedy, MD: Voting member, ACO Participant Representative, Nebraska Medical Center

Don Darst, MD: Voting member, ACO Participant Representative, Midwest Regional Health Services

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

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

James Linder, MD: Voting member, ACO Participant Representative, Nebraska Medical Center

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

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

Scott Bomgaars, MD: Voting member, ACO Participant Representative, Methodist Jennie Edmundson Hospital
Kent Willadsen, MD: Voting member, ACO Participant Representative, Methodist Physicians Clinic

Jeff Francis: Voting member, ACO Participant Representative, Nebraska Methodist Hospital
J. Ken Tiojanco, MD: Voting member, ACO Participant Representative, Anesthesia West PC
Richard Hahn: Voting member, Medicare Beneficiary Representative

Non-Voting Members

Peggy Helget: Non-voting member, ACO Participant Representative, Methodist Jennie Edmundson Hospital

Steven Zuber, MD: Non-voting member, ACO Participant Representative, Physicians Clinic Inc.

Michael Ash, MD: Non-voting member, ACO Participant Representative, UNMC Physicians

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

Susan Nuss: Non-voting member, ACO Participant Representative, Nebraska Medical Center

Pat Booth: Non-voting member, ACO Participant Representative, Fremont Health Clinic

Key ACO Clinical & Administrative Leadership

Lee Handke, PharmD, MBA, ACO Executive

Michael Romano, MD, Medical Director

Michael Battreall, Compliance Officer

Katie 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

Membership Committee: Peter Whitted, MD (Chairman)

Medical Management Executive Committee: Michael Romano, MD (Chairman)

Executive Committee:  Peter Whitted, 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: N/A

Shared Savings Distribution: N/A

Quality Performance Results

2016 Quality Performance Results

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

N/A

80.51

ACO-2

CAHPS: How well Your Providers Communicate

N/A

93.01

ACO-3

CAHPS: Patients’ Rating of Provider

N/A

92.25

ACO-4

CAHPS: Access to Specialists

N/A

83.49

ACO-5

CAHPS: Health Promotion and Education

N/A

60.32

ACO-6

CAHPS: Shared Decision Making

N/A

75.40

ACO-7

CAHPS: Health Status/Functional Status

N/A

72.30

ACO-34

CAHPS: Stewardship of Patient Resources

N/A

26.97

ACO-8

Risk-Standardized, All Condition Readmission

N/A

14.7

ACO-35

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

N/A

18.17

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes

N/A

53.2

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

N/A

75.23

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

N/A

59.81

ACO-9

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

N/A

9.27

ACO-10

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

N/A

14.53

ACO-11

Percent of PCPs who Successfully Meet Meaningful Use Requirements

N/A

82.72

ACO-39

Documentation of Current Medications in the Medical Record

N/A

87.54

ACO-13

Falls: Screening for Future Fall Risk

N/A

64.04

ACO-14

Preventive Care and Screening: Influenza Immunization

N/A

68.32

ACO-15

Pneumonia Vaccination Status for Older Adults

N/A

69.21

ACO-16

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

N/A

74.45

ACO-17

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

N/A

90.98

ACO-18

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

N/A

53.63

ACO-19

Colorectal Cancer Screening

N/A

61.52

ACO-20

Breast Cancer Screening

N/A

67.61

ACO-21

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

N/A

76.79

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

N/A

77.72

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

N/A

18.24

ACO-41

Diabetes: Eye Exam

N/A

44.94

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

N/A

70.69

ACO-30

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

N/A

85.05

ACO-31

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

N/A

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%)

N/A

79.67

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

Payment Rule Waivers

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

 

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.