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For You  /  Health Care Professionals  /  Public Reporting for IHCI ACOs

Public Reporting for DCI ACOs

ACO Name and Location

Deaconess Care Integration, LLC
7100 Eagle Crest Blvd.
Evansville, IN 47715
Open Monday - Friday 8 AM - 5 PM
 

ACO Primary Contact

Heather Koehler
President, IHCI
7100 Eagle Crest Blvd.
Evansville, IN 47715
812-450-1660
HKoehler@eCommunity.com

Organizational Information
ACO Participants:
ACO Participants ACO Participant in joint venture
Deaconess Care Integration, LLC N
Midwest Internal Medicine PC  N
 


ACO Governing Body
First Name Last Name Title / Position Voting Power Membership Type ACO Participant TIN Legal Business Name
Heather Koehler President 6.76 N/A N/A
Dr. Lori Sieboldt Chief Medical Officer 6.66 ACO Participant Representative DEACONESS CLINIC INC
Nick Dus Chief Operating Officer   N/A N/A
Dr. James Porter Deaconess Health System President 6.66 N/A N/A
Cheryl Wathen Deaconess Health System Chief Financial Officer   N/A N/A
Dr. Brad Scheu Deaconess Clinic Chief Medical Officer 6.66 ACO Participant Representative DEACONESS CLINIC INC
Dr. Lauren Veazy Deaconess Clinic Physician 6.66 ACO Participant Representative DEACONESS CLINIC INC
Dr. Lynniece Kocher Deaconess Clinic Physician 6.66 ACO Participant Representative DEACONESS CLINIC INC
Dr. Shalonda Newcomb Deaconess Clinic Physician 6.66 ACO Participant Representative DEACONESS CLINIC INC
Kyle Dillman Manager of Finance   N/A N/A
Bruce Epmeier Medicare Representative 6.66 Medicare Beneficiary Representative N/A
Mindy George Deaconess Chief Compliance Officer   N/A N/A
Julie Dingman Deaconess Clinic Chief Operating Officer 6.66 ACO Participant Representative DEACONESS CLINIC INC
Dr. Gurpreet Weyer Deaconess Clinic Medical Director of Primary Care 6.66 ACO Participant Representative DEACONESS CLINIC INC
Dr. Dhruvin Mehta Deaconess Clinic Physician 6.66 ACO Participant Representative DEACONESS CLINIC INC
Dr. Paul Weinberger Deaconess MD of Specialty Care 6.66 ACO Participant Representative DEACONESS CLINIC INC
Kelly  Banning Executive Director of Value Based Care Operations   N/A N/A
Dr. Gordon  Brown Deaconess Clinic Physician 6.66 ACO Participant Representative Deaconess Clinic INC
Dr. Jessica Cox Deaconess Clinic Physician 6.66 ACO Participant Representative Deaconess Clinic INC
M.E. Dennis Executive Director of IT & Analytics   N/A N/A
Andrew Schenk Deaconess Clinic Director 6.66 ACO Participant Representative Deaconess Clinic INC
Melissa Norman Executive Director of Clinical Operations   N/A N/A
Lindsey Robbins Director of Market Operations   N/A N/A
 
Key ACO Clinical and Administrative Leadership
ACO Executive:  Heather Koehler
Medical Director:  Dr. Lori Sieboldt
Compliance Officer:  Mindy George
Quality Assurance/Improvement Officer:  Dr. Lori Sieboldt
 
Associated Committees and Committee Leadership
Committee Name Committee Leader Name and Position
Credentials Dr. Lori Sieboldt, Chief Medical Officer
Finance and Compliance Nick Dus, Chief Operating Officer
Operations Lindsey Robbins, Director of Market Operations
Physician Advisory Council Jared Kocher, ACO Participant and Primary Care Provider
Quality  Lindsey Robbins, Director of Market Operations
 
Types of ACO Participants, or Combinations of Participants, That Formed the ACO

  • Network of Individual Practices

  • Hospital employing ACO professionals
Shared Savings and Losses
Amount of Shared Savings/Losses:
  • First Agreement Period
    • Performance Year 2022, $4,862,599.15
Shared Savings Distribution:
  • First Agreement Period
    • Performance Period 2022
      • Proportion invested in infrastructure: 0%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 100%
Quality Performance Results

2022 Quality Performance Results:
Quality performance results are based on eCQMs/MIPS CQMs Measure Set

measure # Measure Name Collection Type Rate ACO Mean
Quality ID# 001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control eCQM 26.9 33.57
Quality ID# 134 Preventative Care and Screening: Screening for Depression and Follow-up Plan eCQM 58.22 39.11
Quality ID# 236 Controlling High Blood Pressure eCQM 70.94 69.64
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS 84.26 83.96
CAHPS-2 How Well Providers Communicate CAHPS 94.25 93.47
CAHPS-3 Patient’s Rating of Provider CAHPS 92.36 92.06
CAHPS-4 Access to Specialists CAHPS 73.60 77.00
CAHPS-5 Health Promotion and Education CAHPS 70.91 62.68
CAHPS-6 Shared Decision Making CAHPS 61.56 60.97
CAHPS-7 Health Status and Functional Status CAHPS 72.25 73.06
CAHPS-8 Care Coordination CAHPS 83.97 85.46
CAHPS-9 Courteous and Helpful Office Staff CAHPS 93.02 91.97
CAHPS-11 Stewardship of Patient Resources CAHPS 26.13 25.62
Quality ID# 479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups Administrative Claims 0.1626 0.151
Quality ID# 484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions Administrative Claims 37.9321 30.97

 

For previous years’ Financial and Quality Performance Results, please visit: data.cms.gov
 
Payment Rule Waivers
Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
  • Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612. 
Fraud and Abuse Waivers
ACO Participation Waiver:
The following information describes each arrangement for which our ACO seeks protection under the ACO Participation Waiver, including any material amendment or modification to a disclosed arrangement. The following are arrangements for which protection is sought under the Final ACO Waiver Rule jointly issued by the Centers for Medicare and Medicaid Services (“CMS”) and the Office of Inspector General (“OIG”) of the U.S. Department of Health and Human Services as described at 80 Fed. Reg. 66726 (Oct. 29, 2015) (Medicare Program: Final Waivers in Connection with the Shared Savings Program):
 
Ortho Surgery Joint Venture Arrangement
  • Parties to the arrangement
    • DCI
    • Deaconess Hospital, Inc. (Deaconess Hospital)
    • OrthoAlign, LLC (OrthoAlign)
    • (a) Orthopaedic Associates, Inc. (Ortho Associates); (b) Ortho Associates’ participating physicians (OA Physicians); and (c) their affiliate, OA Management Services Inc. (OA Management)
  • Date of arrangement - 01/01/2022
  • Items, services, goods, or facility provided
    • OrthoAlign provides management and related administrative services to Deaconess Hospital in connection with various (a) orthopedic procedures performed at Deaconess Gateway, and (b) orthopedic services performed at Deaconess Midtown, including certain spine procedures and orthopedic trauma services
  • Date and nature of any amendments to the arrangement, if applicable - NA
Ortho Surgery Clinical Integration Program (CIP) at Deaconess Henderson Hospital
  • Parties to the arrangement
    • DCI
    • Methodist Health, Inc. d/b/a Deaconess Henderson Hospital (Hospital)
    • OrthoAlign, LLC (OrthoAlign)
    • Orthopaedic Associates, Inc. (Ortho Associates) and its surgeons on Hospital’s medical staff who agree to participate in the Ortho Surgery CIP (Participating Physicians)
  • Date of arrangement - 01/01/2022
  • Items, services, goods, or facility provided
    • Clinical integration arrangement related to the delivery of orthopedic procedural and surgery services provided by or at Hospital.
    • Focus is on Total Hip/Knee Replacement Initiative.
  • Date and nature of any amendments to the arrangement, if applicable - NA
Mainspring 2.0 Expansion
  • Parties to the arrangement
    • DCI
    • Mainspring Managers, LLC (Mainspring)
    • Deaconess Hospital, Inc. (Deaconess Hospital)
    • Neurosurgical Consultants, LLP (NSC) and its neurosurgeons (NSC Physicians)
  • Date of arrangement - 01/01/2022
  • Items, services, goods, or facility provided
    • Mainspring continues to provide services under existing management agreement (manage neurosurgical services at Deaconess Gateway; NSC Physicians continue to provide medical director services on behalf of Mainspring
    • (Expansion 2.0 - New) Mainspring provides additional services:
    • Clinical Staff (RNs, CRNAs, CSTs, Anesthesiologists) at Deaconess Gateway (in the Cath Lab/OR Suite), and
    • Services of the APN(s) (provided by NSC) who will provide services in the inpatient setting.
  • Date and nature of any amendments to the arrangement, if applicable - NA
Vascular Surgery Joint Venture Arrangement
  • Parties to the arrangement
    • DCI
    • Deaconess Hospital, Inc. (Deaconess Hospital)
    • Vascmed, LLC (Vascmed)
    • Evansville Surgical Associates, Inc. and its participating physicians (Participating Physicians)
  • Date of arrangement - 01/01/2022
  • Items, services, goods, or facility provided
    • Vascmed provides management and related administrative services to Deaconess in connection with various vascular procedures performed at Deaconess Gateway and Deaconess Midtown
  • Date and nature of any amendments to the arrangement, if applicable - NA
Quality / Performance Monitoring Program
  • Parties to the arrangement
    • DCI
    • Deaconess Hospital, Inc. and Deaconess Clinic, Inc. (Deaconess)
    • DCI’s affiliated ACOs (e.g., OneCare, etc.)
    • Other providers in DCI’s ACO network who agree to participate in the Crimson Initiative
  • Date of arrangement - 01/01/2022
  • Items, services, goods, or facility provided
    • Program designed to:
    • Evaluate the performance of DCI network providers and DCI’s affiliated ACOs
    • Facilitate the quality and improvement activities undertaken
    • Facilitate the quality and improvement activities undertaken by DCI, DCI network providers and affiliated ACOs
    • Involves an initiative which entails the use of data and reports generated through The Advisory Board Company’s (The Advisory Board) Crimson Program (or a similar third-party who provides such data and reporting services)
  • Date and nature of any amendments to the arrangement, if applicable - NA
Care Transitions Initiative Program
  • Parties to the arrangement
    • DCI
    • Deaconess Hospital, Inc. (Deaconess Hospital)
    • Methodist Health, Inc. d/b/a Deaconess Henderson Hospital (Deaconess Henderson)
    • Deaconess Clinic, Inc. (Deaconess Clinic)
    • Participating post-acute providers who agree to collaborate are eligible to participate in the program (Participating Post-Acute Care Facilities)
  • Date of arrangement - 01/01/2022
  • Items, services, goods, or facility provided
    • Clinically integrated program beginning in 2014, focused on Deaconess patients who discharged into a post-acute care setting
    • Clinicians will follow an approved clinical pathway that includes clinical protocols, patient-centered, coordinated care throughout the continuum, a Deaconess Clinic Nurse Practitioner will be embedded at each Participating Post-Acute Care Facility
  • Date and nature of any amendments to the arrangement, if applicable - NA
Post-Acute Swing Bed Care Coordination Program
  • Parties to the arrangement
    • DCI
    • Deaconess Hospital, Inc. and Methodist Health, Inc. d/b/a Deaconess Henderson (Deaconess Hospitals)
    • Deaconess Regional Healthcare Services Illinois, Inc. (Deaconess Illinois)
    • Ferrell Hospital Community Foundation , Fairfield Memorial Hospital, Gibson General Hospital, Inc. and other critical access hospitals (CAHs) that agree to participate the Post-Acute Swing Bed Care Coordination Program (Participating CAHs)
  • Date of arrangement -  01/01/200
  • Items, services, goods, or facility provided
    • Swing Bed Case Manager - Deaconess Illinois will provide the services of a Swing Bed Case Manager who will participate in Deaconess Hospitals’ care team and the discharge planning process
    • Clinical Protocols and Best Practices – Deaconess Hospitals and Participating CAHs, working in collaboration with DCI, will develop and implement clinical protocols and best practices in connection with the delivery of services to patients who receive swing bed services provided by Participating CAHs
  • Date and nature of any amendments to the arrangement, if applicable - NA
Affiliate Provide Waiver Initiative Program (WIP)
  • Parties to the arrangement
    • DCI
    • Affiliate Providers
  • Date of arrangement: 01/01/200
  • Items, services, goods, or facility provided
    • Affiliate Provider provides services based on the Performance Metrics established for CY 2022, including participation in provider incentive activities that are aligned with DCI’s objectives, including the goals of the MSSP
  • Date and nature of any amendments to the arrangement, if applicable - NA

RAPID Technology Program

  • Parties to the arrangement
    • Deaconess Care Integration, LLC (DCI)
    • Deaconess Hospital, Inc. (Deaconess Hospital)
    • Neurologists who provide neurovascular coverage for Deaconess Hospital and their physician group practices (collectively, Neurologists)
    • Health care facilities in DCI’s ACO provider network that agree to participate in the RAPID Technology Program (collectively, Participating Facilities). 
  • Date of arrangement – 12/1/2022
  • Items, services, goods, or facility provided
    • The provision of iSchemaView, Inc.’s RAPID Perfusion Software by Deaconess Hospital to Participating Facilities (and the use of the RAPID Perfusion Software by Participating Facilities); and
    • The services provided by Neurologists in reviewing RAPID Perfusion Scans for early diagnosis of Large Vessel Occlusion (LVO) to determine whether neurovascular intervention is appropriate (and when clinically appropriate and subject to patient choice, coordinating for the transfer of the patient to receive a neurovascular interventional procedure).
  • Date and nature of any amendments to the arrangement, if applicable - NA
Deaconess Clinic GI Value-Based Program
  • Parties to the arrangement
    • Deaconess Care Integration, LLC (DCI)
    • Deaconess Hospital, Inc. (Deaconess Hospital
    • Deaconess Clinic employed physicians who specialize in gastroenterology and agree to participate in the GI VBP (the “GI Physicians”)
  • Date of arrangement – 3/1/2023
  • Items, services, goods, or facility provided
    • The GI Value-Based Program seeks to address the shortcomings of the current health care delivery system by encouraging better coordination of care among GI Physicians and efficient use of resources across Deaconess Health System as a whole rather than independent of one another, thus improving patient satisfaction.
    • The GI Value-Based Program is designed to encourage GI Physicians to engage in activities designed achieve goals and objectives of Deaconess Clinic and Deaconess Health System, including goals the MSSP, such as improving the utilization of resources across Deaconess Health System om connection with the target patient population, including Medicare beneficiaries.
  • Date and nature of any amendments to the arrangement, if applicable - NA
Deaconess Women’s Hospital Value-Based Program
  • Parties to the arrangement:
    • Deaconess Women’s Hospital of Southern Indiana, LLC (“DWH”) 
    • Tri-State Healthcare Consultants, LLC (“TSHC”) 
    • The physicians who have agreed to provide to DWH on behalf of TSHC in connection with comprehensive clinical direction and administrative support of the Women’s Hospital Service Lines (the “TSHC Physicians”)
    • Deaconess Care Integration, LLC (“DCI”) 
  • Date of arrangement- July 1, 2023
  • Items, services, goods, or facility provided
    • The Women’s Hospital Value-Based Program is designed to encourage Tri-State Healthcare Consultant (TSHC) and the TSHC Physicians to engage in activities designed achieve goals and objectives of Deaconess Women’s Hospital and Deaconess Care Integration, including goals of the MSSP, such as improving managing and coordinating care.
    • The Women’s Hospital Value-Based Program seeks to improve overall patient satisfaction while enhancing the quality of care provided to DWH patients, including Medicare fee-for-service beneficiaries.
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