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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
812-459-4472
HKoehler@eCommunity.com


Organizational Information
ACO Participants:
ACO Participants ACO Participant in joint venture
Deaconess Care Integration, LLC N
 


ACO Governing Body
First Name Last Name Title / Position Voting Power Membership Type ACO Participant TIN Legal Business Name
Heather Koehler President 1 N/A N/A
Dr. Lori Sieboldt Chief Medical Officer 1 ACO Participant Representative DEACONESS CLINIC INC
Nick Dus Executive Director of Market Ops   N/A N/A
Karen Shaffer Executive Director of Clinical Ops   N/A N/A
Dr. James Porter Deaconess Health System President 1 N/A N/A
Dr. Allen White Deaconess Health System Regional Medical Officer   N/A N/A
Cheryl Wathen Deaconess Health System Chief Financial Officer   N/A N/A
Dr. Amanda Bohleber Deaconess Chief Innovation Officer 1 ACO Participant Representative DEACONESS CLINIC INC
Dr. Brad Scheu Deaconess Clinic Chief Medical Officer 1 ACO Participant Representative DEACONESS CLINIC INC
Dr. Greg Rodocker Deaconess Medical Director of Post Acute Care 1 ACO Participant Representative DEACONESS CLINIC INC
Dr. Lauren Veazy Deaconess Clinic Physician 1 ACO Participant Representative DEACONESS CLINIC INC
Dr. Lynniece Kocher Deaconess Clinic Physician 1 ACO Participant Representative DEACONESS CLINIC INC
Dr. Shalonda Newcomb Deaconess Clinic Physician 1 ACO Participant Representative DEACONESS CLINIC INC
Kyle Dillman Manager of Finance   N/A N/A
Bruce Epmeier Medicare Representative 1 Medicare Beneficiary Representative N/A
Mindy George Deaconess Chief Compliance Officer   N/A N/A
Sherry Schroeder Deaconess Clinic Staff Coordinator 1 ACO Participant Representative DEACONESS CLINIC INC
Julie Dingman Deaconess Clinic Chief Operating Officer 1 ACO Participant Representative DEACONESS CLINIC INC
Dr. Gurpreet Weyer Deaconess Clinic Medical Director of Primary Care 1 ACO Participant Representative DEACONESS CLINIC INC
Dr. Dhruvin Mehta Deaconess Clinic Physician 1 ACO Participant Representative DEACONESS CLINIC INC
Dr. Paul Weinberger Deaconess MD of Specialty Care 1 ACO Participant Representative DEACONESS CLINIC INC
 
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, Medical Director
Finance and Compliance Nick Dus, Executive Director Market Ops
Operations Kelly Banning, Director of Market Ops
Physician Advisory Council Jared Kocher, ACO Participant and Primary Care Provider
Quality  Dr. Lori Sieboldt, Medical Director
 

Types of ACO Participants, or Combinations of Participants, That Formed the ACO
  • Network of Individual Practices

  • Hospital employing ACO professionals
Shared Savings and Losses

Our ACO re-entered the Shared Savings Program in the 2022 performance year under agreement period 2. Shared savings/losses and shared savings distributions are therefore reported, beginning with this agreement period.
 

Amount of Shared Savings/Losses:
  • Second Agreement Period
    • Performance Year 2022, $NA
  • First Agreement Period
    • Performance Year 2015, $0
       
Shared Savings Distribution:

Our ACO re-entered the Shared Savings Program in the 2022 performance year under agreement period 2. Shared savings/losses and shared savings distributions are therefore reported, beginning with this agreement period.

  • Second Agreement Period
    • Performance Year 2022
    • NA%
  • First Agreement Period
    • Performance Year 2015
    • NA%, $0
Quality Performance Results

2022 Quality Performance Results:

  • NA
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. 
 
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
 
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