ACO Name and Location

Inspire Health Partners, LLC
Previous Names: N/A
2400 East 17th Street
Columbus, IN 47201

 

ACO Primary Contact

Primary Contact Name Marc E. Rothbart, President
Primary Contact Phone Number 812-376-5444
Primary Contact Email Address mrothbart@inspirehealthpartners.com

 

Organizational Information

ACO participants:

ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Jackson County Schneck Memorial Hospital Y
Family Medical Center, P.C. Y
Columbus Regional Health Physicians, LLC Y

 

ACO governing body:

Member Member’s Voting Power –Expressed as a percentage or number Membership Type – ACO Participant Legal Business Name/DBA, if Applicable
Last Name First Name Title/Position
Fish, MD Eric Chairperson 10% ACO Participant Jackson County Schneck Memorial Hospital
Dorenbusch, MD Michael Vice-Chairperson 10% ACO Participant Columbus Regional Health Physicians, LLC
Bickel Jim Secretary 10% ACO Participant Columbus Regional Health Physicians, LLC
Forgey Warren Treasurer 10% ACO Participant Jackson County Schneck Memorial Hospital
Crowder, MD Slade Board Member 10% ACO Participant Columbus Regional Health Physicians, LLC
Lemming, MD Nick Board Member 10% ACO Participant Family Medical Center, P.C.
Mann Debbie Board Member 10% ACO Participant Jackson County Schneck Memorial Hospital
Sonderman, MD Tom Board Member Nil ACO Participant Columbus Regional Health Physicians, LLC
Meyer Gary Board Member 10% Medicare Beneficiary Representative  
Weatherwax Marlene Board Member 10% ACO Participant Columbus Regional Health Physicians, LLC
Whittington Mark Board Member 10% Community Stakeholder Representative  

 

Key ACO clinical and administrative leadership:

Marc Rothbart ACO Executive
Slade Crowder Medical Director
Marlene Weatherwax Compliance Officer
Nick Lemming, MD Quality Assurance/Improvement Officer

 

Associated committees and committee leadership:

Committee Name Committee Leader Name and Position
Primary Care Leadership Committee Nick Lemming, MD
Quality Committee Eric Fish, MD & Thomas Sonderman, MD
Finance Committee Marlene Weatherwax & Debbie Mann
Information Technology Committee Slade Crowder, MD & Craig Rice
Membership and Credentialing Committee John Fye, 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

 

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

2018 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 85.62 86.14
ACO-2 CAHPS: How Well Your Providers Communicate 94.67 93.93
ACO-3 CAHPS: Patients’ Rating of Provider 92.12 92.45
ACO-4 CAHPS: Access to Specialists 80.61 81.50
ACO-5 CAHPS: Health Promotion and Education 51.57 59.26
ACO-6 CAHPS: Shared Decision Making 66.71 61.94
ACO-7 CAHPS: Health Status/Functional Status 75.17 73.35
ACO-34 CAHPS: Stewardship of Patient Resources 23.58 26.26
ACO-8 Risk Standardized, All Condition Readmission 14.25 14.98
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 17.29 18.59
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 34.92 37.01
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 65.06 76.75
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 52.53 59.00
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91) 1.92 1.98
ACO-11 Use of Certified EHR Technology 100.00 98.20
ACO-12 Medication Reconciliation Post-Discharge 72.46 85.91
ACO-13 Falls: Screening for Future Fall Risk 37.20 79.73
ACO-44 Use of Imaging Studies for Low Back Pain 50.00 64.36
ACO-14 Preventive Care and Screening: Influenza Immunization 64.59 72.71
ACO-15 Pneumonia Vaccination Status for Older Adults 82.86 75.97
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up 37.30 76.83
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 25.00 72.81
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 35.74 66.74
ACO-19 Colorectal Cancer Screening 61.48 68.27
ACO-20 Breast Cancer Screening 70.19 71.96
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 80.49 81.47
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 14.12 15.51
ACO-41 Diabetes: Eye Exam 36.64 52.42
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 75.49 73.10
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet 94.86 88.92

 

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

 

Note: In the Quality Performance Results file(s) above, search for “Inspire Health Partners, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A3555 in the public use files on data.cms.gov.

Payment Rule Waivers

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

 

Preferred Skilled Nursing Facilities:

Inspire Health Partners has designated the following 4 skilled nursing facilities from Bartholomew County as preferred facilities consistent with applicable law in an effort to increase quality of care, promote the efficient use of healthcare resources in our community, and work to increase patient satisfaction with their health care providers across the continuum of care.  These facilities, along with Inspire Health Partners, look to reduce unnecessary hospital admissions and readmission, promote the coordination of care between and among the skilled nursing facilities and other providers in the community, and provide better reporting of health care data among providers involved with each patient’s care.

1) Silver Oaks

2) Four Seasons

3) Willow Crossing

4) Columbus Transitional Care