ACO Information

If you have questions or concerns, you can talk with your Cotton O’Neil Primary Care physician or call Stormont Vail’s Health Connections at (785) 354-5225 (800) 432-2951 at any time (phones are answered 24/7).

You can also visit www.medicare.gov/acos.html or call 1-800-MEDICARE (TTY users should call 1-877-486-2048). (TTY 785-354-5260)

ACO Name and Location:

Cotton-O’Neil ACO llc
Previous Names: N/A
1500 S.W. 10th Ave.
Topeka, KS 66604

ACO Primary Contact:

Todd Lutz
(785) 354-6000
[email protected]

Organizational Information

ACO Participants:

ACO Participants	ACO Participant in Joint Venture (Enter Y or N)
STORMONT VAIL HEALTHCARE INC	N
Cotton-O’Neil Clinic Revocable Trust	N

ACO Governing Body

First Name	Last Name	Title/Position	Member's Voting Power	Membership Type	ACO Participant TIN Legal Business Name/DBA, if applicable
Amy	Kincade	Chairman/Secretary	1	ACO Participant Representative	Stormont Vail HealthCare, Inc.
George	Wright	Vice Chairman	1	ACO Participant Representative	Stormont Vail HealthCare, Inc.
Peggy	Burnette	Treasurer	1	ACO Participant Representative	Stormont Vail HealthCare, Inc.
Traci	Cuevas	Board Member	1	ACO Participant Representative	Cotton O’Neil Revocable Trust
Brad	Cutting	Board Member	1	ACO Participant Representative	Cotton O’Neil Revocable Trust
Melissa	Herrman	Board Member	1	ACO Participant Representative	Cotton O’Neil Revocable Trust
Cliff	Jones	Board Member	1	ACO Participant Representative	Cotton O’Neil Revocable Trust
Chad	Yeager	Board Member	1	ACO Participant Representative	Stormont Vail HealthCare, Inc.
Tracy	O’Rourke	Board Member	1	ACO Participant Representative	Stormont Vail HealthCare, Inc.
Korri	Phillips	Board Member	1	ACO Participant Representative	Cotton O’Neil Revocable Trust
Vernon	Long	Board Member	1	Medicare Beneficiary
Sarah	Sartain	Board Member	1	ACO Participant Representative	Cotton O’Neil Revocable Trust
Kevin	Steck	Board Member	1	ACO Participant Representative	Stormont Vail HealthCare, Inc.

Key ACO clinical and administrative leadership


ACO Executive	Todd Lutz
Medical Director	George Wright
Compliance Officer	Jennifer Lamb
Quality Assurance/Improvement Officer	Chad Yeager

Associated committees and committee leadership

Committee Name	Committee Leader Name and Position
Finance Committee	Peggy Burnette, Chair
Compliance Committee	Kevin Steck, Chair
Quality and Audit Committee	Chad Yeager, Chair

Types of ACO participants or combination of participants that formed the ACO:

Hospital employing ACO professionals

Shared Savings and Losses

Amount Shared Savings and Losses

Third Agreement Period
- Performance Year 2021, $0
Second Agreement Period
- Performance Year 2020, $0
- Performance Year 2019, $0
- Performance Year 2018, $0
First Agreement Period
- Performance Year 2017, $0
- Performance Year 2016, $0
- Performance Year 2015, $0

Shared Savings Distribution

Third Agreement Period
- Performance Year 2021
  - Proportion invested in infrastructure: N/A
  - Proportion invested in redesigned care processes/resources: N/A
  - Proportion of distribution to ACO participants: N/A
Second Agreement Period
- Performance Year 2020
  - Proportion invested in infrastructure: N/A
  - Proportion invested in redesigned care processes/resources: N/A
  - Proportion of distribution to ACO participants: N/A
- Performance Year 2019
  - Proportion invested in infrastructure: N/A
  - Proportion invested in redesigned care processes/resources: N/A
  - Proportion of distribution to ACO participants: N/A
- 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

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
- Performance Year 2016
  - Proportion invested in infrastructure: N/A
  - Proportion invested in redesigned care processes/resources: N/A
  - Proportion of distribution to ACO participants: N/A
- Performance Year 2015
  - 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

2021 Quality Performance Results are based on CMS Web Interface.

Measure #	Measure Name	Rate	ACO Mean
CAHPS-1	Getting Timely Care, Appointments, and Information	80.59	84.67
CAHPS-2	How Well Providers Communicate	93.37	93.56
CAHPS-3	Patient's Rating of Provider	91.89	92.19
CAHPS-4	Access to Specialists	78.9	78.8
CAHPS-5	Health Promotion and Education	67	61.61
CAHPS-6	Shared Decision Making	58.78	60.89
CAHPS-7	Health Status and Functional Status	69.6	71.78
CAHPS-8	Care Coordination	85.78	85.66
CAHPS-9	Courteous and Helpful Office Staff	94.99	91.88
CAHPS-11	Stewardship of Patient Resources	19.66	24.71
1	Diabetes: Hemoglobin A1c (HbA1c) Poor Control2	7.23	12.46
134	Preventative Care and Screening: Screening for Depression and Follow-up Plan	98.11	74.38
236	Controlling High Blood Pressure	77.22	74.87
318	Falls: Screening for Future Fall Risk	100	87.03
110	Preventative Care and Screening: Influenza Immunization	90.72	80.52
226	Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention	100	80.97
113	Colorectal Cancer Screening	85.94	73.63
112	Breast Cancer Screening	87.31	75.11
438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	85.3	84.24
321	CAHPS for MIPS3	N/A	N/A
479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2	0.1448	0.154
MCC1	All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)2	34.57	33.99