ACO Name and Location:

First Coast Health Alliance, LLC
400 Health Park Blvd.
St. Augustine, FL 32086

ACO Primary Contact:

Primary Contact Name

Aaron Emmel

Primary Contact Phone Number

904.819.4067

Primary Contact Email Address

aaron.emmel@flaglerhospital.org

Organizational Information:

ACO Participants

Medical Professionals Of North Florida

Radhika Prakash

J Greg Dent M D & Associates P L

Qixia Huang, M.D., P.A.

Pulmonary Associates Of St

CARDIOVASCULAR CONSULTANTS OF ST AUGUSTINE PL

INFECTIOUS DISEASES ASSOCIATES OF NORTH FLORIDA, P.A.

HAQ MEDICAL CENTER INC

North Florida Specialists In Lung Diseases Internal Medicine

PRIMECARE PL

ST AUGUSTINE NEUROLOGY PA

St Johns Cadiovascular Pa

Michael Tessler

Associates in Internal Medicine, P.A.

Coastal Anesthesiology Consultants Llc

First City Hospitalists Group, PLLC

St. Augustine Foot & Ankle Inc.

Neurosurgical Associates of St. Augustine, LLC

Family Practice,Dr.Assefa Llc

US BARIATRIC ST AUGUSTINE LLC

David L Greenwald Pa

MICHAEL HSU M.D. LLC

FIRST COAST HEART & VASCULAR CENTER, PA

HELDER DE PAIVA MD LLC

JOHN S KOPPMAN, MD PL

Scott D. McDowall, PLLC

ALL ABOUT FEET & LEGS PA

Pantaleon Pathology Associates Pa

Flagler Hospital, Inc.

Warren S. Kluger, M.D., P.A.

Flagler Health Services, Inc.

Jack M. Matheny II MD

Radhika Prakash

Douglas K. Dew, M.D., P.A.

St. Johns Radiology Associates, P.A.

DUDLEY A BARINGER MD PA

Amir A. Malik, M.D., P.A.

BRUCE H PALEY PA

Vassallo Eye Institute

St. Augustine Cardiology Associates, P.A.

SHERRI LEE MAETOZO MD PA

Barry F. Dobies, M.D., P.A.

Mason H. Long, M.D., P.A.

William J Oktavec Pa

Flagler Family Medicine, P.A.

FLORIDA SPORTS MEDICINE INSTITUTE, INC.

Barros Family Health Care, P.A.

Manoj Prakash, MD., P.A.

Pain Management Specialists of North Florida, P.A.

HEART CENTER OF SAINT AUGUSTINE PA

Ancient City Pediatrics, LLC

Family Medical Care of St. Augustine, P.A.

T S HOSSAIN MD PA

Paul D. Jayachandra, M.D., P.A.

Neurology Care, Inc.

Ashfaq Kudia, M.D., P.A.

PATRICK J HARRIS DO PA

Anastasia Medical Group LLC

COASTAL AESTHETIC CENTER PA

Note: All ACO Participants are included in a Partnership or joint venture arrangement between Flagler Hospital and ACO Professionals

ACO Governing Body:

Member

Member's Voting Power

Membership Type

ACO Participant TIN Legal Business Name/DBA, if Applicable

Last Name

First Name

Title/Position

Batenhorst

Todd

President

1 vote

ACO Participant Representative

Flagler Family Medicine, P.A.

Machado

Miguel

VP of Medical Affairs, Flagler Hospital

1 vote

Flagler Hospital Representative

Barrett

Jason

President, Flagler Hospital

1 vote

Flagler Hospital Representative

Marsh

Murray

EVP/CFO, Flagler Hospital

1 vote

Flagler Hospital Representative

Gordy

Joseph

CEO, Flagler Hospital

1 vote

Flagler Hospital Representative

Sanders

Michael

CMIO, Flagler Hospital

1 vote

Flagler Hospital Representative

George

Ferris

Secretary

1 vote

ACO Participant Representative

St. Augustine Cardiology Associates, P.A.

Aponte-Lopez

Rafael

1 vote

ACO Participant Representative

St. Johns Radiology Associates, P.A.

Kudia

Ashfaq

1 vote

ACO Participant Representative

Ashfaq Kudia, M.D., P.A.

Mas

Miguel

1 vote

ACO Participant Representative

Ancient City Pediatrics, LLC

Neerukonda

Suhas

1 vote

ACO Participant Representative

Anastasia Medical Group, LLC

Muehrcke

Derek

1 vote

ACO Participant Representative

Cardiothoracic & Vascular Surgical Associates PA

Wilson

Joseph

1 vote

Medicare Beneficiary Representative

Key ACO Clinical and Administrative Leadership:

Dr. Todd Batenhorst

President

Dr. Miguel Machado

ACO Executive

Dr. Suhas Neerukonda

Senior Medical Director

Dr. Michael DiBella

Compliance Officer

Dr. Fred Dolgin

Quality Assurance/Improvement Officer

Jason Barrett

Vice President

Murray Marsh

Treasurer

Dr. Ferris George

Secretary

Associated Committees and Committee Leadership:

Committee Name

Committee Leader Name and Position

Executive Committee

Dr. Todd Batenhorst, Chair

Quality Improvement and Quality Assurance Committee

Dr. Miguel A. Mas Jr., Chair

Compliance and Governance Committee

Dr. Todd Batenhorst, Chair

Audit, Finance, & Network Contracts Committee

Murray Marsh, Chair

Medical Informatics and Technology Committee

Dr. Suhas Neerukonda, Chair

Marketing and Education Committee

Jason Barrett, Chair

Types of ACO participants, or combinations of participants, that formed the ACO:

  • ACO professionals in a group practice arrangement
  • Networks of individual practices of ACO professionals
  • Partnerships or joint venture arrangements between hospitals and ACO professionals
  • Hospital employing ACO professionals

Shared Savings and Losses:

Shared Savings and Losses

First Agreement Period

  • Performance Year 2016, $0
  • Performance Year 2015, $0
  • Performance Year 2014, $0

Shared Savings Distribution

  • First Agreement Period
  • 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
  • Performance Year 2014
    • Proportion invested in infrastructure: N/A
    • Proportion invested in redesigned care processes/resources: N/A
    • Proportion of distribution to ACO participants: N/A

2016 Quality Performance Results:

ACO#

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

78.67

79.9

ACO-2

CAHPS: How Well Your Providers Communicate

92.72

92.63

ACO-3

CAHPS: Patients' Rating of Provider

92.5

91.93

ACO-4

CAHPS: Access to Specialists

85.01

83.52

ACO-5

CAHPS: Health Promotion and Education

60.65

60

ACO-6

CAHPS: Shared Decision Making

77.27

75.28

ACO-7

CAHPS: Health Status/Functional Status

72.88

71.82

ACO-34

CAHPS: Stewardship of Patient Resources

32.25

27.52

ACO-8

Risk-Standardized, All Condition Readmission

14.67

14.7

ACO-35

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

19.07

18.17

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes

61.28

53.2

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

88.54

75.23

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

67.06

59.81

ACO-9

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

10.05

9.27

ACO-10

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

14.08

14.53

ACO-11

Percent of PCPs who Successfully Meet Meaningful Use Requirements

62.96

82.72

ACO-39

Documentation of Current Medications in the Medical Record

68.21

87.54

ACO-13

Falls: Screening for Future Fall Risk

72.47

64.04

ACO-14

Preventive Care and Screening: Influenza Immunization

70.83

68.32

ACO-15

Pneumonia Vaccination Status for Older Adults

71.79

69.21

ACO-16

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

72.81

74.45

ACO-17

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

94.74

90.98

ACO-18

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

70.23

53.63

ACO-19

Colorectal Cancer Screening

69.57

61.52

ACO-20

Breast Cancer Screening

76.88

67.61

ACO-21

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

74.61

76.84

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

84.38

77.72

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

17.57

18.24

ACO-41

Diabetes: Eye Exam

42.17

44.94

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

81.05

70.52

ACO-30

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

88.6

85.05

ACO-31

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

80.49

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%)

87.01

79.67

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

Note: In the Quality Performance Results file(s) above, search for "First Coast Health Alliance, LLC" to view the quality performance results. This ACO can also be found by using the ACO ID A97104 in the public use files on data.cms.gov.

Payment Rule Waivers

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

For general questions or additional information about Accountable Care Organizations, please visit www.cms.gov and do a search using that term, or call 1-800 MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048.

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First Coast Health Alliance
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