Primary Contact Name

John Franks

Primary Contact Phone Number

904.819.4065

Primary Contact Email Address

John.Franks@flaglerhospital.org

ACO Participants

ACO Participant in Joint Venture (Enter Y or N)

ADVANCED PAIN AND SPINE INSTITUTE OF FLORIDA LLC

Y

ALL ABOUT FEET & LEGS PA

Y

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

Y

Anastasia Medical Group LLC

Y

Ancient City Pediatrics, LLC

Y

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

Y

Associates in Internal Medicine, P.A.

Y

Barros Family Health Care, P.A.

Y

BRUCE H PALEY PA

Y

CARDIOVASCULAR CONSULTANTS OF ST AUGUSTINE PL

Y

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

Y

Family Practice,Dr.Assefa Llc

Y

First City Hospitalists Group, PLLC

Y

FIRST COAST HEART & VASCULAR CENTER, PA

Y

Flagler Family Medicine, P.A.

Y

Flagler Health Services, Inc.

Y

FLAGLER PROFESSIONAL HEALTH CARE SERVICES INC

Y

HEART CENTER OF SAINT AUGUSTINE PA

Y

INFECTIOUS DISEASES ASSOCIATES OF NORTH FLORIDA, P.A.

Y

Jack M. Matheny II MD

Y

JOHN S KOPPMAN, MD PL

Y

Manoj Prakash, MD., P.A.

Y

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

Y

MICHAEL HSU M.D. LLC

Y

Michael Tessler

Y

Neurology Care, Inc.

Y

North Florida Specialists In Lung Diseases & Internal Medicine, P.A.

Y

ORTHONORTHRUP, P.A.

Y

Pain Management Specialists of North Florida, P.A.

Y

Pantaleon Pathology Associates Pa

Y

PAUL D JAYACHANDRA M D P A

Y

PRIMECARE PL

Y

Pulmonary Associates Of St

Y

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

Y

Radhika Prakash

Y

Scott D. McDowall, PLLC

Y

ST AUGUSTINE NEUROLOGY PA

Y

St. Augustine Cardiology Associates, P.A.

Y

St. Augustine Foot & Ankle Inc.

Y

St. Johns Radiology Associates, P.A.

Y

SYED W. ALI, M.D., P.A.

Y

T S HOSSAIN MD PA

Y

US BARIATRIC ST AUGUSTINE LLC

Y

William J Oktavec Pa

Y

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

George

Ferris

President

1 vote

ACO Participant Representative

St. Augustine Cardiology Associates, P.A.

Machado

Miguel

ACO Executive

1 vote

ACO Participant Representative

Flagler Hospital, Inc.

Barrett

Jason

1 vote

ACO Participant Representative

Flagler Hospital, Inc.

Marsh

Murray

Treasurer Hospital

1 vote

ACO Participant Representative

Flagler Hospital, Inc.

DeVooght

Carlton

Vice President

1 vote

ACO Participant Representative

Flagler Hospital, Inc.

Sanders

Michael

1 vote

ACO Participant Representative

Flagler Hospital, Inc.

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

Senior Medical Director

1 vote

ACO Participant Representative

Anastasia Medical Group, LLC

Muehrcke

Derek

1 vote

ACO Participant Representative

Cardiothoracic & Vascular Surgical Associates PA

Searle

Thomas

1 vote

ACO Representative

OB/GYN Associates of St. Augustine

Hutson

John

1 vote

Medicare Beneficiary Representative

NA

Miguel Machado

ACO Executive

Suhas Neerukonda

Medical Director

Jill Berry

Compliance Officer

Frederick Dolgin

Quality Assurance/Improvement Officer

Executive Committee

Dr. Ferris George, Chair

Quality Improvement and Quality Assurance Committee

Dr. Miguel A. Mas Jr., Chair

Compliance and Governance Committee

Dr. Ferris George, 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

ACO#

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

90.68

86.14

ACO-2

CAHPS: How Well Your Providers Communicate

93.46

93.93

ACO-3

CAHPS: Patients' Rating of Provider

91.63

92.45

ACO-4

CAHPS: Access to Specialists

86.27

81.50

ACO-5

CAHPS: Health Promotion and Education

62.10

59.26

ACO-6

CAHPS: Shared Decision Making

64.01

61.94

ACO-7

CAHPS: Health Status/Functional Status

73.84

73.35

ACO-34

CAHPS: Stewardship of Patient Resources

27.21

26.26

ACO-8

Risk Standardized, All Condition Readmission

15.69

14.98

ACO-35

Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)

19.52

18.59

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes

36.61

37.01

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

80.85

76.75

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

61.79

59.00

ACO-43

Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91)

1.86

1.98

ACO-11

Use of Certified EHR Technology

96.77

98.20

ACO-12

Medication Reconciliation Post-Discharge

43.81

85.91

ACO-13

Falls: Screening for Future Fall Risk

77.95

79.73

ACO-44

Use of Imaging Studies for Low Back Pain

71.43

64.36

ACO-14

Preventive Care and Screening: Influenza Immunization

75.78

72.71

ACO-15

Pneumonia Vaccination Status for Older Adults

74.05

75.97

ACO-16

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

78.21

76.83

ACO-17

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

87.50

72.81

ACO-18

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

78.16

66.74

ACO-19

Colorectal Cancer Screening

76.34

68.27

ACO-20

Breast Cancer Screening

82.44

71.96

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

88.07

81.47

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

16.09

15.51

ACO-41

Diabetes: Eye Exam

54.41

52.42

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

80.86

73.10

ACO-30

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

91.01

88.92