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)

Medical Professionals Of North Florida

Y

Radhika Prakash

Y

J Greg Dent M D & Associates P L

Y

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

Y

Pulmonary Associates Of St

Y

CARDIOVASCULAR CONSULTANTS OF ST AUGUSTINE PL

Y

INFECTIOUS DISEASES ASSOCIATES OF NORTH FLORIDA, P.A.

Y

HAQ MEDICAL CENTER INC

Y

North Florida Specialists In Lung Diseases Internal Medicine

Y

PRIMECARE PL

Y

ST AUGUSTINE NEUROLOGY PA

Y

St Johns Cadiovascular Pa

Y

Michael Tessler

Y

Associates in Internal Medicine, P.A.

Y

Coastal Anesthesiology Consultants Llc

Y

First City Hospitalists Group, PLLC

Y

St. Augustine Foot & Ankle Inc.

Y

Neurosurgical Associates of St. Augustine, LLC

Y

Family Practice,Dr.Assefa Llc

Y

US BARIATRIC ST AUGUSTINE LLC

Y

David L Greenwald Pa

Y

MICHAEL HSU M.D. LLC

Y

FIRST COAST HEART & VASCULAR CENTER, PA

Y

HELDER DE PAIVA MD LLC

Y

JOHN S KOPPMAN, MD PL

Y

Scott D. McDowall, PLLC

Y

ALL ABOUT FEET & LEGS PA

Y

Pantaleon Pathology Associates Pa

Y

Flagler Hospital, Inc.

Y

Flagler Health Services, Inc.

Y

Jack M. Matheny II MD

Y

Radhika Prakash

Y

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

Y

St. Johns Radiology Associates, P.A.

Y

DUDLEY A BARINGER MD PA

Y

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

Y

BRUCE H PALEY PA

Y

Vassallo Eye Institute

Y

St. Augustine Cardiology Associates, P.A.

Y

SHERRI LEE MAETOZO MD PA

Y

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

Y

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

Y

William J Oktavec Pa

Y

Flagler Family Medicine, P.A.

Y

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

Y

Barros Family Health Care, P.A.

Y

Manoj Prakash, MD., P.A.

Y

Pain Management Specialists of North Florida, P.A.

Y

HEART CENTER OF SAINT AUGUSTINE PA

Y

Ancient City Pediatrics, LLC

Y

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

Y

T S HOSSAIN MD PA

Y

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

Y

Neurology Care, Inc.

Y

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

Y

Anastasia Medical Group LLC

Y

COASTAL AESTHETIC CENTER PA

Y

ORTHONORTHRUP, P.A. DBA Spartan Orthopedic Institute

Y

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

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.

George

Ferris

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

Senior Medical Director

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

Miguel Machado

ACO Executive

Suhas Neerukonda

Medical Director

Jeff Hurley

Compliance Officer

Frederick Dolgin

Quality Assurance/Improvement Officer

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

ACO#

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

78.67

80.51

ACO-2

CAHPS: How Well Your Providers Communicate

92.72

93.01

ACO-3

CAHPS: Patients’ Rating of Provider

92.50

92.25

ACO-4

CAHPS: Access to Specialists

85.01

83.49

ACO-5

CAHPS: Health Promotion and Education

60.65

60.32

ACO-6

CAHPS: Shared Decision Making

77.27

75.40

ACO-7

CAHPS: Health Status/Functional Status

72.88

72.30

ACO-34

CAHPS: Stewardship of Patient Resources

32.25

26.97

ACO-8

Risk Standardized, All Condition Readmission

14.67

14.70

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

53.20

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 Condition 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

76.79

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

70.69

ACO-30

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

88.60

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