ACO Name and Location

First Coast Health Alliance, LLC
Previous Names: N/A
400 Health Park Boulevard
St.Augustine, FL 32086

ACO Primary Contact

Primary Contact Name

John Franks

Primary Contact Phone Number

904.819.4065

Primary Contact Email Address

John.Franks@flaglerhospital.org

Organizational Information

ACO participants:

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

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

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

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.

Searle

Thomas

1 vote

ACO Participant Representative

OBGYN Associates

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

Key ACO clinical and administrative leadership:

Miguel Machado

ACO Executive

Suhas Neerukonda

Medical Director

Jeff Hurley

Compliance Officer

Frederick Dolgin

Quality Assurance/Improvement Officer

Associated committees and committee leadership:

  • Committee Name
  • Committee Leader Name and Position
  • Executive Committee
  • Dr. Ferris George, 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
  • Hospital employing ACO professionals
  • Partnerships or joint venture arrangements between hospitals and ACO professionals
  • Networks of individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Second Agreement Period
  • Performance Year 2017, $0
  • First Agreement Period
  • Performance Year 2016, $0
  • Performance Year 2015, $0
  • Performance Year 2014, $0

Shared Savings Distribution

  • Second 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
  • 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

Quality Performance Results

2017 Quality Performance Results:

ACO#

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

78.85

80.60

ACO-2

CAHPS: How Well Your Providers Communicate

93.25

93.13

ACO-3

CAHPS: Patients' Rating of Provider

90.82

92.31

ACO-4

CAHPS: Access to Specialists

86.35

83.32

ACO-5

CAHPS: Health Promotion and Education

65.18

62.30

ACO-6

CAHPS: Shared Decision Making

77.66

75.85

ACO-7

CAHPS: Health Status/Functional Status

75.05

73.05

ACO-34

CAHPS: Stewardship of Patient Resources

27.83

25.68

ACO-8

Risk Standardized, All Condition Readmission

15.40

15.01

ACO-35

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

18.60

18.46

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes

61.63

53.95

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

85.77

79.16

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

66.19

61.74

ACO-43

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

1.61

1.93

ACO-11

Use of Certified EHR Technology

100.00

98.48

ACO-12

Medication Reconciliation

39.51

75.32

ACO-13

Falls: Screening for Future Fall Risk

71.08

74.38

ACO-44

Imaging Studies for Low Back Pain

60.00

67.32

ACO-14

Preventive Care and Screening: Influenza Immunization

66.38

72.52

ACO-15

Pneumonia Vaccination Status for Older Adults

78.09

72.92

ACO-16

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

70.70

70.69

ACO-17

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

96.98

90.48

ACO-18

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

68.06

61.98

ACO-19

Colorectal Cancer Screening

77.82

64.58

ACO-20

Breast Cancer Screening

80.30

70.05

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

86.52

79.89

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

20.38

16.74

ACO-41

Diabetes: Eye Exam

52.69

50.37

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

80.16

71.47

ACO-30

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

90.19

86.86

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 W

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First Coast Health Alliance
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