ACO Name and Location

First Coast Health Alliance, LLC

400 Health Park Boulevard

St. Augustine, FL 32086

ACO Primary Contact

Trey Blanchard

904-819-4629

Trey.Blanchard@flaglerhospital.org

Organizational Information

ACO participants:

ACO Participants

ACO Participant in Joint Venture

Advanced Pain And Spine Institute Of Florida LLC

Y

All About Feet & Legs P.A.

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 P.A.

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, P.A.

Y

Flagler Family Medicine, P.A.

Y

Flagler Health Services, Inc.

Y

Flagler Professional Health Care Services Inc

Y

Flagler Hospital, Inc.

Y

Heart Center Of Saint Augustine P.A.

Y

Infectious Diseases Associates Of North Florida, P.A.

Y

Jack M. Matheny II MD

Y

John S Koppman, M.D. P.L.

Y

Manoj Prakash, M.D., 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 P.A.

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 P.A.

Y

Us Bariatric St Augustine LLC

Y

William J Oktavec P.A.

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.

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

Other

Cardiothoracic & Vascular Surgical Associates PA

Pubbi

Dinesh

1 vote

ACO Representative

First Coast Heart and Vascular PA

Hutson

John

1 vote

Medicare Beneficiary Representative

NA

Key ACO clinical and administrative leadership:

ACO Executive: Miguel Machado, MD

Medical Director: Suhas Neerukonda, MD

Compliance Officer: Jill Berry

Quality Assurance/Improvement Officer: Frederick Dolgin, MD

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. 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

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 2019, $0
    • Performance Year 2018, $0
    • 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 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
    • 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

2019 Quality Performance Results:

ACO #

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

89.13

85.86

ACO-2

CAHPS: How Well Your Providers Communicate

94.07

94.11

ACO-3

CAHPS: Patients' Rating of Provider

92.07

92.69

ACO-4

CAHPS: Access to Specialists

84.18

81.54

ACO-5

CAHPS: Health Promotion and Education

60.24

60.44

ACO-6

CAHPS: Shared Decision Making

65.60

62.78

ACO-7

CAHPS: Health Status/Functional Status

73.69

73.79

ACO-34

CAHPS: Stewardship of Patient Resources

27.23

26.17

ACO-45

CAHPS: Courteous and Helpful Office Staff

94.26

92.84

ACO-46

CAHPS: Care Coordination

86.11

86.89

ACO-8

Risk Standardized, All Condition Readmission

15.06

14.86

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

60.40

58.15

ACO-43

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

1.84

1.87

ACO-13

Falls: Screening for Future Fall Risk

71.09

84.04

ACO-14

Preventive Care and Screening: Influenza Immunization

72.66

74.77

ACO-17

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

78.57

78.04

ACO-18

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

69.61

70.40

ACO-19

Colorectal Cancer Screening

73.88

70.76

ACO-20

Breast Cancer Screening

86.45

73.84

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

88.79

82.17

ACO-27

Diabetes: Hemoglobin A1c Poor Control (>9%)

17.41

13.88

ACO-28

Controlling High Blood Pressure

77.18

75.04

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

For Previous Years' Financial and Quality Performance Results, please visit data.cms.gov.

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