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) |
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 |
RUSSELL DENEA MD LLC |
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 |
FLAGLER PROFESSIONAL HEALTH CARE SERVICES INC |
Y |
US BARIATRIC ST AUGUSTINE LLC |
Y |
MICHAEL HSU M.D. LLC |
Y |
FIRST COAST HEART & VASCULAR CENTER, PA |
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 |
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. |
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 |
Wilson (replacement TBD) |
Joseph (replacement TBD) |
|
1 vote |
Medicare Beneficiary Representative |
NA |
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 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 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-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 and the ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes quality measure is not included in public reporting due to a non-material technical error.
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.medicare.gov/acos.html or call 1-800 MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048
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