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)

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

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

Hutson

John

1 vote

Medicare Beneficiary Representative

NA

Key ACO clinical and administrative leadership:

Last Name

First Name

Title

Machado

Miguel

ACO Executive

Neerukonda

Suhas

Medical Director

Berry

Jill

Compliance Officer

Dolgin

Frederick

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. 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 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 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

2018 Quality Performance Results:

Measure Number

Measure Name

Your ACO Performance Rate*

Current Year Mean Performance Rate (SSP ACOs)

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information [1]

90.68

86.14

ACO-2

CAHPS: How Well Your Providers Communicate [1]

93.46

93.93

ACO-3

CAHPS: Patients' Rating of Provider [1]

91.63

92.45

ACO-4

CAHPS: Access to Specialists [1]

86.27

81.50

ACO-5

CAHPS: Health Promotion and Education [1]

62.10

59.26

ACO-6

CAHPS: Shared Decision Making [1]

64.01

61.94

ACO-7

CAHPS: Health Status/Functional Status [1]

73.84

73.35

ACO-34

CAHPS: Stewardship of Patient Resources [1]

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 [2]

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 Antithrombotic

91.01%

88.92%

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.

Payment Rule Waivers

  • Skilled Nursing Facility (SNF) 3-day Rule Waiver:
  • No, our ACO does not use the SNF 3-Day Rule Waiver, pursuant to 42 CFR 425.612.
  • Waiver for Payment for Telehealth Services:
  • No, our ACO clinicians do not provide telehealth services using the flexibilities under 42 CFR 425.612(f) and 42 CFR 425.613.

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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First Coast Health Alliance
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