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 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
|
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 Health Services, Inc.
|
Y
|
Flagler Hospital, 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
|
INTERNAL MEDICINE ASSOCIATES OF ST JOHNS COUNTY PA
|
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
Last
Name
|
Member
First
Name
|
Member
Title/Position
|
Member's Voting Power (Expressed as a percentage or number)
|
Membership Type
|
ACO Participant Legal Business Name and D/B/A, if applicable
|
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.
|
Cleaver
|
Chuck
|
Treasurer Hospital
|
1 vote
|
ACO Participant Representative
|
Flagler Hospital, Inc.
|
DeVooght
|
Carlton
|
Vice President
|
1 vote
|
ACO Participant Representative
|
Flagler Hospital, Inc.
|
Johnson
|
Vincent
|
|
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: Todd Batenhorst, 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
|
Chuck Cleaver, 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: NA
- Proportion invested in redesigned care processes/resources: NA
- Proportion of distribution to ACO participants: NA
-
Performance Year 2018
- Proportion invested in infrastructure: NA
- Proportion invested in redesigned care processes/resources: NA
- Proportion of distribution to ACO participants: NA
-
Performance Year 2017
- Proportion invested in infrastructure: NA
- Proportion invested in redesigned care processes/resources: NA
- Proportion of distribution to ACO participants: NA
-
First Agreement Period
-
Performance Year 2016
- Proportion invested in infrastructure: NA
- Proportion invested in redesigned care processes/resources: NA
- Proportion of distribution to ACO participants: NA
-
Performance Year 2015
- Proportion invested in infrastructure: NA
- Proportion invested in redesigned care processes/resources: NA
- Proportion of distribution to ACO participants: NA
-
Performance Year 2014
- Proportion invested in infrastructure: NA
- Proportion invested in redesigned care processes/resources: NA
- Proportion of distribution to ACO participants: NA
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
|
For Previous Years’ Financial and Quality Performance Results, Please Visit
data.cms.gov.
-
Waiver
for Payment for Telehealth Services: Include this section
only if your ACO provides telehealth services for the performance year using the
flexibilities under
42 CFR § 425.612(f) and
42 CFR § 425.613. As of January 1, 2020, if at least one clinician in your ACO provides
and receives payment for covered telehealth services to prospectively
assigned beneficiaries without geographic restriction, then the ACO must
publicly report use of telehealth services.
|