ACO Name and Location

First Coast Health Alliance, LLC

400 Health Park Boulevard

St. Augustine, FL 32086

ACO Primary Contact

Jacky Lagrace

904-819-4629

FCHA@flaglerhealth.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

Anastasia Medical Group LLC

Y

Ashfaq Kudia, M.D., PA

Y

Bruce H Paley, PA

Y

Cardiovascular Consultants of St. Augustine, PL

Y

Crescent Beach Care, LLC

Y

First Coast Heart & Vascular Center, PA

Y

Flagler Professional Health Care Services, Inc

Y

Family Medical Care of St. Augustine, PA

Y

Heart Center of Saint Augustine, PA

Y

Infectious Diseases Associates of North Florida, PA

Y

John S Koppman, MD, PL

Y

Michael Hsu, MD, LLC

Y

Mason H. Long, MD, PA

Y

Neurology Care, Inc.

Y

North Florida Specialists In Lung Diseases & Internal Medicine, PA

Y

Orthonorthrup, PA.

Y

Pain Management Specialists of North Florida, PA

Y

Pulmonary Associates of St. Augustine, PA

Y

Qixia Huang, M.D., PA

Y

St. Augustine Neurology, PA

Y

Scott D. McDowall, PLLC

Y

St. Augustine Foot & Ankle Inc.

Y

T S Hossain, MD, PA

Y

William J Oktavec, PA

Y

ACO Governing Body:

Member

First Name

Member

Last Name

Member

Title/Position

Member's Voting Power (Expressed as a percentage)

Membership Type

ACO Participant Legal Business Name, if applicable

Ashfaq

Kudia

ACO Executive, & President

7.7

ACO Participant Representative

Ashfaq Kudia, MD, PA

Patrick

Green

Board Member

7.7

ACO Participant Representative

Flagler Hospital, Inc.

Marvin

Dewar

Board Member

7.7

ACO Participant Representative

Flagler Hospital, Inc.

Jeffrey

West

Board Member

7.7

ACO Participant Representative

Flagler Hospital, Inc.

Kent

Bailey

Treasurer Hospital

7.7

ACO Participant Representative

Flagler Hospital, Inc.

Huson

Gilberstadt

Board Member

7.7

ACO Participant Representative

Flagler Hospital, Inc.

Brian

Kiekover

Board Member

7.7

Community Stakeholder

N/A

Ashfaq

Kudia

Board Member

7.7

ACO Participant Representative

Ashfaq Kudia, MD, PA

Bruce

Paley

Board Member

7.7

ACO Participant Representative

Bruce Paley H Paley, PA

Suhas

Neerukonda

Senior Medical Director

7.7

ACO Participant Representative

Anastasia Medical Group, LLC

Dinesh

Pubbi

Board Member

7.7

ACO Participant

Representative

First Coast Heart and Vascular Center, PA

Imraan

Ansaarie

Board Member

7.7

Community Stakeholder

N/A

Ann Marie

Valenti

Board Member

7.7

Medicare Beneficiary Representative

NA

Key ACO Clinical and Administrative Leadership:

ACO Executive: Ferris George, MD

Medical Director: Suhas Neerukonda, MD

Compliance Officer: Robert Michalski

Quality Assurance/Improvement Officer: Huson Gilberstadt, MD

Associated Committees and Committee Leadership:

Committee Name

Committee Leader Name and Position

Executive Committee

Dr. Ashfaq Kudia, Chair

Quality Improvement and Quality Assurance Committee

Dr. Miguel A. Mas Jr., Chair

Compliance and Governance Committee

Dr. Ashfaq Kudia, Chair

Audit, Finance, & Network Contracts Committee

Kent Bailey, Chair

Medical Informatics and Technology Committee

Dr. Suhas Neerukonda, 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:

  • Third Agreement Period
    • Performance Year 2024, $3,685,876.34
    • Performance Year 2023, $1,730,623.32
    • Performance Year 2022, $1,643,157.24
    • Performance Year 2021, $1,867,823.80
    • Performance Year 2020, $2,133,190.78
  • 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,

Shared Savings Distribution:

  • Third Agreement Period
  • Performance Year 2024
    • Proportion invested in infrastructure: 8%
    • Proportion invested in redesigned care processes/resources: 3%
    • Proportion of distribution to ACO participants: 89%
  • Performance Year 2023
    • Proportion invested in infrastructure: 19%
    • Proportion invested in redesigned care processes/resources: 19%
    • Proportion of distribution to ACO participants: 61%
  • Performance Year 2022
    • Proportion invested in infrastructure: 19%
    • Proportion invested in redesigned care processes/resources: 19%
    • Proportion of distribution to ACO participants: 61%
  • Performance Year 2021
    • Proportion invested in infrastructure: 19%
    • Proportion invested in redesigned care processes/resources: 19%
    • Proportion of distribution to ACO participants: 61%
  • Performance Year 2020
    • Proportion invested in infrastructure: 19%
    • Proportion invested in redesigned care processes/resources: 19%
    • Proportion of distribution to ACO participants: 61%
  • 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

2022 Quality Performance Results:

Quality performance results are based on CMS Web Interface.

Measure #

Measure Name

Collection Type

Rate

ACOMean

001

Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1]

CMS Web Interface

10.55

9.44

134

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

CMS Web Interface

81.66

81.46

236

Controlling High Blood Pressure

CMS Web Interface

70.00

79.49

318

Falls: Screening for Future Fall Risk

CMS Web Interface

89.17

88.99

110

Preventative Care and Screening: Influenza Immunization

CMS Web Interface

53.56

68.60

226

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

CMS Web Interface

86.67

79.98

113

Colorectal Cancer Screening

CMS Web Interface

69.54

77.81

112

Breast Cancer Screening

CMS Web Interface

84.13

80.93

438

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

CMS Web Interface

86.73

86.50

370

Depression Remission at Twelve Months

CMS Web Interface

6.06

17.35

479

Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups

Administrative Claims

0.1622

0.1517

484

Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1]

Administrative Claims

33.64

37.00

CAHPS-1

Getting Timely Care, Appointments, and Information

CAHPS for MIPS Survey

79.41

83.70

CAHPS-2

How Well Providers Communicate

CAHPS for MIPS Survey

92.57

93.96

CAHPS-3

Patient’s Rating of Provider

CAHPS for MIPS Survey

91.77

92.43

CAHPS-4

Access to Specialists

CAHPS for MIPS Survey

76.44

75.76

CAHPS-5

Health Promotion and Education

CAHPS for MIPS Survey

63.31

65.48

CAHPS-6

Shared Decision Making

CAHPS for MIPS Survey

64.47

62.31

CAHPS-7

Health Status and Functional Status

CAHPS for MIPS Survey

74.24

74.14

CAHPS-8

Care Coordination

CAHPS for MIPS Survey

84.43

85.89

CAHPS-9

Courteous and Helpful Office Staff

CAHPS for MIPS Survey

91.06

92.89

CAHPS-11

Stewardship of Patient Resources

CAHPS for MIPS Survey

23.83

26.98

For previous years’ Financial and Quality Performance Results, please visit: data.cms.gov

First Coast Health Alliance
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