-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

Jacky Lagrace - 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

Ancient City Pediatrics, LLC

Y

Ashfaq Kudia, M.D., P.A.

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, P.A.

Y

Flagler Health Services, Inc.

Y

Flagler Hospital, 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

JOHN S KOPPMAN, MD PL

Y

Jack M. Matheny II MD

Y

MICHAEL HSU M.D. LLC

Y

Manoj Prakash, MD., P.A.

Y

Mason H. Long, M.D., P.A.

Y

Neurology Care, Inc.

Y

North Florida Specialists In Lung Diseases & Internal Medicine, P.A.

Y

ORTHONORTHRUP, P.A.

Y

PAUL D JAYACHANDRA M D P A

Y

PRIMECARE PL

Y

Pain Management Specialists of North Florida, P.A.

Y

Pantaleon Pathology Associates Pa

Y

Pulmonary Associates Of St

Y

Qixia Huang, M.D., P.A.

Y

Radhika Prakash

Y

ST AUGUSTINE NEUROLOGY PA

Y

SYED W. ALI, M.D., P.A.

Y

Scott D. McDowall, PLLC

Y

St. Augustine Cardiology Associates, P.A.

Y

St. Augustine Foot & Ankle Inc.

Y

St. Johns Radiology Associates, P.A.

Y

T S HOSSAIN MD PA

Y

US BARIATRIC ST AUGUSTINE LLC

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

George

Ferris

ACO Executive, & President

1 vote

ACO Participant Representative

St. Augustine Cardiology Associates, P.A.

David

Rice

Board Member

1 vote

ACO Participant Representative

Flagler Hospital, Inc.

John

Franks

Board Member

1 vote

ACO Participant Representative

Flagler Hospital, Inc.

Tom

Bailey

Treasurer Hospital

1 vote

ACO Participant Representative

Flagler Hospital, Inc.

Carlton

DeVooght

Vice President

1 vote

ACO Participant Representative

Flagler Hospital, Inc.

Todd

Batenhorst

Board Member

1 vote

ACO Participant Representative

Flagler Hospital, Inc.

Rafael

Aponte-Lopez

Board Member

1 vote

ACO Participant Representative

St. Johns Radiology Associates, P.A.

Ashfaq

Kudia

Board Member

1 vote

ACO Participant Representative

Ashfaq Kudia, M.D., P.A.

Miguel

Mas

Board Member

1 vote

ACO Participant Representative

Ancient City Pediatrics, LLC

Suhas

Neerukonda

Senior Medical Director

1 vote

ACO Participant Representative

Anastasia Medical Group, LLC

Derek

Muehrcke

Board Member

1 vote

Other

Cardiothoracic & Vascular Surgical Associates PA

Dinesh

Pubbi

Board Member

1 vote

ACO Representative

First Coast Heart and Vascular PA

Ann Marie

Valenti

Board Member

1 vote

Medicare Beneficiary Representative

NA

Key ACO Clinical and Administrative Leadership:

ACO Executive: Ferris George, MD

Medical Director: Suhas Neerukonda, MD

Compliance Officer: Kelly Jenkins

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

Tom Bailey, Chair

Medical Informatics and Technology Committee

Dr. Suhas Neerukonda, Chair

Marketing and Education Committee

John Franks, 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 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 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

14.84

10.71

134

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

CMS Web Interface

69.89

76.97

236

Controlling High Blood Pressure

CMS Web Interface

69.15

76.16

318

Falls: Screening for Future Fall Risk

CMS Web Interface

82.46

87.83

110

Preventative Care and Screening: Influenza Immunization

CMS Web Interface

67.51

77.34

226

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

CMS Web Interface

71.43

79.27

113

Colorectal Cancer Screening

CMS Web Interface

69.74

75.32

112

Breast Cancer Screening

CMS Web Interface

74.70

78.07

438

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

CMS Web Interface

87.60

86.37

370

Depression Remission at Twelve Months

CMS Web Interface

10.53

16.03

479

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

Administrative Claims

0.1663

0.1510

484

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

Administrative Claims

32.37

30.97

CAHPS-1

Getting Timely Care, Appointments, and Information

CAHPS for MIPS Survey

84.50

83.96

CAHPS-2

How Well Providers Communicate

CAHPS for MIPS Survey

92.51

93.47

CAHPS-3

Patient’s Rating of Provider

CAHPS for MIPS Survey

90.37

92.06

CAHPS-4

Access to Specialists

CAHPS for MIPS Survey

76.41

77.00

CAHPS-5

Health Promotion and Education

CAHPS for MIPS Survey

62.14

62.68

CAHPS-6

Shared Decision Making

CAHPS for MIPS Survey

60.38

60.97

CAHPS-7

Health Status and Functional Status

CAHPS for MIPS Survey

73.28

73.06

CAHPS-8

Care Coordination

CAHPS for MIPS Survey

83.26

85.46

CAHPS-9

Courteous and Helpful Office Staff

CAHPS for MIPS Survey

91.26

91.97

CAHPS-11

Stewardship of Patient Resources

CAHPS for MIPS Survey

26.80

25.62

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

First Coast Health Alliance
© 2013 All Rights Reserved.