-ACO Name and Location
First Coast Health Alliance, LLC
400 Health Park Boulevard
St. Augustine, FL 32086
ACO Primary Contact
Erika Cunningham-Regis
904-819-4629
Erika.Cunningham-Regis@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
|
7.692%
|
ACO Participant Representative
|
St. Augustine Cardiology Associates, P.A.
|
David
|
Rice
|
Board Member
|
7.692%
|
ACO Participant Representative
|
Flagler Hospital, Inc.
|
John
|
Franks
|
Board Member
|
7.692%
|
ACO Participant Representative
|
Flagler Hospital, Inc.
|
Tom
|
Bailey
|
Treasurer Hospital
|
7.692%
|
ACO Participant Representative
|
Flagler Hospital, Inc.
|
Carlton
|
DeVooght
|
Vice President
|
7.692%
|
ACO Participant Representative
|
Flagler Hospital, Inc.
|
Todd
|
Batenhorst
|
Board Member
|
7.692%
|
ACO Participant Representative
|
Flagler Hospital, Inc.
|
Rafael
|
Aponte-Lopez
|
Board Member
|
7.692%
|
ACO Participant Representative
|
St. Johns Radiology Associates, P.A.
|
Ashfaq
|
Kudia
|
Board Member
|
7.692%
|
ACO Participant Representative
|
Ashfaq Kudia, M.D., P.A.
|
Miguel
|
Mas
|
Board Member
|
7.692%
|
ACO Participant Representative
|
Ancient City Pediatrics, LLC
|
Suhas
|
Neerukonda
|
Senior Medical Director
|
7.693%
|
ACO Participant Representative
|
Anastasia Medical Group, LLC
|
Derek
|
Muehrcke
|
Board Member
|
7.693%
|
Other
|
Cardiothoracic & Vascular Surgical Associates PA
|
Dinesh
|
Pubbi
|
Board Member
|
7.693%
|
ACO Representative
|
First Coast Heart and Vascular PA
|
Ann Marie
|
Valenti
|
Board Member
|
7.693%
|
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 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, $0
Shared Savings Distribution:
- Third Agreement Period
- 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
2021 Quality Performance Results:
Quality performance results are based on CMS Web Interface.
Measure #
|
Measure Name
|
Rate
|
ACO
Mean
|
001
|
Diabetes: Hemoglobin A1c (HbA1c) Poor Control
|
14.23
|
12.46
|
134
|
Preventative Care and Screening: Screening for Depression and Follow-up Plan
|
56.69
|
74.38
|
236
|
Controlling High Blood Pressure
|
72.18
|
74.87
|
318
|
Falls: Screening for Future Fall Risk
|
75.40
|
87.03
|
110
|
Preventative Care and Screening: Influenza Immunization
|
64.91
|
80.52
|
226
|
Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention
|
100.00
|
80.97
|
113
|
Colorectal Cancer Screening
|
68.59
|
73.63
|
112
|
Breast Cancer Screening
|
71.37
|
75.11
|
438
|
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
|
85.59
|
84.24
|
CAHPS-1
|
Getting Timely Care, Appointments and Information
|
82.97
|
84.67
|
CAHPS-2
|
How Well Providers Communicate
|
88.59
|
93.56
|
CAHPS-3
|
Patient's Rating of Provider
|
87.54
|
92.19 |
CAHPS-4 |
Access to Specialists
|
79.34 |
78.80 |
CAHPS-5 |
Health Promotion and Education
|
56.42 |
61.61 |
CAHPS-6 |
Shared Decision Making
|
56.35 |
60.89 |
CAHPS-7 |
Health Status and Functional Status
|
71.10 |
71.78 |
CAHPS-8 |
Care Coordination
|
79.63 |
85.66 |
CAHPS-9 |
Courteous and Helpful Office Staff
|
89.61 |
91.88 |
CAHPS-11 |
Stewardship of Patient Resources
|
27.90 |
24.71 |
479 |
Hospital-Wide, 30-Day, All-Cause Unplanned Readmission
|
18.02 |
15.40 |
MCC1 |
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions
for ACOs (MCC)
|
39.12 |
33.99 |
For previous years’ Financial and Quality Performance Results, please visit: data.cms.gov
Please note, the Quality ID #: 370 Depression Remission at 12 months’
quality measure is not included in public reporting due to low sample size