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., 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

Flagler Hospital, Inc.

Y

Heart Center of Saint Augustine, PA

Y

Infectious Diseases Associates of North Florida, PA

Y

Internal Medicine Associates of St Johns County, PA

Y

John S Koppman, MD, PL

Y

Jack M. Matheny II MD

Y

Michael Hsu, MD, LLC

Y

Manoj Prakash, MD, PA

Y

Mason H. Long, MD, PA

Y

Neurology Care, Inc.

Y

North Florida Specialists In Lung Diseases & Internal Medicine, PA

Y

Orthonorthrup, PA.

Y

Paul D Jayachandra MD, PA

Y

Primecare PL

Y

Pain Management Specialists of North Florida, PA

Y

Pulmonary Associates of St. Augustine, PA

Y

Qixia Huang, M.D., PA

Y

Radhika Prakash

Y

St. Augustine Neurology, PA

Y

Syed W. Ali, M.D. PA

Y

Scott D. McDowall, PLLC

Y

St. Augustine Cardiology Associates, PA

Y

St. Augustine Foot & Ankle Inc.

Y

T S Hossain, MD, PA

Y

US Bariatric St. Augustine, LLC

Y

William J Oktavec, PA

Y

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

8.3

ACO Participant Representative

St. Augustine Cardiology Associates, P.A.

Kerry

Watson

Vice President

8.3

ACO Participant Representative

Flagler Hospital, Inc.

Marvin

Dewar

Board Member

8.3

ACO Participant Representative

Flagler Hospital, Inc.

Jeffrey

West

Board Member

8.3

ACO Participant Representative

Flagler Hospital, Inc.

Kent

Bailey

Treasurer Hospital

8.3

ACO Participant Representative

Flagler Hospital, Inc.

Huson

Gilberstadt

Board Member

8.3

ACO Participant Representative

Flagler Hospital, Inc.

Brian

Kiekover

Board Member

8.3

Community Stakeholder

N/A

Ashfaq

Kudia

Board Member

8.3

ACO Participant Representative

Ashfaq Kudia, MD, PA

Miguel

Mas

Board Member

8.3

ACO Participant Representative

Ancient City Pediatrics, LLC

Suhas

Neerukonda

Senior Medical Director

8.3

ACO Participant Representative

Anastasia Medical Group, LLC

Dinesh

Pubbi

Board Member

8.3

ACO Participant

Representative

First Coast Heart and Vascular Center, PA

Ann Marie

Valenti

Board Member

8.3

Medicare Beneficiary Representative

NA

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

Kent Bailey, Chair

Medical Informatics and Technology Committee

Dr. Suhas Neerukonda, Chair

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