ACO Name and Location
AHS Florida Division ACO, LLC dba AdventHealth ACO
2600 Lucien Way
Maitland, Florida 32751
ACO Primary Contact
| Primary Contact Name | Susan Herbert |
| Primary Contact Phone Number | Call407-357-1566 |
| Primary Contact Email Address | [email protected] |
ACO Participants
| ACO Participants | ACO Participant in Joint Venture (Enter Y or N) |
|---|---|
| Adventist Health System Sunbelt | N |
| Adventist Health System-Sunbelt, Inc. | N |
| Afermin Primary Care PA | N |
| Andrew J. Randolph MD PA | N |
| April Smith Gonzalez, PA | N |
| Charles D Bisogno DO PA | N |
| Elizabeth Daquila MD LLC | N |
| Florida Hospital Medical Group, Inc. | N |
| Florida Hospital Physician Group, Inc. | N |
| Florida Hospital Zephyrhills, Inc. | N |
| Heart Of Florida Health Center, Inc. | N |
| Herriet V Tupas Levitan MD PA | N |
| Jack T Weaver DPM DO MD PA | N |
| Jorge Gomez MD PA | N |
| Lana Medical Care PA | N |
| Marc Barasch | N |
| Memorial Hospital West Volusia, Inc. | N |
| Richard Daniel Potts MD PLLC |
N |
| Southwest Volusia Healthcare Corporation | N |
| Sunshine Physician, Inc. | N |
| Tarpon Springs Hospital Foundation, Inc. | N |
| Yursa Medical Associates PA | N |
ACO Governing Body
| Member's First Name | Member's Last Name | Member's Title/Position | Member's Voting Power – Expressed as a percentage or number | Membership Type | ACO Participant Legal Business Name/DBA, if Applicable |
|---|---|---|---|---|---|
| Alan | Iezzi | MD, Family Medicine | 1 | ACO Participant | AdventHealth Group Family Medicine |
| Bryan | Stiltz | Senior Vice President, AdventHealth | 1 | Other | N/A |
| Daniel | Roquiz | MD, Family Medicine | 1 | ACO Participant | Adventist Health System - Sunbelt, Inc. |
| Herriet | Tupas-Levitan | MD, Internal Medicine | 1 | ACO Participant | Herriet V Tupas Levitan MD PA |
| Jennifer | Jackson | Senior Vice President, AdventHealth | 1 | Other | N/A |
| Jerry | Hurley | Medicare Beneficiary | 1 | Medicare Beneficiary | N/A |
| John | Morrison | MD, Family Medicine | 1 | ACO Participant | Florida Hospital Physician Group, Inc. |
| Michelle | Hornstein | DO, Family Medicine | 1 | ACO Participant | Florida Hospital Physician Group, Inc. |
| Rainer | Chan | MD, Family Medicine Chairman | 1 | ACO Participant | Florida Hospital Physician Group, Inc. |
| Reginald | Schutt-Aine | MD, Internal Medicine | 1 | ACO Participant | Memorial Hospital West Volusia, Inc. |
| Robert | Rosequist | MD, Family Medicine | 1 | ACO Participant | Florida Hospital Physician Group, Inc. |
| Sue Ellen | Griffith | MD, Family Medicine | 1 | ACO Participant | Memorial Hospital West Volusia,Inc. |
Key ACO Clinical and Administrative Leadership
| ACO Executive | Shelley Veal |
| Medical Director | Rainer Chan, MD |
| Compliance Officer | Nancy Hayt |
|
Quality Assurance/ Improvement Officer |
Rainer Chan, MD |
Associated Committees and Committee Leadership
| Committee Name | Committee Leader Name and Position |
|---|---|
| Nominating Committee |
Jennifer Jackson, Co-Chair Shelley Veal, Co-Chair |
| Finance and Contracting Committee |
TBD |
| Quality and Utilization Review Committee | Doug Ardoin, MD, Chair |
| Corporate Responsibility Steering Committee | Nancy Hayt, Chair |
Other Important Information
- 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 | Number of Shared Savings/Losses
-
First Agreement Period
- Performance Year 2021: $6,681,479
- Performance Year 2020: $0
- Performance Year 2019: $7,972,622
- Performance Year 2018: $0
Second Agreement Period
- Performance Year 2022:
- Shared Savings Distribution
-
First Agreement Period
- Performance Year 2021
- Proportion invested infrastructure: 40%
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: 60%
- Performance Year 2020
- Proportion invested in infrastructure: 40%
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: 60%
- Performance Year 2019
- Proportion invested in infrastructure: 40%
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: 60%
- Performance Year 2018
- Proportion invested in infrastructure: 40%
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: 60%
Second Agreement
- Performance Year 2022:
- Performance Year 2021
- 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
9.92
12.46
134
Preventative Care and Screening: Screening for Depression and Follow-up Plan
76.78
74.38
236
Controlling High Blood Pressure
72.20
74.87
318
Falls: Screening for Future Fall Risk
86.25
87.03
110
Preventative Care and Screening: Influenza Immunization
61.16
80.52
226
Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention
93.33
80.97
113
Colorectal Cancer Screening
70.21
73.63
112
Breast Cancer Screening
76.54
75.11
438
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
81.61
84.24
479
Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups
0.1577
0.1540
MCC1
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)
34.42
33.99
Please note, the Quality ID #: 370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.
CAHPS for MIPS
Measure #
Measure Name
Rate
ACO Mean
CAHPS-1
Getting Timely Care, Appointments, and Information
79.64
84.67
CAHPS-2
How Well Providers Communicate
91.00
93.56
CAHPS-3
Patient’s Rating of Provider
90.48
92.19
CAHPS-4
Access to Specialists
75.19
78.80
CAHPS-5
Health Promotion and Education
65.47
61.61
CAHPS-6
Shared Decision Making
62.38
60.89
CAHPS-7
Health Status and Functional Status
70.40
71.78
CAHPS-8
Care Coordination
84.04
85.66
CAHPS-9
Courteous and Helpful Office Staff
89.74
91.88
CAHPS-11
Stewardship of Patient Resources
23.86
24.71
- Payment Rule Waivers
-
.