ACO Name and Location

AHS Florida Division ACO, LLC dba AdventHealth ACO
2600 Lucien Way
Maitland, Florida 32751

ACO Primary Contact

Primary Contact NameSusan Herbert
Primary Contact Phone Number Call407-357-1566
Primary Contact Email Address[email protected]

ACO Participants

ACO ParticipantsACO Participant in Joint Venture (Enter Y or N)
Adventist Health System Sunbelt, Inc.N
Adventist Health System-Sunbelt, Inc.N
Afermin Primary Care PAN
Andrew J. Randolph MD PAN
April Smith Gonzalez, PAN
Charles D Bisogno DO PAN
Elizabeth Daquila MD LLCN
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 PAN
Jack T Weaver DPM DO MD PAN
Jorge Gomez MD PAN
Lana Medical Care PAN
Marc BaraschN
Memorial Hospital West Volusia, Inc.N
Richard Daniel Potts MD PLLCN
Southwest Volusia Healthcare CorporationN
Sunshine Physician, Inc.N
Tarpon Springs Hospital Foundation, Inc. N
Yursa Medical Associates PAN

ACO Governing Body

Member's First NameMember's Last NameMember's Title/PositionMember's Voting Power – Expressed as a percentage or numberMembership TypeACO Participant Legal Business Name/DBA, if Applicable
AlanIezziMD, Family Medicine8.34%ACO ParticipantAdventHealth Group Family Medicine
BryanStiltzSenior Vice President, AdventHealth8.33%OtherN/A
DanielRoquizMD, Family Medicine8.33%ACO ParticipantAdventist Health System - Sunbelt, Inc.
HerrietTupas-LevitanMD, Internal Medicine8.33%ACO ParticipantHerriet V Tupas Levitan MD PA
JenniferJacksonSenior Vice President, AdventHealth8.33%OtherN/A
GeraldHurleyMedicare Beneficiary8.33%Medicare BeneficiaryN/A
JohnMorrisonMD, Family Medicine8.34%ACO ParticipantFlorida Hospital Physician Group, Inc.
MichelleHornsteinDO, Family Medicine8.33%ACO ParticipantFlorida Hospital Physician Group, Inc.
RainerChanMD, Family Medicine Chairman8.34%ACO ParticipantFlorida Hospital Physician Group, Inc.
ReginaldSchutt-AineMD, Internal Medicine8.33%ACO ParticipantMemorial Hospital West Volusia, Inc.
RobertRosequistMD, Family Medicine8.34%ACO ParticipantFlorida Hospital Physician Group, Inc.
Sue EllenGriffithMD, Family Medicine8.33%ACO ParticipantMemorial Hospital West Volusia,Inc.

Key ACO Clinical and Administrative Leadership

ACO ExecutiveShelley Veal
Medical DirectorRainer Chan, MD
Compliance OfficerNancy Hayt

Quality Assurance/

Improvement Officer

Rainer Chan, MD

Associated Committees and Committee Leadership

Committee NameCommittee Leader Name and Position
Nominating Committee

Jennifer Jackson, Co-Chair

Shelley Veal, Co-Chair

Finance and Contracting CommitteeTBD
Quality and Utilization Review CommitteeDoug Ardoin, MD, Chair
Corporate Responsibility Steering CommitteeNancy Hayt, 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 | 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:

Quality Performance Results

Quality performance results are based on CMS Web Interface

Measure #Measure NameRateACO Mean
001Diabetes: Hemoglobin A1c (HbA1c) Poor Control9.9212.46

134

Preventative Care and Screening: Screening for Depression and Follow-up Plan76.7874.38
236Controlling High Blood Pressure72.2074.87
318Falls: Screening for Future Fall Risk86.2587.03
110Preventative Care and Screening: Influenza Immunization61.1680.52
226Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention93.3380.97
113Colorectal Cancer Screening70.2173.63
112Breast Cancer Screening76.5475.11
438Statin Therapy for the Prevention and Treatment of Cardiovascular Disease81.6184.24
479Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups0.15770.1540
MCC1All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)34.4233.99

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 NameRateACO Mean
CAHPS-1Getting Timely Care, Appointments, and Information79.6484.67
CAHPS-2How Well Providers Communicate91.0093.56
CAHPS-3Patient’s Rating of Provider90.4892.19
CAHPS-4Access to Specialists75.1978.80
CAHPS-5Health Promotion and Education65.4761.61
CAHPS-6Shared Decision Making62.3860.89
CAHPS-7Health Status and Functional Status70.4071.78
CAHPS-8Care Coordination84.0485.66
CAHPS-9Courteous and Helpful Office Staff89.7491.88
CAHPS-11Stewardship of Patient Resources23.8624.71