AdventHealth ACO

ACO Participants

ACO Participants	ACO Participant in Joint Venture (Enter Y or N)
Adventist Health System Sunbelt, Inc.	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

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	7.70%	ACO Participant	AdventHealth Group Family Medicine
Bryan	Stiltz	Senior Vice President, AdventHealth	7.69%	Other	N/A
Daniel	Roquiz	MD, Family Medicine	7.69%	ACO Participant	Adventist Health System - Sunbelt, Inc.
Doug	Ardoin	MD, Family Medicine	7.69%	ACO Participant-Designee	Florida Hospital Physician Group, Inc.
Herriet	Tupas-Levitan	MD, Internal Medicine	7.69%	ACO Participant	Herriet V Tupas Levitan MD PA
Jennifer	Jackson	Senior Vice President, AdventHealth	7.69%	Other	N/A
Vacant	Vacant	Medicare Beneficiary	7.69%	Medicare Beneficiary	N/A
John	Morrison	MD, Family Medicine	7.70%	ACO Participant	Florida Hospital Physician Group, Inc.
Michelle	Hornstein	DO, Family Medicine	7.69%	ACO Participant	Florida Hospital Physician Group, Inc.
Rainer	Chan	MD, Family Medicine Chairman	7.70%	ACO Participant	Florida Hospital Physician Group, Inc.
Reginald	Schutt-Aine	MD, Internal Medicine	7.69%	ACO Participant	Memorial Hospital West Volusia, Inc.
Robert	Rosequist	MD, Family Medicine	7.69%	ACO Participant	Florida Hospital Physician Group, Inc.
Sue Ellen	Griffith	MD, Family Medicine	7.69%	ACO Participant	Memorial Hospital West Volusia,Inc.

Committee Name	Committee Leader Name and Position
Nominating Committee	Jennifer Jackson, Co-Chair Shelley Veal, Co-Chair
Finance and Contracting Committee	Rob Moon, Chair
Quality and Utilization Review Committee	Doug Ardoin, MD, Chair
Corporate Responsibility Steering Committee	Christi Knox, Chair

Second Agreement

Performance Year 2022
- Proportion invested infrastructure: 40%
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: 60%

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%

2022 Quality performance results are based on CMS Web Interface

Measure #	Measure Name	Collection Type	Rate	ACO Mean
001	Diabetes: Hemoglobin A1c (HbA1c) Poor Control	CMS Web Interface	8.94	10.71
134	Preventative Care and Screening: Screening for Depression and Follow-up Plan	CMS Web Interface	84.22	76.97
236	Controlling High Blood Pressure	CMS Web Interface	77.62	76.16
318	Falls: Screening for Future Fall Risk	CMS Web Interface	96.24	87.83
110	Preventative Care and Screening: Influenza Immunization	CMS Web Interface	70.14	77.34
226	Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention	CMS Web Interface	90.48	79.27
113	Colorectal Cancer Screening	CMS Web Interface	72.37	75.32
112	Breast Cancer Screening	CMS Web Interface	78.15	78.07
438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	CMS Web Interface	84.92	86.37
370	Depression Remission at Twelve Months	CMS Web Interface	7.27	16.03
479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups	Administrative Claims	0.1556	0.1510
484	All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)	Administrative Claims	32.84	30.97

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

CAHPS for MIPS

Measure #	Measure Name	Collection Type	Rate	ACO Mean
CAHPS-1	Getting Timely Care, Appointments, and Information	CAHPS for MIPS Survey	76.02	83.96
CAHPS-2	How Well Providers Communicate	CAHPS for MIPS Survey	92.38	93.47
CAHPS-3	Patient’s Rating of Provider	CAHPS for MIPS Survey	90.39	92.06
CAHPS-4	Access to Specialists	CAHPS for MIPS Survey	74.94	77.00
CAHPS-5	Health Promotion and Education	CAHPS for MIPS Survey	67.38	62.68
CAHPS-6	Shared Decision Making	CAHPS for MIPS Survey	58.20	60.97
CAHPS-7	Health Status and Functional Status	CAHPS for MIPS Survey	71.52	73.06
CAHPS-8	Care Coordination	CAHPS for MIPS Survey	83.75	85.46
CAHPS-9	Courteous and Helpful Office Staff	CAHPS for MIPS Survey	87.45	91.97
CAHPS-11	Stewardship of Patient Resources	CAHPS for MIPS Survey	18.44	25.62

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

ACO Executive	Shelley Veal
Medical Director	Rainer Chan, MD
Compliance Officer	Christi Knox
Quality Assurance/ Improvement Officer	Rainer Chan, MD