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 Medicine7.70%ACO ParticipantAdventHealth Group Family Medicine
BryanStiltzSenior Vice President, AdventHealth7.69%OtherN/A
DanielRoquizMD, Family Medicine7.69%ACO ParticipantAdventist Health System - Sunbelt, Inc.
DougArdoinMD, Family Medicine7.69%ACO Participant-DesigneeFlorida Hospital Physician Group, Inc.
HerrietTupas-LevitanMD, Internal Medicine7.69%ACO ParticipantHerriet V Tupas Levitan MD PA
JenniferJacksonSenior Vice President, AdventHealth7.69%OtherN/A
VacantVacantMedicare Beneficiary7.69%Medicare BeneficiaryN/A
JohnMorrisonMD, Family Medicine7.70%ACO ParticipantFlorida Hospital Physician Group, Inc.
MichelleHornsteinDO, Family Medicine7.69%ACO ParticipantFlorida Hospital Physician Group, Inc.
RainerChanMD, Family Medicine Chairman7.70%ACO ParticipantFlorida Hospital Physician Group, Inc.
ReginaldSchutt-AineMD, Internal Medicine7.69%ACO ParticipantMemorial Hospital West Volusia, Inc.
RobertRosequistMD, Family Medicine7.69%ACO ParticipantFlorida Hospital Physician Group, Inc.
Sue EllenGriffithMD, Family Medicine7.69%ACO ParticipantMemorial Hospital West Volusia,Inc.

Key ACO Clinical and Administrative Leadership

ACO ExecutiveShelley Veal
Medical DirectorRainer Chan, MD
Compliance OfficerChristi Knox

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 CommitteeRob Moon, Chair
Quality and Utilization Review CommitteeDoug Ardoin, MD, Chair
Corporate Responsibility Steering CommitteeChristi Knox, 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

Second Agreement Period

  • Performance Year 2022: $0

First Agreement Period

  • Performance Year 2021: $6,681,479
  • Performance Year 2020: $0
  • Performance Year 2019: $7,972,622
  • Performance Year 2018: $0

Shared Savings Distribution

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%

Quality Performance Results

2022 Quality performance results are based on CMS Web Interface

Measure #Measure NameCollection TypeRateACO Mean
001Diabetes: Hemoglobin A1c (HbA1c) Poor ControlCMS Web Interface8.9410.71

134

Preventative Care and Screening: Screening for Depression and Follow-up PlanCMS Web Interface84.2276.97
236Controlling High Blood PressureCMS Web Interface77.6276.16
318Falls: Screening for Future Fall RiskCMS Web Interface96.2487.83
110Preventative Care and Screening: Influenza ImmunizationCMS Web Interface70.1477.34
226Preventative Care and Screening: Tobacco Use: Screening and Cessation InterventionCMS Web Interface90.4879.27
113Colorectal Cancer ScreeningCMS Web Interface72.3775.32
112Breast Cancer ScreeningCMS Web Interface78.1578.07
438Statin Therapy for the Prevention and Treatment of Cardiovascular DiseaseCMS Web Interface84.9286.37
370Depression Remission at Twelve MonthsCMS Web Interface7.2716.03
479Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS GroupsAdministrative Claims0.15560.1510
484All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)Administrative Claims32.8430.97

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

CAHPS for MIPS

Measure #Measure NameCollection TypeRateACO Mean
CAHPS-1Getting Timely Care, Appointments, and InformationCAHPS for MIPS Survey76.0283.96
CAHPS-2How Well Providers CommunicateCAHPS for MIPS Survey92.3893.47
CAHPS-3Patient’s Rating of ProviderCAHPS for MIPS Survey90.3992.06
CAHPS-4Access to SpecialistsCAHPS for MIPS Survey74.9477.00
CAHPS-5Health Promotion and EducationCAHPS for MIPS Survey67.3862.68
CAHPS-6Shared Decision MakingCAHPS for MIPS Survey58.2060.97
CAHPS-7Health Status and Functional StatusCAHPS for MIPS Survey71.5273.06
CAHPS-8Care CoordinationCAHPS for MIPS Survey83.7585.46
CAHPS-9Courteous and Helpful Office StaffCAHPS for MIPS Survey87.4591.97
CAHPS-11Stewardship of Patient ResourcesCAHPS for MIPS Survey18.4425.62