About the Roper St. Francis Health Alliance
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ACO Public Reporting

ACO Name and Location:
Roper St. Francis Health Alliance, LLC
125 Doughty Street, Suite 720
Charleston, SC 29403

ACO Primary Contact:
Doug Bryan, Clinical Integration Program Manager
doug.bryan@rsfh.com
(843) 724-2414

Organizational Information

ACO participants:

Allergy & Asthma Consultants, LLP
Anesthesia Associates of Charleston, PA
Anesthesia Services of Charleston
Ashley Oaks OB GYN
Associated Foot Specialists, PA
Bon Secours St. Francis-Xavier Hospital, Inc.
Bright McConnell III MD LLC
Cardiology Associates of Charleston LLC
Carolina Arrhythmia Consultants
Carolina Eyecare Physicians LLC
Carolina Neurological Clinic, L.L.P.
Charleston Anesthesia Group LLC
Charleston ENT Associates, LLC
Charleston Gastroenterology Specialists
Charleston Hematology Oncology Assoc. PA
Charleston Nephrology Associates LLC
Charleston OB/GYN, LLC
Charleston Pathology PA
Charleston Pulmonary Associates PA
Coastal Cardiology, P.A.
Coastal Carolina Nephrology LLC
Coastal Gynecology and Obstetrics, P.A.
Coastal Vascular Vein Center Pa
Creekside Women Care
East Cooper Plastic Surgery LLC
East Cooper Rheumatology PA
East Cooper Surgical Associates LLC
Elms Digestive Disease Specialists PA
Equilibrium Endocrinology, PA
Etta Leah Bluestein


   Eye Center of Charleston
   Eyecare Physicians & Surgeons LLC
   Gastroenterology Specialists
   Gastrointestinal Surgical Specialists, LLC
   John C. MacIlwaine, MD, LLC
   John Ellyn
   Lance Davis, MD
   Life Center Family Medicine LLC
   Low Country Rheumatology PA
   Lowcountry Cardiology Associates PA
   Lowcountry Gastroenterology
   Lowcountry Infectious Diseases
   Lowcountry Radiation Oncology, PA
   Lowcountry Urology Clinics PA
   Marta Hampton
   National Allergy Asthma & Urticaria Centers of Charleston, PA
   North Area
   Pain Specialists of Charleston PA
   Palmetto Adult and Childrens Urology
   Palmetto Digestive Disease PA
   Rheumatology Associates, PA
   Roper Hospital, INC
   Roper Radiologists PA
   Roper St. Francis Physician Partners
   Roper St. Francis Mount Pleasant Hospital
   Saima Ismaili DPM
   Signe Spine & Rehab LLC
   Tidewater Neurology
   West Ashley OBGYN
   William Dennis, MD
   William J Grossman, MD, PA

   

ACO participants in joint ventures between ACO professionals and hospitals:

  • No participants are involved in a joint venture between ACO professionals and hospitals.
ACO governing body:
  • George Keogh, MD, Board Chairman, Voting Member, ACO participant representative of Charleston Hematology Oncology Associates PA
  • Troy Bunting, MD, Voting Member, ACO participant representative of Coastal Cardiology, PA
  • Robert Clifford, MD, Voting Member, Non-ACO participant representative of Coastal Pediatric Associates
  • Lauren Hamilton, MD, Voting Member, ACO participant representative of Charleston OB/GYN, LLC
  • Hugh Thompson, MD, Voting Member, ACO participant representative of Roper St. Francis Physician Partners
  • Ian Marshall, MD, Voting Member, ACO participant representative of Lowcountry Urology Clinics PA
  • Skye Nicole DeBerry, MD, Voting Member, ACO participant representative of Roper St. Francis Physician Partners
  • Bob Oliverio, MD, Voting Member, ACO participant representative of Roper St. Francis Physician Partners
  • Morgan Stuart, MD, Voting Member, ACO participant representative of Roper St. Francis Physician Partners
  • Charlie Black, Voting Member, Medicare Beneficiary Representative
  • Brent Hamilton, MD, Voting Member, ACO participant of Coastal Carolina Nephrology
  • Dan Lewis, MD, Voting Member, ACO participant of Roper Emergency Physicians
  • William Crymes, MD, Voting Member, ACO participant of Roper Radiologists
  • Patrick Murray, MD, Voting Member, ACO participant of Roper St. Francis Physician Partners
  • Todd Shuman, MD, Voting Member, Roper St. Francis Health System Executive
Key ACO clinical and administrative leadership:
  • ACO Executive: Doug Bryan
  • Executive Medical Director: Todd Shuman, MD
  • Compliance Officer: Cathryn Delillo
  • Quality Assurance/Improvement Officer: Robyn DeGennaro
Associated committees and committee leadership:
  • Professional Standards and Credentialing Committee: Lauren Hamilton, MD, Chair, Charleston OB/GYN 
  • Quality Assurance and Performance Improvement Committee: Chris McLain, MD, Chair, Roper St. Francis Physician Partners
  • Finance: Ed McNellis, MD, Chair, Charleston ENT
Types of ACO participants, or combinations of participants, that formed the ACO:
  • ACO professionals in a group practice arrangement
  • Networks of individual practices of ACO professionals
  • Hospital employing ACO professionals
Shared Savings and Losses:
  • To be completed after the conclusion of the performance year
Payment Rule Waivers:
  • No, our ACO does not use the SNF 3-Day Rule Waiver.
Quality Performance Results:

2016 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information N/A 79.9
ACO-2 CAHPS: How Well Your Providers Communicate N/A 92.63
ACO-3 CAHPS: Patients' Rating of Provider N/A 91.93
ACO-4 CAHPS: Access to Specialists N/A 83.52
ACO-5 CAHPS: Health Promotion and Education N/A 60
ACO-6 CAHPS: Shared Decision Making N/A 75.28
ACO-7 CAHPS: Health Status/Functional Status N/A 71.82
ACO-34 CAHPS: Stewardship of Patient Resources N/A 27.52
ACO-8 Risk-Standardized, All Condition Readmission N/A 14.7
ACO-35 Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM) N/A 18.17
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes N/A 53.2
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure N/A 75.23
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions N/A 59.81
ACO-9 Ambulatory Sensitive Conditions Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5) N/A 9.27
ACO-10 Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8 ) N/A 14.53
ACO-11 Percent of PCPs who Successfully Meet Meaningful Use Requirements N/A 82.72
ACO-39 Documentation of Current Medications in the Medical Record N/A 87.54
ACO-13 Falls: Screening for Future Fall Risk N/A 64.04
ACO-14 Preventive Care and Screening: Influenza Immunization N/A 68.32
ACO-15 Pneumonia Vaccination Status for Older Adults N/A 69.21
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up N/A 74.45
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention N/A 90.98
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan N/A 53.63
ACO-19 Colorectal Cancer Screening N/A 61.52
ACO-20 Breast Cancer Screening N/A 67.61
ACO-21 Preventive Care and Screening: Screening for High Blood Pressure and Follow-up Documented N/A 76.84
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease N/A 77.72
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control N/A 77.72
ACO-41 Diabetes: Eye Exam N/A 44.94
ACO-28 Hypertension (HTN): Controlling High Blood Pressure N/A 70.52
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic N/A 85.05
ACO-31 Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) N/A 88.67
ACO-33 Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy – for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%) N/A 79.67

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples.


For general questions or additional information about Accountable Care Organizations, please visit www.medicare.gov/acos.html or call 800-MEDICARE (800-633-4227). TTY users, should call 877-486-2048.

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