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ACO Public Reporting

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

ACO Primary Contact
Primary Contact Name
Doug Bryan
Primary Contact Phone Number
 (843) 724-2414
Primary Contact Email Address
 doug.bryan@rsfh.com

Organizational Information

ACO participants:

ACO Participants ACO Participant in Joint Venture
Cardiology Associates of Charleston
Carolina Neurological Clinic, L.L.P.
Charleston OB/GYN, LLC
Charleston Pulmonary Associates PA
Coastal Cardiology, P.A.
Daniel Game
EpiCentre, LLC
Equilibrium Endocrinology, PA
Francis Akom
Newton Family Medicine LLC
Roper St. Francis Physician Network
Southeast Cardiology
Tidewater Neurology
West Ashley OBGYN
N
N
N
N
N
N
N
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ACO governing body:
Member  
Member's Voting Power
 
Membership Type
 
ACO Participant
TIN Legal Business
Name/DBA,
if applicable

Last Name
 First Name Title/Position
Keogh, MD  George  Board Chairman
 Voting Member (1)
 
 Charleston Hematology Oncology Associates, PA
Thompson, MD  Hugh    Voting Member (1)
 ACO Participant
 Roper St. Francis Physician Partners
Oliverio, MD  Robert
   Voting Member (1)
 ACO Participant
 Roper St. Francis Physician Partners
Young, MD  Brett
   Voting Member (1)
 ACO Participant
 Roper St. Francis Physician Partners
Black  Charlie
   Voting Member (1)
 Medicare Beneficiary
Rashad, MD  Muhammad
   Voting Member (1)
 ACO Participant
 Charleston Pulmonary Associates, PA
Lewis, MD  Dan
   Voting Member (1)
 
 Roper Emergency Physicians
Murray, MD  Patrick
   Voting Member (1)
 ACO Participant
 Roper St. Francis Physician Partners
McLain, MD
 Chris
   Voting Member (1)
 ACO Participant
 Roper St. Francis Physician Partners
Stith  Melanie
   Voting Member (1)
 ACO Participant
 Roper St. Francis Healthcare
Hyson, MD
 Aaron  Voting Member (1)
 ACO Participant
 Roper St. Francis Physician Partners
Durrence, MD
 Hugh  Voting Member (1)
  Liberty Doctors
Woodfield, MD
 Scott  Voting Member (1)
 ACO Participant
 Coastal Cardiology, PA
Bumgartner, MD
 James  Voting Member (1)
 ACO Participant
 Carolina Neurological Clinic
Newton, MD
 Edward  Voting Member (1) ACO Participant Newton Family Medicine
Gleaton, MD
 Kenosha  Voting Member (1) ACO Participant EpiCentre, LLC

    Key ACO clinical and administrative leadership:
    Kathleen Guatteri
     ACO Executive
    Robert Oliverio, MD
     Medical Director
    Thaddeus Kuchinski
    Compliance Officer
    Robert Oliverio, MD
    Quality Assurance/Improvement Officer

      Associated committees and committee leadership:
      Committee Name
       Committee Leader Name and Position
      Professional Standards and Credentialing Committee  George Keogh, MD, Chair, Charleston Hematology Oncology Associates, PA
      Quality Assurance and Performance Improvement Committee  Chris McLain, MD, Chair, Roper St. Francis Physician Partners
      Finance Committee  Ed McNellis, MD, Chair Charleston ENT

        Types of ACO participants, or combinations of participants, that formed the ACO:
        • Networks of individual practices of ACO professionals
        Shared Savings and Losses:
        Amount of Shared Savings/Losses

        • Second Agreement Period
          • Performance Year 2021, $0
          • Performance Year 2020, $2,447,798
        • First Agreement Period
          • Performance Year 2019, $4,078,252
          • Performance Year 2018, $0
          • Performance Year, 2017 $0
        Shared Savings Distribution:
        • Second Agreement Period
          • Performance Year 2021
            • Proportion invested in infrastructure: N/A
            • Proportion invested in redesigned care processes/resources: N/A
            • Proportion of distribution to ACO participants: N/A
          • Performance Year 2020
            • Proportion invested in infrastructure: 30%
            • Proportion invested in redesigned care processes/resources: 14%
            • Proportion of distribution to ACO participants: 56%
        • First Agreement Period
          • Performance Year 2019
            • Proportion invested in infrastructure: 30%
            • Proportion invested in redesigned care processes/resources:14%
            • Proportion of distribution to ACO participants:56%
          • Performance Year 2018
            • Proportion invested in infrastructure: N/A
            • Proportion invested in redesigned care processes/resources: N/A
            • Proportion of distribution to ACO participants: N/A
          • Performance Year 2017
            • Proportion invested in infrastructure: N/A
            • Proportion invested in redesigned care processes/resources: N/A
            • Proportion of distribution to ACO participants: N/A

        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 Control2
        10.64 12.46
        134 Preventative Care and Screening: Screening for Depression and Follow-up Plan
        87.02 74.38
        236 Controlling High Blood Pressure 73.5 74.87
        318 Falls: Screening for Future Fall Risk 88.10 87.03
        110 Preventative Care and Screening: Influenza Immunization 80.07 80.52
        226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention 94.29 80.97
        113 Colorectal Cancer Screening 87.12 73.63
        112 Breast Cancer Screening 88 75.11
        438
        Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 87.68
         84.24
         479Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2 0.1453 0.154
        MCC1 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)2 30.71 33.99
         CAHPS-1Getting Timely Care, Appointments, and Information 85.984.67
         CAHPS-2How Well Providers Communicate93.97
         93.56
         CAHPS-3Patient’s Rating of Provider 91.8892.19
         CAHPS-4Access to Specialists 81.2578.8
         CAHPS-5Health Promotion and Education 62.6 61.61
         CAHPS-6Shared Decision Making 61.9660.89
         CAHPS-7Health Status and Functional Status72.5
         71.78
         CAHPS-8Care Coordination 85.885.66
         CAHPS-9Courteous and Helpful Office Staff92.16
        91.88
         CAHPS-11Stewardship of Patient Resources 21.0224.71

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

        Payment Rule
        • Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
          • Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.
        • Waiver for Payment for Telehealth Services:
          • Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR § 425.612(f) and 42 CFR § 425.613.

         





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