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 |
Ashley Oaks OB GYN Carolina Arrhythmia Consultants Carolina Neurological Clinic, L.L.P. Charleston Medical Associates
Charleston OB/GYN, LLC Charleston Pulmonary Associates PA Coastal Cardiology, P.A.
Coastal Carolina Nephrology LLC
Coastal Gynecology and Obstetrics, P.A. Creekside Women Care
Daniel Game Equilibrium Endocrinology, PA Francis Akom Lowcountry Cardiology Associates PA Newton Family Medicine LLC Roper St. Francis Physician Network Southeast Cardiology Tidewater Neurology West Ashley OBGYN William J Grossman, MD, PA |
N N N N N N N N N N N N N N N N N N N N
|
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)
|
ACO Participant
|
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)
|
ACO Participant
|
Medicare Beneficiary |
Rashad, MD |
Muhammad
|
|
Voting Member (1)
|
ACO Participant
|
Charleston Pulmonary Associates, PA
|
Lewis, MD |
Dan
|
|
Voting Member (1)
|
ACO Participant
|
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 |
Ottinger, MD
|
Stan |
|
Voting Member (1)
|
ACO Participant
|
Charleston OB/GYN, LLC |
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
|
Kornegay, MD
| Matthew | | Voting Member (1)
| ACO Participant
| Charleston Medical Associates
|
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
- First Agreement Period
- Performance Year 2019, $4,078,252
- Performance Year 2018, $0
- Performance Year, 2017 $0
Shared Savings Distribution:
- 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
2019 Quality Performance Results:
ACO# |
Measure Name |
Rate |
ACO Mean |
ACO-1 |
CAHPS: Getting Timely Care, Appointments, and Information |
85.67 |
85.86 |
ACO-2 |
CAHPS: How Well Your Providers Communicate |
95.29 |
94.11 |
ACO-3 |
CAHPS: Patients' Rating of Provider |
93.91 |
92.69 |
ACO-4 |
CAHPS: Access to Specialists |
82.66 |
81.54 |
ACO-5 |
CAHPS: Health Promotion and Education |
57.91 |
60.44 |
ACO-6 |
CAHPS: Shared Decision Making |
65.60 |
62.78
|
ACO-7 |
CAHPS: Health Status/Functional Status |
73.37 |
73.79 |
ACO-34 |
CAHPS: Stewardship of Patient Resources |
25.86 |
26.17 |
ACO-45 | CAHPS: Courteous and Helpful Office Staff
| 93.89 | 92.84
|
ACO-46 | CAHPS: Care Coordination
| 86.78 | 86.89
|
ACO-8 |
Risk-Standardized, All Condition Readmission |
14.46 |
14.86 |
ACO-38 |
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions |
49.61 |
58.15 |
ACO-43 |
Ambulatory Sensitive Conditions Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))
|
1.73 |
1.87 |
ACO-13 |
Falls: Screening for Future Fall Risk
|
91.30 |
84.04 |
ACO-14 |
Preventive Care and Screening: Influenza Immunization |
72.19 |
74.77 |
ACO-17 |
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention |
86.96 |
78.04 |
ACO-18 |
Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan |
87.76 |
70.40 |
ACO-19 |
Colorectal Cancer Screening |
66.31 |
70.76 |
ACO-20 |
Breast Cancer Screening |
86.60 |
73.84 |
ACO-42 |
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease |
82.73 |
82.17 |
ACO-27 |
Diabetes Mellitus: Hemoglobin A1c Poor Control |
13.13 |
13.88 |
ACO-28 |
Hypertension (HTN): Controlling High Blood Pressure |
77.99 |
75.04 |
Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. In addition, the Centers for Medicare & Medicaid Services (CMS) waived the requirement for ACOs to field a CAHPS for ACOs survey data.
For Previous Years' Financial and Quality Performance Results, please visit data.cms.gov.
- Waiver for Payment for Telehealth Services:
- Yes/No, our ACO clinicians do/do not provide telehealth services using the flexibilities under 42 CFR 425.612(f) and 42 CFR 425.613.