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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
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
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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)
 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 24.11 26.26
             ACO-45 CAHPS: Courteous and Helpful Office Staff
             93.8992.84
             ACO-46 CAHPS: Care Coordination
             86.7886.89
            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

             

            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.
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