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

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 2018, $0
  • Performance Year, 2017 $0

Shared Savings Distribution:

• First Agreement Period
• 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

2018 Quality Performance Results:

ACO#	Measure Name	Rate	ACO Mean
ACO-1	CAHPS: Getting Timely Care, Appointments, and Information	88.93	86.14
ACO-2	CAHPS: How Well Your Providers Communicate	94.68	93.93
ACO-3	CAHPS: Patients' Rating of Provider	93.38	92.45
ACO-4	CAHPS: Access to Specialists	83.11	81.50
ACO-5	CAHPS: Health Promotion and Education	61.01	59.26
ACO-6	CAHPS: Shared Decision Making	64.90	61.94
ACO-7	CAHPS: Health Status/Functional Status	76.16	73.35
ACO-34	CAHPS: Stewardship of Patient Resources	24.11	26.26
ACO-8	Risk-Standardized, All Condition Readmission	14.81	14.98
ACO-35	Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM)	19.96	18.59
ACO-36	All-Cause Unplanned Admissions for Patients with Diabetes	33.21	37.01
ACO-37	All-Cause Unplanned Admissions for Patients with Heart Failure	68.56	76.75
ACO-38	All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions	55.64	59.00
ACO-43	Ambulatory Sensitive Conditions Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))	1.84	1.98
ACO-11	Use of Certified EHR Technology	99.87	98.20
ACO-12	Medication Reconciliation	68.08	85.91
ACO-13	Falls: Screening for Future Fall Risk	77.78	79.73
ACO-44	Imaging Studies for Low Back Pain	57.50	64.36
ACO-14	Preventive Care and Screening: Influenza Immunization	66.74	72.71
ACO-15	Pneumonia Vaccination Status for Older Adults	84.94	75.97
ACO-16	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up	70.85	76.83
ACO-17	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	85.71	72.81
ACO-18	Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan	81.31	66.74
ACO-19	Colorectal Cancer Screening	62.14	68.27
ACO-20	Breast Cancer Screening	83.13	71.96
ACO-42	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	80.61	81.47
ACO-27	Diabetes Mellitus: Hemoglobin A1c Poor Control	13.98	15.51
ACO-41	Diabetes: Eye Exam	64.60	52.42
ACO-28	Hypertension (HTN): Controlling High Blood Pressure	81.22	73.10
ACO-30	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	89.20	88.92

 

For Previous Years' Financial and Quality Performance Results, please visit data.cms.gov.


Payment Rule Waivers
• Skilled Nursing Facility (SNF) 3-day Rule Waiver:
  
  • No, our ACO does not use the SNF 3-Day Rule Waiver.
• 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.