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 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)
|
|
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 |
479 | Hospital-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-1 | Getting Timely Care, Appointments, and Information | 85.9 | 84.67
|
CAHPS-2 | How Well Providers Communicate | 93.97
| 93.56 |
CAHPS-3 | Patient’s Rating of Provider | 91.88 | 92.19
|
CAHPS-4 | Access to Specialists | 81.25 | 78.8
|
CAHPS-5 | Health Promotion and Education | 62.6 | 61.61 |
CAHPS-6 | Shared Decision Making | 61.96 | 60.89
|
CAHPS-7 | Health Status and Functional Status | 72.5
| 71.78 |
CAHPS-8 | Care Coordination | 85.8 | 85.66
|
CAHPS-9 | Courteous and Helpful Office Staff | 92.16
| 91.88
|
CAHPS-11 | Stewardship of Patient Resources | 21.02 | 24.71
|
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.