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 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.