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Collaborative Care of Florida - Accountable Care Organization

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ACO Information - Collaborative Care of Florida - Accountable Care Organization

ACO Information

ACO Name and Location
Collaborative Care of Florida, LLC
1414 Kuhl Ave. MP#2
Orlando, FL, 32806

ACO Primary Contact:
Dennis Buhring
Dennis.Buhring@orlandohealth.com
407.389.5456

Organizational Information

ACO Participants

  • Orlando Health, Inc.
  • Orlando Physicians Network, Inc.
  • Orlando Health Physician Associates, LLC
  • Southwest Orlando Family Medicine, PL
  • West Orange Physicians Group, LLC

ACO Participants in Joint Ventures between ACO Professionals and Hospitals
No participants are involved in a joint venture between ACO professionals and hospitals.

ACO Governing Body

  • Martin Derrow, MD, Orlando Health Physician Associates, LLC (Chairman and Voting Member)
  • Dennis Buhring, Orlando Health Physician Associates, LLC (Voting Member)
  • Erik Walker, MD, Orlando Health Physician Associates, LLC (Voting Member)
  • Bernadette Spong, Orlando Health (Voting Member)
  • Curt Pattee, Orlando Health (Voting Member)
  • Benjamin Kaplan, MD, Orlando Physicians Network(Voting Member)
  • Bryan Roy, ARNP, Southwest Orlando Family Medicine (Voting Member)
  • Amy Jackson, DO, West Orange Physicians Group (Voting Member)
  • Malcolm S. MacDiarmid, Medicare Beneficiary Representative (Voting Member)

Key Clinical and Administrative Leadership

  • ACO Executive: Dennis Buhring
  • Medical Director: Martin Derrow, MD
  • Chief Financial Officer: Curt Pattee
  • Chief Operating Officer: Linda Zinkovich
  • Chief Technology Officer: Chris Jordan
  • Compliance Officer: David Huddleson

ACO Committees and Committee Leaderships

  • Quality Improvement & Care Coordination Committee: Martin Derrow, MD, Chair
  • Finance & Operations Committee: Erik Walker, MD, Chair
  • Compliance Committee: David Huddleson, Chair 

Identification of the Types of ACO Participants or Combinations of Participants that Formed the ACO

  • Partnerships or joint venture arrangements between hospitals and ACO professionals
  • A hospital employing ACO professionals
  • ACO professionals in a group practice arrangement

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Agreement period beginning 2013, Performance Year 1: $1,469,180
  • Agreement period beginning 2013, Performance Year 2014: $2,421,969
  • Agreement period beginning 2013, Performance Year 2015: $2,696,226
  • How Shared Savings Are Distributed

    Agreement period beginning 2013, Performance Year 1, 2014, 2015:

    • Proportion invested in infrastructure and administrative overhead: 20% 
    • Proportion invested in hospital resources, care coordination, and care redesign: 40% 
    • Proportion of distribution to ACO participants for incentive payments: 40%

    Shared Savings Distribution

    Payment Rule Waivers:

    No, our ACO does not utilize the SNF 3-Day Rule Waiver.

    Quality Performance Results

    Measure Number

    Measure Name

    2015 reporting period

     

    ACO                                    Performance Rate

    Mean Performance             Rate (SSP- ACOs)

     

    ACO-1

    CAHPS: Getting Timely Care, Appointments, and Information

    80.82

    80.61

     

    ACO-2

    CAHPS: How Well Your Providers Communicate

    93.77

    92.65

     

    ACO-3

    CAHPS: Patients’ Rating of Provider

    93.38

    91.94

     

    ACO-4

    CAHPS: Access to Specialists

    83.47

    83.61

     

    ACO-5

    CAHPS: Health Promotion and Education

    62.54

    59.06

     

    ACO-6

    CAHPS: Shared Decision Making

    76.33

    75.17

     

    ACO-7

    CAHPS: Health Status/Functional Status

    72.85

    72.30

     

    ACO-34

    CAHPS: Stewardship of Patient Resources

    30.21

    26.87

     

    ACO-8

    Risk Standardized, All Condition Readmission

    14.37

    14.86

     

    ACO-35

    Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)

    17.24

    18.07

     

    ACO-36

    All-Cause Unplanned Admissions for Patients with Diabetes

    43.73

    54.60

     

    ACO-37

    All-Cause Unplanned Admissions for Patients with Heart Failure

    58.34

    76.96

     

    ACO-38

    All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

    51.14

    62.92

     

    ACO-9

    Ambulatory Sensitive Condition Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5)

    1.32

    1.11

     

    ACO-10

    Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8)

    1.06

    1.04

     

    ACO-11

    Percent of PCPs who Successfully Meet Meaningful Use Requirements

    93.65%

    80.14%

     

    ACO-39

    Documentation of Current Medications in the Medical Record

    37.91%

    84.07%

     

    ACO-13

    Falls: Screening for Future Fall Risk

    81.86%

    56.46%

     

    ACO-14

    Preventive Care and Screening: Influenza Immunization

    77.96%

    62.03%

     

    ACO-15

    Pneumonia Vaccination Status for Older Adults

    82.54%

    63.73%

     

    ACO-16

    Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up

    77.74%

    71.15%

     

    ACO-17

    Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

    95.60%

    90.16%

     

    ACO-18

    Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan

    77.47%

    45.25%

     

    ACO-19

    Colorectal Cancer Screening

    75.28%

    60.06%

     

    ACO-20

    Breast Cancer Screening

    74.22%

    65.67%

     

    ACO-21

    Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

    86.70%

    70.04%

     

    ACO-40

    Depression Remission at Twelve Months

    N/A

    N/A

     

    ACO-27

    Diabetes Mellitus: Hemoglobin A1c Poor Control

    12.61%

    20.38%

     

    ACO-41

    Diabetes: Eye Exam

    48.89%

    41.05%

     

    ACO-28

    Hypertension: Controlling High Blood Pressure

    74.66%

    69.62%

     

    ACO-30

    Ischemic Vascular Disease: Use of Aspirin or Another Antithrombotic

    81.44%

    83.82%

     

    ACO-31

    Heart Failure: Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)

    87.07%

    87.22%

     

    ACO-33

    Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%)

    89.88%

    77.73%

     

    CAHPS = Consumer Assessment of Healthcare Providers and Systems, PQI = Prevention Quality Indicator, LVSD dysfunction = left ventricular systolic dysfunction,                                                                                                           ACE = angiotensin-converting enzyme, ARB = angiotensin receptor blocker, CAD = coronary artery disease.                                                                                                                                                                                                                                                                                                                                                                                                                                                                *= Measure required beginning Reporting Year 2015.                                                                                                                                                                                                                                                                                                                                                                   N/A= Reporting on the depression remission measure is not required for 2015, as indicated by N/A

     

     

     

     

     

    2012 - 2014 Quality Measure Reporting Requirements Table

    For information about ACOs

    If you have general questions or need additional information about Accountable Care Organizations, visit www.medicare.gov/acos.html or call 1-800-MEDICARE (1-800-633-4227; TTY users should call 1-877-486-2048).