ACO Name and Location

Orlando Health Collaborative Care
1414 Kuhl Ave. MP2
Orlando, Florida 32806 

ACO Primary Contact

Primary Contact Name	Robyn Bartek
Primary Contact Phone Number	321.843.8366
Primary Contact Email Address	[email protected]

Organizational Information

ACO participants:

ACO Participants	ACO Participant in Joint Venture (Enter Y or N)
West Orange Physicians Group, LLC	N
Orlando Health, Inc.	N
Orlando Physicians Network, Inc	N
Orlando Health Physician Group, Inc.	N
South Lake Hospital, Inc.	N
Physician Associates, LLC	N
St. Cloud Physician Management, LLC	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
Burket	Brandon	Executive Director	1	ACO Participant Representative	Orlando Health
Spong	Bernadette	Chief Financial Officer, Orlando Health	1	ACO Participant Representative	Orlando Health
Walker	Erik	MD	1	ACO Participant Representative	Physician Associates, LLC
Kaplan	Benjamin	MD	1	ACO Participant Representative	Orlando Physicians Network
Jackson	Amy	MD	1	ACO Participant Representative	West Orange Physician Group
Soto	Martin	MD	1	ACO Participant Representative	Physician Associates, LLC
Desai	Sunil	MD	1	ACO Participant Representative	Orlando Health Physician Group, Inc.
MacDiarmid	Malcolm		1	Medicare Beneficiary Representative

Key ACO clinical and administrative leadership:

Brandon Burket	ACO Executive
Martin Soto	Medical Director
Dave Huddleson	Compliance Officer
Benjamin Kaplan	Quality Assurance/Improvement Officer

Associated committees and committee leadership:

Committee Name	Committee Leader Name and Position
Quality Improvement and Care Coordination	Benjamin Kaplan, MD, Chair
Finance and Operations	Erik Walker, MD, Chair
Compliance	David Huddleson, Chair

Types of ACO participants, or combinations of participants, that formed the ACO:

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

Shared Savings and Losses

Amount of Shared Savings/Losses

Second Agreement Period

• Performance Year 2019, $ 1,689,62

Note: Our ACO participated in multiple performance years during Calendar Year 2019. Shared savings/losses amount reported for Performance Year 2019 therefore represents net shared savings or losses across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.

First Agreement Period

• Performance Year 2018, $3,099,021
• Performance Year 2017, $0
• Performance Year 2016, $0
• Performance Year 2015, $2,696,226
• Performance Year 2014, $2,421,969
• Performance Year 2013, $1,469,180

Shared Savings Distribution:

Second Agreement Period

• Performance Year 2019
  • Proportion invested in infrastructure: 20%
  • Proportion invested in redesigned care processes/resources: 40%
  • Proportion of distribution to ACO participants: 40%

Note: Our ACO participated in multiple performance years during Calendar Year 2019. Distribution of shared savings reported for Performance Year 2019 therefore represents the distribution of the net shared savings across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.

First Agreement Period

• Performance Year 2018
  • Proportion invested in infrastructure: 20%
  • Proportion invested in redesigned care processes/resources: 40%
  • Proportion of distribution to ACO participants: 40%
• 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
• Performance Year 2016
  • 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 2015
  • Proportion invested in infrastructure: 20%
  • Proportion invested in redesigned care processes/resources: 40%
  • Proportion of distribution to ACO participants: 40%
• Performance Year 2014
  • Proportion invested in infrastructure: 20%
  • Proportion invested in redesigned care processes/resources: 40%
  • Proportion of distribution to ACO participants: 40%
• Performance Year 2013
  • Proportion invested in infrastructure: 20%
  • Proportion invested in redesigned care processes/resources: 40%
  • Proportion of distribution to ACO participants: 40%

 

Quality Performance Results

2019 Quality Performance Results:

 

ACO #	Measure Name	Rate	ACO Mean
ACO-1	CAHPS: Getting Timely Care, Appointments, and Information	85.85	85.86
ACO-2	CAHPS: How Well Your Providers Communicate	95.20	94.11
ACO-3	CAHPS: Patients’ Rating of Provider	94.85	92.69
ACO-4	CAHPS: Access to Specialists	83.92	81.54
ACO-5	CAHPS: Health Promotion and Education	62.37	60.44
ACO-6	CAHPS: Shared Decision Making	60.93	62.78
ACO-7	CAHPS: Health Status/Functional Status	74.52	73.79
ACO-34	CAHPS: Stewardship of Patient Resources	29.59	26.17
ACO-45	CAHPS: Courteous and Helpful Office Staff	94.74	92.84
ACO-46	CAHPS: Care Coordination	86.72	86.89
ACO-8	Risk Standardized, All Condition Readmission	15.14	14.86
ACO-38	All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions	57.63	58.15
ACO-43	Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91)	1.71	1.87
ACO-13	Falls: Screening for Future Fall Risk	93.07	84.04
ACO-14	Preventive Care and Screening: Influenza Immunization	82.98	74.77
ACO-17	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	37.50	78.04
ACO-18	Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan	62.36	70.40
ACO-19	Colorectal Cancer Screening	81.51	70.76
ACO-20	Breast Cancer Screening	75.17	73.84
ACO-42	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	84.16	82.17
ACO-27	Diabetes Mellitus: Hemoglobin A1c Poor Control	8.05	13.88
ACO-28	Hypertension (HTN): Controlling High Blood Pressure	71.18	75.04

 

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

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

Payment Rule Waivers

• Yes, our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR 425.612.