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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
Orlando Health, Inc. N
Orlando Physicians Network, Inc N
South Lake Hospital, Inc. N
St. Cloud Physician Management, LLC N
Florida Heart & Vascular Multi Specialty Group, PA N
OHI West Medical Group, LLC N
OHI West, Inc. N
ACO Governing Body:

Member First Name

Member Last Name

Member Title/Position

Member's Voting Power (Expressed as a percentage)

Membership Type

ACO Participant Legal Business Name, if applicable

Brandon

Burket

Executive Director

11.12%

ACO Participant Representative

Orlando Health

Jamal

Hakim

MD/ Executive,
Orlando Health

11.11%

ACO Participant Representative

Orlando Health

Benjamin

Kaplan

MD

11.11%

ACO Participant Representative

Orlando Physicians Network

Martin

Soto

MD

11.11%

ACO Participant Representative

Physician Associates, LLC

Anjali

Vyas

MD/ President Physician Associates, LLC

11.11%

ACO Participant Representative

Physician Associates, LLC

Leslie

Flake

Chief Financial Officer, Orlando Health

11.11%

ACO Participant Representative

Orlando Health

Joseph

Williams

Senior Vice
President,
Strategic
Planning

11.11%

ACO Participant Representative

Orlando Health

Cary

D'Ortona

Senior Vice
President,
Orlando Health/
President
Orlando Health
Medical Group

11.11%

ACO Participant Representative

Orlando Health

Andrea

Eliscu

 

11.11%

Medicare Beneficiary Representative

N/A

Key ACO Clinical and Administrative Leadership:
Name Position
Brandon Burket ACO Executive
Martin Soto Medical Director
David 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

Martin Soto, 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 2022, $0
  • Performance Year 2021, $0
  • Performance Year 2020, $0
  • Performance Year 2019, $1,689,620 

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 2022
    • 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 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: 20%
    • Proportion invested in redesigned care processes/resources: 40%
    • Proportion of distribution to ACO participants: 40%
  • Performance Year 2019
    • Proportion invested in infrastructure: 20%
    • Proportion invested in redesigned care processes/resources: 40%
    • Proportion of distribution to ACO participants: 40%

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

2022 Quality Performance Results:

Quality performance results are based on CMS Web Interface

Measure #  Measure Name
Collection Type
Rate
ACO Mean
001  Diabetes: Hemoglobin A1c
(HbA1c) Poor Control
CMS Web Interface 9.71 10.71
134
Preventative Care and
Screening: Screening for
Depression and Follow-up Plan 
CMS Web Interface  43.13  76.97
236
Controlling High Blood
Pressure
CMS Web Interface  65.95 76.16
318  Falls: Screening for Future Fall
Risk
CMS Web Interface  86.60 87.83 
110  Preventative Care and
Screening: Influenza
Immunization
CMS Web Interface  71.10 77.34
226  Preventative Care and
Screening: Tobacco Use:
Screening and Cessation
Intervention
CMS Web Interface 66.67 79.27
113  Colorectal Cancer Screening
CMS Web Interface 78.78 75.32
112  Breast Cancer Screening
CMS Web Interface 74.25 78.07
438  Statin Therapy for the
Prevention and Treatment of
Cardiovascular Disease
CMS Web Interface  86.50 86.37
370 Depression Remission at Twelve Months CMS Web Interface 2.70 16.03
 479  Hospital-Wide, 30-Day, All-
Cause Unplanned
Readmission (HWR) Rate for
MIPS Groups
Administrative Claims 0.1737 0.1510
 484  Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions  Administrative Claims 40.74 30.97
 CAHPS-1  Getting Timely Care,
Appointments, and Information
CAHPS 74.74 83.96
  CAHPS-2  How Well Providers
Communicate
CAHPS 92.70 93.47
  CAHPS-3
Patient’s Rating of Provider
 
CAHPS 91.16 92.06
  CAHPS-4  
Access to Specialists

CAHPS 79.50 77.00
 CAHPS-5   Health Promotion and 
Education
CAHPS 60.16 62.68
  CAHPS-6  
Shared Decision Making

CAHPS 55.89 60.97
  CAHPS-7  Health Status and Functional
Status
CAHPS  72.73 73.06
  CAHPS-8  
Care Coordination

CAHPS 82.40 85.46
  CAHPS-9 Courteous and Helpful Office
Staff 
CAHPS 90.73 91.97
  CAHPS-11  Stewardship of Patient
Resources
CAHPS 19.52 25.62

For previous years’ Financial and Quality Performance Results, please visit: data.cms.gov

Payment Rule Waivers

Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
  • Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.