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ACO Name and Location

Georgia Physicians for Accountable Care, LLC
PO Box 4126
Macon, Georgia 31208

 

ACO Primary Contact

 

Primary Contact Name

Stephen Barry

Primary Contact Phone Number

(478)254-9364

Primary Contact Email Address

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Organizational Information

ACO participants: 

ACO Participants

ACO Participant in Joint Venture (Enter Y or N)

A. Keith Martin, MD, PC

N

Advanced Medical Associates Pc

N

Aegis Nephrology & Internal Medicine, Llc

N

Ajay Kumar Md Llc

N

All Care Medical Associates, LLC

N

Allergy & Asthma Center of Middle Georgia, Inc

N

Allergy & Asthma Clinic of Macon

N

American Professional Associates Llc

N

AOA PHO, LLC

N

Arimah Medical Inc.

N

Atlanta Ent Sinus & Allergy Associates

N

Beverly B. Sanders, M.D., L.L.C.

N

Bibb Inpatient Services, LLC

N

Cairo Medical Care, LLC

N

Cardiac Consultants of Central Georgia

N

Cardiopulmonary Associates, PC

N

Central Georgia Gastroenterology, LLC

N

Central Georgia Heart Center, Pc

N

Central Georgia Heart Institue, Llc

N

Central Georgia Pulmonary Associates, LLC

N

Charles Ridley

N

Charter Inpatient Services LLC

N

Cobbwest Internal Medicine Associates

N

Collier B Gladin, Jr. MD , LLC

N

Colorectal Surgery Associates PC

N

Comprehensive Care Medical Offices, LLC

N

Convenient Care LLC

N

Cornerstone Medical Assoc., LLC

N

Cynthia Chambless M.D. Llc

N

Cynthia L Giles Do Llc

N

D. Conrad Harper MD LLC

N

Dawsonville Family Medicine

N

Dermatologic Surgery Specialists, PC

N

Digestive Disease Consultants, P.C.

N

Dixie Medical

N

Donald A Selph Jr MD, PC

N

Donald Robinson

N

Dr. Bartlett & Dr. Esnard, PC

N

Dr. Bolanle Sogade M.D. Llc

N

Dr. Brown N Ekeledo, LLC

N

Eagles Landing Family Practice, Inc.

N

Ellis W. Evans, Sr. M.D., FACS PC

N

Enterprise Family Healthcare

N

Eye Center of Central Georgia, PC

N

Family Healthcare Connections, PC

N

Family Practice & Surgery

N

Focused Care Of Georgia Llc

Y

Gamma Adult Care, PC

N

Gastroenterology Associates Of

N

George Martinez Office of Internal Medicine, LLC

N

Georgia Cardiology Associates, PC

N

Georgia Dermatology & Skin Cancer Center, Llc

N

Georgia Eyecare Center

N

Georgia Heart Physicians LLC

N

Georgia Spine & Orthopedics, LLC

N

Ggd, Inc. “Early Family Practice”

N

Gray Family Health, LLC

N

Habigaile Cribe, MD LLC

N

Heart of Georgia Rheumatology, LLC

N

Horatio V. Cabasares, MD, PC

N

Houston Primary Care, INC

N

IM Peds Primary Care LLC

N

Image Plastic Surgery Center, Inc

N

In Stitches PC

N

Infectious Disease Clinic, LLC

N

Internal Medicine & Geriatrics of Houston, LLC

N

Internal Medicine Assoc of Waycross

N

Internal Medicine Associates of Middle Georgia, PC

N

Internal Medicine Associates, PC

N

Jeffrey Rymuza, MD, PC

N

Kala K. Cunard, M.D., LLC

N

Kathy C. Lynn, MD, LLC

N

Kidney Center of Central Georgia, LLC

N

LaGrange Internal Medicine, PC

N

Langford Allergy LLC

N

Laurie C. Tharpe, M.D. LLC

N

Lawrence Kirk Md Llc

N

Lesley Jill Cown, M.D. LLC

N

Lillette A. Intaphan MD, LLC

N

Linda Ash

N

M Todd Peacock, M.D. P.C.

N

Macon Electrophysiology Asso, P.C.

N

Macon Gynecologic Oncology LLC

N

Macon Lung Center, PC

N

Macon Medical Group, PC

N

Macon Orthopaedic & Hand Center, PA

N

Macon Surgical Associates

N

Madalyn N Davidoff MD LLC

N

Magna Care Hospital Specialists LLC

N

Maha M. Dawood MD, LLC

N

Manmohan Gupta, M.D., P.C.

N

Margaret M. Nichols MD LLC

N

Maria Cavaliere Llc

N

MCC Internal Medicine, LLC

N

Medical Center, LLP

N

Medical Group of Central Georgia, LLC

N

Meyer Cardiology, PC

N

Middle Georgia Family

N

Middle Georgia Heart and Vascular Center, LLC

N

Middle Georgia Neurology, LLC

N

Middle Georgia Primary Care, Pc

N

Middle Georgia Pulmonary, Llc

N

Muhammad Rehan

N

Neurology Associates Llp

N

New Horizon Primary Care, Llc

N

Nicholas A. Pietrzak MD, LLC

N

North Atlanta Primary Care, PC

N

Nt Cardiovascular Center, Pc

N

Ob/Gyn Specialists, Llp

N

Ocmulgee Physicians LLC

N

Patrice Boddie, MD

N

Perry Family Practice, LLC

N

Perry Primary Care

N

Physician Consultants Of Georgia

N

Physicians for Women, PC

N

Physicians MRI Inc.

N

Premiere Neurology, LLC, PC

N

Primary Family Medicine, LLC

N

Prime Medical Associates, PC

N

Pulmonary Associates, LLC

N

Rakesh Kumar, MD PC

N

Ram K. Puri, M.D., P.C.

N

Rana Munna

N

Robert Jones

N

Rodriguez MD, LLC

N

Rossana Y. Carter, MD, LLC

N

Rural Health Services, Inc.

N

Russell G. O''Neal, M.D. LLC

N

Rutland Family Healthcare LLC

N

S.P. Dalal LLC

N

Samuel E. Palmer

N

Sandra H. Gibbs. MD

N

Sleep Practitioners, Llc

N

Smith-Lambert Clinic, P.C.

N

South Houston Internal Medicine

N

Southeast Georgia Pediatrics

N

Southeastern Center For Infectious Diseases Pa

N

Southwest Medical Clinic, Inc.

N

Sylvanus Fiakpornoo

N

The Corporation of Mercer University

N

The Hemlock Pain Center, LLC

N

The Nexus Pain Center Of Houston County

N

Thomas C Jones, M.D., P.C.

N

Thompson Clinic Llc

N

United Medical Specialist, Llc

N

Urgent Care Center of Central Georgia LLC

N

Urology Specialists of Georgia

N

Vein Specialists Of The South

N

Venture Medical Associates Llc

N

W. Jason Woods, Md LLC

N

W. Steven Wilson, MD, PC

N

Washington County Internal Medicine, P.C.

N

We Care Medical Practice M.D., P.C.

N

William Hardy

N

Your Doctor's After Hours, LLC

Y

 

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

     

Sedghi

Shahriar

Chairman/Chief Medical Officer/Voting Member

1

ACO Participant Representative

Gastroenterology Associates of Central Georgia, LLC

Kallay

Wynn

Deputy Chair/Organization Development Committee Chair/Voting Member

1

ACO Participant Representative

Southeast Georgia Pediatrics

Justice

Alan

Secretary/Finance Committee Chair/Voting Member

1

ACO Participant Representative

Ocmulgee Physicians LLC

McClure

Jeremiah

Spotlight Committee Chair/Voting Member

1

ACO Participant Representative

MCC Internal Medicine, LLC

Arnold

Linda

Voting Member

1

ACO Participant Representative

Gray Family Health, LLC

Perkel

Joshua

Voting Member

1

ACO Participant Representative

Urology Specialists of Georgia

Ammons

Fred

Patient Engagement Committee Chair/Voting Member

1

Community Stakeholder

N/A

Bat

Thomas

Voting Member

1

ACO Participant Representative

North Atlanta Primary Care, PC

Buntin

Frazer

Voting Member

1

Other/ Equity Member

N/A

Gladin

Collier

Voting Member

1

ACO Participant Representative

Collier B Gladin, Jr. MD LLC

Lane

Carl

Voting Member

1

Medicare Beneficiary Representative

N/A

Moore, Jr.

Malcolm S.

Compliance Officer/Voting Member

1

ACO Participant Representative

Eye Center of Central Georgia, PC

Sogade

Felix

Voting Member

1

ACO Participant Representative

Macon Electrophysiology Asso, P.C.

Tritt

Ramie

Voting Member

1

ACO Participant Representative

Atlanta ENT, Sinus and Allergy Associates

Barry

Stephen

GPAC CEO/Non-voting Member

0

Other/ Company CEO

N/A

Othman

Mufid

Voting Member

1

ACO Participant Representative

Kidney Center of Central Georgia, LLC

Pritchard

Scott

Voting Member

1

Other/ Equity Member

N/A

Al-Shroof

Mohammad

Voting Member

1

ACO Participant Representative

Medical Group of Central Georgia, LLC

Soundappan

Appavuchetty

Voting Member

1

ACO Participant Representative

Middle GA Primary Care, P.C.

 

Key ACO clinical and administrative leadership:

 

Stephen Barry

ACO Executive

Shahriar Sedghi

Medical Director

Malcom S. Moore

Compliance Officer

Shahriar Sedghi

Quality Assurance/Improvement Officer

 

 

Associated committees and committee leadership:

Committee Name

Committee Leader Name and Position

Organization Development

Wynn Kallay, MD/ Chairman

Patient Engagement

Fred Ammons/Chairman

Finance

Alan Justice/Chairman

Spotlight

Jeremiah McClure/Chairman

Quality

Shahriar Sedghi /Chairman

 

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

 

  • First Agreement Period

 

    • Performance Year 2016, $0
    • Performance Year 2015, $0
    • Performance Year 2014, $0

 

 

 

Shared Savings Distribution

 

  • First Agreement Period

 

    • 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: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A

 

    • Performance Year 2014

 

      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A

 

 

Quality Performance Results

2016 Quality Performance Results:

ACO#

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

83.56

80.51

ACO-2

CAHPS: How Well Your Providers Communicate

93.68

93.01

ACO-3

CAHPS: Patients’ Rating of Provider

92.56

92.25

ACO-4

CAHPS: Access to Specialists

85.61

83.49

ACO-5

CAHPS: Health Promotion and Education

59.44

60.32

ACO-6

CAHPS: Shared Decision Making

71.47

75.40

ACO-7

CAHPS: Health Status/Functional Status

71.94

72.30

ACO-34

CAHPS: Stewardship of Patient Resources

30.83

26.97

ACO-8

Risk Standardized, All Condition Readmission

14.40

14.70

ACO-35

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

17.41

18.17

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes

49.56

53.20

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

74.10

75.23

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

56.29

59.81

ACO-9

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

9.83

9.27

ACO-10

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

17.17

14.53

ACO-11

Percent of PCPs who Successfully Meet Meaningful Use Requirements

74.43

82.72

ACO-39

Documentation of Current Medications in the Medical Record

95.27

87.54

ACO-13

Falls: Screening for Future Fall Risk

61.58

64.04

ACO-14

Preventive Care and Screening: Influenza Immunization

65.90

68.32

ACO-15

Pneumonia Vaccination Status for Older Adults

68.36

69.21

ACO-16

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

77.57

74.45

ACO-17

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

94.87

90.98

ACO-18

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

44.22

53.63

ACO-19

Colorectal Cancer Screening

51.37

61.52

ACO-20

Breast Cancer Screening

62.03

67.61

ACO-21

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

84.48

76.79

ACO-42

Statin therapy for the Prevention and Treatment of Cardiovascular Disease

78.54

77.72

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

19.37

18.24

ACO-41

Diabetes: Eye Exam

45.85

44.94

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

68.05

70.69

ACO-30

Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic

88.64

85.05

ACO-31

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

97.52

88.67

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%)

86.26

79.67

 

 

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

 

 

 

 

Note: In the Quality Performance Results file(s) above, search for “Georgia Physicians for Accountable Care, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A89091 in the public use files on data.cms.gov.

 

Payment Rule Waivers

 

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