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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

Shahriar Sedghi

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)

Internal Medicine Associates of Middle Georgia, PC

N

Middle Georgia Primary Care, Pc

N

Robert Jones

N

Atlanta Ent Sinus & Allergy Associates

N

Thompson Clinic Llc

N

Enterprise Family Healthcare

N

Sylvanus Fiakpornoo

N

Muhammad Rehan

N

Dr. Bolanle Sogade M.D. Llc

N

Madalyn N Davidoff MD LLC

N

W. Steven Wilson, MD, PC

N

Rana Munna

N

D. Conrad Harper MD LLC

N

Charles Shiver

N

Pulmonary Associates, LLC

N

Central Georgia Heart Institue, Llc

N

Miller Family Practice LLC

N

Rutland Family Healthcare LLC

N

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

N

Maria Cavaliere Llc

N

Perry Primary Care

N

Family Healthcare Connections, PC

N

Walker Family Healthcare, LLC

N

Lawrence Kirk Md Llc

N

The Nexus Pain Center Of Houston County

N

Grace Family Practice

N

IM Peds Primary Care LLC

N

South Houston Internal Medicine

N

Southeastern Center For Infectious Diseases Pa

N

Gray Family Health, LLC

N

Gastroenterology Associates Of

N

Christopher Reeves

N

William Hardy

N

Donald Robinson

N

Robert Jones

N

Linda Ash

N

Cyler Garner

N

Patrice Boddie

N

Cynthia Giles

N

Charles Shiver

N

Russell Minor

N

Internal Medicine & Geriatrics of Houston, LLC

N

All Care Medical Associates, LLC

N

William Waller Iii

N

William Hardy

N

David Kavtaradze MD INC

N

Aegis Nephrology & Internal Medicine, Llc

N

Primary Family Medicine, LLC

N

Medical Group of Central Georgia, LLC

N

Family Practice & Surgery

N

W. Jason Woods, Md LLC

N

Lillette A. Intaphan MD, LLC

N

George Martinez Office of Internal Medicine, LLC

N

Nt Cardiovascular Center, Pc

N

Premiere Neurology, LLC, PC

N

S.P. Dalal LLC

N

Perry Family Practice, LLC

N

Rodriguez MD, LLC

N

Burton Medical Group LLC

N

Venture Medical Associates Llc

N

Convenient Care LLC

N

Prime Medical Associates, PC

N

Kidney Center of Central Georgia, LLC

N

Your Doctor's After Hours, LLC

N

Georgia Dermatology & Skin Cancer Center, Llc

N

The Hemlock Pain Center, LLC

N

Central Georgia Gastroenterology, LLC

N

Madalyn Davidoff

N

Physician Consultants Of Georgia

N

Middle Georgia Heart and Vascular Center, LLC

N

Southern Lung Specialists, PC

N

Cardiac Consultants of Central Georgia

N

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

N

Ocmulgee Physicians LLC

N

Southeast Georgia Pediatrics

N

Warner Robins Medical Clinic, PC

N

Meyer Cardiology, PC

N

Brown Family Practice, LLC

N

Cobbwest Internal Medicine Associates

N

Kala K. Cunard, M.D., LLC

N

Marion Family Medicine, PC

N

Infectious Disease Clinic, LLC

N

Sleep Practitioners, Llc

N

Langford Allergy LLC

N

MCC Internal Medicine, LLC

N

Middle Georgia Pulmonary, Llc

N

Image Plastic Surgery Center, Inc

N

AOA PHO, LLC

N

Georgia Spine & Orthopedics, LLC

N

Southern Medical Clinic, LLC

N

Rural Health Services, Inc.

N

Rana Munna

N

In Stitches PC

N

The Corporation of Mercer University

N

Medical Center, LLP

N

Eye Center of Central Georgia, PC

N

Ob/Gyn Specialists, Llp

N

Shaw Center For Women'S Health

N

Internal Medicine Associates, PC

N

Physicians for Women, PC

N

Georgia Physicians South, P.C.

N

Georgia Cardiology Associates, PC

N

Macon Orthopaedic & Hand Center, PA

N

Urology Specialists of Georgia

N

Rakesh Kumar, MD PC

N

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

N

Cardiopulmonary Associates, PC

N

Neurology Associates Llp

N

Central Georgia Heart Center, Pc

N

Vein Specialists Of The South

N

Macon Medical Group, PC

N

LaGrange Internal Medicine, PC

N

Charles Ridley

N

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

N

John Wesley King, Jr.

N

Patrice Boddie, MD

N

Physicians MRI Inc.

N

Jeffrey Rymuza, MD, PC

N

Rafael Aguila

N

Donald Robinson

N

Washington County Internal Medicine, P.C.

N

Eagles Landing Family Practice, Inc.

N

North Atlanta Primary Care, PC

N

William Waller Iii

N

Dr. Bartlett & Dr. Esnard, PC

N

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

N

Digestive Disease Consultants, P.C.

N

Linda Ash

N

Samuel E. Palmer

N

Southeastern Surgical Oncology, PA

N

A. Keith Martin, MD, PC

N

Macon Surgical Associates

N

Laurie C. Tharpe, M.D. LLC

N

Southwest Medical Clinic, Inc.

N

Gamma Adult Care, PC

N

Dermatologic Surgery Specialists, PC

N

Middle Georgia Medical Associates, PC

N

Smith-Lambert Clinic, P.C.

N

Macon Lung Center, PC

N

Arimah Medical Inc.

N

Macon Electrophysiology Asso, P.C.

N

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

N

Collier B Gladin, Jr. MD , LLC

N

Murray Internal Medicine, PC

N

Sandra H. Gibbs. MD

N

Donald A Selph Jr MD, PC

N

Dr. Brown N Ekeledo, LLC

N

Georgia Eyecare Center

N

Internal Medicine Assoc of Waycross

N

Georgia Heart Physicians LLC

N

Cynthia Chambless M.D. Llc

N

Mohammad Rahman

N

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

N

Advanced Medical Associates Pc

N

Comprehensive Care Medical Offices, LLC

N

Houston Primary Care, INC

N

Ggd, Inc.

N

Lesley Jill Cown, M.D. LLC

N

Nicholas A. Pietrzak MD, LLC

N

Margaret M. Nichols MD LLC

N

Central Georgia Pulmonary Associates, LLC

N

Ajay Kumar Md Llc

N

Cynthia L Giles Do Llc

N

Muhammad Rehan

N

New Horizon Primary Care, Llc

N

Rafael Aguila

N

Cornerstone Medical Assoc., LLC

N

Mohammad Rahman

N

Middle Georgia Diabetes Endocrinology Wellness Center, Llc

N

Vineville Internal Medicine, LLC

N

Rossana Y. Carter, MD, LLC

N

Magna Care Hospital Specialists LLC

N

American Professional Associates 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

Sedghi

Shahriar

Chair

1

Participant

Gastroenterology Associates of Central Georgia,LLC

Kallay

Wynn

Vice Chair

1

Participant

Southeast Georgia Pediatrics

Ammons

Fred

Voting Member

1

Community Representative

N/A

Arnold

Linda

Voting Member

1

Particpant

Gray Family Health, LLC

Barry

Stephen

Non Voiting Member, GPAC CEO

0

Non- Member

N/A

Lane

Carl

Voting Member

1

Medicare Beneficiary Representative

N/A

Gladin

Collier

Voting Member

1

Participant

Collier B Gladin, Jr. MD LLC

Greene

Michael

Voting Member

1

Particpant

Georgia Medical Group, LLC

Justice

Alan

Voting Member

1

Participant

Ocmulgee Physicians LLC

Perkel

Joshua

Voting Member

1

Participant

Urology Specialist of Georgia

Moore

Sid 

Voting Member

1

Participant

Eye Center of Central Georgia, PC

Sogade

Felix

Voting Member

1

Participant

Macon Electrophysiology Associates

Tritt

Ramie

Voting Member

1

Participant

 Atlanta ENT, Sinus and Allergy Associates, P.C.

Bat

Thomas

Voting Member

1

Participant

North Atlanta Primary Care, PC

McClure

Jeremiah

Voting Member

1

Participant

MCC Internal Medicine

Buntin

Frazer

Voting Member

1

Non- Member

N/A

Shah

Lisa

Voting Member

1

Non- Member

N/A

Alshroof

Mohammad

Voting Member

1

Participant

Medical Group of Central Georgia, LLC

Soundappan

Appavuchetty

Voting Member

1

Participant

Middle GA Primary Care, P.C.

 

Key ACO clinical and administrative leadership:

Stephen Barry

ACO Executive

Shahriar Sedghi

Medical Director

Michael Greene

Compliance Officer

Shahriar Sedghi

Quality Assurance/Improvement Officer

 

 

 

Associated committees and committee leadership:

Committee Name

Committee Leader Name and Position

Organization Development Committee

Wynn Kallay, M.D., Chair

Patient Engagement Committee

Fred Ammons, Chair

Finance Committee

Alan Justice, M.D., Chair

Quality Committee

Vacant

Spotlight Committee

Jeremiah McClure M.D., Chair

 

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

79.9

ACO-2

CAHPS: How Well Your Providers Communicate

93.68

92.63

ACO-3

CAHPS: Patients' Rating of Provider

92.56

91.93

ACO-4

CAHPS: Access to Specialists

85.61

83.52

ACO-5

CAHPS: Health Promotion and Education

59.44

60

ACO-6

CAHPS: Shared Decision Making

71.47

75.28

ACO-7

CAHPS: Health Status/Functional Status

71.94

71.82

ACO-34

CAHPS: Stewardship of Patient Resources

30.83

27.52

ACO-8

Risk-Standardized, All Condition Readmission

14.4

14.7

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

53.2

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

74.1

75.23

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

56.29

59.81

ACO-9

Ambulatory Sensitive Conditions 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

65.9

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

76.84

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

70.52

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.