ACO Name and Location:

Accountable Care Medical Group of FL, Inc.
6355 NW 36th Street

Suite 604

Virginia Gardens, FL 33166

Primary Contact Name:                            Ms. Chris Pertierra

Primary Contact Phone Number:            786-427-1037

Primary Contact Email Address:             Cpertierra@Acmgroupfl.com


Organizational Information

ACO Participants:

 

ACO Participants

ACO Participant in Joint Venture (Enter Y or N)

Gilberto Jimenez MD, Inc.

N

Med-Care Medical Center Inc

N

Singleton Health Center LLC

N

Comprehensive Medical Access (CMA), Inc.

N

Ivan Castano

N

Erica O Donnell

N

Grace Medical Group

N

SMC Medical Center, Inc.

N

Lawrence A. Adjei, Apmc

N

Edwin Herrera, M.D., P.A.

N

Kumar Ravi Md Facc Pc.

N

Marion Heart Center, P.A

N

Ronald Johnson

N

Family Practice of Jeffersonville LLC

N

Jeffersonville Family And Geriatric Medicine LLC

N

Little Havana Activities & Nutrition Center Of Dade County, Inc.

N

Green Neal

N

Addison Mizner Medical LLC

N

Francisco Gonzalez Abreu MD

N

Ronald Johnson

N

Bertha Olazabal MD

N

Marc S. Rabinowitz, M.D., P.C.

N

COULTER CLINIC

N

Royal Care Medical Center, Inc.

N

Oph Medical

N

Eugenio Menendez, D.O., P.A.

N

Medical Center of Santee LLC

N

Craig Miller

N

Prime Care Family Health Centers Inc.

N

Charles Raine

N

Virgilio Del Pino MD, P.A.

N

Herrera Medical Center, LLC

N

Nano Health Associates, L.L.C.

N

Mobile Practitioner Services To You, Inc.

N

Specialists of Ocala, LLC

N

Juan Carlos Rey M.D., P.A.

N

Bayview Medical, LLC

N

Albert Humphrey, MD

N

Carl I Mitchell MD PA

N

Orangeburg Family Physicians, P.A.

N

Gregory Singleton

N

Orangeburg Medical Associates, P.A.

N

John A Glenn Jr Center For Community Healthcare Inc

N

Fernando De La Cruz

N

Steven Fields, M.D. P.A.

N

Manuel Perez-Espinosa MD PA

N

John R. Parnell M.D., P.A.

N

David L. Berndt, D.O., P.A.

N

Francisco J. Mora MD PA

N

Jeffrey A. Loman M.D. P.A.

N

Barbara M. Muina M.D., P.A.

N

Ramon M Garciaseptien Pa

N

Diagnostic Clinic Medical Group, Inc.

N

Orlando Heart Specialist, P.A.

N

RAYPAR, Inc.

N

SANTEE FAMILY MEDICAL CENTER, INC.

N

Francisco Miranda, M.D. P.A.

N

Grisel Mac Williams, M.D., P.A.

N

Physicians Associates, P.A.

N

Hammock Medical Center Inc

N

John Bancroft Hylton Pa

N

South Dade Primary Care

N

Gilbert Leung, M.D., P.A.

N

Miguel A. Chamah, M.D., P.A.

N

Julian Marquez Md Pa

N

Ramiro Coro, M.D., P.A.

N

Central Medical Group, P.A.

N

Dr. Jorge Travieso, M.D., P.A.

N

Carlos Delgado MD PA

N

Ramses Vega, M.D., P.A.

N

Angel's Medical Company

N

Jose David Suarez, M.D., P.A.

N

Project Access Foundation, Inc.

N

MCV Investment, Inc.

N

Integral Medicine Group Inc

N

Agustin Martinez, M.D., P.A.

N

Palmetto Bay Medical Center, Inc.

N

Pro Care Health Center, Inc

N

Juvenal E. Martinez, M.D., P.A.

N

Rios Medical Center, Inc.

N

Susan Fox, D.O., P.A.

N

Waldo Acebo, M.D., P.A.

N

First Harbour Medical Centers, LLC

N

Seneca Healthcare District

N

 

 

ACO Participants in joint venture with ACO professionals and Hositals:


No participants are involved in a joint venture between ACO professionals and Hospitals.

ACMG ACO Governing Body (Voting Members):
 

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

Pertierra

Chris

CEO and Board Chair

1 of 16 Votes

Voting Member

ACMG

Suarez, MD

Jose

CMO and Board Member

1 of 16 Votes

ACO Participant and Voting Member

Jose David Suarez, M.D., P.A.

Leon, MD

Ramon

Board Member

1 of 16 Votes

ACO Partcipant and Voting Member

South Dade Primary Care

Mac Willaims, MD

Grisel

Board Member

1 of 16 Votes

ACO Partcipant and Voting Member

Grisel Mac Williams, M.D., P.A.

Leung, MD

Gilbert

Borad Member

1 of 16 Votes

ACO Partcipant and Voting Member

Gilbert Leung, M.D., P.A.

Menendez, MD

Eugenio

Board Member

1 of 16 Votes

ACO Partcipant and Voting Member

Eugenio Menendez, D.O., P.A.

Zeiger

Sandy

Board Member

1 of 16 Votes

ACO Partcipant and Voting Member

Central Medical Group, P.A.

Romanello

Bruce

Board Member

1 of 16 Votes

ACO Partcipant and Voting Member

First Harbour Medical Centers, LLC

Singleton

Monnie

Board Member

1 of 16 Votes

ACO Partcipant and Voting Member

Singleton Health Center, LLC

Herrera, MD

Edwin

Board Member

1 of 16 Votes

ACO Partcipant and Voting Member

Edwin Herrera, M.D., P.A.

Adjei, MD

Lawrence

Board Member

1 of 16 Votes

ACO Partcipant and Voting Member

Lawrence A. Adjei, Apmc

Olazabal, MD

Bertha

Board Member

1 of 16 Votes

ACO Partcipant and Voting Member

Bertha Olazabal, MD

Marquez, MD

Julian

Board Member

1 of 16 Votes

ACO Participant and Voting Member

Julian Marquez MD PA

Martinez, MD

Juvenal

Board Member

1 of 16 Votes

ACO Participant and Voting Member

Juvenal Martinez MD PA

Miranda, MD

Francisco

Board Member

1 of 16 Votes

ACO Participant and Voting Member

Francisco Miranda MD PA

Sternberg

Fred

Board Member

1 of 16 Votes

Voting Member

ACO Beneficiary Representative


Key Leadership Personnel:

 

Chris Pertierra

ACO Executive

Jose Suarez

Medical Director

Manuel Lopez

Compliance Officer

Susan Fernandez

Quality Assurance/Improvement Officer

 

ACO Committees:

Committee Name

Committee Leader Name and Position

Executive and Finance

Chris Pertierra, Chair

Information and Technology

Bruce Romanello, Chair

Medical Standards and Quality

Dr. Jose David Suarez, Chair

Compliance Officer

Manuel Lopez, JD, Chair

Post-Acute and Care Coordindation

Alex Sino, PhD, Chair

Preventive Health

Susan Fernandez, Chair




Identification of the types of ACO Participants or Combinations of Participants in the ACO Composition:

1. We are a network of individual practices of ACO professionals.

Amount of Shared Savings/Losses:

First Agreement Period

  • Performance Year 2016, $3,422,384
  • Performance Year 2015, $4,117,497
  • Performance Year 2014, $0

Shared Savings Distribution:

  • First Agreement Period

 Performance Year 2016: 

  • Proportion Invested in Infrastructure: 23%
  • Proportion invested in Redesigned care processes/resources: 27%
  • Proportion of Distribution to ACO participants: 50%



 Performance Year 2015: 

  • Proportion Invested in Infrastructure: 40%
  • Proportion invested in Redesigned care processes/resources: 10%
  • Proportion of Distribution to ACO participants: 50%


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

76.91

80.51

ACO-2

CAHPS: How Well Your Providers Communicate

94.22

93.01

ACO-3

CAHPS: Patients’ Rating of Provider

91.31

92.25

ACO-4

CAHPS: Access to Specialists

83.88

83.49

ACO-5

CAHPS: Health Promotion and Education

60.41

60.32

ACO-6

CAHPS: Shared Decision Making

73.79

75.40

ACO-7

CAHPS: Health Status/Functional Status

68.61

72.30

ACO-34

CAHPS: Stewardship of Patient Resources

33.96

26.97

ACO-8

Risk Standardized, All Condition Readmission

15.71

14.70

ACO-35

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

19.73

18.17

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes

49.70

53.20

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

78.32

75.23

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

60.61

59.81

ACO-9

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

11.81

9.27

ACO-10

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

15.69

14.53

ACO-11

Percent of PCPs who Successfully Meet Meaningful Use Requirements

47.83

82.72

ACO-39

Documentation of Current Medications in the Medical Record

67.06

87.54

ACO-13

Falls: Screening for Future Fall Risk

37.05

64.04

ACO-14

Preventive Care and Screening: Influenza Immunization

23.32

68.32

ACO-15

Pneumonia Vaccination Status for Older Adults

5.72

69.21

ACO-16

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

77.80

74.45

ACO-17

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

83.88

90.98

ACO-18

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

16.20

53.63

ACO-19

Colorectal Cancer Screening

25.91

61.52

ACO-20

Breast Cancer Screening

39.84

67.61

ACO-21

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

80.26

76.79

ACO-42

Statin therapy for the Prevention and Treatment of Cardiovascular Disease

77.23

77.72

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

32.22

18.24

ACO-41

Diabetes: Eye Exam

13.13

44.94

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

59.52

70.69

ACO-30

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

92.64

85.05

ACO-31

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

90.35

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%)

85.90

79.67

 


Table 3. 2015 Quality Performance Results Table

Table 4. 2012-2014 Quality Measure Reporting

Payment Rule Waivers:

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

    Contact Information

6355 NW 36th St. Suite 604
Virginia Gardens, FL 33166

Phone: 305-400-4849

Data@AcmgroupFL.com

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Copyright 2015 Accountable Care Medical Group of Florida, Inc. For general questions or additional information about Accountable Care Organizations, please visit www.medicare.gov/acos.html or call 1-800-MEDICARE (1-800-633-4227) TTY users should call 1-877-486-2048.