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ACO Name & Location

Southcoast Accountable Care Organization LLC
101 Page St.
New Bedford, MA 02740

ACO Primary Contact

Primary Contact Name Ronnie Brownsworth, MD
Primary Contact Phone Number 508-973-2175
Primary Contact Email Address BrownsworthR@southcoast.org

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

Partnership arrangement between hospitals and ACO professionals

ACO Participants

ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Robert A. Carrellas, MD, PC N
Augusta Rosenthal N
Obstetrical Associates, Inc. N
Dermatology Services, Inc. N
Truesdale Obstetrics & Gynecology, PC N
Michael J. Crowe,  3rd N
Highland Obstetrics and Gynecology, Inc. N
Wareham Nurse Midwives, PC N
Triad Ob Gyn, PC N
Aquidneck Podiatry Ltd. N
Surgical & Cosmetic Dermatology of Rhode Island, LLC N
Independence Eye Associates, LLC N
Southcoast Hospitals Group, Inc. N
Southcoast Physicians Group, Inc. N
Geriatric Internal Medicine Specialists, LLC N
Southcoast Cardiology, LLC N
Advanced Eye Centers, Inc. N
Wiegandt and Associates, PC N
Bullis Orthopedics and Sports Medicine, PC N
Patrick McCarthy N
Southcoast Womans Care, PC 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
Wood Warren MD/ Voting Member &Chair 1 ACO Participant Southcoast Physicians Group, Inc.

 

McGowen Robert MD/ Voting Member & Vice Chair 1 ACO Participant Southcoast Physicians Group, Inc.

 

Mello Curtis MD/ Voting Member 1 ACO Participant Southcoast Physicians Group, Inc.

 

Woolverton Hugh MD /Voting Member 1 ACO Participant Southcoast Physicians Group, Inc.

 

Patrick Diane MD/ Voting Member 1 ACO Participant Southcoast Physicians Group, Inc.

 

Laus Ana MD/ Voting Member 1 ACO Participant Southcoast Hospitals Group, Inc.

 

Kasparian Stephen MD/ Voting Member 1 ACO Participant Obstetrical Associates Inc.

 

Hurteau Brett MD/ Voting Member 1 ACO Participant Southcoast Hospitals Group, Inc.

 

Kelly AnneMarie Voting Member 1 Medicare Beneficiary Representative
Hovan Keith President/Voting Member 1 ACO Participant Representative  Southcoast Hospitals Group, Inc.
Broughman Wade CFO/ Voting Member 1 ACO Participant Representative  Southcoast Hospitals Group, Inc.
Brownsworth Ronnie MD/ Voting Member 1 ACO Participant Representative  Southcoast Hospitals Group, Inc.

 

ACO Committees & Key Leadership

Key Leadership

  • Dr. Ronnie Brownsworth, ACO Executive (Authorized Official), President
  • Dr. Warren Wood, Medical Director, Physician in Chief, Primary Care
  • Ms. Yesenia Contreras, Compliance Contact, Executive Director, Corporate Compliance
  • Mr. Patrick Gannon, CMS Liaison (Primary and Quality Contact), Executive Director/Chief Quality Officer

Utilization and Performance Improvement Committee Leadership

  • Dr. Curtis Mello, MD, Southcoast Physicians Group
  • Mr. Patrick Gannon, Executive Director/Chief Quality Officer

Network and Credentialing Committee Leadership

  • Dr. Warren Wood, MD, Southcoast Physicians Group
  • Ms. Kimberley Coon, Director Medical Staff Services/Provider Enrollment

Contracting and Funds Flow Committee Leadership

  • Dr. Hugh Woolverton, MD, Southcoast Physcians Group
  • Ms. Melissa Rose, Vice President, Contracting, Southcoast Health

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

  • Partnership arrangement between hospitals and the ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Second Agreement Period
    • Performance Year 2016, $0
  • First Agreement Period
    • Performance Year 2015, $0
    • Performance Year 2014, $0
    • Performance Year 2013, $0

Shared Savings Distribution

  • Second 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
  • First Agreement Period
    • 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
    • Performance Year 2013
      • 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 84.87 79.9
ACO-2 CAHPS: How Well Your Providers Communicate 93.98 92.63
ACO-3 CAHPS: Patients’ Rating of Provider 93.44 91.93
ACO-4 CAHPS: Access to Specialists 82.88 83.52
ACO-5 CAHPS: Health Promotion and Education 63.77 60
ACO-6 CAHPS: Shared Decision Making 78.51 75.28
ACO-7 CAHPS: Health Status/Functional Status 72.18 71.82
ACO-34 CAHPS: Stewardship of Patient Resources 21.1 27.52
ACO-8 Risk-Standardized, All Condition Readmission 16.08 14.7
ACO-35 Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM) 18.79 18.17
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 63.67 53.2
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 92.26 75.23
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 69.72 59.81
ACO-9 Ambulatory Sensitive Conditions Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5) 16.63 9.27
ACO-10 Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8 ) 19.9 14.53
ACO-11 Percent of PCPs who Successfully Meet Meaningful Use Requirements 90.36 82.72
ACO-39 Documentation of Current Medications in the Medical Record 100 87.54
ACO-13 Falls: Screening for Future Fall Risk 90.84 64.04
ACO-14 Preventive Care and Screening: Influenza Immunization 63.93 68.32
ACO-15 Pneumonia Vaccination Status for Older Adults 70.86 69.21
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up 73.36 74.45
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 93.73 90.98
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 25.93 53.63
ACO-19 Colorectal Cancer Screening 71.94 61.52
ACO-20 Breast Cancer Screening 86.54 67.61
ACO-21 Preventive Care and Screening: Screening for High Blood Pressure and Follow-up Documented 73.56 76.84
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 88.28 77.72
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 13.25 18.24
ACO-41 Diabetes: Eye Exam 58.99 44.94
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 77.74 70.52
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 90.87 85.05
ACO-31 Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) 91.11 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%) 79.89 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 “Southcoast Accountable Care Organization, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A12533 in the public use files on data.cms.gov.

Payment Rule Waivers

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