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ACO Name and Location

Southcoast Accountable Care Organization, LLC
Previous Names: N/A
101 Page Street
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

Organizational Information

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 – Expressed as a percentage or number

  

Membership Type

  

ACO Participant Legal Business Name/DBA, if Applicable
 

Last Name

  

First Name

  

Title/Position
Wood Warren MD/Voting Member 1 ACO Participant Representative Southcoast Physicians Group, Inc.
McGowen Robert MD/Voting Member & Chair 1 ACO Participant Representative Southcoast Physicians Group, Inc.
Mello Curtis MD/Voting Member & Vice Chair 1 ACO Participant Representative Southcoast Physicians Group, Inc.
Patrick Diane MD/Voting Member 1 ACO Participant Representative Southcoast Physicians Group, Inc.
Laus Ana MD/Voting Member 1 ACO Participant Representative Southcoast Physicians Group, Inc.
Kasparian Stephan MD/Voting Member 1 ACO Participant Representative Obstetrical Associates, Inc.
Gagnon Patrick MD/Voting Member 1 ACO Participant Representative Southcoast Physicians Group, Inc.
Garell Jacqueline 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.
Correia Carlos MD/Voting Member 1 ACO Participant Representative Southcoast Physicians Group, Inc.
Miller Daniel MD/Voting Member 1 ACO Participant Representative Southcoast Physicians Group, Inc.
Smith Elizabeth MD/Voting Member 1 ACO Participant Representative Southcoast Physicians Group, Inc.

Key ACO clinical and administrative leadership:

Ronnie Brownsworth ACO Executive
Brett Hurteau Medical Director
Yesenia Contreras Compliance Officer
Patrick Gannon Quality Assurance/Improvement Officer

Associated committees and committee leadership:

Committee Name Committee Leader Name and Position
Utilization and Performance Improvement Committee Curtis Mello, MD, Co-chair
Patrick Gannon, Co-chair
Network and Management Committee Warren Wood, MD, Co-chair
Kimberley Coon, Co-chair
Contracting and Funds Flow Committee Carlos Correia, MD, Co-chair
Melissa Rose, Co-chair

 

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

  • Partnerships or joint venture arrangements between hospitals and ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Second Agreement Period
  • Performance Year 2017, $0
  • 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 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
  • 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

2017 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 84.65 80.60
ACO-2 CAHPS: How Well Your Providers Communicate 93.80 93.13
ACO-3 CAHPS: Patients’ Rating of Provider 92.82 92.31
ACO-4 CAHPS: Access to Specialists 85.90 83.32
ACO-5 CAHPS: Health Promotion and Education 67.41 62.30
ACO-6 CAHPS: Shared Decision Making 77.85 75.85
ACO-7 CAHPS: Health Status/Functional Status 72.52 73.05
ACO-34 CAHPS: Stewardship of Patient Resources 20.15 25.68
ACO-8 Risk Standardized, All Condition Readmission 15.95 15.01
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 18.54 18.46
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 95.27 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 70.87 61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 2.36 1.93
ACO-11 Use of Certified EHR Technology 100.00 98.48
ACO-12 Medication Reconciliation 91.69 75.32
ACO-13 Falls: Screening for Future Fall Risk 95.37 74.38
ACO-44 Imaging Studies for Low Back Pain 60.61 67.32
ACO-14 Preventive Care and Screening: Influenza Immunization 73.25 72.52
ACO-15 Pneumonia Vaccination Status for Older Adults 74.81 72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 85.71 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 96.17 90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 54.51 61.98
ACO-19 Colorectal Cancer Screening 74.22 64.58
ACO-20 Breast Cancer Screening 83.20 70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 82.72 79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 15.35 16.74
ACO-41 Diabetes: Eye Exam 67.32 50.37
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 80.07 71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 93.44 86.86

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples and the ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes quality measure is not included in public reporting due to a non-material technical error.

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.