ACO Name and Location
Privia Quality Network Central Florida, LLC
Location: 950 N. Glebe Rd Suite 700
Arlington, VA 22203
ACO Primary Contact
James McCoy
Office: 571-366-8850
Email: James.mccoy@priviahealth.com
Organizational Information
ACO Participants:
ACO Participants | ACO Participant in Joint Venture |
---|---|
Arthritis & Joint Center of Florida, LLC | N |
Brevard Health Group, LLC | N |
Devoted to Women, P.A. | N |
Dr. Phillips Medical Wellness Center, LLC | N |
Health First Medical Group, LLC | N |
Healthpoint Medical Group of the Emerald Coast, LLC | N |
Jeffrey T Obrien, MD Inc. | N |
Jeremy D. McConnell, MD, PA | N |
Myra Reed MD PA | N |
Orange Blossom, Women’s Group, PLLC | N |
Parveen S. Vahora, MD PA | N |
Premier Family & Sports Medicine, LLC | N |
Truwell Health, PLLC | N |
ACO Governing Body:
Member First Name | Member Last Name | Member Title/Position | Member’s Voting Power –Expressed as a percentage or number | Membership Type | ACO Participant TIN Legal Business Name/DBA, if Applicable |
---|---|---|---|---|---|
Fadigan | Skyhawk | Director | 10% | ACO Participant Representative | Health First Medical Group, LLC |
Jamie | Tavarez | Director | 10% | ACO Participant Representative | Health First Medical Group, LLC |
Mario | Ruberte | Director | 10% | ACO Participant Representative | Health First Medical Group, LLC |
Jayde | George | Director | 10% | ACO Participant Representative | Health First Medical Group, LLC |
Jose | Garcia | Director | 10% | ACO Participant Representative | Health First Medical Group, LLC |
David | Weldon | Director | 10% | ACO Participant Representative | Health First Medical Group, LLC |
Maryam | Phillips | Director | 10% | ACO Participant Representative | Dr Phillips Medical Wellness Center, LLC |
Timothy | Laird | Director | 10% | ACO Participant Representative | Health First Medical Group, LLC |
Bartley | Bryt | Director | 10% | ACO Executive | Privia Quality Network Central Florida, LLC |
Jim | Strader | Director | 10% | Medicare Beneficiary Representative | N/A |
Key ACO Clinical and Administrative Leadership:
ACO Executive: James McCoy
Medical Director: Mario Ruberte, MD
Board Chair: Tim Laird
Compliance Officer: Stephanie Clark
Quality Assurance/Improvement Officer: Catrina Money
Associated Committees and Committee Leadership:
Committee Name | Committee Leader Name and Position |
---|---|
Best Practice Sub-Committee | Jim Strader, Chair |
Performance Improvement Sub-Committee | James McCoy, Chair |
Types of ACO participants, or combinations of participants, that formed the ACO:
- ACO professionals in a group practice arrangements
- Networks of individual practices of ACO professionals.
Shared Savings and Losses
Amount of Shared Savings/Losses:
- Performance Year 2022: $3,863,349
Shared Savings Distribution
- Performance Year 2022
- Proportion invested in infrastructure: 49%
- Proportion invested in redesigned care processes/resources: 4%
- Proportion of distribution to ACO participants: 47%
Quality Performance Results
2022 Quality Performance Results:
Measure # | Measure Name | Collection Type | Reported Performance Rate | Current Year Mean Performance Rate (SSP ACOs) |
---|---|---|---|---|
Measure # 001 | Diabetes: Hemoglobin A1c (HbA1c) Poor Control | CMS Web Interface | 10.89 | 10.71 |
Measure # 134 | Preventative Care and Screening: Screening for Depression and Follow-up Plan | CMS Web Interface | 50.64 | 76.97 |
Measure # 236 | Controlling High Blood Pressure | CMS Web Interface | 67.74 | 76.16 |
Measure # 318 | Falls: Screening for Future Fall Risk | CMS Web Interface | 87.90 | 87.83 |
Measure # 110 | Preventative Care and Screening: Influenza Immunization | CMS Web Interface | 68.46 | 77.34 |
Measure # 226 | Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention | CMS Web Interface | 78.57 | 79.27 |
Measure # 113 | Colorectal Cancer Screening | CMS Web Interface | 77.08 | 75.32 |
Measure # 112 | Breast Cancer Screening | CMS Web Interface | 78.63 | 78.07 |
Measure # 438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | CMS Web Interface | 84.05 | 86.37 |
Measure # 370 | Depression Remission at Twelve Months | CMS Web Interface | 10.00 | 16.03 |
Measure # 479 | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups | Administrative Claims | 0.140 | 0.151 |
Measure # 484 | Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions | Administrative Claims | 30.55 | 30.97 |
CAHPS-1 | Getting Timely Care, Appointments, and Information | CAHPS for MIPS Survey | 85.26 | 83.96 |
CAHPS-2 | How Well Providers Communicate | CAHPS for MIPS Survey | 95.92 | 93.47 |
CAHPS-3 | Patient’s Rating of Provider | CAHPS for MIPS Survey | 94.68 | 92.06 |
CAHPS-4 | Access to Specialists | CAHPS for MIPS Survey | 78.60 | 77 |
CAHPS-5 | Health Promotion and Education | CAHPS for MIPS Survey | 58.54 | 62.68 |
CAHPS-6 | Shared Decision Making | CAHPS for MIPS Survey | 66.46 | 60.97 |
CAHPS-7 | Health Status and Functional Status | CAHPS for MIPS Survey | 73.76 | 73.06 |
CAHPS-8 | Care Coordination | CAHPS for MIPS Survey | 87.24 | 85.46 |
CAHPS-9 | Courteous and Helpful Office Staff | CAHPS for MIPS Survey | 94.79 | 91.97 |
CAHPS-11 | Stewardship of Patient Resources | CAHPS for MIPS Survey | 20.32 | 25.62 |
For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov