ACO Name and Location

PQN – Georgia, LLC
602 Dogwood Trail
Suite F
Tyrone, GA 30290

ACO Primary Contact

JIM SAMS, MD
Phone: (470) 588-9480
Email: jsams@priviahealth.com

Organizational Information

ACO Participants:

ACO Participants ACO Participant in Joint Venture
Aim Medical Associates, PC Y
Anu Ravikanth MD LLC Y
Bainbridge Medical Associates PC Y
Bcg Medical Group LLC Y
Bohler Family Practice PC Y
Capstone Medical Clinic LLC Y
Dr. Jay Veliyath, INC Y
Family Medicine Specialist, PC Y
Family Practice Associates LLC Y
Heartland Healthcare PC Y
High Mountain Healthcare, LLC Y
Hillandale Internal Medicine P.C Y
Howard S Ellison MD PC Y
John A Keller MD PC Y
Jorge Amador MD LLC Y
Lawrence A. Adjei, APMC Y
Lifetime Medical Center PC Y
Linda L Casteel MD PC Y
Mcintosh Clinic, PC Y
Mcintosh Trail Family Practice Y
Peachtree Medical Center Y
Perisseia Physicians, LLC Y
Perry Family Practice LLC Y
Prime Care Medical Services PC Y
Professional Park Medical Services PC Y
Privia Medical Group Of Georgia, LLC Y
Privia Medical Group South Georgia, LLC Y
Randy B Cronic, M.D. PC Y
Robert G. Carter Y
Southcoast Medical Group LLC Y
Suzanne L. Nunn, MD PC Y
Tate Medical Associates, LLC Y
The Veranda, PC Y
Thomasville Family Medicine Center Y
Yonah Mountain Family Practice Y

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
Jim Sams Executive 8.34% ACO Executive Privia Health
Amy Cheslock Executive 8.33% ACO Executive Privia Health
Michael Gee Physician 8.34% ACO Participant Representative Privia Medical Group – Georgia
Charles Kemp Physician 8.33% ACO Participant Representative Privia Medical Group – Georgia
Frank Cole Physician 8.33% ACO Participant Representative Privia Medical Group – Georgia
Joseph Stubbs Physician 8.34% ACO Participant Representative Privia Medical Group – Georgia
Robert Weeks Physician 8.33% ACO Participant Representative Privia Medical Group – Georgia
Garrett White Physician 8.33% ACO Participant Representative Privia Medical Group – Georgia
W Scott Bohlke Physician 8.33% ACO Participant Representative Privia Medical Group – Georgia
William Cooper Physician 8.33% ACO Participant Representative Privia Medical Group – Georgia
Monica Manocha Physician 8.34% ACO Participant Representative Privia Medical Group – Georgia
James Thomas, Jr Patient 8.33% Medicare Beneficiary N/A

Key ACO Clinical and Administrative Leadership:

  • ACO Executive: James Sams, MD
  • Medical Director: James Sams, MD
  • Compliance Officer: Dana Fields
  • Quality Assurance/Improvement Officer: Gwen Wyles

Associated Committees and Committee Leadership:

Committee Name Committee Leader Name & Position
PQN – Georgia, LLC Board James Sams, MD, Chair
Membership Committee Frank Cole, MD, Chair
Steering Committee Charles Kemp, MD, Chair
Clinical Performance Committe Frank Cole, MD, Chair
Finance Committee Amy Cheslock, Chair
Compliance Committee James Sams, MD, Chair

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

  • ACO professionals in a group practice arrangement


Shared Savings and Losses

Amount of Shared Savings/Losses

  • Second Agreement Period
    • Performance Year 2020: $8,748,128
    • Performance Year 2021: $13,117,176
  • First Agreement Period
    • Performance Year 2019: $5,618,143
    • Performance Year 2018: $6,112,852
    • Performance Year 2017: $4,954,482

Shared Savings Distribution

    • Second Agreement Period
      • Performance Year 2021
        • Proportion invested in infrastructure: 30%
        • Proportion invested in redesigned care processes/resources: 10%
        • Proportion of distribution to ACO participants: 60%
      • Performance Year 2020
        • Proportion invested in infrastructure: 30%
        • Proportion invested in redesigned care processes/resources: 10%
        • Proportion of distribution to ACO participants: 60%
    • First Agreement Period
      • Performance Year 2019
        • Proportion invested in infrastructure: 30%
        • Proportion invested in redesigned care processes/resources: 10%
        • Proportion of distribution to ACO participants: 60%
      • Performance Year 2018
        • Proportion invested in infrastructure: 30%
        • Proportion invested in redesigned care processes/resources: 10%
        • Proportion of distribution to ACO participants: 60%
      • Performance Year 2017
        • Proportion invested in infrastructure: 30%
        • Proportion invested in redesigned care processes/resources: 10%
        • Proportion of distribution to ACO participants: 60%

Quality Performance Results

2021 Quality Performance Results:

Quality performance results are based on CMS Web Interface

Measure # Measure Name Rate ACO
Mean
CAHPS-1 Getting Timely Care, Appointments, and Information 84.78 84.67
CAHPS-2 How Well Providers Communicate 92.76 93.56
CAHPS-3 Patient’s Rating of Provider 92.41 92.19
CAHPS-4 Access to Specialists 80.72 78.80
CAHPS-5 Health Promotion and Education 61.16 61.61
CAHPS-6 Shared Decision Making 63.23 60.89
CAHPS-7 Health Status and Functional Status 72.80 71.78
CAHPS-8 Care Coordination 85.70 85.66
CAHPS-9 Courteous and Helpful Office Staff 91.46 91.88
CAHPS-11 Stewardship of Patient Resources 24.19 24.71
Measure #: 001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control 8.73 12.46
Measure #: 134 Preventative Care and Screening: Screening for Depression and Follow-up Plan 88.36 74.38
Measure #: 236 Controlling High Blood Pressure 82.22 74.87
Measure #: 318 Falls: Screening for Future Fall Risk 92.74 87.03
Measure #: 110 Preventative Care and Screening: Influenza Immunization 82.78 80.52
Measure #: 226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention 92.50 80.97
Measure #: 113 Colorectal Cancer Screening 81.31 73.63
Measure #: 112 Breast Cancer Screening 80.13 75.11
Measure #: 438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 84.75 84.24
Measure #: 479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups 0.1388 0.1540
Measure #: MCC1 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC) 31.96 33.99

Please note, the Quality ID #: 370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov

Payment Rule Waivers

  • Skilled Nursing Facility (SNF) 3-Day Rule Waiver
    • Our ACO does not use the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.
  • Waiver for Payment for Telehealth Services:
    • Our ACO clinicians do not provide telehealth services using the flexibilities under 42 CFR § 425.612(f) and 42 CFR § 425.613.