ACO Participants

  • Kyle D. Parish, MD, PSC
  • Dr. Butler & Associates, PLLC
  • James Eickholz
  • Advanced Internal Medicine PLLC
  • Total Life Care, PLLC
  • Four Rivers Internal Medicine PLLC
  • James Kyle Turnbo MD PSC
  • Jeffrey L. Riney M.D. & Associates PLLC
  • Lacroix Medical Center
  • Family Practice Care LLC

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

ACO Governing Body

  • Turnbo, Kyle, Voting Member, 1, ACO Participant Representative, James Kyle Turnbo MD PSC
  • Graham, Scott, Voting Member, 1, ACO Participant Representative, Family Practice Care LLC
  • Lorch, Jason, Voting Member, 1, ACO Participant Representative, Four Rivers Internal Medicine PLLC
  • Riney, Jeffrey, Voting Member, 1, ACO Participant Representative, Jeffrey L. Riney MD & Associates PLLC
  • Nelson, Jennifer, Voting Member, 1, ACO Participant Representative, Total Life Care, PLLC
  • Eickholz, James, Voting Member, 1, ACO Participant Representative, James Eickholz, M.D., P.S.C
  • Butler, Danny, Voting Member, 1, ACO Participant Representative, Dr. Butler & Associates, PLLC
  • Frazine, Ryan, Voting Member, 1, ACO Participant Representative, Advanced Internal Medicine PLLC
  • Meeks, Van, Voting Member, 1, ACO Participant Representative, Total Life Care, PLLC
  • Jones, Rilla, Voting Member, 1, Medicare Beneficiary Representative, N/A
  • Stewart, Erica, Voting Member and Chair Person, ACO Executive, Aledade, Inc., N/A

Key Clinical and Administrative Leadership

  • Executive Director: Ms. Erica Stewart
  • Medical Director: Dr. Ryan Frazine
  • Compliance Officer: Ms. Sarah Chasson
  • Quality Assurance/Improvement Officer: Dr. Emily Maxson

ACO Committees and Committee Leaderships

  • Compliance Committee: Dr. Danny Butler

Composition of ACO

  • Networks of individual practices of ACO professionals

Amount of Shared Savings/Losses

  • First Agreement Period
  • Performance Year 2017, $0
  • Performance Year 2016, $1,110,552

How Shared Savings Are Distributed

First Agreement Period

Performance Year 2017

Performance Year 2016

10%

Reinvest in infrastructure

30%

Invested in redesigned care processes/resources

60%

Distribution to ACO Participants

100%

Primary Care Professionals

N/A

Specialists

N/A

Hospital

Quality Reporting

2017 Quality Performance Results:

2017 Quality Performance Results:   
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.
ACO#Measure NameRateACO Mean
ACO-1CAHPS: Getting Timely Care, Appointments, and Information83.4380.6
ACO-2CAHPS: How Well Your Providers Communicate93.8393.13
ACO-3CAHPS: Patients’ Rating of Provider94.6192.31
ACO-4CAHPS: Access to Specialists82.1383.32
ACO-5CAHPS: Health Promotion and Education61.7762.3
ACO-6CAHPS: Shared Decision Making73.6775.85
ACO-7CAHPS: Health Status/Functional Status73.1573.05
ACO-34CAHPS: Stewardship of Patient Resources31.8325.68
ACO-8Risk Standardized, All Condition Readmission14.9215.01
ACO-35Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)19.2118.46
ACO-37All-Cause Unplanned Admissions for Patients with Heart Failure81.679.16
ACO-38All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions62.6261.74
ACO-43Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))2.331.93
ACO-11Use of Certified EHR Technology10098.48
ACO-12Medication Reconciliation99.375.32
ACO-13Falls: Screening for Future Fall Risk65.774.38
ACO-44Imaging Studies for Low Back Pain53.3367.32
ACO-14Preventive Care and Screening: Influenza Immunization8572.52
ACO-15Pneumonia Vaccination Status for Older Adults73.6572.92
ACO-16Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up74.4470.69
ACO-17Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention99.2790.48
ACO-18Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan86.9661.98
ACO-19Colorectal Cancer Screening75.9764.58
ACO-20Breast Cancer Screening69.7870.05
ACO-42Statin Therapy for the Prevention and Treatment of Cardiovascular Disease87.2779.89
ACO-27Diabetes Mellitus: Hemoglobin A1c Poor Control9.0616.74
ACO-41Diabetes: Eye Exam41.5150.37
ACO-28Hypertension (HTN): Controlling High Blood Pressure76.0971.47
ACO-30Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic96.8886.86

For 2017 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2017-Shared-Savings-Program-SSP-Accountable-Care-O/gk7c-vejx/data

For 2016 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2016-Shared-Savings-Program-SSP-Accountable-Care-O/3jk5-q6dr/data

Note: In the Quality Performance Results file(s) above, search for “AmpliPHY of Kentucky ACO LLC” or “PIPA of Kentucky ACO, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A84924 in the public use files on data.cms.gov.

Payment Rule Waivers

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