ACO Participants

  • Adult Medicine of Lake County Inc
  • Cappleman Edwards and Castello MD PA
  • Central Florida Internists Inc
  • North Point Physicians LLC
  • Paul D Sovran MD PA
  • Rivers Family Medicine PA
  • Sharon Nickell-Olm M D Family Medical Center, LLC
  • Suntree Medical Associates, P.A.

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

ACO Governing Body

  • Sovran, Paul, 1, Voting Member, ACO Participant Representative, Paul D Sovran M.D., P.A.
  • Cappleman, John, 1, Voting Member, ACO Participant Representative, Cappleman Edwards and Castello MD PA
  • Luciani, Diane, 1, Voting Member, ACO Participant Representative, North Point Physicians LLC
  • Nickell-Olm, Sharon, 1, Voting Member, ACO Participant Representative, Sharon Nickell-Olm MD Family Medical Center, LLC
  • Davina, Eleanor, 1, Voting Member, ACO Participant Representative, Adult Medicine of Lake County, Inc.
  • Rivers, Steve, 1, Voting Member, ACO Participant Representative, Rivers Family Medicine, PA
  • Saladino, Carl, 1, Voting Member, ACO Participant Representative, Suntree Medical Associates, P.A.
  • Burgos, Mary, 1, Voting Member, Medicare Beneficiary Representative, N/A
  • Bartz, Nick, 1, Chair and Voting Member, ACO Executive, Aledade, Inc., N/A

Key Clinical and Administrative Leadership

  • Executive Director: Mr. Nick Bartz
  • Medical Director: Dr. Paul Sovran
  • Compliance Officer: Mr. Brian Lynch
  • Quality Assurance/Improvement Officer: Dr. Emily Maxson

ACO Committees and Committee Leaderships

  • Beneficiary Engagement Committee
  • Dr. John Cappleman
  • Florence “Dale” Abrahamson
  • Compliance Committee
  • Amarah Thomas
  • Evidence-Based Medicine Committee
  • name
  • Performance Improvement Committee
  • Dr. Eleanor Davina
  • Dr. Shirley Nagel
  • Dr. Paul Sovran
  • Transitions of Care Committee
  • Dr. Shazia Nasir

Composition of ACO

  • Networks of individual practices of ACO professionals

Amount of Shared Savings/Losses

  • First Agreement Period
  • Performance Year 2016, $2,263,161

How Shared Savings Are Distributed

First Agreement Period

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

Payment Rule Waivers

  • No, our ACO does not utilize the SNF 3-Day Rule Waiver
  • The ACO is participating in a medication management agreement with CVS. The full waiver can be found here.
  • Our ACO operates a “TCM Completion Challenge” view the Waiver

Quality Reporting

2016 Quality Performance Results:

2016 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.
ACO#Measure NameRateACO Mean
ACO-1CAHPS: Getting Timely Care, Appointments, and Information 80.3880.51
ACO-2CAHPS: How Well Your Providers Communicate 92.0393.01
ACO-3CAHPS: Patients’ Rating of Provider 91.7392.25
ACO-4CAHPS: Access to Specialists 81.4983.49
ACO-5CAHPS: Health Promotion and Education67.7260.32
ACO-6CAHPS: Shared Decision Making 76.475.4
ACO-7CAHPS: Health Status/Functional Status 72.1172.3
ACO-34CAHPS: Stewardship of Patient Resources 30.526.97
ACO-8Risk Standardized, All Condition Readmission14.1314.7
ACO-35Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)16.618.17
ACO-36All-Cause Unplanned Admissions for Patients with Diabetes37.8353.2
ACO-37All-Cause Unplanned Admissions for Patients with Heart Failure55.4575.23
ACO-38All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions44.3159.81
ACO-9Ambulatory Sensitive Condition Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5)7.599.27
ACO-10Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8)15.114.53
ACO-11Percent of PCPs who Successfully Meet Meaningful Use Requirements8082.72
ACO-39Documentation of Current Medications in the Medical Record99.0687.54
ACO-13Falls: Screening for Future Fall Risk 92.2464.04
ACO-14Preventive Care and Screening: Influenza Immunization92.9768.32
ACO-15Pneumonia Vaccination Status for Older Adults82.1569.21
ACO-16Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up93.0874.45
ACO-17Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention98.4690.98
ACO-18Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan89.0353.63
ACO-19Colorectal Cancer Screening84.4261.52
ACO-20Breast Cancer Screening89.7867.61
ACO-21Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 91.5176.79
ACO-42Statin therapy for the Prevention and Treatment of Cardiovascular Disease87.7477.72
ACO-27Diabetes Mellitus: Hemoglobin A1c Poor Control 9.4218.24
ACO-41Diabetes: Eye Exam69.8144.94
ACO-28Hypertension (HTN): Controlling High Blood Pressure 87.0770.69
ACO-30Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic91.7385.05
ACO-31Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)98.388.67
ACO-33Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%)92.4179.67

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 “Aledade Florida Central ACO, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A53441 in the public use files on data.cms.gov.