ACO Participants

  • Biloxi Internal Medicine Clinic
  • Christina Hossley Inc
  • Clinton Family Care LLC
  • Family Medical Clinic of Crystal Springs
  • Family Medical Clinic of North MS Inc
  • Gulf Coast Life PLLC
  • Horn Lake Family Practice Inc
  • Internal Medicine Associates of Natchez, PLLC
  • James Ervin
  • J Russell Barnes MD PC
  • Jennifer D Gholson MD, LLC
  • Jones Family Medicine Clinic PLLC
  • Joseph L Wilson MD Inc
  • Kamlesh Parekh
  • K McDaniel Inc
  • Mississippi Family Medicine
  • North Bay Family Medical Clinic, PA
  • Olive Branch Family Medical Center
  • Pinnacle Medical Clinic Inc
  • Premier Medical Group of Mississippi LLC
  • Primary Care Clinic of Ripley PA
  • Rentrop & Geater PLLC
  • RLGMDPA Inc
  • Robert C Masterson DO PA Inc
  • Sale Creek Family Practice, PLLC
  • South Sunflower County Hospital*
  • Susan A Chiarito MD PA Inc
  • Syed A A Zaidi, MD, PLLC
  • Urgent Medical Clinic Inc

*Joint venture between ACO professionals and hospitals

ACO Governing Body

  • Jones, Matthew, 1, Voting Member, ACO Participant Representative, Jones Family Medicine Clinic PLLC
  • Chiarito, Susan, 1, Voting Member, ACO Participant Representative, Susan A Chiarito MD PA Inc
  • Sharma, Achin, 1, Voting Member, ACO Participant Representative, Horn Lake Family Practice Inc
  • Drake, Sabra, 1, Voting Member, ACO Participant Representative, Urgent Medical Clinic Inc
  • Wheat, David, 1, Voting Member, ACO Participant Representative, Clinton Family Care LLC
  • Mire, Blane, 1, Voting Member, ACO Participant Representative, Internal Medicine Associates of Natchez, PLLC
  • Ervin, James,1, Voting Member, ACO Participant Representative, Family Medical Clinic of Crystal Springs PLLC
  • Stokley, Todd, 1, Voting Member, ACO Participant Representative, Mississippi Family Medicine
  • Smith, David, 1, Voting Member, ACO Participant Representative, Pinnacle Medical Clinic Inc
  • Hammack, Stephen,1 Voting Member, ACO Participant Representative, Premier Medical Group of Mississippi LLC
  • Gholson, Jennifer, 1, Voting Member, ACO Participant Representative, Jennifer D Gholson MD, LLC
  • Cappleman, Troy, 1, Voting Member, ACO Participant Representative, Primary Care Clinic of Ripley PA
  • Zaidi, Syed, 1, Voting Member, ACO Participant Representative, Syed A A Zaidi, MD, PLLC
  • Dowell, William, 1, Voting Member, ACO Participant Representative, South Sunflower County Hospital
  • Geater, Barbara, 1, Voting Member, ACO Participant Representative, Rentrop & Geator PLLC
  • Peterson, Andrew, 1, Voting Member, ACO Participant Representative, Biloxi Internal Medicine Clinic PA
  • Skinner, Robert, 1, Voting Member, ACO Participant Representative, Family Medical Clinic of North MS Inc
  • Parekh, Kamlesh, 1 Voting Member, ACO Participant Representative, Kamlesh Parekh
  • Eldre, Edward, 1, Voting Member, ACO Participant Representative, Olive Branch Family Medical Center
  • Black, Daniel, 1, Voting Member, ACO Participant Representative, Sale Creek Family Practice, PLLC
  • DeWitt, Erin, 1, Voting Member, ACO Participant Representative, Gulf Coast Life PLLC
  • Shelby, Chris, 1, Voting Member, ACO Participant Representative, North Bay Family Medical Clinic, PA
  • Hartness, Stanley, 1, Voting Member, Medicare Beneficiary Representative, N/A
  • Robin, Nadine, 1, Voting Member and Chair, ACO Executive, Aledade, Inc., N/A

Key Clinical and Administrative Leadership

  • Executive Director: Ms. Nadine Lindsey
  • Medical Director: Dr. Susan Chiarito, Dr. Syed Zaidi
  • Compliance Officer: Mr. Brian Lynch
  • Quality Assurance/Improvement Officer: Dr. Emily Maxson

ACO Committees and Committee Leaderships

  • Beneficiary Engagement Committee: Dr. David Wheat, Chair
  • Compliance Committee: Stephen Hammack, MD
  • Evidence-Based Medicine Committee: Dr. David Smith, Chair
  • Performance Improvement Committee: Dr. Susan Chiarito, Co-Chair and Dr. Holly Dahlman, Co-Chair
  • Transitions of Care Committee: Dr. Troy Cappleman
  • Medical Director: Dr. Susan Chiarito, Dr. Syed Zaidi, Dr. Stephen Hammack

Composition of ACO

  • A network of individual practices of ACO professionals.

Amount of Shared Savings/Losses

  • First Agreement Period
  • Performance Year 2016, $0

Shared Savings Distribution

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.

Quality Reporting

2016 Quality Performance Results:

ACO#Measure NameRateACO Mean
Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples.
ACO-1CAHPS: Getting Timely Care, Appointments, and Information 81.9480.51
ACO-2CAHPS: How Well Your Providers Communicate 93.2993.01
ACO-3CAHPS: Patients’ Rating of Provider 92.4192.25
ACO-4CAHPS: Access to Specialists 82.4683.49
ACO-5CAHPS: Health Promotion and Education57.4560.32
ACO-6CAHPS: Shared Decision Making 73.7675.4
ACO-7CAHPS: Health Status/Functional Status 68.7372.3
ACO-34CAHPS: Stewardship of Patient Resources 35.826.97
ACO-8Risk Standardized, All Condition Readmission14.7214.7
ACO-35Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)18.2418.17
ACO-36All-Cause Unplanned Admissions for Patients with Diabetes61.753.2
ACO-37All-Cause Unplanned Admissions for Patients with Heart Failure89.1475.23
ACO-38All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions70.4159.81
ACO-9Ambulatory Sensitive Condition Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5)9.139.27
ACO-10Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8)13.7514.53
ACO-11Percent of PCPs who Successfully Meet Meaningful Use Requirements83.3382.72
ACO-39Documentation of Current Medications in the Medical Record95.4887.54
ACO-13Falls: Screening for Future Fall Risk 76.5364.04
ACO-14Preventive Care and Screening: Influenza Immunization63.0468.32
ACO-15Pneumonia Vaccination Status for Older Adults65.269.21
ACO-16Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up73.0274.45
ACO-17Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention83.2890.98
ACO-18Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan69.0353.63
ACO-19Colorectal Cancer Screening53.7561.52
ACO-20Breast Cancer Screening58.3667.61
ACO-21Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 79.6976.79
ACO-42Statin therapy for the Prevention and Treatment of Cardiovascular Disease78.0377.72
ACO-27Diabetes Mellitus: Hemoglobin A1c Poor Control 21.3118.24
ACO-41Diabetes: Eye Exam32.7944.94
ACO-28Hypertension (HTN): Controlling High Blood Pressure 61.4470.69
ACO-30Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic84.6585.05
ACO-31Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)87.588.67
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%)90.7679.67

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 Mississippi ACO, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A20392 in the public use files on data.cms.gov.