Public Reporting

ACO Name and Location

Baptist Physician Partners ACO, LLC
841 Prudential Drive
Suite 1450
Jacksonville, Florida 32207

ACO Primary Contact

Primary Contact Name

Sharon Kaplan, FACHE, Executive Director

Primary Contact Phone Number

904.202.4745

Primary Contact Email Address

Sharon.Kaplan@bmcjax.com

 

Organizational Information

ACO participants:

ACO Participants

ACO Participant in Joint Venture (Enter Y or N)

BAPTIST PRIMARY CARE - INTERNAL

N

BAPTIST CARDIOLOGY, INC.

N

BAPTIST AGEWELL PHYSICIANS INC

N

SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC

N

BAPTIST MEDICAL CENTER OF THE BEACHES, INC

N

NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES PA

N

BAPTIST MEDICAL CENTER OF NASSAU INC

N

ROGERS CAIN MD PA N

BAPTIST PRIMARY CARE INC

N


ACO governing body:

 

Member Last Name

Member First Name

Member Title/Position

Member's Voting Power

Membership Type

ACO Participant TIN Legal Business Name

1

Etzkorn, MD

Kyle

Chairman

1

ACO Other Entity

N/A

2

Levenson, MD

Ilene

Vice Chair

1

ACO Participant Representative

Baptist Primary Care Internal Medical Group, Inc.

3

Dillahunt, MD

Paul

Voting Member

1

ACO Participant Representative

Baptist Cardiology, Inc. d/b/a Baptist Heart Specialists

4

Sutton, MD

David

Voting Member

1

ACO Participant Representative

Northeast Florida Endocrine & Diabetes Associates, PA

5

Glasser, MD

Theodore

Voting Member

1

ACO Participant Representative

Baptist Primary Care, Inc.

6

Zuino

Matt

Voting Member

1

ACO Participant Representative

Southern Baptist Hospital of Florida, Inc.

d/b/a Baptist Medical Center Jacksonville

7

Stein, MD

Keith

Voting Member

1

ACO Participant Representative

Southern Baptist Hospital of Florida, Inc.

d/b/a Baptist Medical Center Jacksonville

8

Rice, MD

David

Voting Member

1

ACO Participant Representative

Baptist Primary Care, Inc.

9

Wooten

Scott

Voting Member

1

ACO Participant Representative

Southern Baptist Hospital of Florida, Inc.

d/b/a Baptist Medical Center Jacksonville

10

Schrank, MD

Joel

Voting Member

1

Medicare Beneficiary Representative

N/A

11

Groover, MD

Timothy

Ex Officio non-voting member, Medical Director

0

Other: Medical Director

Southern Baptist Hospital of Florida, Inc.

d/b/a Baptist Medical Center Jacksonville


Key ACO clinical and administrative leadership:

Sharon Kaplan

ACO Executive

Timothy Groover, MD

Medical Director

G. Scott Baity

Compliance Officer

Timothy Groover, MD

Quality Assurance/Improvement Officer


Associated committees and committee leadership:

Committee Name

Committee Leader Name and Position

Clinical Transformation Council

Ilene Levenson, MD, Chair

Finance and Contracting Committee

Michael Erhard, MD, Chair

Information Technology Committee

Raphael Balbino, MD, Chair

Membership and Quality Committee

Richard Picerno, MD, Chair


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

  • Networks of Individual practices of ACO professionals
  • Hospital employing ACO professionals

 

Shared Savings and Losses

Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2018, $0

Shared Savings Distribution

  • First Agreement Period
    • Performance Year 2018
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A

Quality Performance Results

2018 Quality Performance Results:

ACO#

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

86.74

86.14

ACO-2

CAHPS: How Well Your Providers Communicate

94.89

93.93

ACO-3

CAHPS: Patients’ Rating of Provider

93.54

92.45

ACO-4

CAHPS: Access to Specialists

83.69

81.50

ACO-5

CAHPS: Health Promotion and Education

59.48

59.26

ACO-6

CAHPS: Shared Decision Making

67.57

61.94

ACO-7

CAHPS: Health Status/Functional Status

75.05

73.35

ACO-34

CAHPS: Stewardship of Patient Resources

31.31

26.26

ACO-8

Risk Standardized, All Condition Readmission

14.77

14.98

ACO-35

Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)

17.27

18.59

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes

33.75

37.01

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

76.68

76.75

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

57.85

59.00

ACO-43

Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91)

2.25

1.98

ACO-11

Use of Certified EHR Technology

100.00

98.20

ACO-12

Medication Reconciliation Post-Discharge

82.43

85.91

ACO-13

Falls: Screening for Future Fall Risk

60.94

79.73

ACO-44

Use of Imaging Studies for Low Back Pain

62.96

64.36

ACO-14

Preventive Care and Screening: Influenza Immunization

60.43

72.71

ACO-15

Pneumonia Vaccination Status for Older Adults

72.57

75.97

ACO-16

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up

60.17

76.83

ACO-17

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

53.33

72.81

ACO-18

Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan

9.64

66.74

ACO-19

Colorectal Cancer Screening

70.25

68.27

ACO-20

Breast Cancer Screening

71.36

71.96

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

84.77

81.47

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

12.45

15.51

ACO-41

Diabetes: Eye Exam

40.16

52.42

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

66.44

73.10

ACO-30

Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet

89.96

88.92


Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

Note: In the Quality Performance Results file(s) above, search for “Baptist Physician Partners ACO, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A3864 in the public use files on data.cms.gov.


Payment Rule Waivers

  • Skilled Nursing Facility (SNF) 3-day Rule Waiver:
    • No, our ACO does not use the SNF 3-Day Rule Waiver, pursuant to 42 CFR 425.612.

       

  • Waiver for Payment for Telehealth Services:
    • No, our ACO clinicians do not provide telehealth services using the flexibilities under 42 CFR 425.612(f) and 42 CFR 425.613.