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	Timothy Groover, MD
Primary Contact Phone Number	904.202.4770
Primary Contact Email Address	Timothy.Groover@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	Levenson, MD	Ilene	Chair	1	ACO Participant Representative	Baptist Primary Care, Inc.
2	Glasser, MD	Theodore	Vice Chair	1	ACO Participant Representative	Baptist Primary Care, Inc.
3	Etzkorn, MD	Kyle	Voting Member	1	ACO Other Entity	N/A
4	Dillahunt, MD	Paul	Voting Member	1	ACO Participant Representative	Baptist Cardiology, Inc. d/b/a Baptist Heart Specialists
5	Sutton, MD	David	Voting Member	1	ACO Participant Representative	Northeast Florida Endocrine & Diabetes Associates, PA
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:

Timothy Groover, MD	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	Edward Gorak, DO, 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.

For 2018 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2018-Shared-Savings-Program-SSP-Accountable-Care-O/v47u-yq84/data

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.