FMC ACO – Medical Health care Organization

FMC ACO

Accountable Care Organizations Public Reporting Information

  • ACO Name & Location

  • Florida Medical Clinic ACO, LLC

    38135 Market Square

    Zephyrhills, FL 33542

  • ACO Primary Contact

  • Julie Martinez, ARNP,

    Florida Medical Clinic, PA

    Director of Accountable

    Care Services

    jmartinez@floridamedicalclinic.com

    813.712.1645

  • Organizational Information

  • ACO Participants

    Florida Medical Clinic, PA

    FMC Urgent Care, LLC

  • ACO Participants in Joint Ventures between ACO Professionals and Hospitals

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

  • ACO Governing Body

  • Chandresh Saraiya, MD

    President

    FMC ACO Participant, Florida Medical Clinic, PA

  • Emilio Dominguez, MD

    Vice President

    FMC ACO Participant, Florida Medical Clinic, PA

  • Joe Cozzolino, MD

    Treasurer

    FMC ACO Participant, Florida Medical Clinic, PA

  • Rohitkumar Vyas, MD

    Secretary

    FMC ACO Participant, Florida Medical Clinic, PA

  • Juan Cevallos, MD

    Member

    FMC ACO Participant, Florida Medical Clinic, PA

  • Gerald Curley, DO

    Member

    FMC ACO Participant, Florida Medical Clinic, PA

  • Mitch Forman, MD

    Member

    FMC ACO Participant, FMC Urgent Care, LLC

  • Belen Herrero, MD

    Member

    FMC ACO Participant, Florida Medical Clinic, PA

  • Richard Ina, MD

    Member

    FMC ACO Participant, Florida Medical Clinic, PA

  • Joe Delatorre, CEO

    Member, Florida Medical Clinic, PA

    Other

  • Norm Burns

    Member

    Medicare Beneficiary Representative

  • Aco committees & committee leaderships

  • Quality and Performance Monitoring Committee

  • Emilio Dominguez, MD, CMO, Chairman

  • Douglas Baska, DO

  • Nancy Finnerty, MD

  • Crete Fisher, MD

  • Joseph Hubaykah, MD

  • Julie Martinez, ARNP, Director Accountable Care Services

  • Tracy McKay, MD

  • Richard McDonough, MD

  • Parag Pitroda, MD

  • Chandresh Saraiya, MD

  • Gabriel Somori, MD

  • Kerri Wing, BSN, MS, Director of Clinical Transformation

  • Compliance Committee

  • Emilio Dominguez, MD, Compliance Officer

  • Joe Delatorre, CEO

  • Tracy McKay, DO

  • Christian Alvarez, CFO

  • Gus Taylor, CAO

  • Julie Martinez, ARNP, Director, Accountable Care Services

  • Paula VanNorman, Senior Director, Operations

  • Nancy Cothern, Director of Revenue Cycle Management

  • Kerri Wing, BSN, MS, Director of Clinical Transformation

  • Eddine Luma, MHA, Associate Director of Clinical Transformation

  • Community Relations Committee

  • Chandresh Saraiya, MD, Medical Director/ Chairman

  • Karen Alvarez, CARES Home Health

  • Chandra Amin, Florida Hospital

  • Wendy Barger, RN Care Manager

  • Tania Bruce, Adventist Care

  • Sirisha Chalasani, MD, FMC

  • Debbie Densmore, North Tampa Behavioral Health

  • Michelle Frye, FMC Managed Care Coordinator

  • Julie Martinez, ARNP Director Accountable Care Services

  • Jake Mitchell, Royal Oaks Nursing Home

  • Mohammad Munir, MD, Hospitalist, FMC

  • Alana Olson, RN Care Manager, FMC

  • Sue Versley, HPH Hospice

  • Karen Walsh, Heartland of Zephyrhills SNF

  • Jane Worden, RN Care Manager, FMC

  • Jemith Rosa, President/CEO, CARES, Inc

Key clinical & administrative leadership


Shared Savings and Losses: Amount of Shared/Losses

Performance Year 1: $0

Performance Year 2014: $0

Performance Year 2015: TBD

How Shared Savings are Distributed

Proportion invested in infrastructure: 15%

Proportion invested in redesigned care processes/resources: 5%

Proportion of distribution to ACO participants: 80%

• Primary Care Physicians: 70%

• Specialists Including Hospitalists: 30%

Quality Performance Results

2012 Reporting Period 2013 Reporting Period 2014 Reporting Period
Measure number Performance Measure ACO Performance Rate Mean Performance Rate for All ACOs ACO Performance Rate Mean Performance Rate for All ACOs ACO Performance Rate Mean Performance Rate for All ACOs
ACO #1 Getting Timely Care, Appointments, and Information 78.12 81.69 78.7 81.48 77.59 80.13
ACO #2 How Well Your Doctors Communicate 88.73 92.84 91.72 92.96 91.46 92.39
ACO #3 Patients' Rating of Doctor 88.12 91.86 90.02 92.06 91.43 91.58
ACO #4 Access to Specialists 88.07 85.11 87.91 85.12 86.84 83.97
ACO #5 Health Promotion and Education 56.87 56.61 59.86 58.38 58.8 58.29
ACO #6 Shared Decision Making 72.57 73.99 75.57 74.53 75.06 74.6
ACO #7 Health Status/Functional Status 68.58 70.35 71.08 71.12 71.42 71.1
ACO #8 Risk Standardized, All Condition Readmissions 14.78 15.42 14.57 14.9 14.99 15.15
ACO #9 ASC Admissions: COPD or Asthma in Older Adults 0.9 1.13 1.07 1.17 0.85 1.08
ACO #10 ASC Admission: Heart Failure 1.33 1.09 1.26 1.2 1.26 1.19
ACO #11 Percent of PCPs who Qualified for EHR Incentive Payment 92.11% 25.70% 86.00% 66.21% 94.64% 76.71%
ACO #12 Medication Reconciliation 0.19 72.37 24.59 73.56 69.29 82.61
ACO #13 Falls: Screening for Fall Risk 2.3 28.27 45.67 39.57 58.54 45.6
ACO #14 Influenza Immunization 60.76 50.58 68.66 56.93 69.36 57.51
ACO #15 Pneumococcal Vaccination 47.39 48.62 64.82 54.76 58.01 55.03
ACO #16 Adult Weight Screening and Follow-up 81.04 53.91 71.29 61.61 86.2 66.75
ACO #17 Tobacco Use Assessment and Cessation Intervention 96.18 80.12 97.84 84.01 97.83 86.79
ACO #18 Depression Screening 0.23 22.48 38.75 31.19 56.2 39.27
ACO #19 Colorectal Cancer Screening 50.69 50.21 74.58 59.3 65.62 56.14
ACO #20 Mammography Screening 52.72 62.23 59.08 62.05 70.07 61.41
ACO #21 Proportion of Adults who had blood pressure screened in past 2 years 0 71.56 50.2 74.25 51.05 60.24
ACO #22 Hemoglobin A1c Control (HbA1c) (<8 percent) 80.74 N/A 86.33 N/A 82.73 N/A
ACO #23 Low Density Lipoprotein (LDL) (<100 mg/dL) 57.31 N/A 63.31 N/A N/A N/A
ACO #24 Blood Pressure (BP) <140/90 73.09 N/A 74.34 N/A 66.91 N/A
ACO #25 Tobacco Non Use 88.86 N/A 90.17 N/A 88.08 N/A
ACO #26 Asprin Use 72.86 N/A 86.42 N/A 86.14 N/A
ACO #27 Percent of Beneficiaries with Diabetes whose HbA1c in poor control (>9 percent) 13.92% 25.94% 7.43% 22.11% 8.74% 20.35%
ACO #28 Percent of Beneficiaries with Hypertension whose BP <140/90 71.28% 63.22% 80.19% 67.79% 64.32% 68.02%
ACO #29 Percent of Beneficiaries with IVD with complete lipid profile and LDL control <100mg/dl 59.04% 52.02% 64.90% 55.44% N/A N/A
ACO #30 Percent of Beneficiaries with IVD who use Asprin ir other Antithrombotic 79.08% 72.60% 84.76% 76.35% 86.49% 80.79%
ACO #31 Beta-Blocker Therapy for LVSD 70.83 79.60 90.79 79.82 88.89 82.71%
ACO #32 Drug Therapy for Lowering LDL Cholesterol 78.95 N/A 82.41 N/A N/A N/A
ACO #33 ACE Inhibitor or ARB Therapy for Patients with CAD and Diabetes and/or LVSD 62.88 N/A 69.01 N/A 73.66 N/A

For more information on how to interpret scores on the above quality performance measures, see
https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/sharedsavingsprogram/downloads/MSSP-QM-Benchmarks.pdf

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