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
    Chairman
    Voting member
    ACO Participant Representative, FMC
  • Emilio Dominguez, MD
    Voting member
    ACO Participant Representative, FMC
  • Joe Cozzolino, MD
    Voting member
    ACO Participant Representative, FMC
  • Rohitkumar Vyas, MD
    Voting member
    ACO Participant Representative, FMC
  • Juan Cevallos, MD
    Voting member
    ACO Participant Representative, FMC
  • Gerald Curley, DO
    Voting member
    ACO Participant Representative, FMC
  • Belen Herrero, MD
    Voting member
    ACO Participant Representative, FMC
  • Richard Ina, MD
    Voting member
    ACO Participant Representative, FMC
  • Mitch Forman, MD
    Voting member
    ACO Participant Representative, FMC Urgent Care
  • Richard Schwab, MD
    Voting member
    Medicare Beneficiary Representative
  • Joe Delatorre, CEO
    Voting member
    Other representative
  • KEY ACO CLINICAL AND ADMINISTRATIVE LEADERSHIP

  • Joe Delatorre,
    ACO Executive
  • Dr. Chandresh Saraiya,
    Medical Director
  • Eddine Luma,
    Compliance Official
  • Dr. Emilio Dominguez,
    Quality Assurance/Improvement Officer
  • ACO COMMITTEES & COMMITTEE LEADERSHIP

  • Quality and Performance Monitoring Committee

  • Nancy Finnerty, MD
    Chairman
  • Douglas Baska, DO
  • Crete Fisher, MD
  • Joseph Hubaykah, MD
  • Julie Martinez, ARNP, Director of Accountable Care Services
  • Tracy Mckay, MD
  • Richard McDonough, MD
  • Parag Pitroda, MD
  • Chandresh Saraiya, MD
  • Joel Sokolik, MD
  • Gabriel Somori, MD
  • Compliance Committee

  • Eddine Luma, Assoc. Director of Physician Offices
    Chairperson
  • Christian Alvarez, CFO
  • Nancy Cothern, Director of Revenue Cycle Management
  • Joe Delatorre, CEO
  • Emilio Dominguez, MD
  • Julie Martinez, ARNP, Director of Accountable Care Services
  • Gus Taylor, CAO
  • Paula VanNorman, Sr. Director of Physician Offices
  • Community Relations Committee

  • Chandresh Saraiya, MD, FMC
    Chairman
  • Karen Alvarez, CARES Home Health
  • Chandra Amin, Florida Hospital
  • Rey Basila, PT, Administrator, Mission Home Care
  • Tania Bruce, Adventist/Zephyr Haven
  • Geri Burke, Care Patrol
  • Sirisha Chalasani, MD, FMC
  • Debbie Densmore, North Tampa Behavioral Health
  • Alysia Dunwoody, RN, Encompass Home Health
  • Crete Fisher, MD, FMC
  • Kourtney Gabardi, BSW, FMC
  • Kathy Kondolf-Harmmer, Administrator, Heartland
  • Julie Martinez, ARNP, ACO Director, FMC
  • Jake Mitchell, Administrator, Royal Oaks
  • Jemith Rosa, CEO, CARES, Inc.
  • Lyn Torrance, RN Care Manager, FMC
  • Shannon Tremel, Division Mgr, Encompass Home Health
  • Sue Versley, RN, Chapters Health
  • Reginald Villaruel, RN, Director of Nursing, Mission Home Care
  • Karen Walsh, BSW, Hospital Liaison, Heartland
  • Jane Worden, RN Care Manager, FMC

TYPES OF ACO PARTICIPANTS THAT FORMED THE ACO

A network of individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

Agreement period beginning 2012, Performance Year 1: $0

Agreement period beginning 2012, Performance Year 2014: $0

Agreement period beginning 2012, Performance Year 2015: $0

Shared Savings Distribution

Agreement period beginning 2012, Performance Year 1: $0

Agreement period beginning 2012, Performance Year 2014: $0

Agreement period beginning 2012, Performance Year 2015: $0

PAYMENT RULE WAIVERS

No, our ACO does not utilize the SNF 3-Day Rule Waiver.

Quality Performance Results

Click here to view 2015 Quality Report PDF

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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