Medicare Shared Savings Plan Accountable Care Organization (ACO)

ACO Name and Location

Northeast Georgia Health Partners, LLC
Previous Names: N/A
465 EE Butler Parkway
Gainesville, Georgia 30501

ACO Primary Contact

Primary Contact Name: Wanda Katich
Primary Contact Phone Number: 770 219 9779
Primary Contact Email Address: Wanda.Katich@nghs.com

 

MSSP-ACO Participants

ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Heart Center LLC N
Northeast Georgia Medical Center, Inc. N
Northeast Georgia Physicians Group Inc N
The Longstreet Clinic, PC N
NGMC Barrow LLC N

ACO Governing Body

Member
Last Name First Name Title/Position Member’s Voting Power Membership Type ACO Participant TIN Legal Business Name/DBA, if Applicable
Dave’, MD Mohak Voting Member 1 Other N/A
McNeilly Steve Voting Member 1 ACO Representative Northeast Georgia Health Partners, LLC
Collins Mimi Voting Member 1 ACO Participant Representative The Longstreet Clinic, PC
LoCicero, MD Richard Voting Member 1 ACO Participant Representative The Longstreet Clinic, PC
Ferguson John Voting Member 1 Medicare Beneficairy Representative N/A
Toth, MD Lajos Vice Chairperson 1 ACO Participant Representative The Longstreet Clinic, PC
Steines Brian Treasurer 1 Other N/A
Covert Michael Voting Member 1 ACO Participant Representative Northeast Georgia Medical Center, Inc.
Johnson, MD Sam, Voting Member 1 ACO Participant Representative Northeast Georgia Medical Center, Inc.
Rios, MD Antonio Voting Member 1 ACO Participant Representative Northeast Georgia Physicians Group, Inc.
Tuffy Daniel Voting Member 1 ACO Participant Representative Northeast Georgia Physicians Group, Inc.
Dalley, MD Gary Chairperson 1 ACO Participant Representative Northeast Georgia Physicians Group, Inc.
Callahan, MD Michael Member 0 Other N/A
Kolakalapudi, MD Pavani Voting Member 1 ACO Participant Representative Heart Center, LLC
Whitney, MD Ryan Voting Member 1 ACO Participant Representative Heart Center, LLC
Langston William Member 0 Medicare Beneficiary Representative N/A
Katich Wanda Member 0 ACO Representative Northeast Georgia Health Partners, LLC
Cunningham Christy Member 0 ACO Representative Northeast Georgia Health Partners, LLC
Nicholson Jennifer Member 0 ACO Representative Northeast Georgia Health Partners, LLC
Gibbs, MD Marti Member 0 ACO Participant Representative The Longstreet Clinic, PC

 

Key ACO Clinical and Administrative Leadership

Steven McNeilly ACO Executive
Monica Newton Medical Director
Steve Kelly Compliance Officer
Wanda Katich Quality Assurance/Improvement Officer

 

Associated committees and committee leadership

Committee Name Committee Leader Name and Position
Northeast Georgia Health Partners Board Gary Dalley, MD, Chairperson
HP2 Management Committee Ricky LoCicero, MD, Chairperson
Clinical Quality Committee Marti Gibbs, MD, Chairperson
HP2 Technology Advisory Group Alan Wills, Executive Director of HealtheConnection

 

Types of MSSP-ACO participants, or combinations of participants,
that formed the ACO

  • ACO professionals in a group practice arrangement
  • Networks of individual practices of ACO professionals

 

Shared Savings and Losses

Amount of Shared Savings/Losses

  • First Agreement Period
    o 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 85.28 86.14
ACO-2 CAHPS: How Well Your Providers Communicate 93.70 93.93
ACO-3 CAHPS: Patients’ Rating of Provider 92.03 92.45
ACO-4 CAHPS: Access to Specialists 78.54 81.50
ACO-5 CAHPS: Health Promotion and Education 57.60 59.26
ACO-6 CAHPS: Shared Decision Making 62.02 61.94
ACO-7 CAHPS: Health Status/Functional Status 69.82 73.35
ACO-34 CAHPS: Stewardship of Patient Resources 23.00 26.26
ACO-8 Risk Standardized, All Condition Readmission 14.95 14.98
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 18.36 18.59
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 36.78 37.01
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 76.89 76.75
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 59.10 59.00
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91) 2.41 1.98
ACO-11 Use of Certified EHR Technology 100.00 98.20
ACO-12 Medication Reconciliation Post-Discharge 92.62 85.91
ACO-13 Falls: Screening for Future Fall Risk 82.66 79.73
ACO-44 Use of Imaging Studies for Low Back Pain 69.57 64.36
ACO-14 Preventive Care and Screening: Influenza Immunization 64.04 72.71
ACO-15 Pneumonia Vaccination Status for Older Adults 78.40 75.97
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up 75.81 76.83
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 63.16 72.81
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 61.04 66.74
ACO-19 Colorectal Cancer Screening 76.31 68.27
ACO-20 Breast Cancer Screening 59.68 71.96
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 76.40 81.47
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 10.89 15.51
ACO-41 Diabetes: Eye Exam 53.23 52.42
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 65.49 73.10
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet 90.84 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 “Northeast Georgia Health Partners, LLC” or “Northeast Georgia Health Partners” to view the quality performance results. This ACO can also be found by using the ACO ID A3687 in the public use files on data.cms.gov.

 

Payment Rule Waivers

  • No, our MSSP-ACO does not use the SNF 3-Day Rule Waiv