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 ParticipantsACO Participant in Joint Venture (Enter Y or N)
Heart Center LLCN
Northeast Georgia Medical Center, Inc.N
Northeast Georgia Physicians Group IncN
The Longstreet Clinic, PCN
NGMC Barrow LLCN

ACO Governing Body

Member
Last NameFirst NameTitle/PositionMember’s Voting PowerMembership TypeACO Participant TIN Legal Business Name/DBA, if Applicable
Dave’, MDMohakVoting Member1OtherN/A
McNeillySteveVoting Member1ACO RepresentativeNortheast Georgia Health Partners, LLC
CollinsMimiVoting Member1ACO Participant RepresentativeThe Longstreet Clinic, PC
LoCicero, MDRichardVoting Member1ACO Participant RepresentativeThe Longstreet Clinic, PC
Toth, MDLajosVice Chairperson1ACO Participant RepresentativeThe Longstreet Clinic, PC
SteinesBrianTreasurer1OtherN/A
CovertMichaelVoting Member1ACO Participant RepresentativeNortheast Georgia Medical Center, Inc.
Johnson, MDSam,Voting Member1ACO Participant RepresentativeNortheast Georgia Medical Center, Inc.
Rios, MDAntonioVoting Member1ACO Participant RepresentativeNortheast Georgia Physicians Group, Inc.
TuffyDanielVoting Member1ACO Participant RepresentativeNortheast Georgia Physicians Group, Inc.
Dalley, MDGaryChairperson1ACO Participant RepresentativeNortheast Georgia Physicians Group, Inc.
Callahan, MDMichaelMember1OtherN/A
Kolakalapudi, MDPavaniVoting Member1ACO Participant RepresentativeHeart Center, LLC
Whitney, MDRyanVoting Member1ACO Participant RepresentativeHeart Center, LLC
LangstonWilliamMember1Medicare Beneficiary RepresentativeN/A
KatichWandaMember0ACO RepresentativeNortheast Georgia Health Partners, LLC
CunninghamChristyMember0ACO RepresentativeNortheast Georgia Health Partners, LLC
NicholsonJenniferMember0ACO RepresentativeNortheast Georgia Health Partners, LLC
Gibbs, MDMartiMember0ACO Participant RepresentativeThe Longstreet Clinic, PC

 

Key ACO Clinical and Administrative Leadership

Steven McNeillyACO Executive
Monica NewtonMedical Director
Steve KellyCompliance Officer
Wanda KatichQuality Assurance/Improvement Officer

 

Associated committees and committee leadership

Committee NameCommittee Leader Name and Position
Northeast Georgia Health Partners BoardGary Dalley, MD, Chairperson
HP2 Management CommitteeRicky LoCicero, MD, Chairperson
Clinical Quality CommitteeMarti Gibbs, MD, Chairperson
HP2 Technology Advisory GroupAlan 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 NameRateACO Mean
ACO-1CAHPS: Getting Timely Care, Appointments, and Information85.2886.14
ACO-2CAHPS: How Well Your Providers Communicate93.7093.93
ACO-3CAHPS: Patients’ Rating of Provider92.0392.45
ACO-4CAHPS: Access to Specialists78.5481.50
ACO-5CAHPS: Health Promotion and Education57.6059.26
ACO-6CAHPS: Shared Decision Making62.0261.94
ACO-7CAHPS: Health Status/Functional Status69.8273.35
ACO-34CAHPS: Stewardship of Patient Resources23.0026.26
ACO-8Risk Standardized, All Condition Readmission14.9514.98
ACO-35Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)18.3618.59
ACO-36All-Cause Unplanned Admissions for Patients with Diabetes36.7837.01
ACO-37All-Cause Unplanned Admissions for Patients with Heart Failure76.8976.75
ACO-38All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions59.1059.00
ACO-43Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91)2.411.98
ACO-11Use of Certified EHR Technology100.0098.20
ACO-12Medication Reconciliation Post-Discharge92.6285.91
ACO-13Falls: Screening for Future Fall Risk82.6679.73
ACO-44Use of Imaging Studies for Low Back Pain69.5764.36
ACO-14Preventive Care and Screening: Influenza Immunization64.0472.71
ACO-15Pneumonia Vaccination Status for Older Adults78.4075.97
ACO-16Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up75.8176.83
ACO-17Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention63.1672.81
ACO-18Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan61.0466.74
ACO-19Colorectal Cancer Screening76.3168.27
ACO-20Breast Cancer Screening59.6871.96
ACO-42Statin Therapy for the Prevention and Treatment of Cardiovascular Disease76.4081.47
ACO-27Diabetes Mellitus: Hemoglobin A1c Poor Control10.8915.51
ACO-41Diabetes: Eye Exam53.2352.42
ACO-28Hypertension (HTN): Controlling High Blood Pressure65.4973.10
ACO-30Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet90.84

88.29

For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov.

 

Paymetn 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.