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 6600 Primary Contact Email Address: Wanda.Katich@nghs.com

Organizational Information

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 Member First Name Member Title/Position Member’s Voting Power Membership Type ACO Participant Legal Business Name/DBA, if Applicable
Dave’, MD Mohak Voting Member 1 Other N/A
McNeilly Steve Member 0 ACO Representative Northeast Georgia Health Partners, LLC
Collins Mimi Voting Member 1 ACO Participant Representative The Longstreet Clinic, PC
Toth, MD Lajos Vice Chairperson 1 ACO Participant Representative The Longstreet Clinic, PC
Steines Brian Treasurer 1 ACO Participant Representative Northeast Georgia Medical Center, Inc.
Covert Michael 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.
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 Voting Member 1 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

ACO Executive Steven McNeilly
Medical Director Gary Dalley
Compliance Officer Steve Kelly
Quality Assurance/Improvement Officer Jaimie Amin

Associated Committees and Committee Leadership

Committee Name Committee Leader Name and Position
Northeast Georgia Health Partners Board dba ACO Board  Gary Dalley, MD, Chairperson
Clinical Quality Committee Marti Gibbs, MD, Chairperson

Types of 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
  • Second Agreement Period
    • Performance Year 2019, $0
  • First Agreement Period
    • Performance Year 2018, $0
Shared Savings Distribution
    • Second Agreement Period
      • Performance Year 2019
        • Proportion invested in infrastructure: N/A
        • Proportion invested in redesigned care processes/resources: N/A
        • Proportion of distribution to ACO participants: N/A
    • 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

2019 Quality Performance Results:
ACO Quality Measure Number Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 85.62 85.86
ACO-2 CAHPS: How Well Your Providers Communicate 94.97 94.11
ACO-3 CAHPS: Patients’ Rating of Provider 92.73 92.69
ACO-4 CAHPS: Access to Specialists 79.17 81.54
ACO-5 CAHPS: Health Promotion and Education 57.87 60.44
ACO-6 CAHPS: Shared Decision Making 66.71 62.78
ACO-7 CAHPS: Health Status/Functional Status 72.58 73.79
ACO-34 CAHPS: Stewardship of Patient Resources 26.03 26.17
ACO-45 CAHPS: Courteous and Helpful Office Staff 92.43 92.84
ACO-46 CAHPS: Care Coordination 89.02 86.89
ACO-8 Risk Standardized, All Condition Readmission 14.91 14.86
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 52.81 58.15
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI #91)) 2.44 1.87
ACO-13 Falls: Screening for Future Fall Risk 96.27 84.04
ACO-14 Preventive Care and Screening: Influenza Immunization 80.98 74.77
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 76.00 78.04
ACO-18 Preventive Care and Screening: Screening for Depression and Follow-up Plan 78.57 70.40
ACO-19 Colorectal Cancer Screening 72.69 70.76
ACO-20 Breast Cancer Screening 80.54 73.84
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 81.95 82.17
ACO-40 Depression Remission at Twelve Months 6.76 13.58
ACO-27 Diabetes: Hemoglobin A1c Poor Control (>9%) 6.46 13.88
ACO-28 Controlling High Blood Pressure 70.48 75.04

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