Public Reporting

ACO Name and Location

TP-ACO L.L.C.
Previous Names: N/A
8550 United Plaza Blvd. Ste 702
Baton Rouge, LA 70809

 

ACO Primary Contact

Primary Contact Name

Mr. John Woods

Primary Contact Phone Number

844-252-5321

Primary Contact Email Address

Jwoods@TPACsecure.com

 

Organizational Information

ACO participants:

ACO Participants

ACO Participant in Joint Venture (Enter Y or N)

MARK B. BLICK D.O., P.A.

N

RENE E DARVEAUX MD PA

N

PETER DICORLETO

N

PRIMARY CARE CLINIC LLC

N

TENNESSEE HEALTHCARE PARTNERS, LLC

N

Internal Medicine Associates LLC

N

J CHRIS BECKMAN MD PLLC

N

Family Care of Middle Tennessee

N

JOHN BYRNES

N

AKWASI SEFA

N

GENESYS FAMILY MEDICINE, PC

N

DHAR FAMILY MEDICINE, PLLC

N

PHAM MEDICAL CLINIC PA

N

Logan Family Medicine, LLC

N

WILKES ENTERPRISES HEALING PLACE MEDICAL CENTER

N

DANNY D. CHENG M.D.,P.A.

N

BethesdaRehabilitationHospital,Inc

N

PULMONARY & SLEEP OF TAMPA BAY PL

N

CAPITAL CITY MEDICAL GROUP, L.L.C.

N

CommunityQuickCareofLavergnePC

N

Middle Tennessee Urology Specialists P.L.L.C.

N

HILLSBOROUGH MEDICAL ASSOCIATES LLC

N

NorthfieldFamilyPracticePC

N

DAVID OURS

N

Eric Egli

N

Wayne Murphy

N

TERESA HUGGINS

N

CHARLES WOLOHON

N

BATON ROUGE GENERAL PHYSICIANS MEDICAL GROUP LLC

N

PETER CHANG

N

MIDTOWN DOCTORS GROUP, PA

N

SulkowskiFamilyMedicine PLLC

N

MAYO HEALTH SYSTEMS INC

N

OPEN WATER MEDICAL PA

N

SUNSET POINT MEDICAL ASSOCIATES INC

N

ROSEMAY T LATORTUE MD PA

N

BUFFALO MEDICAL CENTER INC

N

KEVIN L. KLEIN, DO PA

N

Middle Tennessee Plastic Surgery, P.C.

N

HaroldTAkinMDPC

N

Suresh C Saraswat MD, PC

N

FAMILY HEALTH ASSOCIATES

N

David O Ranz, MD

N

MURFREESBORO FAMILY CARE, P.C.

N

MIDDLE TENNESSEE FAMILY MEDICINE

N

TENNESSEE MEDICINE & PEDIATRICS, PC

N

FAMILY PRACTICE PARTNERS, PC

N

JAMES W GARNER JR MD PC

N

COOL SPRINGS INTERNAL MEDICINE & PEDIATRICS, PLLC.

N

Family Medicine Associates of Blytheville, P.A.

N

AMERICA’S FAMILY DOCTORS, PLLC

N

HealingHandsHomeHealthInc

N

Cardiology Institute, Inc

N

STAN J MAYS MD A PROFESSIONAL MEDICAL CORPORATION

N

AHMAD SHANABLEH MD INC A MEDICAL CORPORATION

N

Thomas P. Melancon MD, LLC

N

KIRAN G ZAVERI MD LLC

N

CHRISTINE L. MILLS SMITH, MD, LLC

N

CHARLES A. GARCIA,MDPA

N

GatewayHealthcarePC

N

Jared C Bramlett

N

SARAH SCHWARTZ WILSON M.D. LLC

N

MIDTNGYN PLLC

N

Good Health Associates, PLLC

N

 

 

ACO governing body:

Member

Member’s Voting Power –Expressed as a percentage or number

Membership Type –

ACO Participant Legal Business Name/DBA, if Applicable

Last Name

First Name

Title/Position

Cranor

Kenneth

MD/Chariman

1

ACO Participant Representative

The Physicians Alliance Corporation

Marino

Fred

Voting Member

1

Medicare Beneficiary Representative

N/A

Batie

Donnie

MD/Voting Member

1

ACO Participant Representative

Baton Rouge General Physician’s Medical Group, LLC

Swarr

Peter

MD/Voting Member

1

ACO Participant Representative

Cool Springs Internal Medicine and Pediatrics, PLLC

Carter

Dennis

MD/Voting Member

1

ACO Participant Representative

Family Health Associates

Latortue

Rosemay

MD/Voting Member

1

ACO Participant Representative

Rosemay T. LaTortue, MD., P.A.

Murphy

Wayne

MD/Voting Member

1

ACO Participant Representative

Wayne Murphy

Perkins

Matt

MD/Voting Member

1

ACO Participant Representative

Tennessee Medicine and Pediatrics, PC

Zaveri

Kiran

MD/Voting Member

1

ACO Participant Representative

Kiran G. Zaveri, MD LLC

 

Key ACO clinical and administrative leadership:

John Woods

ACO Executive

Kenneth Cranor

Medical Director

John Woods

Compliance Officer

Kenneth Cranor

Quality Assurance/Improvement Officer

 

 

 

Associated committees and committee leadership:

Committee Name

Committee Leader Name and Position

Stones River Patient Care Committee

Dennis Carter, Chairman

Harpeth Patient Care Committee

Peter Swarr, Chairman

 

Types of ACO participants, or combinations of participants, that formed the ACO:

  • Networks of individual practices of ACO professionals

 

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Second Agreement Period
    • Performance Year 2017, $3,292,526
    • Performance Year 2016, $2,459,316
  • First Agreement Period
    • Performance Year 2015, $1,662,988
    • Performance Year 2014, $3,133,900
    • Performance Year 2013, $4,721,981

 

Shared Savings Distribution

  • Second Agreement Period
    • Performance Year 2017
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources: 5%
      • Proportion of distribution to ACO participants: 85%
    • Performance Year 2016
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources: 5%
      • Proportion of distribution to ACO participants: 85%
  • First Agreement Period
    • Performance Year 2015
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources: 5%
      • Proportion of distribution to ACO participants: 85%
    • Performance Year 2014
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources: 5%
      • Proportion of distribution to ACO participants: 85%
    • Performance Year 2013
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources: 5%
      • Proportion of distribution to ACO participants: 85%

 

Quality Performance Results

2017 Quality Performance Results:

ACO#

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

82.64

80.60

ACO-2

CAHPS: How Well Your Providers Communicate

93.66

93.13

ACO-3

CAHPS: Patients’ Rating of Provider

92.21

92.31

ACO-4

CAHPS: Access to Specialists

82.14

83.32

ACO-5

CAHPS: Health Promotion and Education

60.41

62.30

ACO-6

CAHPS: Shared Decision Making

72.73

75.85

ACO-7

CAHPS: Health Status/Functional Status

71.12

73.05

ACO-34

CAHPS: Stewardship of Patient Resources

31.97

25.68

ACO-8

Risk Standardized, All Condition Readmission

15.38

15.01

ACO-35

Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)

18.51

18.46

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

78.64

79.16

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

66.97

61.74

ACO-43

Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))

2.48

1.93

ACO-11

Use of Certified EHR Technology

93.88

98.48

ACO-12

Medication Reconciliation

99.43

75.32

ACO-13

Falls: Screening for Future Fall Risk

87.37

74.38

ACO-44

Imaging Studies for Low Back Pain

67.44

67.32

ACO-14

Preventive Care and Screening: Influenza

Immunization

73.80

72.52

ACO-15

Pneumonia Vaccination Status for Older Adults

79.94

72.92

ACO-16

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up

84.62

70.69

ACO-17

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

95.77

90.48

ACO-18

Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan

86.38

61.98

ACO-19

Colorectal Cancer Screening

73.97

64.58

ACO-20

Breast Cancer Screening

76.17

70.05

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

72.62

79.89

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

13.96

16.74

ACO-41

Diabetes: Eye Exam

55.84

50.37

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

71.61

71.47

ACO-30

Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic

88.16

86.86

 

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples and the ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes quality measure is not included in public reporting due to a non-material technical error.

 

Note: In the Quality Performance Results file(s) above, search for “TP-ACO L.L.C.” to view the quality performance results. This ACO can also be found by using the ACO ID A1401 in the public use files on data.cms.gov.

Payment Rule Waivers

  • No, our ACO does not use the SNF 3-Day Rule Waiver.
  • Our ACO utilizes the MSSP Fraud and Abuse Waivers for the purposes of advancing the Triple Aim of i) improved patient outcomes and satisfaction, ii) improved population health, and iii) lowering the per capita cost of care, and have established a Preferred Provider partnership with Verat Home Health TX to advance these objectives under these Waivers.