Baptist Health South Florida
Appointments

I would like to

Baptist Health Resources

Search Baptist Health South Florida

 

ACO Public Reporting

ACO Name and Location
Baptist Health Quality Network, LLC.
1500 Monza Avenue
Suite 200
Coral Gables, FL 33143

ACO Primary Contact
Hugo Elias
786-308-2606
Hugo.Elias@BaptistHealth.net

Organizational Information

ACO Participants:

 

 ACO Participants  ACO Participant in Joint Venture
 Adel M. Sidky, M.D., P.A.  N
 Ayman L. Atallah, M.D., Corp.  N
 Baptist Health Medical Group Physicians, LLC  N
 Baptist Health Medical Group Upper Keys, LLC  N
 Bocacare, Inc  N
 Carlos Larocca, M.D., P.A.  N
 Danet Pico-Larralde, M.D., P.A.
  N
 Gerardo Garcia Gomez, M.D., P.A.  N
 Gregory S. Weatherford, M.D., Inc.  N
 Healthcare Now, LLC  N
 James J. Jennings, M.D., LLC  N
 Joanne F. Mahoney, M.D., P.A.
  N
 Linda Marraccini, M.D., P.A.  N
 Luis R. Caceres, D.O., P.A.  N
 Mario Masserano, M.D., P.A.   N
 Michael A. Diamond, M.D., P.A.  N
 Nevine M. Carp, M.D., P.A.  N
 Nilda M. Ginarte, M.D., P.A.  N
 OM Singh Medical Center, Inc.  N
 Pamela M. Ermine, D.O., LLC  N
 Roberto Bermudez, M.D., P.A.  N
 Seema S. Verma, M.D., P.A.  N
 Shaughn C. Bennett, D.O., P.A.  N
 South Palm Cardiovascular Associates, Inc.  N
 Stefano Mion Bet, M.D., P.A.  N

 

ACO Governing Body:

Member First Name Member Last Name Member Title/Position Member's Voting Power (Expressed as a percentage or number) Membership Type ACO Participant Legal Business Name and D/B/A, if applicable 
Matthew Arsenault  BHSF Manager  0% Other N/A
Aymen Atallah Vice Chair 16.66% ACO Participant Representative Ayman L. Atallah, M.D., CORP
Milady Cervera Secretary 0% Other N/A
Jonathan Fialkow MD 16.66% ACO Participant Representative  Baptist Health Medical Group Physicians, LLC
Pamela Ermine DO 16.66% ACO Participant Representative  Pamela M. Ermine, DO, LLC
Rudy Kranys N/A 0% Medicare Beneficiary Representative N/A
Mario Masserano MD 16.70% ACO Participant Representative  Mario Masserano, M.D., P.A.
Jose Vazquez MD 16.66% ACO Participant Representative Baptist Health Medical Group Physicians, LLC
Carlos Victorica Chairperson 16.66% ACO Participant Representative BOCACARE, INC

Key ACO Clinical and Administrative Leadership:
ACO Executive: Hugo Elias
Medical Director: Aymen L. Atallah, M.D.
Compliance Officer: Elizabeth Gillis
Quality Assurance/Improvement Officer: Aymen L. Atallah, M.D.


Associated Committees and Committee Leadership:

Committee Name Committee Leader Name Position
Quality Committee Carlos Victorica, MD Physician Member
Quality Committee  Ian Del Conde Pozzi, MD Physician Member
Quality Committee Jose Vazquez, MD Physician Member
Quality Committee  Pascual DeSantis, MD Physician Member
Quality Committee Theodore Feldman, MD Physician Member
Quality Committee Teresa Iribarren, MD Physician Member
Quality Committee Pamela M. Ermine, DO Physician Member
Quality Committee Aymen Atallah, MD BHQN Executive Medical Director
Quality Committee Jonathan A. Fialkow, MD Chief Population Health Officer

 

Types of ACO Participants, or Combinations of Participants, That Formed the ACO:

  • Partnerships or joint venture arrangements between hospitals and ACO professionals


Shared Savings and Losses

Amount of Shared Savings/Losses:
  • Fourth Agreement Period
    Performance Year 2022, $0.00

  • Third Agreement Period
    Performance Year 2022, $0.00

  • Second Agreement Period
    Performance Year 2022, $0.00

  • First Agreement Period
    Performance Year 2022, $0.00


Shared Savings Distribution:

  • Fourth Agreement Period
    Performance Year 2022
    -Proportion invested in infrastructure: N/A
    -Proportion invested in redesigned care processes/resources: N/A
    -Proportion of distribution to ACO participants: N/A

  • Third Agreement Period
    Performance Year 2022
    -Proportion invested in infrastructure: N/A
    -Proportion invested in redesigned care processes/resources: N/A
    -Proportion of distribution to ACO participants: N/A

  • Second Agreement Period
    Performance Year 2022
    -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 2022
    -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

2022 Quality Performance Results:

Quality performance results are based on CMS Web Interface

Measure # Measure Name  Collection Type  Rate  ACO Mean 
CAHPS_1 Getting Timely Care, Appointments, and Information CMS Web Interface  78.28  84.14 
CAHPS_2  How Well Your Providers Communicate CMS Web Interface 94.87 93.50
CAHPS_3 Patient's Rating of Provider  CMS Web Interface  92.70  92.10 
CAHPS_4 Access to Specialists  CMS Web Interface  75.91  76.84 
CAHPS_5 Health Promotion and Education  CMS Web Interface  63.44  62.70 
CAHPS_6  Shared Decision Making  CMS Web Interface  61.74  61.06 
CAHPS_7 Health Status and Functional Status  CMS Web Interface  73.89  73.89 
CAHPS_11 Stewardship of Patient Resources  CMS Web Interface  26.08  25.65 
CAHPS_9  Courteous and Helpful Office Staff CMS Web Interface  88.64  92.00 
CAHPS_8 Care Coordination  CMS Web Interface 87.91  85.52 
Quality ID #001  Diabetes: Hemoglobin A1c (HbA1c)
Poor Control [1] 		 CMS Web Interface 7.32 10.71 
Quality ID #134

Preventative Care and Screening:
Screening for Depression and Follow-up Plan

 CMS Web Interface 86.30  76.97 
Quality ID #236 Controlling High Blood Pressure  CMS Web Interface 81.05 76.16
Quality ID #318 Falls: Screening for Future Fall Risk CMS Web Interface 92.34 87.83
Quality ID #110 Preventative Care and Screening:
Influenza Immunization		 CMS Web Interface 78.56 77.34
Quality ID #226 Preventative Care and Screening:
Tobacco Use: Screening and Cessation Intervention		 CMS Web Interface 100.00 79.27 
Quality ID #113 Colorectal Cancer Screening CMS Web Interface 77.78 75.32
Quality ID #112 Breast Cancer Screening  CMS Web Interface 86.07  78.07 
Quality ID #438 Statin Therapy for the Prevention and Treatment
of Cardiovascular Disease 		 CMS Web Interface 91.12  86.37 
Quality ID #370 Depression Remission at Twelve Months  CMS Web Interface 22.50  16.03
Quality ID #321 CAHPS for MIPS [3]  CMS Web Interface N/A

N/A
Measure #479 Hospital-Wide, 30-Day, All-Cause
Unplanned Readmission (HWR)
Rate for MIPS Groups [1]		 CMS Web Interface 0.16 0.15
Measure #484 Clinician and Clinician Group Risk-standardized 
Hospital Admission Rates for Patients with Multiple
Chronic Conditions [1]		 CMS Web Interface 27.82 30.97
 
For previous years' Financial and Quality Performance Results, please visit: data.cms.gov.

Payment Rule Waivers

  • Skilled Nursing Facility (SNF) 3-Day Rule Waiver: N/A
  • Waiver for Payment for Telehealth Services:
  • Our ACO clinicans provide telehealth services using the flexibilities under 42 CFR § 425.612(f) and 42 CFR § 425.613.

Language Preference / Preferencia de idioma

I want to see the site in English

Continue In English

Quiero ver el sitio en Español

Continuar en español