S. Florida - Track 3

ACO Name and Location

Orange Accountable Care Organization of South Florida LLC
Previous Names: N/A
14750 NW 77th Court
Suite 308
Miami Lakes, FL 33016

ACO Primary Contact

Primary Contact Name Lissette Exposito RN, BSN, MHSA, Founder, President and CEO
Primary Contact Phone Number 786.363.8500
Primary Contact Email Address Lissette.Exposito@orangecaregroup.com

 

Organizational Information

ACO participants:

ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Richard Bobe N
Claire Katz MD N
Luis Velazquez N
Herbert Slavin N
David Vastola, MD N
Leonard Pianko MD N
Luis R. Padron MD PA N
Comprehensive Healthcare Of Miami N
Your Good Health Medical Group PA N
Charles Yanes, M.D., P.A. N
Associates in Family Practice of Broward, LLC N
Bernhard Brijbag MD N
Lewis Semel N
Ageless Medicine Associates Inc. N
Mario Almeida-Suarez N
Luis Padron N
Aurelio Torres PA N
Bobecorp, Inc. N
Primehealth Physicians, LLC N
Claudia V. Perdei Md, P.A. N
Gilbert Medical Group Inc. N
RICARDO O. CALONGE, M.D., P.A. N
Ricardo Calonge N
Marlenny Feliz Cruz N
Luis A Velazquez MD PA N
Mario A. Almeida MD, PA N
The Centre for Internal Medicine P.A. N
Martha M Rodriguez MD PA N
Comprehensive Primary Care N
Bernhard Brijbag N
Personal Physician Care, P.A. N
Leonard J Pianko Md Pa N
Lewis H Semel, MD, PA N
EAST SIDE MEDICAL CENTER OF SOUTH FLORIDA, LLC N
Claudia Perdei MD PA N
Marlon Gilbert N
Aurelio Torres Consuegra N
Milton A. Jimenez MD PA 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
Exposito Lissette President, CEO & Board Chair 9% Board Chair and Voting Member
Cabral, MD Amadeo CSO & Board Member 9% Voting Member
Quintela, MD Pablo Sneior Medical Director & Board Member 9% ACO Participant & Voting Member The Centre for Internal Medicine P.A.
Fernandez, MD Antonio Board Member 9% ACO Participant & Voting Member Comprehensive Primary Care
Pancorbo, MD Dario Board Member 9% ACO Participant & Voting Member Comprehensive Healthcare Of Miami
Calonge, MD Ricardo Board Member 9% ACO Participant & Voting Member Ricardo O. Calonge MD PA
Jimenez, MD Milton Medical Director & Board Member 9% ACO Participant & Voting Member Milton A. Jimenez MD PA
Yanes, MD Charles Board Member 9% ACO Participant & Voting Member Charles Yanes, M.D., P.A.
Gilbert, MD Marlon Board Member 9% ACO Participant & Voting Member Gilbert Medical Group Inc.
Rodriguez, MD Martha Board Member 9% ACO Participant & Voting Member Martha M Rodriguez MD PA
Pujol, MD Isidro Board Member 9% ACO Participant & Voting Member Comprehensive Primary Care
Oliver Mara Board Member 1% ACO Patient and Medicare Beneficiary Representative

 

Key ACO clinical and administrative leadership:

Lissette Exposito ACO Executive
Pablo Quintela Medical Director
Marc Troisi Compliance Officer
Ana Rodriguez Quality Assurance/Improvement Officer

 

 

Associated committees and committee leadership:

Committee Name Committee Leader Name and Position
Quality and Informatics Pablo Quintela, MD, Chair
Patient Experience Raphael Ruiz, Chair
Finance and Contracting Frank Exposito, Co-Chair

Pablo Quintela, MD, Co-Chair

 

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

  • First Agreement Period
    • Performance Year 2017, $2,643,135

 

Shared Savings Distribution

  • First Agreement Period
    • Performance Year 2017
      • Proportion invested in infrastructure: 20%
      • Proportion invested in redesigned care processes/resources: 20%
      • Proportion of distribution to ACO participants: 60%

 

Quality Performance Results

2017 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 76.77 80.60
ACO-2 CAHPS: How Well Your Providers Communicate 94.04 93.13
ACO-3 CAHPS: Patients’ Rating of Provider 92.75 92.31
ACO-4 CAHPS: Access to Specialists 87.56 83.32
ACO-5 CAHPS: Health Promotion and Education 65.19 62.30
ACO-6 CAHPS: Shared Decision Making 73.70 75.85
ACO-7 CAHPS: Health Status/Functional Status 73.52 73.05
ACO-34 CAHPS: Stewardship of Patient Resources 23.18 25.68
ACO-8 Risk Standardized, All Condition Readmission 15.70 15.01
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 19.23 18.46
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 47.47 53.95
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 72.28 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 57.07 61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 1.92 1.93
ACO-11 Use of Certified EHR Technology 100.00 98.48
ACO-12 Medication Reconciliation 87.44 75.32
ACO-13 Falls: Screening for Future Fall Risk 80.87 74.38
ACO-44 Imaging Studies for Low Back Pain 54.55 67.32
ACO-14 Preventive Care and Screening: Influenza Immunization 59.71 72.52
ACO-15 Pneumonia Vaccination Status for Older Adults 56.29 72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 88.22 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 92.64 90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 73.90 61.98
ACO-19 Colorectal Cancer Screening 44.37 64.58
ACO-20 Breast Cancer Screening 62.13 70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 75.00 79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 15.82 16.74
ACO-41 Diabetes: Eye Exam 39.06 50.37
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 73.06 71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 58.44 86.86

 

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples.

 

Note: In the Quality Performance Results file(s) above, search for “Orange Accountable Care Organization of South Florida LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A47728 in the public use files on data.cms.gov.

Payment Rule Waivers

  • Yes, our ACO does use the SNF 3-Day Rule Waiver.

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