ACO Name and Location
Baptist Health Quality Network, LLC.
6855 Red Road
Suite 600
Coral Gables, FL 33146
ACO Primary Contact
Ruth Sauciuc
561-762-7467
ruthjs@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 |
| 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 |
| Nilda M. Ginarte, M.D., P.A. | 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 | MD, Vice Chair | 20% | ACO Participant Representative | Ayman L. Atallah, M.D., CORP |
| Vedner | Guerrier | Secretary | 0% | Other | N/A |
| Jonathan | Fialkow | MD, Chairperson | 20% | ACO Participant Representative | Baptist Health Medical Group Physicians, LLC |
| Pamela | Ermine | DO | 20% | ACO Participant Representative | Pamela M. Ermine, DO, LLC |
| Rudy | Kranys | N/A | 0% | Medicare Beneficiary Representative | N/A |
| Lester | Carrodegueas | MD | 0% | ACO Participant Representative | Baptist Health Medical Group Physicians, LLC |
| Jose | Vazquez | MD | 20% | ACO Participant Representative | Baptist Health Medical Group Physicians, LLC |
| Carlos | Victorica | MD | 20% | ACO Participant Representative | BOCACARE, INC |
Key ACO Clinical and Administrative Leadership:
ACO Executive: Vedner Guerrier
Medical Director: Carlos A. Victorica, M.D.
Compliance Officer: Elizabeth Gillis
Quality Assurance/Improvement Officer: Jonathan A. Fialkow, M.D.
Associated Committees and Committee Leadership:
| Committee Name | Committee Leader Name | Position |
|---|---|---|
| Quality Committee | Carlos Victorica, MD | Physician Member |
| Quality Committee | Jorge Coronel, MD | Physician Member |
| Quality Committee | Jose Vazquez, MD | Physician Member |
| Quality Committee | Teresa Iribarren, MD | Physician Member |
| Quality Committee | Pamela M. Ermine, DO | Physician Member |
| 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:
- Second Agreement Period
- Performance Year 2023, $0.00
- First Agreement Period
- Performance Year 2022, $0.00
Shared Savings Distribution:
- Second Agreement Period
- Performance Year 2023
- 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
2023 Quality Performance Results:
Quality performance results are based on CMS Web Interface
| Measure # | Measure Name | Collection Type | Reported Performance Rate | Current Year Mean Performance Rate (SSP ACOs) |
|---|---|---|---|---|
| Quality ID# 001 | Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | CMS Web Interface | 9.00 | 9.84 |
| Quality ID# 134 | Preventive Care and Screening: Screening for Depression and Follow-up Plan | CMS Web Interface | 88.92 | 80.97 |
| Quality ID# 236 | Controlling High Blood Pressure | CMS Web Interface | 80.46 | 77.80 |
| Quality ID# 318 | Falls: Screening for Future Fall Risk | CMS Web Interface | 94.48 | 89.42 |
| Quality ID# 110 | Preventive Care and Screening: Influenza Immunization | CMS Web Interface | 71.43 | 70.76 |
| Quality ID# 226 | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | CMS Web Interface | 100.00 | 79.29 |
| Quality ID# 113 | Colorectal Cancer Screening | CMS Web Interface | 83.52 | 77.14 |
| Quality ID# 112 | Breast Cancer Screening | CMS Web Interface | 88.42 | 80.36 |
| Quality ID# 438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | CMS Web Interface | 88.89 | 87.05 |
| Quality ID# 370 | Depression Remission at Twelve Months | CMS Web Interface | 42.11 | 16.58 |
| Quality ID# 321 | CAHPS for MIPS [2] | CMS Web Interface | 4.62 | 6.25 |
| Quality ID# 479 | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [1] | CMS Web Interface | 0.01623 | 0.1553 |
| Quality ID# 484 | Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1] | CMS Web Interface | 31.14 | 35.39 |
| CAHPS-1 | Getting Timely Care, Appointments, and Information | CAHPS for MIPS Survey | 81.06 | 83.68 |
| CAHPS-2 | How Well Providers Communicate | CAHPS for MIPS Survey | 93.01 | 93.69 |
| CAHPS-3 | Patient’s Rating of Provider | CAHPS for MIPS Survey | 91.03 | 92.14 |
| CAHPS-4 | Access to Specialists | CAHPS for MIPS Survey | 68.51 | 75.97 |
| CAHPS-5 | Health Promotion and Education | CAHPS for MIPS Survey | 65.24 | 63.93 |
| CAHPS-6 | Shared Decision Making | CAHPS for MIPS Survey | 60.75 | 61.60 |
| CAHPS-7 | Health Status and Functional Status | CAHPS for MIPS Survey | 72.71 | 74.12 |
| CAHPS-8 | Care Coordination | CAHPS for MIPS Survey | 86.14 | 85.77 |
| CAHPS-9 | Courteous and Helpful Office Staff | CAHPS for MIPS Survey | 88.12 | 92.31 |
| CAHPS-11 | Stewardship of Patient Resources | CAHPS for MIPS Survey | 24.61 | 26.69 |
For previous years' Financial and Quality Performance Results, please visit: data.cms.gov.
Payment Rule Waivers
- Waiver for Payment for Telehealth Services:
Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR § 425.612(f) and 42 CFR § 425.613.