Public Reporting

ACO Name and Location

Palmetto Health Quality Collaborative, LLC
1301 Taylor Street
STE 9A
Columbia, South Carolina 29201

ACO Primary Contact

Sarah Perry Orsinger,
Sarah.Orsinger@palmettohealth.org
803-296-2352

Organizational Information

ACO Participants and Participation in ACO Joint Venture, Yes (Y) or No (N)

  • Professional Pathology Services PC – N
  • Plastic Surgery Consultants, LLC – N
  • Wellspring Family Medicine – N
  • Donen Davis Plastic Surgery, LLC – N
  • Carolina Kidney Specialists, LLC – N
  • South Carolina ENT Allergy & Sleep Medicine PA – N
  • Pierre Jaffe – N
  • Kraemer Womens Care – N
  • Elgin Podiatry Institute, LLC – N
  • University Specialty Clinics – Neurology – N
  • Sandhills OBGYN Associates, P.A. – N
  • Cardiology Associates of Sumter LLC – N
  • Palmetto Health-University of South Carolina Medical Group – N
  • Palmetto Health Tuomey Home Health – N
  • SC OB-GYN Associates PA – N
  • Centa Medical Group PA – N
  • Columbia Urological Associates, P.A. – N
  • Carolina Anesthesiology Associates, PA – N
  • Pinner Clinic – N
  • Midland Ear Nose and Throat – N
  • University Specialty Clinics – Surgery – N
  • University Specialty Clinics – Neuropsychiatry and Behavioral Science – N
  • Sumter Family Medicine Associates, P.A. – N
  • University Pediatrics – N
  • Department of Internal Medicine – N
  • South Carolina Oncology Assoc Pa – N
  • MCCAIN ORTHOPAEDIC CLINIC – N
  • South Carolina Neurological Clinic PA – N
  • University Specialty Clinics – Obstetrics/Gynecology – N
  • Palmetto Retina Center LLC – N
  • University Specialty Clinics – Orthopaedics – N
  • University Specialty Clinic, Dept. Family & Preventive Medicine – N
  • Carolina Anesthesia Inc – N
  • Carolina Allergy & Asthma Consultants – N
  • SUMTER FAMILY HEALTH CENTER – N
  • Palmetto Family Practice, LLC – N
  • The Dermatology Group LLC – N
  • Palmetto Health – N

ACO Governing Body

Board of Managers

  • William (Bill) Gerard, MD—Chair, Voting Member, Voting Member Power – 1, ACO Participant Representative, Palmetto Health
  • Stephen Metropol, MD—Vice-Chair, Voting Member, Voting Member Power – 1, ACO Participant Representative, Palmetto Health
  • John Singerling—Secretary, Voting Member, Voting Member Power – 1, ACO Participant Representative, Palmetto Health
  • Davis Donen, MD—Voting Member, Voting Member Power – 1, ACO Participant Representative, Donen Davis Plastic Surgery, LLC
  • Fred Kudrik, MD—Voting Member, Voting Member Power – 1, ACO Participant Representative, South Carolina Oncology Assoc Pa
  • Leslie Hall, MD—Voting Member, Voting Member Power – 1, ACO Participant Representative, Palmetto Health-University of South Carolina Medical Group
  • E.J. Mayeaux, MD—Voting Member, Voting Member Power – 1, ACO Participant Representative, Palmetto Health-University of South Carolina Medical Group
  • Albert Odom, Jr., MD—Voting Member, Voting Member Power – 1, ACO Participant Representative, Palmetto Health
  • Scott Petit, MD—Voting Member, Voting Member Power – 1, ACO Participant Representative, Palmetto Health
  • James Stands, MD—Voting Member, Voting Member Power – 1, ACO Participant Representative, SC OB-GYN Associates PA
  • Roman Williams, MD—Voting Member, Voting Member Power – 1, ACO Participant Representative, Carolina Anesthesiology Associates, PA
  • Tom Brown, DrPH—Voting Member, Voting Member Power – 1, Medicare Beneficiary Representative, NA
  • Joseph Brannigan, MD—Voting Member, Voting Member Power – 1, Other Entity Representative, Columbia Nephrology Associates, PA
  • Kevin Wessinger, MD—Voting Member, Voting Member Power – 1, Other Entity Representative, South Carolina Pediatric Alliance

Key ACO Clinical and Administrative Leadership

  • ACO Executive: Judy Baskins
  • Medical Director: Bill Gerard, MD
  • Compliance Officer: Judy Baskins
  • Quality Assurance Improvement Officer: Anna Kay

Committees

  • Participation and Performance Evaluation: William Gerard, MD, Chair
  • Clinical Initiatives Committee: Greta Harper, MD, Chair
  • Finance and Payer Relations: Jeff Haladay, MD Chair
  • Executive Committee: William Gerard, MD Chair

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

  • ACO professionals in a group practice arrangement
  • Hospital Employing ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2016: $0

Shared Savings Distribution

  • First Agreement Period
    • Performance Year 2016
      • Portion invested in infrastructure: N/A
      • Portion invested in redesigned care processes/resources: N/A
      • Portion of distribution to ACO participants: N/A

Quality Performance Results

2016 Quality Performance Results

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 81.91 80.51
ACO-2 CAHPS: How Well Your Providers Communicate 94.05 93.01
ACO-3 CAHPS: Patients’ Rating of Provider 93.97 92.25
ACO-4 CAHPS: Access to Specialists 83.24 83.49
ACO-5 CAHPS: Health Promotion and Education 58.04 60.32
ACO-6 CAHPS: Shared Decision Making 74.57 75.40
ACO-7 CAHPS: Health Status/Functional Status 70.90 72.30
ACO-34 CAHPS: Stewardship of Patient Resources 27.11 26.97
ACO-8 Risk Standardized, All Condition Readmission 14.14 14.70
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 17.83 18.17
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 47.30 53.20
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 79.26 75.23
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 58.76 59.81
ACO-9 Ambulatory Sensitive Condition Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5) 9.5 9.27
ACO-10 Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8) 13.41 14.53
ACO-11 Percent of PCPs who Successfully Meet Meaningful Use Requirements 75.21 82.72
ACO-39 Documentation of Current Medications in the Medical Record 53.86 87.54
ACO-13 Falls: Screening for Future Fall Risk 33.33 64.04
ACO-14 Preventive Care and Screening: Influenza Immunization 66.67 68.32
ACO-15 Pneumonia Vaccination Status for Older Adults 68.95 69.21
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 60.08 74.45
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 54.00 90.98
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 29.03 53.63
ACO-19 Colorectal Cancer Screening 55.65 61.52
ACO-20 Breast Cancer Screening 65.32 67.61
ACO-21 Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 63.77 76.79
ACO-42 Statin therapy for the Prevention and Treatment of Cardiovascular Disease 73.86 77.72
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 16.62 18.24
ACO-41 Diabetes: Eye Exam 34.12 44.94
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 68.31 70.69
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 80.69 85.05
ACO-31 Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) 79.62 88.67
ACO-33 Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy – for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%) 70.45 79.67

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 “Palmetto Health Quality Collaborative, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A99911 in the public use files on data.cms.gov.

 

Payment Rule Waivers

No, our ACO does not utilize the SNF 3-Day Rule Waiver.