ACO Public Reporting

ACO Name and Location

Sandhills Accountable Care Alliance, LLC
3035-N Boone Trail Center
Fayetteville, North Carolina 28304

 

ACO Primary Contact

Primary Contact Name Rueben Rivers, MD
Primary Contact Phone Number (910) 920-2507
Primary Contact Email Address president@sandhillsphysicians.com

 

Organizational Information

ACO participants:

ACO Participants ACO Participant in Joint Venture (Enter Y or N)
RAHUL KAKKAR N
ALPHA MEDICAL CENTER PA N
PINNACLE FAMILY CARE PLLC N
FAYETTEVILLE PAIN CENTER PLLC N
FAYETTEVILLE NEUROLOGY ASSOCIATES PA N
CAROLINA VASCULAR INSTITUTE PA N
CROSS CREEK NEUROLOGY PLLC N
CUMBERLAND NEUROLOGY, P.A. N
CAROLINA PSYCHIATRY PC N
VALLEY EYE CLINIC PLLC N
NORTHWOOD MEDICAL CENTER PA N
LAMIE MEDICAL CLINIC PA N
CAROLINA INFECTIOUS DISEASES CONSULTANTS PC N
SANDHILLS MEDICAL CARE CENTER PLLC N
WOMENS HEALTH HAVEN OBSTETRICS AND GYNECOLOGY N
FERNCREEK CARDIOLOGY PA N
HANORA MEDICAL CENTER, PLLC N
GHANSHYAM DWIVEDI N
OWEN DRIVE SURGICAL CLINIC OF FAYETTEVILLE PLLC N
AAA ALL AMERICAN ASSOCIATES IN FAMILY MEDICINE PLLC N
FAYETTEVILLE URGENT CARE & FAMILY MEDICINE LLC N
VALLEY CARDIOLOGY, PA N
MEDICS PRIMARY AND URGENT CARE PC N
CAPE CENTER MEDICINE PLLC N
PRANA HEALTH PLLC N
STATCARE LLC N
CAPE FEAR OPTOMETRIC CLINIC PA N
WOMENS WELLNESS CENTER PA N
FAYETTEVILLE ASSOCIATES IN LABORATORY MEDICINE N
FAYETTEVILLE OTOLARYNGOLOGY HEAD AND NECK SURGERY P.A. N
CAPE FEAR PODIATRY ASSOCIATES PA N
CAPE FEAR FAMILY MEDICAL CARE PA N
VALLEY RADIOLOGY PA N
CUMBERLAND INTERNAL MEDICINE PA N
HIGHLAND NEUROLOGY CENTER PA N
CAPE FEAR PULMONARY ASSOCIATES PA N
CAPE FEAR CENTER FOR DIGESTIVE DISEASES PA N
HIGHLAND HEALTH OF NORTH CAROLINA PA N
PHYSICIANS TOTAL REHAB INC N
MEDICAL ARTS FAMILY PRACTICE PA N
VILLAGE INTERNAL MEDICINE PA N
FAYETTEVILLE PULMONOLOGY CRITICAL CARE PC N
LIEBERMAN & LIEBERMAN OPTOMETRY PLLC N
FAYETTEVILLE HEART CENTER PC N
STEWART CLINIC PA N
AFTER HOURS URGENT CARE, P.A. N
HIGHLAND FAMILY PRACTICE PA N
CROSS CREEK MEDICAL CLINIC PA N
FAYETTEVILLE GERIATRIC & INTERNAL MEDICINE CLINIC PA N
VALLEY INTERNAL MEDICINE INC N
AMERICAN EYE CARE OPTOMETRIC CENTERS PA N
CAPE FEAR OTOLARYNGOLOGY PA N
HOPE MILLS URGENT CARE & MEDICAL CLINIC PLLC N
RAPHA HEALTH SYSTEMS, INC N
RAKESH A PARIKH PLLC N
PURA CLINIC FAMILY MEDICINE PC N
CAPE FEAR AESTHETICS LLC N

 

ACO governing body:

Member Member’s Voting Power Membership Type ACO Participant TIN Legal Business Name/DBA, if Applicable
Last Name First Name Title/Position
RIVERS REUBEN PRESIDENT 1 ACO PARTICIPANT CUMBERLAND INTERNAL MEDICINE PA
RAY JR JOHN VICE PRESIDENT 1 ACO PARTICIPANT PINNACLE FAMILY CARE PLLC
MEEKS ROBERT SEC/TREAS 1 ACO PARTICIPANT WOMENS WELLNESS CENTER PA
KELLY CATHERINE MEMBER 1 ACO PARTICIPANT MEDICAL ARTS FAMILY PRACTICE PA
BINDER GEORGE MEMBER 1 ACO PARTICIPANT VALLEY RADIOLOGY PA
NORRIS CYNTHIA MEMBER 1 ACO PARTICIPANT MEDICAL ARTS FAMILY PRACTICE PA
VILLENA MARIA MEMBER 1 ACO PARTICIPANT AAA ALL AMERICAN ASSOCIATES IN FAMILY MEDICINE PLLC
ROULHAC MAURICE MEMBER 1 ACO PARTICIPANT CAROLINA VASCULAR INSTITUTE PA
LONG JACK MEMBER 1 MEDICARE BENEFICIARY
PANTELAKOS STEVEN MEMBER 1 ACO PARTICIPANT FAYETTEVILLE OTOLARYNGOLOGY HEAD AND NECK SURGERY
DESAI NITIN MEMBER 1 ACO PARTICIPANT CROSS CREEK MEDICAL CLINIC PA

 

Key ACO clinical and administrative leadership:

Rueben Rivers ACO Executive
John Ray Medical Director
Rueben Rivers Compliance Officer
Rueben Rivers Quality Assurance/Improvement Officer

 

Associated committees and committee leadership:

Committee Name Committee Leader Name and Position
Executive Committee Rueben Rivers, President
Clinical Committee Catherine Kelly, Chairperson
Finance Committee Robert Meeks, Sec/Treasurer
Data and Technology Committee John Ray, Vice President
Communications Committee Jan Carter, Chairperson
Compliance Committee Rueben Rivers, Chairperson

 

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 2016, $0

 

Shared Savings Distribution

  • First Agreement Period
    • Performance Year 2016
      • 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

2016 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 81.62 80.51
ACO-2 CAHPS: How Well Your Providers Communicate 92.99 93.01
ACO-3 CAHPS: Patients’ Rating of Provider 91.90 92.25
ACO-4 CAHPS: Access to Specialists 86.81 83.49
ACO-5 CAHPS: Health Promotion and Education 62.14 60.32
ACO-6 CAHPS: Shared Decision Making 76.25 75.40
ACO-7 CAHPS: Health Status/Functional Status 71.31 72.30
ACO-34 CAHPS: Stewardship of Patient Resources 28.26 26.97
ACO-8 Risk Standardized, All Condition Readmission 14.32 14.70
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 16.97 18.17
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 49.81 53.20
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 77.36 75.23
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 55.91 59.81
ACO-9 Ambulatory Sensitive Condition Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5) 8.69 9.27
ACO-10 Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8) 18.96 14.53
ACO-11 Percent of PCPs who Successfully Meet Meaningful Use Requirements 60.00 82.72
ACO-39 Documentation of Current Medications in the Medical Record N/A 87.54
ACO-13 Falls: Screening for Future Fall Risk N/A 64.04
ACO-14 Preventive Care and Screening: Influenza Immunization N/A 68.32
ACO-15 Pneumonia Vaccination Status for Older Adults N/A 69.21
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up N/A 74.45
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention N/A 90.98
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan N/A 53.63
ACO-19 Colorectal Cancer Screening N/A 61.52
ACO-20 Breast Cancer Screening N/A 67.61
ACO-21 Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented N/A 76.79
ACO-42 Statin therapy for the Prevention and Treatment of Cardiovascular Disease N/A 77.72
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control N/A 18.24
ACO-41 Diabetes: Eye Exam N/A 44.94
ACO-28 Hypertension (HTN): Controlling High Blood Pressure N/A 70.69
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic N/A 85.05
ACO-31 Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) N/A 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%) N/A 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 “Sandhills Accountable Care Alliance, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A47151 in the public use files on data.cms.gov.

Payment Rule Waivers

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