ACO Public Reporting

ACO Name and Location
Baptist Health Quality Network, LLC.
1500 San Remo Avenue
Suite 140
Coral Gables, FL 33146

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 clinicians provide telehealth services using the flexibilities under 42 CFR § 425.612(f) and 42 CFR § 425.613.

ACO Public Reporting

Organizational Information

Shared Savings and Losses

Quality Performance Results

Payment Rule Waivers

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