MSSP ACO BBPA

Baptist Physician Alliance ACO LLC
1130 22nd St South, Suite 1000
Birmingham, Alabama 35205

ACO Primary Contact

Primary Contact Name Judy Pittman
Primary Contact Phone Number 205-715-5763
Primary Contact Email Address Judy.Pittman@bhsala.com

Organizational Information

ACO participants:
 ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Birmingham Family Wellness  N
Bhc-Cahaba Internal Medicine  N
Management and Medical Services LLC  N
Aye Unnoppet D.O., P.C.  N
Premier Health Center, LLC  N
Walker Medical Diagnostics LLC  N
Brookwood Primary Care Cahaba Heights LLC  N
Brookwood Primary Care Hoover LLC  N
Brookwood Primary Care The Narrows, Llc  N
Lawrence I Lee Md LLC  N
Brookwood Primary Care Vestavia LLC  N
BHC - Talladega Family Medicine  N
Brookwood Primary Care Homewood LLC  N
BHC - Hoover Family Healthcare  N
Yu-Yong Tai  N
 ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Greystone Internal Medicine - Brookwood LLC  N
Brookwood Primary Care Oak Mountain LLC  N
BW Physician Practices LLC  N
Columbiana Clinic LLC  N
Bill Yates MD PC  N
Simon Williamson Clinic, PC  N
Yu-Yong Tai  N
Baptist Health Centers, LLC  N
BHC - Talladega  N
Alabama Family Medicine, P.C.  N
BHC Lincoln  N
BHC Hueytown  N
BHC Graysville  N
Dilip V. Shah MD PC  N
Metro West Medical Group  N
Albert E Smith & Assoc PC  N
Internal Medicine Affiliates  N
Brookwood Primary Care Inverness LLC  N

ACO governing body:

 Member Name Title/Position Voting Power Membership Type ACO Participant TIN Legal Business Name/DBA, if Applicable
 Milko, Thomas Chairman  7.14  ACO Participant Representative  BHC Graysville
 Morgan, John R. Physician  7.14  ACO Participant Representative  BHC Hueytown
 Wu, Joseph Physician  7.14  ACO Participant Representative  Simon Williamson Clinic, PC
 Davidson, Scott Physician  7.14  ACO Participant Representative  Columbiana Clinic, LLC
 Jett, Stan Physician  7.14  ACO Participant Representative  BHC Lincoln
 Gilstrap, Jody Physician  7.14  ACO Participant Representative  BHC Hoover Primary Care
 Speer, Jarod Physician  7.14  ACO Participant Representative  Management and Medical Services, LLC
 Lee, Larry Physician  7.14  ACO Participant Representative  Lawrence I. Lee, MD, LLC
 Osula, Claude Physician  7.14  ACO Participant Representative  Walker Medical Diagnostics, LLC
 Tobe-Donohue, Colleen Physician  7.14  ACO Participant Representative  Brookwood Primary Care Vestavia, LLC
 Keith, Andy Beneficiary  7.14  Medicare Beneficiary  N/A
 Parrott, Keith CEO/Physician  7.14  Community Board Member  Brookwood Baptist Medical Center
 Ennis, Elizabeth CEO/Physician  7.14  Community Board Member  Brookwood Baptist Medical Center
 Laker, James Physician  7.14  Community Board Member  Brookwood Baptist Medical Center

Key ACO clinical and administrative leadership:

Thomas Milko ACO Executive
Elizabeth Ennis Medical Director
Donna Masters Compliance Officer
Sahana Sharan Quality Assurance/Improvement Officer

Associated committees and committee leadership:
N/A

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

  • Networks of individual practices of ACO professionals
  • Partnerships or joint venture arrangements between hospitals and ACO professionals
  • Hospital employing ACO professionals
  • Rural Health Clinic (RHC)

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 76.43 80.51
ACO-2 CAHPS: How Well Your Providers Communicate 93.48 93.01
ACO-3 CAHPS: Patients' Rating of Provider 93.49 92.25
ACO-4 CAHPS: Access to Specialists 82.62 83.49
ACO-5 CAHPS: Health Promotion and Education 54.64 60.32
ACO-6 CAHPS: Shared Decision Making 72.31 75.40
ACO-7 CAHPS: Health Status/Functional Status 68.28 72.30
ACO-34 CAHPS: Stewardship of Patient Resources 31.28 26.97
ACO-8 Risk-Standardized, All Condition Readmission 15.20 14.70
ACO-35 Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM) 18.81 18.17
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 61.20 53.20
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 82.17 75.23
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 65.79 59.81
ACO-9 Ambulatory Sensitive Conditions Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5) 9.79 9.27
ACO-10 Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8 ) 13.65 14.53
ACO-11 Percent of PCPs who Successfully Meet Meaningful Use Requirements 71.43 82.72
ACO-39 Documentation of Current Medications in the Medical Record 92.44 87.54
ACO-13 Falls: Screening for Future Fall Risk 50.34 64.04
ACO-14 Preventive Care and Screening: Influenza Immunization 64.92 68.32
ACO-15 Pneumonia Vaccination Status for Older Adults 57.66 69.21
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up 61.69 74.45
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 80.24 90.98
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 15.24 53.63
ACO-19 Colorectal Cancer Screening 45.24 61.52
ACO-20 Breast Cancer Screening 60.83 67.61
ACO-21 Preventive Care and Screening: Screening for High Blood Pressure and Follow-up Documented 59.44 76.79
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 74.58 77.72
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 19.35 18.24
ACO-41 Diabetes: Eye Exam 39.11 44.94
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 69.76 70.52
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 80.24 85.05
ACO-31 Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) 95.69 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%) 87.50 79.67

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

  • For 2016 Quality Performance Results Please Click Here

Note: In the Quality Performance Results file(s) above, search for “Baptist Physician Alliance ACO LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A50347 in the public use files on data.cms.gov.

Payment Rule Waivers

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