MSSP ACO BBPA

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

ACO Primary Contact

Primary Contact Name Robert Hensley
Primary Contact Phone Number 205-715-5763
Primary Contact Email Address Robert.hensley@tenethealth.com

Organizational Information

ACO participants:
ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Birmingham Family Wellness Y
Bhc-Cahaba Internal Medicine Y
Aye Unnoppet D.O., P.C.. Y
BAPTIST HEALTH CENTERS INC WALKER INPATIENT MEDICINE Y
Premier Health Center, Llc Y
Walker Medical Diagnostics LLC Y
Brookwood Primary Care Cahaba Heights LLC Y
Brookwood Primary Care Hoover LLC Y
Brookwood Primary Care The Narrows, Llc Y
DONALD WING KWONG, MD, LLC Y
Brookwood Primary Care Vestavia LLC Y
Brookwood Primary Care Homewood LLC Y
Bhc-Hoover Family Healthcare Y
Greystone Internal Medicine - Brookwood LLC Y
Brookwood Primary Care Oak Mountain LLC Y
BW Physician Practices LLC Y
ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Columbiana Clinic LLC Y
Bill Yates MD PC Y
Simon Williamson Clinic, PC Y
Yu-Yong Tai Y
JASPER FAMILY PRACTICE CENTER PC Y
Baptist Health Centers, LLC Y
Alabama Family Medicine, P.C. Y
BHC Lincoln Y
BHC Hueytown Y
BHC Graysville Y
BAPTIST HEALTH SYSTEM, INC. Y
Jemison Internal Medicine PC Y
Dilip V. Shah MD PC Y
Metro West Medical Group Y
Internal Medicine Affiliates Y
Brookwood Primary Care Inverness LLC Y

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
 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
Robert Hensley ACO Executive
Elizabeth Ennis Medical Director
Donna Masters Compliance Officer
Patricia Poe 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 2017, $0
    • Performance Year 2016, $0

Shared Savings Distribution

  • First Agreement Period
    • Performance Year 2017
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • 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

2017 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 81.87 80.60
ACO-2 CAHPS: How Well Your Providers Communicate 92.73 93.13
ACO-3 CAHPS: Patients' Rating of Provider 91.67 92.31
ACO-4 CAHPS: Access to Specialists 84.60 83.32
ACO-5 CAHPS: Health Promotion and Education 59.03 62.30
ACO-6 CAHPS: Shared Decision Making 72.81 75.85
ACO-7 CAHPS: Health Status/Functional Status 70.05 73.05
ACO-34 CAHPS: Stewardship of Patient Resources 23.75 25.68
ACO-8 Risk-Standardized, All Condition Readmission 15.01 15.01
ACO-35 Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM) 18.11 18.46
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 76.96 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 62.86 61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 2.10 1.93
ACO-11 Use of Certified EHR Technology 96.92 98.48
ACO-12 Medication Reconciliation 94.63 75.32
ACO-13 Falls: Screening for Future Fall Risk 50.46 74.38
ACO-44 Imaging Studies for Low Back Pain 46.79 67.32
ACO-14 Preventive Care and Screening: Influenza Immunization 72.89 72.52
ACO-15 Pneumonia Vaccination Status for Older Adults 71.53 72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 85.07 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 93.38 90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 57.54 61.98
ACO-19 Colorectal Cancer Screening 60.24 64.58
ACO-20 Breast Cancer Screening 70.10 70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 76.71 79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 15.13 16.74
ACO-41 Diabetes: Eye Exam 41.70 50.37
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 75.32 71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 80.43 86.86

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples and the ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes quality measure is not included in public reporting due to a non-material technical error.

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.