Matthew Potter, J.D.
Rebecca Holland, J.D.
Alice Meyer

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call 1-800-MEDICARE (1-800-633-4227).

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Quality Performance Results

2018 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 81.86 80.60
ACO-2 CAHPS: How Well Your Providers Communicate 93.93 93.13
ACO-3 CAHPS: Patients’ Rating of Provider 93.93 92.31
ACO-4 CAHPS: Access to Specialists 80.66 83.32
ACO-5 CAHPS: Health Promotion and Education 59.67 62.30
ACO-6 CAHPS: Shared Decision Making 77.66 75.85
ACO-7 CAHPS: Health Status/Functional Status 71.88 73.05
ACO-34 CAHPS: Stewardship of Patient Resources 29.70 25.68
ACO-8 Risk Standardized, All Condition Readmission 14.10 15.01
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 16.85 18.46
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 73.01 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 54.83 61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 1.82 1.93
ACO-11 Use of Certified EHR Technology 100.00 98.48
ACO-12 Medication Reconciliation 91.32 75.32
ACO-13 Falls: Screening for Future Fall Risk 76.50 74.38
ACO-44 Imaging Studies for Low Back Pain 66.79 67.32
ACO-14 Preventive Care and Screening: Influenza Immunization 77.63 72.52
ACO-15 Pneumonia Vaccination Status for Older Adults 80.78 72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 53.77 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 98.88 90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 56.75 61.98
ACO-19 Colorectal Cancer Screening 69.54 64.58
ACO-20 Breast Cancer Screening 81.40 70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 82.39 79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 13.27 16.74
ACO-41 Diabetes: Eye Exam 51.23 50.37
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 70.33 71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 91.62 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 Admission for Patients with Diabetes quality measure is not included in public recording due to a non-material technical error.

Note: In the Quality Performance Results file(s) above, search for “Southeastern Health Partners Medicare ACO, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A81899 in the public use files on

Payment Rule Waivers

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