ACO Name and Location

DOC ACO Gulf Coast, LLC

1155 South Congress Ave. STE B
West Palm Beach, FL 33406

ACO Primary Contact

Contact Name:
Gianna M. Trombino

Primary Contact Phone Number:
(561) 762-1086

Primary Contact Email Address:
gtrombino@advancedaco.com

Public Reporting (PDF)
ACO Participants ACO Participant In Joint Venture
ALDRICH CARDIOVASCULAR INSTITUTE PA N
Bradenton East Integrative Medicine N
Family & Internal Medicine Associates, P.A. N
Thomas Zolkos N
Manatee Cardiology Associates, LLC N
Leslie A. Gomez DO PA N
AIKEN EMERGENCY PHYSICIANS, PA N
Asif Hashmi N
Gerald Gordon MD FACP LLC N
Leslie Gomez N
Jose F Polanco MD, PA N
Jose Polanco N
Manatee Medical Specialists Llc N
East County Internal Medicine, PA N
ELLENTON FAMILY PRACTICE DIRECT PLLC N
DR. AUDREY LEWERENZ-WALSH INC. DBA FAMILY DOCTORS N
WAGUIH EL MASRY MD PA N
AIKEN INTERNAL MED PA N
JORGE L HERNANDEZ MD PA N
COMPLETE CARE GROUP INC N
LAKEWOOD CARDIOVASCULAR CONSULTANTS P A N
LISA SHANNON DO PA N
LIFESTREAM FAMILY MEDICINE PA N
SPRINGWOOD LAKE PRIMARY CARE, LLC N
MANATEE PHYSICIAN ALLIANCE LLC N
Stoev And Stoev Md Pa N
Deldar Inc N

ACO Governing Body

ACO ID: A3669
ACO Legal Business Name: DOC ACO Gulf Coast, LLC

Member Last Name
Member First Name
Member Title/Position
Member Voting Power
Membership Type
ACO Participant TIN Legal Business Name
1
Lane
Lori
Chairman/CEO*
0%
Stakeholder
N/A
2
McCullough
Thomas
Voting Member*
1
ACO Participant Representative
Aiken Internal Medicine Associates, PA
3
Hashmi
Asif
Voting Member*
1
ACO Participant Representative
ASIF A. HASHMI, M.D.
4
Brainard
Karen
Voting Member*
1
ACO Participant Representative
Bradenton East Integrative Medicine
5
Wilkinson
Suzanne
CFO*
1
ACO Participant Representative
Manatee Internal Medicine
6
Reid
Terry
Voting Member*
1
Medicare Beneficiary Representative
N/A
7
Gordon
Gerald
Voting Member*
1
ACO Participant Representative
Gerald Gordon MD FACP LLC
8
Jemmoua
Kamal
Voting Member*
1
Stakeholder
N/A
9
Sammouor
Adnan
Voting Member*
1
ACO Participant Representative
Manatee Medical Specialist
10
Kunwar
Shaan
Voting Member*
1
ACO Participant Representative
East County Internal Medicine, P.A.
11
Polanco
Jose
Voting Member*
1
ACO Participant Representative
Jose F Polanco M.D., P.A.
12
Aldrich
Martin
Voting Member*
1
ACO Participant Representative
Aldrich Cardiovascular Institute

Key ACO clinical and administrative leadership

Position
Name
ACO Executive
David Klebonis
Medical Director
Lori Lane
Compliance Officer
Thomas Leach
Quality Assurance/Improvement Officer
Jessica Bailey

Associated committees and committee leadership

Committee Name
Committee Leader Name and Position
Executive Committee
Dr. Asif A. Hashmi, Chairman
Finance Committee
Colin Campbell, Chairman
Health Policy & Quality Improvement Committee
Dr. Lori Lane, Chairman
Health Analytics
Dr. Gerald Gordon, Chairman
Patient Engagement and Education Committee
Dr. Asif A. Hashmi, Chairman
Clinical Programs/Provider Education
Dr. Jose Polanco, Chairman
Compliance & Peer Quality Review Committee
Dr. Shaan Kunwar, Chairman

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

ACO professionals in a group practice arrangement.

A network of individual practices of ACO professionals.

Shared Savings and Losses

Amount of Shared Savings/Losses

First Agreement Period
— Performance Year 2020, $0

— Performance Year 2019, $0

— Performance Year 2018, $0

Shared Savings Distribution

First Agreement Period

Performance Year 2020
— 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 2019
— 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 2018
— Proportion invested in infrastructure: N/A

— Proportion invested in redesigned care processes/resources: N/A

— Proportion of distribution to ACO participants: N/A

2020 Quality Performance Results:

ACO Quality Measure Measure Name Rate ACO Mean
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator(PQI #91)) 0.79 0.95
ACO-13 Falls: Screening for Future Fall Risk 84.04 84.97
ACO-14 Preventive Care and Screening: Influenza Immunization 90.07 76.03
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 85.71 81.67
ACO-18 Preventive Care and Screening: Screening for Depression and Follow-up Plan 83.06 71.46
ACO-19 Colorectal Cancer Screening 84.35 72.59
ACO-20 Breast Cancer Screening 90.21 74.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 86.31 74.05
ACO-27 Diabetes: Hemoglobin A1c Poor Control (>9%) 8.46 14.70
ACO-28 Controlling High Blood Pressure 80.52 72.87

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.

For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov

Skilled Nursing Facility (SNF) 3-day Rule Waiver:

  • No, our ACO does not use the SNF 3-Day Rule Waiver, pursuant to 42 CFR 425.612.
  • Waiver for Payment for Telehealth Services:
    • No, our ACO clinicians do not provide telehealth services using the flexibilities under 42 CFR 425.612(f) and 42 CFR 425.61