Connected Care of Southeastern MA

ACO Name and Location

Connected Care of Southeastern Massachusetts, Inc.
Previous Names: N/A
55 Fogg Road
South Weymouth, MA 02190

ACO Primary Contact

Primary Contact Name: Adrienne Gerlach
Primary Contact Phone Number: 781-624-8840
Primary Contact Email Address: agerlach [at] southshorehealth.org

Organizational Information

ACO Participants

ACO Participants

ACO Participant in Joint Venture (Enter Y or N)

Arthur R Bregoli Jr, MD

N

South Shore Medical Center, Inc.

N

South Shore Cardiology PC

N

Harbor Medical Associates, Inc.

N

South Suburban Gastroenterology

N

Bethel Medical Group PC

N

Atlantic Primary Care, PC

N

South Shore Orthopedics LLC

N

Coastal Medical Associates

N

Kingsbury Primary Care PC

N

Cohasset Harbor Adult Medicine Practice LLC

N

Turner Medical Group

N

Hopkins Medical Group, LLC

N

 

ACO Governing Body

Member

Member's Voting Power: Expressed as a percentage

Membership Type 

ACO Participant Legal Business Name/DBA, if Applicable

First Name

Last Name

Title/Position

Luke

O’Connell

Director

12.5%

ACO Participant Representative

South Shore Medical Center, Inc.

David

Halle

Director

12.5%

ACO Participant Representative

South Shore Medical Center, Inc.

Timothy

Lynch

Director

12.5%

ACO Participant Representative

South Shore Medical Center, Inc.

Sara

Nuciforo

Director

12.5%

ACO Participant Representative

South Shore Medical Center, Inc.

Peter

Grape

Director

12.5%

ACO Participant Representative

Harbor Medical Associates, Inc.

Allen

Smith

Director

12.5%

Other

Brigham and Women’s Hospital Physicians Organization

Michael

Ayers

Director

12.5%

ACO Participant Representative

South Shore Orthopedics, LLC

Carole

Whiting

Medicare Beneficary

12.5%

Medicare Beneficiary Representative

 

 

Key ACO Clinical & Administrative Leadership

President: Rose Di Pietro
ACO Executive: Adrienne Gerlach
Medical Director: David Halle, MD
Compliance Officer: Melissa Isaacs
Quality Assurance/Improvement Officer: Susan MacKay, MD

Associated Committees & Committee Leaders

Finance Committee: Steven Coco, Treasurer
Compliance Committee: Melissa Isaacs, Compliance Officer
Operations Committee: Luke O’Connell, MD, Chief Clinical Officer
Clinical Accountability Commitee: Suzanne MacKay, MD, Medical Director of Population Health

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

Networks of individual practices of ACO professionals

Shared Savings and Losses 

Amount of Shared Savings/Losses:

  • First Agreement Period, Performance Year: 7/1/2019–12/31/2019, ($438,100.72)

Shared Savings Distribution:

  • N/A
     

Quality Performance Results

ACO #

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

85.53

85.86

ACO-2

CAHPS: How Well Your Providers Communicate 

94.03

94.11

ACO-3

CAHPS: Patients’ Rating of Provider

92.64

92.69

ACO-4

CAHPS: Access to Specialists 

82.91

81.54

ACO-5

CAHPS: Health Promotion and Education 

60.68

60.44

ACO-6

CAHPS: Shared Decision Making 

60.73

62.78

ACO-7

CAHPS: Health Status/Functional Status 

77.50

73.79

ACO-34

 

CAHPS: Stewardship of Patient Resources 

22.55

26.17

ACO-45

CAHPS: Courteous and Helpful Office Staff

93.61

92.84

ACO-46

CAHPS: Care Coordination

85.98

86.89

ACO-8

Risk Standardized, All Condition Readmission

16.01

14.86

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

79.29

58.15

ACO-43

Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))

2.95

1.87

ACO-13

Falls: Screening for Future Fall Risk 

91.94

84.04

ACO-14

Preventive Care and Screening: Influenza Immunization 

74.04

74.77

ACO-17

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

83.33

78.04

ACO-18

Preventive Care and Screening: Screening for Depression and Follow-up Plan

70.28

70.40

ACO-19

Colorectal Cancer Screening

84.68

70.76

ACO-20

Breast Cancer Screening

76.21

73.84

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

92.64

82.17

ACO-27

Diabetes: Hemoglobin A1c Poor Control (>9%) 

10.89

13.88

ACO-28

Controlling High Blood Pressure 

80.65

75.04

 

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

For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov

Payment Rule Waivers 

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

  • Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR §425.612.
     

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.