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Shared Savings Program Public Reporting - Louisiana

ACO Name and Location

Franciscan Missionaries of Our Lady Health System Clinical Network, LLC doing business as Health Leaders Medicare ACO Network

4200 Essen Lane
Baton Rouge, LA 70809

ACO Primary Contact

Tara Haney
tara.haney@fmolhs.org
(225) 922-7445

Organizational Information

ACO Participants:

ACO Participants ACO Participants in Joint Venture
The Baton Rouge Clinic, A Medical Corporation, Inc. N
Lourdes Physician Group, LLC N
Our Lady of Lourdes Regional Medical Center, Inc. N
Our Lady of the Angels Hospital, Inc. N
Our Lady of the Lake Health, Inc. N
Our Lady of the Physician Group, LLC N
St. Francis Medical Center, Inc. N
St. Francis Medical Group, LLC N

 

ACO Governing Body: 

Member Last
Name
Member First
Name
Member
Title/Position
Member
Voting Power
Member
Types
ACO Participant Legal
Business Name and D/B/A
Barfield, MD Lauren Chair, Voting Member 10% ACO Participant
Representative
Our Lady of the Lake Physician Group, LLC
Anderson, MD Garland Voting Member 10% ACO Participant
Representative
Our Lady of the Angel Hospital
Bruchhaus, MD John Voting Member 10% ACO Participant
Representative
St. Francis Medical Group, LLC
Gruner, MD Rachel Voting Member 10% ACO Participant
Representative
The Baton Rouge Clinic, A Medical Corporation
Hardy, MD Elliot Voting Member 10% ACO Participant
Representative
The Baton Rouge Clinic, A Medical Corporation
Miller, MD C. Bryan Voting Member 10% ACO Participant
Representative
Our Lady of the Angels Hospital, Inc.
Redhead, MD Joseph Voting Member 10% ACO Participant
Representative
The Baton Rouge Clinic, A Medical Corporation
Sanches, MD Stephen Voting Member 10% ACO Participant
Representative
The Baton Rouge Clinic, A Medical Corporation
Vinci Nancy Voting Member 10% ACO Participant
Representative
N/A
Gremillion, MD Steven Voting Member 10% Other Franciscan Missionaries of Our Lady Health System
Funes, MD Chris Non-Voting Member 0% Other Franciscan Missionaries of Our Lady Health System
Silvey Edgar Non-Voting Member 0% Other Baton Rouge Clinic, A Medical Corporation

 

Key ACO Clinical and Administrative Leadership:

ACO Executive: Christopher Funes, MD

ACO Chief Medical Officer: Steven Gremillion, MD

Compliance Officer: Elizabeth Champion

Quality Assurance/Improvement Officer: Christy Limbers

Associated Committees and Committee Leadership:

Committee Name Committee Leader Name and Position
Quality and Care Coordination Committee Casey Carlisle, MD, Chair
Finance and Network & Development Committee William Grantham, MD, Chair
IT and Data Governance Committee Bobby J. Dupre, MD, Chair

 

Types of ACO Participants or Combination of Participants that formed the ACO

 

Shared Savings and Losses

Amount of Shared Savings/Losses:

Shared Savings Distribution:

 

Quality Performance Results

2022 Quality Performance Results:

Quality performance results are based on CMS Web Interface.

Measure #
Name
Measure Name
Name
Collection Type
Title/Position
Rate
Voting Power
ACO Mean
Types
Measure #: 001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1] CMS Web Interface 7.89 10.71
Measure #: 134 Preventative Care and Screening: Screening for Depression and Follow-Up Plan CMS Web Interface 92.00 76.97
Measure #: 236 Controlling High Blood Pressure CMS Web Interface 83.06 76.16
Measure #: 318 Falls: Screening for Future Falls Risk CMS Web Interface 96.65 87.83
Measure #: 110 Preventative Care and Screening: Influenza Immunizations CMS Web Interface 70.97 77.34
Measure #: 226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 80.00 79.27
Measure #: 113 Colorectal Cancer Screening CMS Web Interface 85.16 75.32
Measure #: 112 Breast Cancer Screening CMS Web Interface 87.55 78.07
Measure #: 438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 82.33 86.37
Measure #: 370 Depression Remission at Twelve Months CMS Web Interface 18.52 16.03
CAHPS-1 Getting Timely Care, Appointments and Information CAHPS for MIPS Survey 87.83 83.96
CAHPS-2 How Well Providers Communicate CAHPS for MIPS Survey 95.70 93.47
CAHPS-3 Patient’s Rating of Providers CAHPS for MIPS Survey 94.71 92.06
CAHPS-4 Access to Specialists CAHPS for MIPS Survey 81.33 77.00
CAHPS-5 Health Promotion and Education CAHPS for MIPS Survey 61.11 62.68
CAHPS-6 Shared Decision Making CAHPS for MIPS Survey 62.57 60.97
CAHPS-7 Health Status and Functional Status CAHPS for MIPS Survey 71.11 73.06
CAHPS-8 Care Coordination CAHPS for MIPS Survey 90.74 85.46
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS Survey 95.76 91.97
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS Survey 28.03 25.62
Measure #: 479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1] CMS Web Interface 00.14 00.15
Measure #: 484 Clinician and Clinician Group Risk- Standardized Hospital Admission Rates for Patients With Multiple Chronic Conditions [1] CMS Web Interface 29.59 30.97
 

For previous years' Financial and Quality Performance Results, please visit: data.cms.gov.

Payment Rule Waivers: