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Shared Savings Program Public Reporting - Mississippi

Public Reporting

ACO Name and Location

Health Leaders Network of Mississippi LLC

969 Lakeland Drive
Jackson, MS 39216

ACO Primary Contact

Katherine Strange
(225) 526-7455
katherine.strange@fmolhs.org

Organizational Information

ACO Participants:

ACO Participants ACO Participants in Joint Venture
EURE & CHANEY MANAGEMENT LLC/DBA: NEIGHBORHOOD HEALTH No
LAKE CHARLES MEDICAL SERVICES FAMILY PRACTICE ASSOCIATES, LLC No
LAKE CHARLES MEDICAL SERVICES, INC/ DBA: IOWA HEALTH CENTER No
LCMS REHABILITATION INSTITUTE OF SOUTHWEST LOUISIANA No
LSUHSC FAMILY PRACTICE CENTER @ LCMH No
MMG NELSON RD LLC No
NESHOBA COUNTY GENERAL HOSPITAL No
NESHOBA PHYSICIAN BILLING SERVICE No
QUAD INTERMED COMPANY LLC/DBA: MEA MEDICAL CLINICS No
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER No
ST DOMINIC-JACKSON MEMORIAL HOSPITAL No
ST. DOMINIC MEDICAL ASSOCIATES LLC No
SWLHS INC./DBA: INTERNAL MEDICINE CLINIC OF LAKE CHARLES No

 

ACO Governing Body: 

Member First
Name		 Member Last
Name		 Member
Title/Position		 Member’s Voting Power
(expressed as a percentage)		 Membership
Type		 ACO Participant Legal
Business Name, if applicable
Eric Evans Voting Member 11.1% ACO Participant
Representative		 ST. DOMINIC MEDICAL ASSOCIATES LLC
Heather Cannon Voting Member 11.1% ACO Participant
Representative		 NESHOBA COUNTY GENERAL HOSPITAL
John Belknap Voting Member 11.1% ACO Participant
Representative		 QUAD INTERMED COMPANY LLC/DBA: MEA MEDICAL CLINICS
Joshua Whatley Voting Member 11.1% ACO Participant
Representative		 MMG NELSON RD LLC
Kevin Richardson Voting Member 11.1% ACO Participant
Representative		 SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER
Mohammad Sarwar Voting Member 11.1% ACO Participant
Representative		 LCMS REHABILITATION INSTITUTE OF SOUTHWEST LOUISIANA
Richard Poole Voting Member 11.1% Medicare Beneficiary
Representative		 N/A
James Craven Voting Member 11.1% Other
 N/A
Teri Dyess Voting Member
and Chair		 11.1% ACO Participant
Representative		 ST. DOMINIC MEDICAL ASSOCIATES LLC

Member's voting power may have been rounded to reflect a total voting power of 100 percent.

Key ACO Clinical and Administrative Leadership:

ACO Executive:
Chris Funes

Medical Director:
Chris Funes

Compliance Officer:
Elizabeth Champion

Quality Assurance/Improvement Officer:
Christy Limbers

Associated Committees and Committee Leadership:

Committee Name Committee Leader Name and Position
Finance and Network & Development Committee Dr. Steven Gremillion, Chair
IT and Data Governance Committee Dr. Bobby J. Dupre, Chair
Quality and Care Coordination Committee Dr. Ashley Guy, 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:

Our ACO re-entered the Shared Savings Program in Performance Year 2022 under agreement period 2. Shared savings/losses and shared savings distributions are therefore reported, beginning with this agreement period.

 

Quality Performance Results

2024 Quality Performance Results:

Quality performance results are based on CMS Web Interface collection type.

Measure #
 Measure Name
 Collection Type
 Reported
Performance Rate		 Current Year Mean
Performance Rate (SSP ACOs)
321 CAHPS for MIPS CAHPS for MIPS Survey 8.27 6.67
479* Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups Administrative Claims 0.1606 0.1517
484* Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) Administrative Claims 40.85 37
318 Falls: Screening for Future Fall Risk CMS Web Interface 88.13 88.99
110 Preventative Care and Screening: Influenza Immunization CMS Web Interface 64.11 68.6
226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 53.85 79.98
113 Colorectal Cancer Screening CMS Web Interface 68.9 77.81
112 Breast Cancer Screening CMS Web Interface 66.18 80.93
438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 85.48 68.5
370 Depression Remission at Twelve Months CMS Web Interface 32.43 17.35
001* Diabetes: Hemoglobin A1c (HbA1c) Poor Control CMS Web Interface 9.98 9.44
134 Preventative Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface 71.33 81.46
236 Controlling High Blood Pressure CMS Web Interface 73.74 79.49
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS for MIPS Survey 88.94 83.7
CAHPS-2 How Well Providers Communicate CAHPS for MIPS Survey 95.39 93.96
CAHPS-3 Patient’s Rating of Provider CAHPS for MIPS Survey 96.02 92.43
CAHPS-4 Access to Specialists CAHPS for MIPS Survey 96.02 92.43
CAHPS-5 Health Promotion and Education CAHPS for MIPS Survey 57.74 65.48
CAHPS-6 Shared Decision Making CAHPS for MIPS Survey 56.87 62.31
CAHPS-7 Health Status and Functional Status CAHPS for MIPS Survey 72.88 74.14
CAHPS-8 Care Coordination CAHPS for MIPS Survey 88.81 85.89
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS Survey 94.41 92.89
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS Survey 31.51 26.98

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

 

*For Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [Quality ID #001], Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [Measure #479], and Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], a lower performance rate indicates better measure performance.

 

*For Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], patients are excluded if they were attributed to Qualifying Alternative Payment Model (APM) Participants (QPs). Most providers participating in Track E and ENHANCED track ACOs are QPs, and so performance rates for Track E and ENHANCED track ACOs may not be representative of the care provided by these ACOs' providers overall. Additionally, many of these ACOs do not have a performance rate calculated due to not meeting the minimum of 18 beneficiaries attributed to non-QP providers.