An Accountable Care Organization (ACO) is a group of doctors, hospitals and other providers who remain independent while working together to provide better coordinated care and invest in resources to help patients and families to stay healthy. Patients who utilize ACO participating physicians should receive better care over time.

ACO providers are able to coordinate care more effectively due to shared data about their patients that improves communication between providers, reduces duplication of services and costs, and helps to identify gaps in care so that providers can improve the overall quality of the care received. ACO providers develop quality improvement goals based on evidence based best practice medical care. Medicare beneficiaries are asked if they want Medicare to share health data with their physician. This data helps physicians to understand the overall experience of care, including tests and treatment results and work with other team members to improve the care provided. Beneficiaries may additionally receive customer satisfaction surveys from the ACO to help improve service.

Below is information about the Frederick Integrated Healthcare Network ACO. Our mission is to provide patients with support toward living a healthier life and the tools and resources to make well-informed decisions about their health care.

ACO Name and Location

Frederick Integrated Healthcare Network LLC
Previous Names: N/A
400 West 7th St.
Frederick, MD 21701

ACO Primary Contact

Primary Contact Name Christian Gomes
Primary Contact Phone Number 240-566-3713
Primary Contact Email Address cgomes@fmh.org

Organizational Information

ACO participants:

ACO Participants ACO Participant in Joint Venture
Branislav Romanic N
Mark Coyne N
Stephen J. McKenna LLC N
PRIMARY MEDICAL SERVICES PC N
DAVID W KOSSOFF MD PA N
Tracey Culbertson N
CRITICAL CARE ASSOCIATES LLC N
IRFAN HASSEN MD N
David Kossoff N
Gaffar Syed N
Sunil Thadani N
ANUSHA BELANI MD N
Julie Jurd N
Sajjad Aziz N
IRFAN HASSEN MD N
CYNTHIA J. MOORMAN, M.D., P.A. N
Frederick Kidney Care Associates LLC. N
COMPREHENSIVE NEUROLOGY SERVICES, PA N
Tyra D Kane MD N
FREDERICK UROLOGY ASSOCIATES N
GAFFAR A SYED, MD, PA N
JALAL SAIED MD LLC N
Gagnon Oncology LLC N
Syed Haque N
Cynthia Moorman N
Stephen Mckenna N
MONOCACY HEALTH PARTNERS LLC N
Maryland Vision Center PA N
Sibte Kazmi N
FREDERICK MEMORIAL HOSPITAL INC N
DRS REID AHMADIAN AND THOMPSON PA N
MIDDLETOWN VALLEY FAMILY MEDICINE, P.A. N
Frederick Medical & Pulmonary Associates N
SHERMAN KAHAN, M.D., P.A. N
FREDERICK GASTROENTEROLOGY ASSOC N
FORIS SURGICAL GROUP LLP N
RAVI YALAMANCHILI, M.D, P.A N
WILLIAM H. JOHNSON, M.D., P.A. N
FREDERICK ONCOLOGY HEMATOLOGY ASSOCIATES, P.C. N
MARK X COYNE MD N
MID-MARYLAND EAR NOSE & THROAT SPECIALISTS, P.A. N
DR JULIE JURD PC N
Cardiovascular Specialists Of Frederick, LLC N
SYED WASIMUL HAQUE MD PA N
MANN & HENRY PODIATRY SERVICES, LLC N
Retina Center of Western Maryland N
Sajjad Aziz, M.D., P.A. N
JEN JOHN INC N
SIBTE A KAZMI MD LLC N
BRANISLAV S ROMANIC MD LLC N

ACO governing body:

Member Member's Voting Power — Expressed as a percentage or number Membership Type ACO Participant TIN Legal Business Name/DBA, if Applicable
Last Name First Name Title/Position
Gough Richard Physician/Chairman 1 Other  
Koilpillai Gnanaraj Physician/Medical Director 1 ACO participant representative MONOCACY HEALTH PARTNERS LLC
Waravdekar Neil Physician 1 ACO participant representative Frederick Medical & Pulmonary Associates
Hohl Kevin Physician 1 ACO participant representative MIDDLETOWN VALLEY FAMILY MEDICINE, P.A.
Crowder Wayne Physician 1 Other  
Kazmi Sibte Physician 1 ACO participant representative SIBTE A KAZMI MD LLC
Syed Gaffar Physician 1 ACO participant representative GAFFAR A SYED, MD, PA
Zaidi Saeed Physician 1 ACO participant representative PRIMARY MEDICAL SERVICES PC
Johnson William Physician 1 ACO participant representative WILLIAM H. JOHNSON, M.D., P.A.
Mansky Patrick Physician 1 ACO participant representative MONOCACY HEALTH PARTNERS LLC
Halvorson Lloyd Medicare Beneficary 1 Medicare beneficiary representative  
Mahan Michelle Hospital Adminstrator 1 ACO participant representative FREDERICK MEMORIAL HOSPITAL INC
Teeter Jennifer Hospital Adminstrator/Secretary 1 ACO participant representative FREDERICK MEMORIAL HOSPITAL INC

Key ACO clinical and administrative leadership:

Jennifer Teeter ACO Executive
Gnanaraj Koilpillai Medical Director
Craig Rosendale Compliance Officer
Gnanaraj Koilpillai Quality Assurance/Improvement Officer

Associated committees and committee leadership:

Committee Name Committee Leader Name and Position
Clinical Integration & Information Technology Richard Gough, MD, Chairperson
Governance & Membership Gnanaraj Koilpillai, MD, Chairperson
Finance Saeed Zaidi, MD, Chairperson
Credentials Neil Waravdekar, MD, Chairperson

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

Shared Savings and Losses

Amount of Shared Savings/Losses

Shared Savings Distribution

Quality Performance Results

2017 Quality Performance Results:

ACO# Measure Name Rate ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information 76.57 80.60

ACO-2

CAHPS: How Well Your Providers Communicate 90.39 93.13

ACO-3

CAHPS: Patients' Rating of Provider 89.56 92.31

ACO-4

CAHPS: Access to Specialists 81.97 83.32

ACO-5

CAHPS: Health Promotion and Education 60.94 62.30

ACO-6

CAHPS: Shared Decision Making 71.79 75.85

ACO-7

CAHPS: Health Status/Functional Status 74.46 73.05

ACO-34

CAHPS: Stewardship of Patient Resources 19.77 25.68

ACO-8

Risk Standardized, All Condition Readmission 14.79 15.01

ACO-35

Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM) 18.41 18.46

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes 51.49 53.95

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure 77.06 79.16

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 57.23 61.74

ACO-43

Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 1.96 1.93

ACO-11

Use of Certified EHR Technology 100.00 98.48

ACO-12

Medication Reconciliation 72.17 75.32

ACO-13

Falls: Screening for Future Fall Risk 95.56 74.38

ACO-44

Imaging Studies for Low Back Pain 66.67 67.32

ACO-14

Preventive Care and Screening: Influenza Immunization 75.32 72.52

ACO-15

Pneumonia Vaccination Status for Older Adults 81.85 72.92

ACO-16

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 79.59 70.69

ACO-17

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 99.19 90.48

ACO-18

Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 72.58 61.98

ACO-19

Colorectal Cancer Screening 70.00 64.58

ACO-20

Breast Cancer Screening 65.32 70.05

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 87.45 79.89

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control 10.89 16.74

ACO-41

Diabetes: Eye Exam   48.79 50.37

ACO-28

Hypertension (HTN): Controlling High Blood Pressure 80.00 71.47

ACO-30

Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 95.56 86.86

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

Note: In the Quality Performance Results file(s) above, search for “Frederick Integrated Healthcare Network LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A91307 in the public use files on data.cms.gov.

Payment Rule Waivers

Disclosure Statement

For general questions or additional information about Accountable Care Organizations, please visit www.medicare.gov/acos.html or call 1-800 MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048.