Welcome

ACO Name and Location

Coastal Plains Network, LLC
800 W.H. Smith Blvd
PO Box 6028
Greenville, NC 27835

ACO Primary Contact

Primary Contact Name: Pamela Cowin
Primary Contact Phone Number: 252-816-0899
Primary Contact Email Address: [email protected]

Organizational Information

ACO participants:

ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Outer Banks Professional Services, LLC Y
Vidant Medical Group, LLC N
Roanoke Valley Health Services, Inc N
East Carolina Health-Bertie N
East Carolina Health-Heritage, Inc. N
East Carolina University N
ECU Physicians Diagnostic Pathology Services N

ACO governing body:

Member First Name Member Last Name Member Title/Position Member’s Voting Power Membership Type ACO Participant Legal Business Name
Jason Foltz, D.O Voting Member 8.3% ACO Participant Representative East Carolina University
Joseph Pye, M.D  Voting Member 8.3% ACO Participant Representative Vidant Medical Group, LLC
Jonathon Firnhaber, MD Voting Member 8.3% ACO Participant Representative East Carolina University
Mott Blair, MD Voting Member 8.3% ACO Participant Representative Vidant Medical Group, LLC
Brookes Peters, MD Voting Member 8.3% ACO Participant Representative Vidant Medical Group, LLC
Ronnie Sloan Voting Member 8.3% ACO Participant Representative Outer Banks Hospital
Niti Armistead, MD Voting Member 8.3% ACO Participant Representative Vidant Medical Group, LLC
Alhosaini Hassan, MD Voting Member 8.3% ACO Participant Representative Vidant Medical Group
Tiffany Mose Voting Member 8.3% ACO Participant Representative Roanoke Valley Health Services, Inc.
Tom Doubt Voting Member 8.3% Medicare Beneficiary Representative N/A
Kenneth Johnson, MD Voting Member 8.3%  ACO Participant Representative Vidant Medical Group

Key ACO Clinical and administrative leadership:

Pamela Cowin ACO Executive
Mott Blair, MD Medical Director
Carla McKeithan Compliance Officer
Wendy Vanlandingham Quality Assurance/Improvement Officer

Associated committees and committee leadership:

Committee Name Committee Leader Name and Position
Executive Committee Niti Armistead, MD (Chair)
Quality Improvement & Performance Committee Mott Blair, MD (Chair)
Finance & Contracting Committee Joseph Pye, MD (Chair)
Compliance & Credentials Committee Joseph Pye, MD (Chair)

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

Critical Access Hospital (CAH) billing under Method II
Hospital employing ACO professionals
Partnerships or joint venture arrangements between hospitals and ACO professionals
Federally Qualified Health Centers
Rural Health Center

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Second Agreement Period
    • Performance Year 2021, $4,408,022.85
    • Performance Year 2020, $0
    • Performance Year 2019, $0
    • Performance Year 2018, $0
  • First Agreement Period
    • Performance Year 2017, $3,916,671
    • Performance Year 2016, $0
    • Performance Year 2015, $3,279,327

Shared Savings Distribution

  • Second Agreement Period
    • Performance Year 2021
      • Proportion invested in infrastructure: 40%
      • Proportion invested in redesigned care processes/resources: 0
      • Proportion of distribution to ACO participants: 60%
    • 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
  • First Agreement Period
    • Performance Year 2017
      • Proportion invested in infrastructure: 40%
      • Proportion invested in redesigned care processes/resources: 0
      • Proportion of distribution to ACO participants: 60%
    • Performance Year 2016
      • 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 2015
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources: N/0
      • Proportion of distribution to ACO participants: 90%

Quality Performance Results

2021 Quality Performance Results:

Measure # Measure Name Rate ACO Mean
001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control 13.85 12.46
318 Falls: Screening for Future Fall Risk 90.11 87.03
236 Controlling High Blood Pressure 62.55 74.87
110 Preventive Care and Screening: Influenza Immunization 80.26 80.52
226 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 85.37 80.97
134 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 75.40 74.38
113 Colorectal Cancer Screening 67.71 73.63
112 Breast Cancer Screening 79.09 75.11
438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 81.74 84.24
CAHPS-1 Getting Timely Care, Appointments, and Information 81.47 84.67
CAHPS-2 How Well Providers Communicate 93.37 93.56
CAHPS-3 Patient’s Rating of Provider 90.98 92.19
CAHPS-4 Access to Specialists 76.67 78.80
CAHPS-5 Health Promotion and Education 65.06 61.61
CAHPS-6 Shared Decision Making 59.27 60.89
CAHPS-7 Health Status and Function Status 70.30 71.78
CAHPS-8 Care Coordination 88.65 85.66
CAHPS-9 Courteous and Helpful Office Staff 91.62 91.88
CAHPS-11 Stewardship of Patient Resources 25.76 24.71
479 Hospital-Wide 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups 0.1613 0.1540
MCCI All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC) 31.14 33.99

Please note, the Quality ID #: 370 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