Coastal Plains Network

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: Ronald Gaskins
Primary Contact Phone Number: 252-816-0899
Primary Contact Email Address: Ronald.gaskins@vidanthealth.com

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 Chowan Community Health Center, Inc.	N
Roanoke Valley Health Services, Inc	N
East Carolina Health-Bertie	N
East Carolina Health-Heritage, Inc.	N
East Carolina University	N
Rural Health Group, Inc.	N
ECU Physicians Diagnostic Pathology Services	N

ACO governing body:

Member
Last Name	First Name	Title/Position	Voting Power	Type	Legal Name
Foltz, D.O	Jason	Voting Member	1	ACO Participant Representative	East Carolina University
Pye, M.D	Joseph	Voting Member	1	ACO Participant Representative	Vidant Medical Group, LLC
Firnhaber, MD	Jonathon	Voting Member	1	ACO Participant Representative	East Carolina University
Blair, MD	Mott	Voting Member	1	ACO Participant Representative	Vidant Medical Group, LLC
Peters, MD	Brookes	Voting Member	1	ACO Participant Representative	Vidant Medical Group, LLC
Powell, MD	Steve	Voting Member	1	ACO Participant Representative	East Carolina University
Armistead, MD	Niti	Voting Member	1	ACO Participant Representative	Vidant Medical Group, LLC
Richardson, M.D	Claudia	Voting Member	1	ACO Participant Representative	Roanoke Chowan Community Health Center, Inc.
Long-Gee	Yvonne	Voting Member	1	ACO Participant Representative	Rural Health Group, Inc.
Mose	Tiffany	Voting Member	1	ACO Participant Representative	Roanoke Valley Health Services, Inc.
Steinbraker	Daryl	Voting Member	1	Medicare Beneficiary Representative	N/A

Key ACO Clinical and administrative leadership:

Ronald Gaskins	ACO Executive
Mott Blair, MD	Medical Director
Carla McKeithan	Compliance Officer
Sherri Bryant	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	Claudia Richardson, 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 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 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

2019 Quality Performance Results:

ACO#	Measure Name	Rate	ACO Mean
ACO-1	CAHPS: Getting Timely Care, Appointments, and Information	82.52	85.86
ACO-2	CAHPS: How Well Your Providers Communicate	94.22	94.11
ACO-3	CAHPS: Patients’ Rating of Provider	91.72	92.69
ACO-4	CAHPS: Access to Specialists	79.89	81.54
ACO-5	CAHPS: Health Promotion and Education	62.00	60.44
ACO-6	CAHPS: Shared Decision Making	60.35	62.78
ACO-7	CAHPS: Health Status/Functional Status	72.39	73.79
ACO-34	CAHPS: Stewardship of Patient Resources	26.65	26.17
ACO-45	CAPHS: Courteous and Helpful Office Staff	94.19	92,84
ACO-46	CAPHS: Care Coordination	89.37	86.89
ACO-8	Risk Standardized, All Condition Readmission	15.40	14.86
ACO-38	All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions	68.53	58.15
ACO-43	Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91)	1.87	1.87
ACO-13	Falls: Screening for Future Fall Risk	86.92	84.04
ACO-14	Preventive Care and Screening: Influenza Immunization	76.38	74.77
ACO-17	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	80.49	78.04
ACO-18	Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan	85.32	70.40
ACO-19	Colorectal Cancer Screening	62.50	70.76
ACO-20	Breast Cancer Screening	74.24	73.84
ACO-42	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	75.49	82.17
ACO-27	Diabetes Mellitus: Hemoglobin A1c Poor Control (>9%)	16.28	13.58
ACO-28	Controlling High Blood Pressure	66.28	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. In addition, the Centers for Medicare & Medicaid Services (CMS) waived the requirement for ACOs to field a CAHPS for ACOs survey data.

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