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

Organizational Information

ACO participants:

ACO ParticipantsACO Participant in Joint Venture (Enter Y or N)
Outer Banks Professional Services, LLCY
Vidant Medical Group, LLCN
Roanoke Chowan Community Health Center, Inc.N
Roanoke Valley Health Services, IncN
East Carolina Health-Bertie N
East Carolina Health-Heritage, Inc.N
East Carolina UniversityN
Rural Health Group, Inc.N
ECU Physicians Diagnostic Pathology Services N

ACO governing body:

Member
Last NameFirst NameTitle/PositionVoting PowerTypeLegal Name
Foltz, D.OJasonVoting Member1ACO Participant RepresentativeEast Carolina University
Pye, M.DJosephVoting Member1ACO Participant RepresentativeVidant Medical Group, LLC
Firnhaber, MDJonathonVoting Member1ACO Participant RepresentativeEast Carolina University
Blair, MDMottVoting Member1ACO Participant RepresentativeVidant Medical Group, LLC
Peters, MDBrookesVoting Member1ACO Participant RepresentativeVidant Medical Group, LLC
Powell, MDSteveVoting Member1ACO Participant RepresentativeEast Carolina University
Armistead, MDNitiVoting Member1ACO Participant RepresentativeVidant Medical Group, LLC
Richardson, M.DClaudiaVoting Member1ACO Participant RepresentativeRoanoke Chowan Community Health Center, Inc.
Long-GeeYvonneVoting Member1ACO Participant RepresentativeRural Health Group, Inc.
MoseTiffanyVoting Member1ACO Participant RepresentativeRoanoke Valley Health Services, Inc.
SteinbrakerDarylVoting Member1Medicare Beneficiary RepresentativeN/A

Key ACO Clinical and administrative leadership:

Ronald GaskinsACO Executive
Mott Blair, MDMedical Director
Carla McKeithanCompliance Officer
Sherri BryantQuality Assurance/Improvement Officer

Associated committees and committee leadership:

Committee NameCommittee Leader Name and Position
Executive CommitteeNiti Armistead, MD (Chair)
Quality Improvement & Performance CommitteeMott Blair, MD (Chair)
Finance & Contracting CommitteeJoseph Pye, MD (Chair)
Compliance & Credentials CommitteeClaudia 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 NameRateACO Mean
ACO-1CAHPS: Getting Timely Care, Appointments, and Information82.5285.86
ACO-2CAHPS: How Well Your Providers Communicate94.2294.11
ACO-3CAHPS: Patients’ Rating of Provider91.7292.69
ACO-4CAHPS: Access to Specialists79.8981.54
ACO-5CAHPS: Health Promotion and Education62.0060.44
ACO-6CAHPS: Shared Decision Making60.3562.78
ACO-7CAHPS: Health Status/Functional Status72.3973.79
ACO-34CAHPS: Stewardship of Patient Resources26.6526.17
ACO-45CAPHS: Courteous and Helpful Office Staff                                              94.1992,84
ACO-46CAPHS: Care Coordination89.3786.89
ACO-8Risk Standardized, All Condition Readmission15.4014.86
ACO-38All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions68.5358.15
ACO-43Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91)1.871.87
ACO-13Falls: Screening for Future Fall Risk86.9284.04
ACO-14Preventive Care and Screening: Influenza Immunization76.3874.77
ACO-17Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention80.4978.04
ACO-18Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan85.3270.40
ACO-19Colorectal Cancer Screening62.5070.76
ACO-20Breast Cancer Screening74.2473.84
ACO-42Statin Therapy for the Prevention and Treatment of Cardiovascular Disease75.4982.17
ACO-27Diabetes Mellitus: Hemoglobin A1c Poor Control (>9%)16.2813.58
ACO-28Controlling High Blood Pressure66.2875.04

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