Welcome

ACO Name and Location

Coastal Plains Network, LLC
Previous Names: N/A
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
East Carolina Health-Beaufort, Inc. (DBA Vidant Beaufort Hospital, Washington)N
Pitt County Memorial Hospital, Inc. (DBA Vidant Medical Center, Greenville)N
Halifax Regional Medical Center, Inc.N
Roanoke Valley Health Services, Inc.N
East Carolina Health (DBA Vidant Roanoke-Chowan Hospital, Ahoskie)N
East Carolina Health-Bertie (DBA Vidant Bertie Hospital, Windsor)N
East Carolina Health-Heritage, Inc. (DBA Vidant Edgecombe Hospital, Tarboro)N
East Carolina Health-Chowan, Inc. (DBA Vidant Chowan Hospital, Edenton)N
The Outer Banks Hospital, Inc.Y
East Carolina University (DBA East Carolina University Physician Plan)N
Duplin General Hospital Inc. (DBA Vidant Duplin Hospital, Kenansville)N
Rural Health Group, Inc.N
VECU Medical Group IncN
ECU Physicians Diagnostic Pathology Services (DBA East Carolina University Physician Plan)N

ACO governing body:

Member
Last NameFirst NameTitle/PositionVoting PowerTypeLegal Name/DBA
Foltz, D.OJasonVoting Member1ACO Participant RepresentativeEast Carolina University Physician Plan
Pye, M.DJosephVoting Member1ACO Participant RepresentativeVidant Medical Group
Firnhaber, MDJonathonVoting Member1ACO Participant RepresentativeEast Carolina University Physician Plan
Blair, MDMottVoting Member1ACO Participant RepresentativeVidant Duplin Hospital, Kenansville
Peters, MDBrookesVoting Member1ACO Participant RepresentativeVidant Edgecombe Hospital, Tarboro
Avery, M.DScottVoting Member1Community MemberN/A
GallowayDavidVoting Member1Medicare Beneficiary RepresentativeN/A
Powell, MDSteveVoting Member1ACO Participant RepresentativeEast Carolina University Physician Plan
Armistead, MDNitiVoting Member1ACO Participant RepresentativeVidant Medical Center, Greenville
Richardson, M.DClaudiaVoting Member1ACO Participant RepresentativeRoanoke Chowan Community Health Center, Inc.
Long-GeeYvonneVoting Member1ACO Participant RepresentativeRural Health Group, Inc.
MoseTiffanyVoting Member1ACO Participant RepresentativeHalifax Regional Medical Center, Inc. / Roanoke Valley Health Services, Inc.

Key ACO Clinical and administrative leadership:

Ronald GaskinsACO Executive
Mott Blair, MDMedical Director
Gail BrownCompliance 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 CommitteeJoseph Pye, MD (Chair)
Finance & Contracting CommitteeMott Blair, 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 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 2018
      • Proportion invested in infrastruture: 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 infrastruture: 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 infrastruture: 10%
      • Proportion invested in redesigned care processes/resources: N/0
      • Proportion of distribution to ACO participants: 90%

Quality Performance Results

2018 Quality Performance Results:

ACO#Measure NameRateACO Mean
ACO-1CAHPS: Getting Timely Care, Appointments, and Information81.2986.14
ACO-2CAHPS: How Well Your Providers Communicate91.7293.93
ACO-3CAHPS: Patients’ Rating of Provider90.0592.45
ACO-4CAHPS: Access to Specialists79.9181.50
ACO-5CAHPS: Health Promotion and Education60.6459.26
ACO-6CAHPS: Shared Decision Making63.1361.94
ACO-7CAHPS: Health Status/Functional Status75.5373.35
ACO-34CAHPS: Stewardship of Patient Resources27.8526.26
ACO-8Risk Standardized, All Condition Readmission15.4614.98
ACO-35Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)19.9618.59
ACO-36All-Cause Unplanned Admissions for Patients with Diabetes39.4037.01
ACO-37All-Cause Unplanned Admissions for Patients with Heart Failure79.7376.75
ACO-38All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions62.6659.00
ACO-43Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91)1.701.98
ACO-11Use of Certified EHR Technology100.0098.20
ACO-12Medication Reconciliation Post-Discharge57.8885.91
ACO-13Falls: Screening for Future Fall Risk87.6979.73
ACO-44Use of Imaging Studies for Low Back Pain60.6364.36
ACO-14Preventive Care and Screening: Influenza Immunization73.7172.71
ACO-15Pneumonia Vaccination Status for Older Adults71.3275.97
ACO-16Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up81.6076.83
ACO-17Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention80.3972.81
ACO-18Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan83.0866.74
ACO-19Colorectal Cancer Screening65.7568.27
ACO-20Breast Cancer Screening78.5271.96
ACO-42Statin Therapy for the Prevention and Treatment of Cardiovascular Disease80.0781.47
ACO-27Diabetes Mellitus: Hemoglobin A1c Poor Control17.9115.51
ACO-41Diabetes: Eye Exam46.2752.42
ACO-28Hypertension (HTN): Controlling High Blood Pressure65.5773.10
ACO-30Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet93.2688.92

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

Quality Performance Results

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

Note: In the Quality Performance Results file(s) above, search for “Coastal Plains Network, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A2684 in the public use files on data.cms.gov.

Payment Rule Waivers

  • Skilled Nursing Facility (SNF) 3-day Rule Waiver: No, our ACO does not use the SNF 3-Day Rule Waiver, pursuant to 42 CFR 425.612.
  • Waiver for Payment for Telehealth Services: No, our ACO clinicians do not provide telehealth services using the flexibilities under 42 CFR 425.612(f) and 42 CFR 425.613.

Public Disclosure Statement

Disclosure

Ethics and Compliance Hotline:
It is Coastal Plains Network expectation that all employees, contractors, CIN participants, and CIN providers/suppliers should be able to communicate their concerns freely to the Compliance Officer and/or the Compliance and Credentials Committee. To encourage reporting, the Coastal Plains Network, LLC will utilize the Vidant Health toll-free Corporate Ethics and Compliance Hotline at 888-777-2617 to which employees can report issues anonymously. Issues reported through this method must contain enough information for the Coastal Plains Network, LLC to conduct a thorough investigation of the alleged issues. Coastal Plains Network, LLC will treat any such reported concerns confidentially to the maximum extent consistent with the fair and rigorous enforcement of the Compliance Program.