ACO Participants

  • Vidant Medical Group, LLC
  • East Carolina University
    • DBA East Carolina University Physician Plan
  • ECU Physicians Diagnostic Pathology Services
    • DBA East Carolina University Physician Plan
  • Rural Health Group, Inc.
  • Roanoke Valley Health Services, Inc.
  • Duplin General Hospital, Inc.
    • DBA Vidant Duplin Hospital, Kenansville
  • Halifax Regional Medical Center, Inc.
  • East Carolina Health
    • DBA Vidant Roanoke-Chowan Hospital, Ahoskie
  • East Carolina Health-Beaufort, Inc
    • DBA Vidant Beaufort Hospital, Washington
  • East Carolina Health-Bertie
    • DBA Vidant Bertie Hospital, Windsor
  • East Carolina Health-Chowan, Inc.
    • DBA Vidant Chowan Hospital, Edenton
  • East Carolina Health-Heritage, Inc.
    • DBA Vidant Edgecombe Hospital, Tarboro
  • Pitt County Memorial Hospital, Inc.
    • DBA Vidant Medical Center, Greenville
  • The Outer Banks Hospital, Inc.
    • Jointly owned with Chesapeake Regional Healthcare, Nags Head

ACO participants in a joint venture between professionals and hospitals:

  • Outer Banks Professional Services, LLC

ACO Name and Location

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

ACO Primary Contact
Craig.Hepp@VidantHealth.com
252-816-0899

Disclosures

Public Disclosure - Travel Reimbursement Policy
Public Disclosure - Brody School of Medicine Participation Agreement
Public Disclosure - Joint Preservation Program with Vidant Edgecombe Hopsital

ACO Governing Body and Committees

ACO Governing Board

M. Suzanne Kraemer, M.D., Voting Member and Chair - ACO Participant ECUP
Tracy Eskra, M.D., Voting Member - ACO Participant VMG/VMC
Jason Foltz, M.D., Voting Member - ACO Participant ECUP
Frederick Teixeira, M.D., Voting Member - ACO Participant VMG/Beaufort Hospital
Joseph Pye, M.D., Voting Member - ACO Participant VMG
Jonathon Firnhaber, M.D., Voting Member - ACO Participant ECUP
Mott Blair, M.D., Voting Member - ACO Participant VMG/Duplin Hospital
Ted Delbridge, M.D., Voting Member - ACO Participant ECUP
Brookes Peters, M.D., Voting Member - ACO Participant VMG/Edgecombe Hospital
Scott Avery, M.D., Voting Member - Community Member
David Galloway, Voting Member - Medicare Beneficiary Representative
Steve Powell, M.D., Voting Member - ACO Participant ECU

Key Clinical and Administrative Leadership

ACO Executive: Craig Hepp
Medical Director: M. Suzanne Kramer, MD
Compliance Official: Gail Brown
Quality Assurance/Improvement Officer: Joan Wynn

Quality and Safety Committee

Joseph Pye, MD - Chair
Jason Foltz, MD
Steve Powell, MD
M. Suzanne Kraemer, MD

Finance Committee

Tracy Eskra, MD - Chair
Mott Blair, MD
Scott Avery, MD
Frederick Teixeira, MD
David Galloway
Ted Delbridge, MD

Compliance & Credentials Committee

David Michael, MD - Chair
Brookes Peters, MD
M. Suzanne Kraemer, MD
Jonathon Firnhaber, MD

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

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

Shared Savings/Losses

Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2017, $3,916,671
    • Performance Year 2016, $0
    • Performance Year 2015, $3,279,327

Shared Savings Distribution

  • 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: 40%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 60%
    • Performance Year 2015
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 90%

Payment Rule Waivers:

Coastal Plains ACO does not utilize the SNF 3-Day Rule Waiver


Quality Performance Results

    2017 Reporting Period
ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 81.58 80.60
ACO-2 CAHPS: How Well Your Providers Communicate 93.42 93.13
ACO-3 CAHPS: Patients’ Rating of Provider 91.39 92.31
ACO-4 CAHPS: Access to Specialists 87.31 83.32
ACO-5 CAHPS: Health Promotion and Education 63.82 62.30
ACO-6 CAHPS: Shared Decision Making 74.81 75.85
ACO-7 CAHPS: Health Status/Functional Status 72.74 73.05
ACO-34 CAHPS: Stewardship of Patient Resources* 32.33 25.68
ACO-8 Risk Standardized, All Condition Readmissions 15.18 15.01
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 19.37 18.46
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 56.71 53.95
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 83.32 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 65.90 61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 1.44 1.93
ACO-11 Use of Certified EHR Technology 100.00 98.48
ACO-12 Medication Reconciliation 46.29 75.32
ACO-13 Falls: Screening for Future Fall Risk 79.77 74.38
ACO-44 Imaging Studies for Low Back Pain 58.56 67.32
ACO-14 Preventive Care and Screening: Influenza Immunization 52.53 72.52
ACO-15 Pneumonia Vaccination Status for Older Adults 68.60 72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 93.28 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 97.29 90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 63.75 61.98
ACO-19 Colorectal Cancer Screening 60.89 64.58
ACO-20 Breast Cancer Screening 68.40 70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 79.06 79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 16.06 16.74
ACO-41 Diabetes: Eye Exam 55.82 50.37
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 62.00 71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 85.48 86.86
Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples.

For 2017 Quality Performance Results please visit: here

For 2016 Quality Performance Results please visit: here

For 2015 Quality Performance Results please visit: here

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 A69405 in the public use files on data.cms.gov.