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Shared Savings Program Public Reporting - Mississippi

Public Reporting

ACO Name and Location

Health Leaders Network of Mississippi, LLC

969 Lakeland Drive
Jackson, MS 39216

ACO Primary Contact

Katherine Strange
katherine.strange@fmolhs.org
(225) 526-7455

Organizational Information

ACO Participants:

ACO Participants ACO Participants in Joint Venture
St. Dominic Medical Associates, LLC N
St. Dominic-Jackson Memorial Hospital N
Southwest Mississippi Regional Medical Center N
Quad Intermed Company, LLC (dba MEA Medical Clinics) N
Lake Charles Medical Services Family Practice Associates, LLC N
Lake Charles Medical Services, INC (dba Iowa Health Center) N
LCMS Rehabilitation Institute of Southwest Louisiana N
LSUHSC Family Practice Center @ LCMH N
MMG Nelson Rd., LLC N
SWLHS, INC (dba Internal Medicine Clinic of Lake Charles) N
Eure & Chaney Management LLC (dba Neighborhood Health) N
Neshoba County General Hospital N
Neshoba Physician Billing Service N

 

ACO Governing Body: 

Member Last
Name		 Member First
Name		 Member
Title/Position		 Member
Voting Power		 Member
Types		 ACO Participant Legal
Business Name and D/B/A
Dyess, MD Teri Voting Member and Chair 9.09% ACO Participant
Representative		 St. Dominic Medical Associates, LLC
Belknap, MD John Voting Member 9.09% ACO Participant
Representative		 Quad Intermed Company, LLC   d/b/a MEA Medical Clinics
Cannon, MD Heather Voting Member 9.09% ACO Participant
Representative		 Neshoba County General Hospital
Evans, MD Eric Voting Member 9.09% ACO Participant
Representative		 St. Dominic Medical Associates, LLC
Haney Tara Voting Member 9.09% ACO Participant
Representative		 Franciscan Missionaries of Our Lady Health System
Lafuria, MD Mark Voting Member 9.09% ACO Participant
Representative		 SWLHS Inc. d/b/a Internal Medicine Clinic of Lake Charles
Loper, MD William Voting Member 9.09% ACO Participant
Representative		 Quad Intermed Company, LLC   d/b/a MEA Medical Clinics
Richardson, MD Kevin Voting Member 9.09% ACO Participant
Representative		 Southwest Mississippi Regional Medical Center
Sarwar, MD Mohammad Voting Member 9.09% ACO Participant
Representative		 LCMS Rehabilitation Institute of Southwest Louisiana
Whatley, MD Joshua Voting Member 9.09% ACO Participant
Representative		 MMG Nelson Rd., LLC
Poole, DDS Richard Voting Member 9.10% Medicare
Beneficiary		 N/A

 

Key ACO Clinical and Administrative Leadership:

ACO Executive: Christopher Funes, MD

Medical Director: Christopher Funes, MD

Compliance Officer: Elizabeth Champion

Quality Assurance/Improvement Officer: Christy Limbers

Associated Committees and Committee Leadership:

Committee Name Committee Leader Name and Position
Quality and Care Coordination Committee Casey Carlisle, MD, Chair
Finance and Network & Development Committee Steven Gremillion, MD, Chair
IT and Data Governance Committee Bobby J. Dupre, MD, Chair

 

Types of ACO Participants or Combination of Participants that formed the ACO

 

Shared Savings and Losses

Amount of Shared Savings/Losses:

Shared Savings Distribution:

 

Quality Performance Results

2023 Quality Performance Results:

Quality performance results are based on CMS Web Interface.

Measure #
Name		 Measure Name
Name		 Collection Type
Title/Position		 Rate
Voting Power		 ACO Mean
Types
Measure #: 001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1] CMS Web Interface 16.53 9.84
Measure #: 134 Preventative Care and Screening: Screening for Depression and Follow-Up Plan CMS Web Interface 77.02 80.97
Measure #: 236 Controlling High Blood Pressure CMS Web Interface 76.21 77.80
Measure #: 318 Falls: Screening for Future Falls Risk CMS Web Interface 90.20 89.42
Measure #: 110 Preventative Care and Screening: Influenza Immunizations CMS Web Interface 61.18 70.76
Measure #: 226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 42.50 79.29
Measure #: 113 Colorectal Cancer Screening CMS Web Interface 71.69 77.14
Measure #: 112 Breast Cancer Screening CMS Web Interface 66.17 80.36
Measure #: 438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 88.71 87.05
Measure #: 370 Depression Remission at Twelve Months CMS Web Interface 31.82 16.58
CAHPS-1 Getting Timely Care, Appointments and Information CAHPS for MIPS Survey 88.53 83.68
CAHPS-2 How Well Providers Communicate CAHPS for MIPS Survey 96.25 93.69
CAHPS-3 Patient’s Rating of Providers CAHPS for MIPS Survey 95.72 92.14
CAHPS-4 Access to Specialists CAHPS for MIPS Survey 76.72 75.97
CAHPS-5 Health Promotion and Education CAHPS for MIPS Survey 61.16 63.93
CAHPS-6 Shared Decision Making CAHPS for MIPS Survey 62.15 61.60
CAHPS-7 Health Status and Functional Status CAHPS for MIPS Survey 74.66 74.12
CAHPS-8 Care Coordination CAHPS for MIPS Survey 88.24 85.77
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS Survey 92.62 92.31
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS Survey 27.80 26.69
Measure #: 479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1] CMS Web Interface 00.1636 00.1553
Measure #: 484 Clinician and Clinician Group Risk- Standardized Hospital Admission Rates for Patients With Multiple Chronic Conditions [1] CMS Web Interface 35.60 35.39

For previous years' Financial and Quality Performance Results, please visit: data.cms.gov.