Quality Improvement
and Assurance

  • Michael Gavin, MD, Chair
  • Jennifer Gray, MD
  • Peter Rock, MD
  • Brad Williams, MD
  • Elizabeth Geiger
  • Rick Hall, MD
  • N. Upreti, MD
  • Stephanie Mundy
  • Melia Hall
  • Lisa Bridges, RN
  • Donna Bragg, RN
Duties and Responsibilities
  • Track compliance on 33 quality measures
  • Track patient concerns/complaints
  • Provide remedial process for aberrant doctors
  • Develop CQI process

 

Transitional Care
Coordination

  • Naren James, MD, Chair
  • Yazigi Ghassan, MD
  • Eric Schneeberger, MD
  • Mandy Grant
  • Melia Glass
  • Barbara Newton
  • Amy Canary
  • Ashley Price
Duties and Responsibilities
  • Review root causes for all readmissions
  • Determine best practice protocols for Obs vs Adm in hospitals
  • Develop EBM protocols for care transitions
  • Design key communication techniques for transitions
  • Assess effectiveness of techniques
  • Recommend provider network adjustments based on compliance with transitional care protocols

 

Compliance
and Communications

  • Tom Samuels, CPA, Co-Chair
  • John Lillybridge, Co-Chair
  • Jamin Scribner, APRN
  • William Barnes, MD
  • John Lillybridge
  • Charles Morgan
  • Casey Payne
  • Melia Hall
Duties and Responsibilities
  • Review and approve physician and patient education materials
  • Develop provider education symposiums and benchmarks
  • Health information exchange connectivity
  • Shared savings distribution methodology
  • Claims expense and quality measure reporting and monitoring
  • Compliance training and complaint reporting
  • QIP budgeting and financial review

 

Board of Directors

  • Joseph Smith, Chair
  • Stephanie Moore, Vice Chair
  • Jerry Ugrin, Treasurer
  • David Bolt, Medicare Beneficiary
  • Chris Keyser
  • Peter Rock, MD
  • Michael Heneisen
  • Donna Bragg, RN
  • Roger Arbuckle
  • Melody Stafford
  • John Mark Fones
  • Michael Gavin, MD
  • Harold Brown
  • Kecia Fulcher
  • Robert Franco
  • John Hickey

Quality Improvement
and Assurance

Meets 8 times in 2018
2nd Wednesday of the month at 8:00 am ET

  • February 14, 2018 at 8:00 am ET
  • April 11, 2018 at 8:00 am ET
  • May 9, 2018 at 8:00 am ET
  • June 13, 2018 at 8:00 am ET
  • August 8, 2018 at 8:00 am ET
  • September 12, 2018 at 8:00 am ET
  • October 10, 2018 at 8:00 am ET
  • November 14, 2018 at 8:00 am ET

Transitional Care
Coordination

Meets 8 times in 2018
3rd Wednesday of the month at 12:30 pm ET

  • February 21, 2018 at 12:30 pm ET
  • April 18, 2018 at 12:30 pm ET
  • May 16, 2018 at 12:30 pm ET
  • June 20, 2018 at 12:30 pm ET
  • August 15, 2018 at 12:30 pm ET
  • September 19, 2018 at 12:30 pm ET
  • October 17, 2018 at 12:30 pm ET
  • November 21, 2018 at 12:30 pm ET

Compliance
and Communications

Meets 8 times in 2018
2nd Tuesday of the month at 12:30 pm ET

  • February 13, 2018 at 12:30 pm ET
  • April 10, 2018 at 12:30 pm ET
  • May 8, 2018 at 12:30 pm ET
  • June 12, 2018 at 12:30 pm ET
  • August 7, 2018 at 12:30 pm ET
  • September 11, 2018 at 12:30 pm ET
  • October 9, 2018 at 12:30 pm ET
  • November 13, 2018 at 12:30 pm ET

Board of Directors

  • January 14, 2016 at 6:00 pm ET
  • February 24, 2016 at 12:30 pm ET
  • March 23, 2016 at 12:30 pm ET
  • April 27, 2016 at 12:30 pm ET
  • May 25, 2016 at 12:30 pm ET
  • June 22, 2016 at 12:30 pm ET
  • August 24, 2016 at 12:30 pm ET
  • September 28, 2016 at 12:30 pm ET
  • November- TBD

ACO Name and Location

Kentucky Primary Care Alliance Region 2 LLC
2301 River Rd, Ste 302
Louisville, KY 40206

ACO Primary Contact

Barbara Newton
bnewton@phdelivery.com
Phone: 888-426-9680

ACO Participants

  • Big Sandy Health Care, Inc
  • Bluegrass Clinic Liberty, Pllc
  • Bluegrass Clinic Stanford, Pllc
  • Bowling Green Warren County Primary Care Center, Inc
  • Charles H Wilkens, MD, PSC
  • Clover Fork Outpatient Medical Project, Inc
  • Health Help DBA White House Clinics
  • HealthFirst Bluegrass Inc
  • Juniper Health, Inc
  • Lewis County Primary Care Center, Inc
  • Pennyroyal Healthcare Services, Inc
  • Phillips Pratt & McFarland PSC
  • Primary Care Centers of Eatern Kentucky, LLC
  • Reginal Healthcare Affiliates, Inc
  • Sterling Health Solutions, Inc
  • Triad Health Systems, Inc
  • Tri-Rivers Healthcare, PLLC
  • Williamsburg Family Medicine Center

ACO Participants in Joint Ventures between ACO Professionals and Hospitals

No participants are involved in a joint venture between ACO professionals and hospitals.

Kentucky Primary Care Alliance Governing Body

  • Joseph Smith | Chairperson | Non-Voting Member | Other - Executive Director of KPCA
  • Stephanie Moore | Vice-Chair | Voting Member | ACO Participant Representative | Health Help DBA White House Clinics
  • Chris Keyser | Secretary | Voting Member | ACO Participant Representative | Bowling Green Warren County Primary Care Center dba Fairview Clinics
  • Jerry Ugrin | Treasurer | Voting Member | ACO Participant Representative | Lewis County Primary Care Center, Inc
  • David Bolt | Voting | Voting Member | Medicare Beneficiary
  • Naren James, MD | Voting Member | ACO Participant Representative | Bluegrass Clinic Stanford
  • John Mark Fones | Voting | Voting Member | Community Stakeholder - The Medical Center at Bowling Green
  • Michael Heneisen | Voting | Voting Member | ACO Participant Representative | Tri-Rivers Healthcare, PLLC
  • Michael Gavin, MD | Medical Director | Voting Member | ACO Participant Representative | Tri-Rivers Healthcare, PLLC
  • Harold Brown | Voting | Voting Member | ACO Participant Representative | Sterling Health Solutions, Inc
  • John Hickey | Voting | Voting Member | Community Stakeholder - Lifepoint Health Systems
  • Kecia Fulcher | Voting | Voting Member | ACO Participant Representative | Pennyroyal Healthcare Services, Inc
  • Brent Rafferty | Voting | Voting Member | ACO Participant Representative | HealthFirst Bluegrass Inc
  • Adam Craft | Voting | Voting Member | ACO Participant Representative | Triad Health Systems, Inc
  • Ancil Lewis | Voting | Voting Member | ACO Particpant Representative | Big Sandy Health Care, Inc
  • Barry Martin | Voting | Voting Member | ACO Particpant Representative | Primary Care Center of Eastern Kentucky, LLC
  • Britt Lewis, Jr. | Voting | Voting Member | ACO Particpant Representative | Clover Fork Outpatient Medical Project, Inc
  • Darryl Wilkens, MD | Voting | Voting Member | ACO Particpant Representative | Charles H. Wilkens, MD, PSC
  • Elsie Crawford, RN | Voting | Voting Member | ACO Particpant Representative | Williamsburg Family Medicine Center
  • Karen Ditsch | Voting | Voting Member | ACO Particpant Representative | Juniper Health, Inc
  • Shelly Gobin, RN | Voting | Voting Member | ACO Particpant Representative | Regional Healthcare Affiliates, Inc
  • John I Jones, DO Medical Director | Voting | Voting Member | ACO Particpant Representative | Primary Care Center of Eastern Kentucky, LLC
  • Robert Parmelee | Voting | Voting Member | ACO Particpant Representative | Phillips Pratt & McFarland, PSC

View Organizational Chart

Key Clinical and Administrative Leadership

  • ACO Executive: Ms. Barbara Newton
  • Medical Directors: Dr. John Jones; Dr. Michael Gavin
  • Compliance Official: Mr. Thomas Samuels, CPA
  • Quality Improvement and Assurance: Michael Gavin, MD, Chair, Voting member

Board of Directors PCPs on the Board 

  • Transitional Care Coordination - John Jones, DO, Chair, Voting Member

Community Board Members 

  • Joe Smith, Kentucky Primary Care Association, Chairman of the Board, Non Voting Member
  • David Bolt, Medicare Beneficiary, Medicare Beneficiary, Voting Member
  • John Mark Fones – The Medical Center at Bowling Green, Communtity Stakeholder, Voting Member
  • John Hickey, Lifepoint Hospitals, Communtity Stakeholder, Voting Member

ACO Committees and Committee Leadership

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

  • ACO professionals in a group practice arrangement
  • Federally Qualified Health Center (FQHC)
  • Rural Health Clinic (RHC)

Shared Savings and Losses

Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2016, $955,460

Shared Savings Distribution

  • First Agreement Period
    • Performance Year 2016
      • Proportion invested in infrastructure: 75%
      • Proportion invested in redesigned care processes/resources: 25%
      • Proportion of distribution to ACO participants: 0

Quality Performance Results

See 2016 Quality Performance Results Table here

Waiver Notices

No, our ACO does not use the SNF 3-Day Rule Waiver.

Page last modified: February 27, 2018