Organizational Information

ACO Participants

ACO Participants	ACO Participants in Joint Venture
Bruyninckx Medical Clinic, LLC	N
Chaudhry Clinic, LLC	N
Green Clinic, LLC	N
Guardian Health Clinic, LLC	N
Monroe Surgical Hospital, LLC dba The Medical Office of Mangham	N
St. Thomas Community Health Center	N

ACO Governing Body

Member First Name	Member Last Name	Member Title/Position	Member’s Voting Power (Expressed as a percentage)	Membership Type	ACO Participant Legal Business Name, if applicable
Kyle	Bruyninckx	Medical Director	12.5%	ACO Participant Representative	Bruyninckx Medical, LLC
William	Sanders	Primary Care Representative	12.5%	ACO Participant Representative	Green Clinic, LLC
Lori	Keen	Medicare Beneficiary Representative	12.5%	ACO Participant Representative	Green Clinic, LLC
Robyn	Hemphill	CEO	12.5%	ACO Participant Representative	Monroe Surgical Hospital, LLC Dba The Medical Office of Mangham
Sharon	Ray	Quality Representative	12.5%	ACO Participant Representative	Monroe Surgical Hospital, LLC Dba The Medical Office of Mangham
Erin	Breard	Primary Representative	12.5%	ACO Participant Representative	Ouachita Medical Clinic
Sabrina	Hogan	President	12.5%	Other	N/A
William	Harrison	Medicare Beneficiary	12.5%	Medicare Beneficiary Representative	N/A

Key ACO Clinical and Administrative Leadership:

ACO Executive: Sabrina Hogan
Medical Director: Kyle Bruyninckx, MD
Compliance Officer: Mary Saporito
Quality Assurance/Improvement Officer: Kristi Jones

Associated Committees and Committee Leadership:

Committee Name	Committee Leader Name and Position
Quality Assurance Program Improvement Committee	Dr. Kyle Bruyninckx, Chair

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

Network of individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses:

• First Agreement Period
  • Performance Year 2023, $0

Shared Savings Distribution:

• · First Agreement Period
  • Performance Year: 2023
  • Proportion invested in infrastructure: N/A
  • Proportion invested in redesigned care processes/resources: N/A
  • Proportion of distribution to ACO participants: N/A

Quality Performance Results

2023 Quality Performance Results

Measure #	Measure Name	Collection Type	Reported Performance Rate	Mean Performance Rate (SSP ACOs)
Quality ID# 001	Diabetes: Hemoglobin (HbA1c) Poor Control	MIPS CQM	47.88	36.38 (MIPS CQM)
Quality ID #134	Preventative Care and Screening for Depression and Follow-up	MIPS CQM	45.96	43.57 (MIPS CQM)
Quality ID# 236	Controlling High Blood Pressure	MIPS CQM	70.64	70.03 (MIPS CQM)
Measure 479	Hospital-Wide 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups	Administrative Claims	0.1561	0.1553
Measure 484	Clinician and Clinical Group Risk-Standardized Hospital Admission	Administrative Claims	35.06	35.39
CAHPS-1	Getting timely care, appointments, and information	CAHPS for MIPS Survey	84.39	83.68
CAHPS-2	How Well Providers Communicate	CAHPS for MIPS Survey	93.63	93.69
CAHPS-3	Patient’s Rating of Provider	CAHPS for MIPS Survey	91.9	92.13
CAHPS-4	Access to Specialists	CAHPS for MIPS Survey	81.79	75.97
CAHPS-5	Health Promotion and Education	CAHPS for MIPS Survey	52.78	63.92
CAHPS-6	Shared Decision Making	CAHPS for MIPS Survey	55.26	61.59
CAHPS-7	Health Status and Functional Status	CAHPS for MIPS Survey	71.8	74.12
CAHPS-8	Care Coordination	CAHPS for MIPS Survey	84.89	85.76
CAHPS-9	Courteous and Helpful Office Staff	CAHPS for MIPS Survey	90.92	92.31
CAHPS-11	Stewardship of Patient Resources	CAHPS for MIPS Survey	23.42	26.68

For previous years’ Financial and Quality Performance Results, please visit: Data.cms.gov

Payment Rule Waivers:

N/A

EleHealth ACO Code of Business Conduct