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Tests to Expect When Managing Diabetes

Tests to Expect When Managing Diabetes

If you’ve been recently diagnosed with diabetes, you’re probably wondering what to expect. Your doctor may recommend certain new tests to help monitor your condition. Here’s what you need to know about these exams—what they are, what they detect, and how they help keep your diabetes under control.

Foot Exam

Diabetes can cause several foot problems, according to the American Diabetes Association. It can reduce blood circulation, making cuts harder to heal. Nerve damage—also called neuropathy—can make it more difficult to feel pain, so you might not realize you have a foot injury. Left untreated, the injury can lead to an infection. These infections are often the cause of foot or leg amputations in people with diabetes.

Every year, your doctor should take a thorough look at your feet to check for problems and care for any foot issues before they become too severe.

Outside of the doctor’s office, you can keep your feet healthy by:

•Washing and drying your feet every day

•Wearing shoes and socks at all times

•Regularly checking for cuts or blisters

•Using a gentle moisturizer, but not between your toes

Talk with your doctor right away if you notice any cuts, ingrown toe nails, or other changes to your feet.

Kidney Test

Diabetes is the leading cause of kidney failure, contributing to roughly 44 percent of all new cases. The National Institutes of Health estimates the number of Americans living with diabetes-related kidney failure at more than 180,000.

Your doctor will perform one or both of these tests to see how well your kidneys are functioning:

•ACR: The albuminuria-to-creatinine ratio (ACR) measures the amount of a certain protein—albumin—in your urine. Too much albumin in the urine is usually an indication of kidney disease.

•GFR: The glomerular filtration rate (GFR) is a measure of how well your kidneys remove waste from your blood. A lower score signals a loss of kidney function: 90 or above indicates that your kidneys are functioning normally, while 15 or below indicates kidney failure.

Cholesterol and Triglyceride Test

Having diabetes can make you prone to high cholesterol. A condition called diabetic dyslipidemia increases your “bad” cholesterol, or LDL, levels while lowering your “good” cholesterol, or HDL, levels. This condition raises your risk for heart disease and stroke.

Have your doctor check your cholesterol and triglycerides every year. You may have heard that your “bad” cholesterol should be below a certain number, but the American Heart Association says that is no longer the case. Instead, your doctor will look at your total cholesterol, a number that factors in your LDL, HDL, and triglyceride levels. A score less than 180 mg/dL is ideal.

A1C Test

Some diabetes-related tests are so important, they need to be scheduled more than once per year. Your A1C test, for example, should happen at least every six months, according to the American Diabetes Association.

The A1C test tells you your average blood glucose level over the past three months. Unlike your daily monitoring, which can fluctuate depending on factors like time of day and whether you’ve eaten recently, the A1C paints a more accurate picture of your overall blood glucose levels.

An A1C result of 7 percent is ideal for most people, but talk with your doctor to see if you should aim for a different goal.

Take Control

Between tests, there’s a lot you can do to take charge and keep yourself healthy. For instance:

•Quit smoking: People who smoke with diabetes are much more prone to serious issues, including problems with your heart, kidneys, eyes, and nerves.

•Get physical: Regular activity helps your body process insulin better and lowers your blood glucose, blood pressure, and cholesterol levels.

•Eat well: A healthy diet that includes fruits, vegetables, whole grains, fish, and poultry can also help your blood glucose, blood pressure, and cholesterol.

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Bibliography

“A1C and eAG.” American Diabetes Association. www.diabetes.org/living-with-diabetes/treatment-and-care/blood-glucose-control/a1c/.

“Cholesterol Abnormalities & Diabetes.” American Heart Association.www.heart.org/HEARTORG/Conditions/Diabetes/WhyDiabetesMatters/CholesterolAbnormalitiesDiabetes_UCM_313868_Article.jsp.

“Diabetes Meal Plans and a Healthy Diet.” American Diabetes Association. www.diabetes.org/food-and-fitness/food/planning-meals/diabetes-meal-plans-and-a-healthy-diet.html.

“Foot Care.” American Diabetes Association. www.diabetes.org/living-with-diabetes/complications/foot-complications/foot-care.html.

“Foot Complications.” American Diabetes Association. www.diabetes.org/living-with-diabetes/complications/foot-complications.

“Glomerular Filtration Rate.” National Kidney Foundation. www.kidney.org/atoz/content/gfr.

“Kidney Disease of Diabetes.” National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, National Kidney and Urologic Diseases Information Clearinghouse.http://kidney.niddk.nih.gov/KUDISEASES/pubs/kdd/index.aspx.

“Physical Activity is Important. American Diabetes Association. www.diabetes.org/food-and-fitness/fitness/physical-activity-is-important.html.

“Smoking and Diabetes.” Centers for Disease Control and Prevention.www.cdc.gov/tobacco/campaign/tips/diseases/diabetes.html.

“Staying Healthy with Diabetes.” Centers for Disease Control and Prevention.www.cdc.gov/diabetes/living/health.html.

“The A1C Test and Diabetes.” National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, National Diabetes Information Clearinghouse. http://diabetes.niddk.nih.gov/dm/pubs/A1CTest/.

“Two Simple Tests to Check for Kidney Disease.” National Kidney Foundation.www.kidney.org/kidneydisease/twosimpletests.


Public Reporting

ACO Name and Location

Palm Beach Accountable Care Organization, LLC
2326 South Congress Avenue, Suite 2F
Palm Springs, FL 33406

ACO Primary Contact

Primary Contact Name

Mr. David Klebonis, Chief Operating Officer

Primary Contact Phone Number

(561) 429-2680

Primary Contact Email Address

dklebonis@pbaco.org

Organizational Information

ACO Participants

ACO Participants

ACO Participants in Joint Venture?

ACADIA MEDICAL CENTER, P.A.

N

ACCESS HEALTH PHYSICIAN SERVICES LLC

N

ACCOUNTABLE CARE HOSPITALIST GROUP

N

ACTION PHYSICAL THERAPY, LLC

N

ACUTE MEDICAL CARE HOSPITALIST LLC

N

ADULT MEDICINE CENTER OF SOUTH FLORIDA, P.A.

N

ADVANCED KIDNEY CARE, M.D., P.A.-CENTRAL

N

ADVANCED MEDICAL CLINIC, P.A.

N

ALBAN B. BACCHUS, M.D., INC.

N

ALLERGY SPECIALISTS OF THE PALM BEACHES, INC.

N

ALVARO ERNESTO CASTILLO M.D.

N

AMIR FAHMY MD.PA

N

ANA J. FANDINO, M.D., P.A.

N

ANDREW M. LERMAN, M.D. P.A.

N

ANGELA GOMEZ, M.D., P.A.

N

ANITA GARIB-SANKAR, M.D., P.A.

N

ARGENTINA BRITO, M.D., P.A.

N

ARIEL RAMIREZ M.D. PA.

N

ASSOCIATED MEDICAL MANAGERS, INC.

N

BARRY A. FRANKEL & ASSOCIATES, P.A.

N

BASSAM SAYEGH, M.D., P.A.

N

BAY SURGICAL GROUP, LLC.

N

BRAD P. GLICK, D.O., M.P.H., P.A.

N

BRUCE BERENSON, M.D., P.A.

N

BRYAN J. WASSERMAN, M.D. P.A.

N

CARDIOLOGY PARTNERS, P.L.

N

CARDIOVASCULAR ASSOCIATES OF SOUTH FLORIDA

N

CARDIOVASCULAR MEDICINE ASSOCIATES, P.A.

N

CARLOS A. SABATES, M.D., P.A

N

CARLOS M. ALONSO, M.D., P.A.

N

CARMEN C. FERNANDEZ, M.D., P.A.

N

CAROLYN J. AGRESTI, M.D. EAR, NOSE AND THROAT, INC.-=;'

N

CATHERINE DROURR, M.D., P.A.

N

CENTER FOR BONE & JOINT SURGERY OF THE PALM BEACHES, P.A.

N

CENTERPOINT MEDICAL SERVICES INC.

N

CENTURION, QUINTANA, AND ASSOCIATES, M.D'S, P.A.

N

CHILDREN'S MEDICAL CARE, INC.

N

CHRISTOPHER DEVINE, D.O., P.A

N

CIRO A RAMIREZ MD. PA.

N

COHEN MEDICAL ASSOCIATES, LLC

N

COMPREHENSIVE PAIN CARE OF SOUTH FLORIDA, LLC

N

DAGMAR LEMUS M.D., P.A.

N

DANIEL IGAL NUCHOVICH, M.D., P.A.

N

DAVID C. MISHKEL, M.D., P.A.

N

DAVID L. LIPORACE, D.O., P.A.

N

DAVID MILBAUER, M.D., P.A.

N

DIGESTIVE CARE MIAMI GASTROENTEROLOGY CONSULTANTS, LLC

N

DR. BARRY SEIDMAN, M.D.

N

DR. BENNETT A. LEWIS, D.O., P.A.

N

DR. CAROLYN HOUSS, MEDICAL DECISION ASSOCIATES, P.A.

N

DR. ELEONOR PIMENTEL, M.D., P.A.

N

DR. HASSAN ALI, MD, P.A.

N

DR. RICHARD B. WEISBERG, P.A.

N

DRIFTWOOD FAMILY PRACTICE, P.A.

N

DUCARMEL AUGUSTIN, M.D., P.A.

N

EARL I. LA KIER, M.D., P.A.

N

EDUARDO A REYES MD PA

N

EDUARDO J. GONZALEZ, M.D., P.A.

N

EDUARDO KOFMAN, MD, PA

N

EISENMAN & EISENMAN, M.D., LLC

N

ELITE DERMATOLOGY AND AESTHETIC INSTITUTE, LLC

N

ELLA REMENSON, M.D., P.A.

N

EMDE 1, LLC

N

ESSAM ATTIA, M.D., P.A.

N

EYE & EAR OF PALM SPRINGS, INC.

N

FAMILY CHOICE MEDICAL CLINIC PA

N

FAMILY MEDICAL AND WELLNESS CENTER, LLC

N

FARAH MEDICAL, LLC

N

FARIS J. FAKHOURY, M.D., P.A.

N

FLAGLER MEDICAL ASSOCIATES, P.A.

N

FLORIDA ACUTE CARE SPECIALST, LLC

N

FLORIDA BREAST CARE

N

FLORIDA KIDNEY AND HYPERTENSION CARE, P.A.

N

FRANCISCO ADELQUIS CRUZ, M.D. P.A.

N

FRANCISCO REYTOR M.D , PA

N

FRANCISCO SMITH PALACIOS P.A.

N

FRANKLIN PIMENTEL M.D., P.A.

N

GABRIELLA BONOMO, M.D., P.A.

N

GARCIA & GARCIA, M.D. 'S, P.A.

N

GARCIA & GIRON, M.D., P.A.

N

GARDENS FAMILY PRACTICE, P.A.

N

GARY KABINOFF, M.D., P.A.

N

GASTRO GROUP OF THE PALM BEACHES, LLP

N

GASTROENTEROLOGY SPECIALIST, INC.

N

Gateway Medical Group, L.C.

N

GENE SHIEH, MD

N

GENVASCULAR SURGICAL PA

N

GEORGE BORDENAVE, M.D., P.A

N

GERIATRICS OF BOCA - DELRAY PA

N

GJORGJI TRNOVSKI, M.D., P.A.

N

GRACE MEDICAL CENTER OF FLORIDA, INC

N

H RIVERO MD PA

N

HAL J. BASHEIN, DO

N

HECTOR B. JIMENEZ, M.D., P.A.

N

HELLERSTEIN UROLOGY

N

HEMATOLOGY ONCOLOGY ASSOCIATES OF THE PALM BEACHES, P.A.

N

HENRY E PAEZ, M.D., P.A.

N

HILLSBORO ALLERGY & FAMILY MEDICINE, INC.

N

IMMEDIATE CARE, P.A.

N

JACK I. NEWCOMER, M.D., P.A.

N

JACQUES H. GUITEAU, M.D., INC.

N

JAIDEEP PURI MD PLLC

N

JANE LAMP, MD, PA

N

JAVIER J. CANASI, M.D., P.A.

N

JAY S. BERGER, M.D., P.A.

N

JEAN CLAUDE DUBOIS, P.A.

N

JOHN A.P. RIMMER, MD

N

JOHN W. N. FOSTER, M.D., P.A.

N

JORGE L. MACIA AND ROSA M. MARIN, MD, PA.

N

JOSE A. DE OLAZABAL

N

JOSE BASAGOITIA, MD, PA

N

JOSE R. DE OLAZABAL

N

JOSEPH A. GIAIMO, D.O., P.A.

N

JOSEPH C. TAUB D.P.M., P.A.

N

JUAN ALBERTO PRIETO MD PA

N

JUPITER CONCIERGE FAMILY PRACTICE, P.A.

N

JUPITER EYE SURGERY CENTER LLC

N

JUPITER INTERNAL MEDICINE ASSOCIATES, P.A.

N

JUPITER MEDICAL GROUP, P.A.

N

JUPITER MEDICAL GROUP, P.A. - ROYAL PALM BEACH

N

JUPITER MEDICAL GROUP, P.A. - WELLINGTON

N

KAREN KUTIKOFF, P.A.

N

KENNETH S. JAFFE, M.D. P.A.

N

KEVIN PALLONE, M.P.T., P.A.

N

KEY BISCAYNE MEDICAL CENTER, INC.

N

KIDNEY SPECIALTY CENTER, INC.

N

KISHORE DASS, M.D.

N

LA PODIATRY GROUP, LLC

N

LAI-YUAN LUI MD

N

LAZARO MIGUEL GARCIA, M.D., P.A.

N

LAZARO PRIEGUES, M.D., P.A.

N

LAZARO VIGOA, M.D.PA

N

LEONARD A. SUKIENIK, D.O., P.A.

N

LINDA DELO DO PA

N

LUIS S. VERAS, M.D., P.A.

N

MAJESTY MEDICAL ASSOCIATES LLC

N

MANOR MEDICAL CENTER, INC.

N

MANUEL BORNIA, M.D., P.A.

N

MANUEL ESPINEL MD P.A.

N

MARIA O. LOPEZ, M.D., P.A.

N

MARK JOSEPH MEYER MD

N

MD NOW OF BOCA RATON, LLC

N

MEDICAL ASSOCIATES OF DELRAY, P.A.PR

N

MEDICAL SPECIALISTS OF THE PALM BEACHES, INC.

N

MESA MEDICAL, LLC

N

MICHAEL HANNA, D.O., P.A.

N

MICHAEL J SINCLAIR, MD, PA

N

MICHAEL M. TUCHMAN, M.D., P.A.

N

MIL LAKE HEALTHCARE CENTER, INC

N

MINERVA SANTO-TOMAS M.D., P.A.

N

MITCHELL MARKS MEDICIAL DECISION ASSOCIATES P A

N

MOHAMMAD T. JAVED, M.D., P.A.

N

MOHAN L. GUPTA M.D. P.A.

N

MUDIT JAIN, M.D., P.A.

N

MUHAMMAD A. CHAUDHARY, M.D., P.A.

N

MUHAMMAD K. SYED MD P.A.

N

NARENDRA K. MAHESHWARI, M.D., P.A.

N

NATIONAL MEDICAL SERVICES II, INC.

N

NEIL A. SCHULTZ, M.D., P.A.

N

NEUROLOGY SPECIALISTS OF JUPITER, P.A.

N

NEW HOPE MEDICAL GROUP LLC

N

NEWFIELD ORTHOPEDICS, P.A.

N

NORTH PALM FAMILY PRACTICE, LLC

N

NORTHEAST FLORIDA HOSPITALISTS, INC.

N

OLYMPIA MEDICAL CENTER, INC.

N

OPTIMAL HEALTH CHOICE LLC

N

ORLON V. CARR III, M.D. P.A.

N

OSCAR G. GALVEZ, M.D., P.A.

N

OSCAR HERRERA, M.D., P.A.

N

PALM BEACH CARDIOLOGY CENTER, INC.

N

PALM BEACH FAMILY MEDICAL ASSOCIATES, INC.

N

PALM BEACH FOOT AND ANKLE, INC.

N

PALM BEACH GARDENS SURGERY LLC

N

PALM BEACH INTERNAL MEDICINE, LLC

N

PALM BEACH SURGICAL ASSOCIATES

N

PALM BEACH UROLOGY ASSOCIATES, P.A.

N

PEYMON ZARREII, M.D., P.A.

N

POMPANO MEDICAL CENTER, INC.

N

PREMIER FAMILY HEALTH, P.A.

N

PRETTELT CENTER FOR FAMILY HEALTH, P.A.

N

PRIMARY CARE ASSOCIATES, P.A.- NORTH

N

PRIMARY CARE ASSOCIATES, P.A.- WEST

N

PRIMARY CARE ASSOCIATES, P.A.-EAST

N

RAFAEL A. BARRIAL, M.D., P.A.

N

RAHUL A PATEL MD, P.A.

N

RAJ KHAMBHATI, M.D., P.A.

N

RAJESH AGARWALA, M.D., PLLC

N

RAMON G. IGLESIAS, M.D., P.A.

N

REBECCA A. PROSTKO, M.D.P.A.

N

REHABILITATION PHYSICIANS, P.A.

N

RICHARD A. DELUCIA JR., M.D. P.A.

N

RICHARD J. PRICE, M.D., P.A.

N

RICHARD M. DWOSKIN, M.D., P.A.

N

RICHARD M. HAYS, M.D., P.A.

N

RITECARE MEDICAL CENTER, LLC

N

ROBERT COLLINS GREER IV, D.O. PROFESSIONAL ASSOCIATION

N

ROBERT L. BOLTUCH, D.O., P.A.

N

ROBIN A. SYKES, M.D., P.A., INC.

N

ROHIT DANDIYA, M.D., P.A.

N

ROLANDO C. MENDIZABAL M.D., P.A.

N

ROSA M CUELLO SUAREZ, MD PA

N

ROYAL PALM BEACH MEDICAL GROUP, LLC

N

RSJ PLASTIC SURGERY, LLC

N

RUBEN J. AYALA MD. P.A.

N

SAINNOVAL SURGICAL LLC

N

SANCHEZ-CAZAU MEDICAL GROUP, P.A.

N

SANDEEP JAIN MD, P.A.

N

SCOTT D. BEEDE, M.D., P.A.

N

SHAHZAD KHAN, M.D., P.A.

N

SHAMSAD BEGUM, M.D., P.A.

N

SHANVI INC

N

SHEELA SHAH MD PLLC

N

SOMA MEDICAL CENTER, P.A.

N

SOUTH FLORIDA NEPHROLOGY GROUP, P.A.

N

SOUTH FLORIDA PHYSICIAN CARE NETWORK P.A.

N

SOUTH PALM BEACH HEALTH GROUP, P.A.

N

SOUTH PALM BEACH NEPHROLOGY, P.A.

N

SOUTH PALM MEDICAL ASSOCIATES, P.A.

N

SRINIVAS KAZA, MD

N

ST. CROIX MEDICAL GROUP, INC.

N

STEVEN KANNER D.O., PLLC

N

STEVEN L. SCHNELL, M.D.

N

STUART K. JOSEPH M.D., LLC

N

THE MEDICAL GROUP OF SOUTH FLORIDA,INC

N

THE SURGICAL GROUP OF MIAMI, P.A.

N

THERESA KELLER GOEBEL, D.O., P.A.

N

THOMAS KLEIN M.D.

N

THOMAS R. ROWE GENERAL & ONCOLOGIC SURGERY P.A.

N

TRAIL MEDICAL CENTER, P.A.

N

Uma Khanna, MD, PA

N

UNIVERSAL MEDICAL CENTRE, PA

N

URGENT CARE OF THE PALM BEACHES

N

UROLOGIC SPECIALISTS

N

UROLOGY CENTER OF PALM BEACH P.A.

N

VALENTINA GHERGHINA, M.D., P.A.

N

VARADERO MEDICAL CENTER OF MIAMI

N

VIJAY VAKHARIA MD PA

N

VILMED, INC.

N

VISUAL HEALTH AND SURGICAL CENTER, INC.

N

WELLINGTON MEDICAL CARE ASSOCIATES, LLC

N

WILLIAM J MURPHY DC

N

WILLIAM S NUTOVITS,MD,PA

N

WOMENFIRST, LLC

N

YANITZA RODRIGUEZ, M.D., P.A.

N

Z. RAFAEL ABAD, M.D.

N

Z. RAFAEL ABAD, M.D. P.A.

N

ZBIGNIEW JACOB LITWINCZUK MD PA

N

 

ACO Participants in joint ventures between ACO professionals and hospitals

ACO participants are not in joint ventures with other ACO professionals and/or hospitals.

ACO Governing Body:

Palm Beach Governing Body

Member

Member's Voting Power

Membership Type

ACO Participant TIN Legal Business Name / DBA, if Applicable

Last Name

First Name

Title / Position

Weisberg

Richard

Chairman

1

Voting Member

DR. RICHARD B. WEISBERG, P.A.

Carr

Ana Lisa

Dr.

1

Voting Member

ORLON V. CARR III, M.D. P.A.

Mendelson

Avishai

Dr.

1

Voting Member

THE MEDICAL GROUP OF SOUTH FLORIDA,INC

Boss

Daniel

Dr.

1

Voting Member

JUPITER INTERNAL MEDICINE ASSOCIATES, P.A.

Novoa

Elio

Dr.

1

Voting Member

JUPITER MEDICAL GROUP, P.A.

Montijo

Harvey

Dr.

1

Voting Member

OPTIMAL WELLNESS & LONGEVITY INSTITUTE, LLC

Jimenez

Hector

Dr.

1

Voting Member

HECTOR B. JIMENEZ, M.D., P.A.

Galante

Mirta

Dr.

1

Voting Member

FLAGLER MEDICAL ASSOCIATES, P.A.

Arrascue

Jose

Dr.

1

Voting Member

SOUTH PALM BEACH NEPHROLOGY, P.A.

Jaffe

Kenneth

Dr.

1

Voting Member

KENNETH S. JAFFE, M.D. P.A.

Girala

Ricardo

Dr.

1

Voting Member

KEY BISCAYNE MEDICAL CENTER, INC.

Delucia

Richard

Dr.

1

Voting Member

RICHARD A. DELUCIA JR., M.D. P.A.

Weisberg

Richard

Dr.

1

Voting Member

DR. RICHARD B. WEISBERG, P.A.

Dharia

Rupesh

Dr.

1

Voting Member

PALM BEACH INTERNAL MEDICINE, LLC

Jain

Sandeep

Dr.

1

Voting Member

SANDEEP JAIN MD, P.A.

Salib

Shady

Dr.

1

Voting Member

AMIR FAHMY MD.PA

Kiner

David

Medicare Benficiary

1

Voting Member

MEDICARE BENEFICIARY

 

South Florida Governing Body

Member

Member's Voting Power

Membership Type

ACO Participant TIN Legal Business Name / DBA, if Applicable

Last Name

First Name

Title / Position

Veras

Luis

Chairman

1

Voting Member

LUIS S. VERAS, M.D., P.A.

Rivero

Homero

Dr.

1

Voting Member

H RIVERO MD PA

Priegues

Lazaro

Dr.

1

Voting Member

LAZARO PRIEGUES, M.D., P.A.

Joseph

Stuart

Dr.

1

Voting Member

STUART K. JOSEPH M.D., LLC

Sanchez-Cazau

Dolores

Dr.

1

Voting Member

SANCHEZ-CAZAU MEDICAL GROUP, P.A.

Fernandez

Carmen

Dr.

1

Voting Member

CARMEN C. FERNANDEZ, M.D., P.A.

Jimenez

Javier

Dr.

1

Voting Member

CARDIOVASCULAR MEDICINE ASSOCIATES, P.A.

Santo-Tomas

Minerva

Dr.

1

Voting Member

MINERVA SANTO-TOMAS M.D., P.A.

Jimenez

Hector

Dr.

1

Voting Member

PBACO REPRESENTATIVE

Pinto

Jaime

Medicare Benficiary

1

Voting Member

MEDICARE BENEFICIARY

 

Key ACO clinical and administrative leadership:

Dr. Arthur Hansen

Medical Director

David Klebonis

ACO Executive

David Klebonis

Compliance Official

Amanda Panteliodis

Quality Assurance/Improvement Officer

Associated committees and committee leadership:

Committee Name

Committee Leader Name and Position

PBACO Board of Managing Members

Dr. Richard Weisberg, Chairman

 

 

 

 

Executive Committee

Dr. Saeed Khan, Committee Chairman

Dr. Arthur Hansen, Chief Executive Officer

Dr. Raj Bansal, Special Finance Officer

Dr. Richard Weisberg, B.O.M.M. Chairman

Dr. Dan Boss, Finance Committee Chairman

Dr. Rohit Dandiya, Medical Coordinator

 

 

 

 

 

Medical Committee

Dr. Rohit Dandiya, Medical Coordinator Chairman

Dr. Saeed Khan, Medical Associate

Dr. Homero Rivero, Medical Associate

Dr. Rebecca Prostko, Medical Associate

Dr. Salid Shady, Medical Associate

Dr. Gerry Aguire, Medical Associate

Dr. Minerva Santo-Tomas, Medical Associate

Dr. Carmen Fernandez, Medical Associate

Dr. Bachoo Singh, Medical Associate

 

Compliance, Audit, Law, and Risk Management Committee

Mr. David Klebonis, Chief Operations Officer

Mr. Fredrick Segal, Attorney Broad & Cassel

 

Quality, Utilization, Clinical Protocols, and Safety Committee

Dr. Lenny Sukienik, Former Chairman

Dr. Luis Veras, South Florida Chairman

Ms. Amanda Panteliodis, Clinical Operations

 

Network Development Committee

Ms. Lindsey Erekson-Knoblock, VP Network Development

 

Physician Membership, Credentialing, and Business Expansion Committee

Dr. Raj Bansal, Committee Chairman

Ms. Lindsey Erekson-Knoblock, VP Network Development

 

Patient Engagement and Education Committee

Dr. Arthur Hansen, Committee Chairman

 

Physician Engagement and Continuing Education

 

Dr. Ron Surowitz, Committee Chairman

Shared Savings, Finance, and Compensation Committee

Dr. Dan Boss, Committee Chairman

Dr. Raj Bansal, Special Finance Officer

Mr. Colin Campbell, Chief Financial Officer

 

Information Technology Committee

Dr. Sharab Mohamed, Committee Chairman

Mr. Brian Chaney, Chief Information Officer

 

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

A network of individual practices of ACO professionals.

Shared Savings and Losses

Amount of Shared Savings/Losses

Second Agreement Period

Performance Year 2016, $30,540,508

First Agreement Period

Performance Year 2015, $36,834,657

Performance Year 2014, $14,455,933

Performance Year 2013, $19,388,729

 

How Shared Savings Are Distributed

Second Agreement Period

Performance Year 2016

               Proportion invested in infrastructure and redesigned care processes/resources: 15%

               Distribution to ACO Participants: 85%

                              80% - Primary Care Physicians

                              20% - Specialists
First Agreement Period

Performance Year 2015:

               Proportion invested in infrastructure and redesigned care processes/resources: 15%

               Distribution to ACO Participants: 85%

                              80% - Primary Care Physicians

                              20% - Specialists

Performance Year 2014:

               Proportion invested in infrastructure and redesigned care processes/resources: 15%

               Distribution to ACO Participants: 85%

                              80% - Primary Care Physicians

                              20% - Specialists

Performance Year 2012-2013:

               Proportion invested in infrastructure and redesigned care processes/resources: 15%

               Distribution to ACO Participants: 85%

                              80% - Primary Care Physicians

                              20% - Specialists

 

Quality Performance Results

See our 2012-2014 Quality Performance Results Table Here.

See our 2015 Quality Performance Results Table Here.

See our 2016 Quality Performance Results Table Here.

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples.    
• For 2016 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2016-Shared-Savings-Program-SSP-Accountable-Care-O/3jk5-q6dr/data
• For 2015 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/Medicare-Shared-Savings-Program-Accountable-Care-O/x8va-z7cu
• For 2014 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/Medicare-Shared-Savings-Program-Accountable-Care-O/ucce-hhpu
• For 2013 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/Medicare-Shared-Savings-Program-Accountable-Care-O/yuq5-65xt

Note: In the Quality Performance Results file(s) above, search for “Palm Beach Accountable Care Organization, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A67373 in the public use files on data.cms.gov.


Payment Rule Waivers

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

 

 


 

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