2015 annual report - soho health · 2017-11-27 · 2015 annual report saint francis health care...

2015 Annual Report

Risk

Results

Rewards

1 Message from the President & CEO

2 Message from the Chair of

SFHCP Board of Directors

3 Message from the Vice Chair of

SFHCP Board of Directors

4 Financial Performance

5 Transition to Value-Based

Reimbursement

6 Demonstrating Results and Reaping

Rewards on the Road to Risk

8 Regional Medical Directors

10 Rewarding Quality Care

12 SFHCP Physicians by Primary Specialty

15 Clinicians

16 SFHCP Committees

Inside back cover SFHCP Staff

C O N T E N T S

Chair

Christopher Dadlez

Vice Chair

Ellison Berns, MD

President & CEO

Jess Kupec

Secretary

Roy Zagieboylo, MD

Treasurer

David Bittner

Directors

Matthew Colliton, MD

David Howlett, MD

Michael Moustakakis, MD

Richard Newman, MD

Julian Nieves, III, MD

Daniel O’Connell

Anthony Posteraro, III, MD

John Rodis, MD

Adam Silverman, MD

Ronald Szabo, MD

Rozanne Zarmsky, MD

S F H C P B O A R D O F D I R E C T O R S

First Row: Christopher Dadlez; Jess Kupec; Ellison Berns, MD; David Bittner; Roy Zagieboylo, MDSecond Row: Murthappa Prakash, MD (President, Medical Staff); Anthony Posteraro, III, MD; Roxanne Zarmsky, MD;Julian Nieves, III, MD; Richard Newman, MD; Michael Moustakakis, MD; Ronald Szabo, MD; Adam Silverman, MD Third Row: Daniel O’Connell; Matthew Colliton, MD; John Rodis, MD, David Howlett, MD

2 0 1 5 A n n u a l R e p o r t Saint Francis HealthCare Partners 1

Message from the President & CEO

2015 represented a critical yearfor Saint Francis HealthCare Partners (SFHCP) in its journey to

population health and in the transition from volume-based

payments, fee-for-service (FFS) to value-based payments. The

SFHCP Leadership Team and Board of Directors (BOD) had the

daunting task to not only predict the future but execute a plan to

be successful in this new paradigm.

As the Leadership Team and BOD tried to understand all of

the challenges facing the delivery of healthcare, it became

apparent that the clinical and business models required significant

review. 2015 became a year of organizational introspection in

which we questioned what we were doing, why we were doing

it and how it impacted our strategic direction and membership.

First, we needed to evaluate the potential regulations coming

from the federal government through Centers for Medicare and

Medicaid Services (CMS). After evaluating the regulatory

environment the best we could, we needed to understand our

local marketplace and how it would respond. From there we

moved onto how SFHCP needed to respond to the current and

future opportunities, as we see them, through our 2015 lens.

By its policies, CMS has clearly indicated it is moving to a

value-based payment system with the expectation that by the year

2018, 90% of Medicare beneficiaries will be covered through

some form of value-based care agreements. Included in this is the

assumption that some down-side risk would be shared with

providers.

The payors in our local marketplace responded quickly by

promoting commercial downside risk contracts and Medicare

Advantage downside risk contracts. Risk-bearing entities began

to form, taking advantage of these new risk-based opportunities.

SFHCP, which was incorporated in 1993 as a risk-bearing entity,

had a head start, but was still required to evaluate itself.

As a result of proactively anticipating all of the above

mentioned challenges, SFHCP has remained ahead of the curve.

First, EMR adoption became a membership requirement. Then

a major focus was placed on identifying quality metrics and

developing a process to educate our members. We initiated our

Regional Medical Directors program, which you can learn more

about in Dr. Ronald Kimmel’s report.

SFHCP converted its business model to a for-profit

shareholder model to encourage physician engagement through

ownership; members are now shareholders of this new corporate

entity. This conversion has allowed us to expand our capital base,

which is critical to our current and future success.

Saint Francis Hospital and Medical Center’s affiliation with

Trinity Health and the creation of a regional ministry, Trinity Health –

New England (TH-NE), has created a broader geographic scale and

financial strength, positioning us to respond to the market

changes referenced above.

The creation of TH-NE provided a great opportunity for SFHCP

to expand as well. The SFHCP BOD decision to create a Clinically

Integrated Network (CIN) with Mercy Medical Center of

Springfield, Mass. and Saint Mary’s Hospital in Waterbury, Conn.

(when approved) will expand our regional footprint — and the

“Super CIN” created by the joining of these entities will

significantly enhance our ability to succeed.

Please take time to review the Leadership Team’s articles as

they have each illuminated many of the aforementioned issues in

their respective areas of expertise.

Respectfully,

Jess Kupec

President & CEO

Saint Francis HealthCare Partners

Saint Francis HealthCare Partners 2 0 1 5 A n n u a l R e p o r t2

Message from the Chairof SFHCP Board of Directors

As this 2015 Saint Francis HealthCare Partners (SFHCP) Annual

Report is appropriately titled, Risk/Results/Rewards, 2015 was a

year in which the Saint Francis Care system experienced all three.

In the following paragraphs I will overview the three and

articulate the impact this has and will have on SFHCP.

The changes in the healthcare landscape have been

monumental. Hospitals, physicians and consumers have all been

exposed to these market changes — hospitals and physicians by

feeling the economic tightening of reimbursements and

consumers by the greater prevalence of high-deductible plan

designs. Out of economic and population health management

necessity, a strategic change was required.

Risk— Saint Francis has a long history of clinical excellence.

Unfortunately, the business model to support this has been

compromised due to market factors. The risk to the hospital,

physicians and SFHCP is that by ignoring the inevitable we will

collectively experience a long and painful contraction. To

appropriately respond to these market factors requires a

greater financial base and scale to survive. Doing nothing was

not an option.

Results — Saint Francis Care and its subsidiaries have been

exploring for a while the possible opportunities to provide scale

and financial strength for the current and future needs of our

healthcare system. As a result of this strategic initiative, Saint

Francis Care chose to affiliate with Trinity Health, a national

not-for-profit Catholic provider system.

SFHCP converted its business model to a for-profit

shareholder model for the same reasons. For more information

on this please refer to Jess Kupec’s President’s Report.

Rewards— On October 1, 2015, Saint Francis Care and its

subsidiaries formally affiliated with Trinity Health. This affiliation

and the creation of a regional ministry, Trinity Health – New

England (TH-NE), created a broader geographic scale and

financial strength to not only respond to the market changes

but lead the change.

The creation of TH-NE provides the geographic scale and

financial strength by immediately bringing in Mercy Medical

Center of Springfield, Mass. and the expected early summer

addition of Saint Mary’s Hospital in Waterbury, Conn.

SFHCP is in the planning phase to create a (Super CIN) for

the THNE Region which will add scale and financial strength as

well for our population health, Accountable Care Organization

(ACO) initiatives.

We have the opportunity to build an integrated ACO model

through SFHCP. As Chair of the SFHCP Board of Directors, I am

excited about the collective opportunities we have together.

Respectfully,

.

Christopher Dadlez

Chair, Board of Directors



VISION STATEMENT“To be the most advanced customer-focused and patient-centered healthcare network statewide,

regionally and nationally, driven by value and innovation.”

OUR MISSION STATEMENT“Saint Francis HealthCare Partners is a cohesive network of independent healthcare practitioners,

Saint Francis Care and other facilities that serve as a vehicle through which the clinical and related economic interests of

patients, providers and payors become aligned. Our success is achieved through the continual improvement of quality and

patient outcomes, and the efficient management of clinical and financial resources.”

Message from the Vice Chairof SFHCP Board of Directors

The Saint Francis HealthCare Partners (SFHCP) 2015 Annual

Report focuses on the changing health care market dynamics.

As Vice Chair of SFHCP and the lead physician representative

on the Board of Directors, I can assure you that your elected

physician directors are working hard to understand how these

changes will impact all physician shareholders (members).

As Chris Dadlez shared in his Chair of the Board Report and

Jess Kupec echoed in his President’s Report, the market changes

are impacting all the components of the healthcare system. In

addition to the disruptive change physician practices have

experienced migrating to an electronic and highly regulated

healthcare environment, the greatest impact physicians may face

might be financial.

Reimbursement levels are not going to increase. Healthcare

consumers, businesses and patients alike, are shopping for price

assuming quality is a given. Annual increases that we have grown

accustomed to SFHCP negotiating when contracts are up for

renewal in a fee-for-service payment model creates a

disadvantage for physicians as price transparency trumps quality

as the determining factor for patient choice. The RISK to

physicians is that consumerism will prevail. The physician’s ability

to adapt to this change will inevitably result in an economic

benefit or loss.

To prepare for this, SFHCP created economic value through

our conversion to a for-profit, shareholder entity. This allowed us

to secure funding for development of a value-based ACO and

position us to obtain the REWARDS associated with the “value

proposition.” All of our commercial and Medicare Advantage

contracts are value-based, upside-only agreements, similar to our

Medicare (CMS) MSSP, or Medicare Shared Savings Program,

ACO agreement. As a RESULT, our organization can learn how

to work together in this new environment, develop cost savings

strategies, and provide our high quality care at competitive

prices without financial risk, because success in these shared

savings contracts means revenue in addition to our current

reimbursement rate. One example of this effort to create value is

SFHCP’s population health teams. They work to provide best care

transitions from a hospital or nursing facility into the community,

assisting many patients vulnerable to noncompliance with

outpatient resources to help ensure continuity of care with our

community based physicians and specialists. In 2015, in part, as a

RESULT of these efforts, more than one million dollars was

distributed to physicians.

SFHCP is also working to integrate our new regional partners

associated with Trinity Health – New England that will add scale

and financial strength for our population health ACO initiatives.

To be successful, we physicians need to become educated

about this new healthcare environment and to assume an active

role developing the framework to practice medicine.

Respectfully,

Ellison Berns, MD

Vice Chair, Board of Directors



Saint Francis HealthCare Partners, Inc. and Subsidiaries*

2015 brought SFHCP growth

in staffing, new upside shared

savings agreements and more

robust analytical capabilities.

Additionally, SFHCP reorganized

from a nonstock, nonprofit

Connecticut corporation to a

Delaware for profit stock

corporation. This conversion will

allow the organization to solicit

new investment partners as we

move to risk in 2017 with the

insurance payors.

In 2015, the Board of Directors

agreed that in order to be more

prepared for the future value-

based healthcare world, SFHCP

would focus on building out its

infrastructure and capabilities,

especially for population health

and analytics. In this effort,

SFHCP depended upon its cash

reserves to fund the infrastructure

development. Through

conservative hirings and delayed

IT implementations, SFHCP

was able to conserve cash and

ended the fiscal year with a cash

balance of $990,464. SFHCP did

incur a loss in 2015 totaling

$(1,689,874), but still beat

its budgeted loss of

$(3,148,978).

Years ended December 31, 2015 2014

REVENUES

Administrative fees $ 4,352,816 $ 4,411,101

Membership dues 1,673,658 1,706,700

Computer software leasing revenues 841,751 1,219,197

Other 149,154 83,750

$ 7,017,379 $ 7,420,748

EXPENSES

Salaries and benefits 5,045,943 4,547,070

Consulting fees 418,811 200,508

Other operating expenses 1,835,014 1,390,013

Professional fees 1,141,341 621,276

Insurance 50,438 38,515

Rent 210,606 149,720

$ 8,702,153 $ 6,947,102

OPERATING INCOME (LOSS) $(1,684,774) $ 473,646

INCOME TAX EXPENSE 5,100 23,891

NET INCOME (LOSS) $(1,689,874) $ 449,755

RETAINED EARNINGS, Beginning 605,027 155,272

RETAINED EARNINGS, Ending $(1,084,847) $ 605,027

2015 FinancialPerformance

Statements of Operations and Retained Earnings**

For the Years ended December 31, 2015 and 2014

* Saint Francis HealthCare Partners ACO, Inc.

Saint Francis HealthCare Partners PHO Foundation

**As reported by CohnReznick LLP in 2015 (audited)


Transition to Value-BasedReimbursement: Beyond the Tipping Point Steven Godfrey, MMHSVice President, Business Development

Saint Francis HealthCare Partners (SFHCP) has, as an

organization, committed itself to focusing on population health

and achieving success in the rapidly evolving value-based

payment world. Our organization already has contractual

arrangements with all our major payors that are designed to

reward us for improving quality and lowering the total cost of

care on behalf of the populations we serve. In this article, my

purpose is to reinforce the urgency of this transition and to

articulate the key reasons why moving along the curve as quickly

as possible presents the best opportunities for our network.

Value-based contracting is already here and accelerating

rapidly. The Centers for Medicare and

Medicaid Services (CMS) has already set the

target for 30% of all Medicare payments

being tied to value-based arrangements

by 2016. This increases to 90% by 2018.

On the acute-care side, 6% of all hospital

Medicare revenue is already at risk based on

various performance metrics. These metrics

have already been fully defined through

2018 and partially defined as far out as

2021. For physicians, CMS has established a

new framework for defining value through a

program known as MACRA (Medicare

Access and CHIP Reauthorization) that will

enhance the incentives for value and replace existing programs

such as PQRS and Meaningful Use. Transparency tools and high

deductible plans are creating tangible incentives to shop for price

and quality. In summary, with respect to the transition to value,

we are not at a tipping point — we are already beyond it.

We believe that ultimate success in this new world will

require us as a delivery system, to accept risk for the total cost of

care. We have set a goal for 2017 of initiating our risk

contracting strategy. By “risk”, we mean accepting either full or

partial downside risk for the total cost of care. We believe that

risk contracts provide the most effective vehicle for strengthening

the incentives to deliver care in a manner that fulfills the triple

aim of cost, quality and patient experience improvement. A risk

contract, if properly managed, most effectively rewards us as

providers for realizing the goals of the triple aim. It provides us

access to a larger percentage of the healthcare (premium) dollar

and more effectively rewards us for the significant investment we

are making in the time/effort and the infrastructure necessary to

succeed in population health management.

Taking downside risk is not something

any of us should consider lightly. Some may

argue that moving in a more conservative

fashion and at a slower pace seems prudent.

However, a stronger argument can be made

that moving quickly and effectively carries

more rewards. First of all, shared savings

agreements typically split the savings in a

way that leaves too much of the value/profit

achieved in the hands of the payors. Also,

experience nationally has shown that the

earlier a clinically integrated network enters

into risk, the greater the value that is created

for providers as they succeed in lowering cost, improving

efficiency and enhancing quality. We have all heard the term,

“low hanging fruit.” Entering into risk early in the process, even

as we build out our abilities to maximize greater cost efficiency

and quality, allows us to pick up those early gains created

through our collective investment of time/effort and money.

Delaying too long, on the other hand, not only leaves these gains

on the ground, but even worse, can significantly compromise our

competitive position in our market.

Embracing a risk-contracting strategy offers significant

opportunities, and the market is moving in this direction

regardless of what we do. We need to embrace this strategy,

or risk being left behind.

We believe that riskcontracts provide the

most effective vehicle forstrengthening the

incentives to deliver carein a manner that fulfillsthe triple aim of cost,quality, and patient

experience improvement.


Demonstrating Results and Reaping Rewards on the Road to RiskJennifer Searls, MHAVice President, Operational Support & Chief Compliance Officer

By now we’ve all heard the familiar refrain telling us that we,

as providers in healthcare, are moving on the continuum from

traditional fee-for-service medicine to value-based, or full-risk,

medicine.

For those providers, hospitals and physicians, who take steps

towards taking on risk, and take them early, the rewards can be

significant. Those rewards can include:

Better care for our patients. Care that’s focused on

lowering cost but maintaining or increasing quality.

Care that’s constructed around teams, patient-centered

and evidence-based.

The ability to define our

destiny as providers rather than

having it prescribed by external

entities such as employers,

payors and the government.

Being able to benefit

financially because we’re willing

to take on the risk of managing

the total cost of care for a

population of patients.

How we navigate this transition

is going to make all the difference.

Moving to full risk or global capitation

when we haven’t learned to manage

care will surely bankrupt us. Similarly,

putting too many resources into

managing care, while not modifying

our contracts to reward us for

managing care, just as surely will

bankrupt us.

In 2015, Saint Francis HealthCare

Partners (SFHCP) engaged Valence

Health to help us define the most

expedient but prudent course on this

journey. Over the course of the last

quarter of the year, Valence did an

assessment of our entire system’s ability to take on risk. Valence

looked across the Trinity Health – New England system to assess

the hospital’s, our physicians’ and SFHCP’s capabilities gaps and

developed a roadmap to enable us — all of us — to take on risk.

At a joint meeting of the SFHCP Board of Directors and Valence

project steering committee in early December, our organizations

and their leadership overwhelmingly affirmed their commitment

to move forward with the roadmap and continue their march

towards financial and professional

independence.

The Roadmap to Risk project is

a nine-month project focused on closing

the gaps in our capabilities and ensuring

that we’re able to capitalize on the

rewards associated with taking on risk.

Steve Ruby, MD, has agreed to take on

the role as the Executive Sponsor for the

project and Jenn Searls is the Project

Manager. The roadmap contemplates

four workgroups and a steering

committee focused on five key areas:

Organizational Alignment:The Project Steering Committee

is tasked with creating and

implementing a unified strategic

plan addressing value-based care

and population health, to define

organizational accountabilities for

each respective entity to create

alignment for risk contracts, to

create the project management

structure and process to achieve

roadmap objectives, expand care

coordination and data integration

across the current service line

model.

7

Payor Contracting: This workgroup is charged with identifying payor

partners to develop risk contracts, creating a funds flow process for

physicians, PHO, and hospital(s), designing a physician incentives

distribution model to incentivize physician performance aligned with

payor/purchaser reimbursement contracts, and unifying data analysis

and actuarial analysis to define a payor contracting risk strategy.

Data, Analytics & Technology: This workgroup is responsible for

integrating physician and hospital data for better care coordination

across the care continuum, for establishing data governance and

stewardship across the system to improve physician and organizational

alignment, and for defining and implementing a technology solution(s)

that allows for timely reporting, analytics, and risk stratification.

Care Model: The Care Model workgroup is tasked with defining a

unified care delivery approach across Trinity Health – New England

between inpatient and outpatient care settings, for developing

outpatient and inpatient clinical protocols for additional disease states,

for improving financial performance on shared savings and shared risk

payor contracts by increasing quality and reducing cost of care, and for

integrating and optimizing care management teams across the care

continuum to address and manage risk-based reimbursement contracts.

Provider Alignment & Network: This workgroup is responsible

for defining quality measures and performance expectations for

improvement of patient outcomes, incentive distribution model, and

payor contracting, for defining Saint Francis system value propositions,

communications channels, and transparency expectations, and for

creating an ambulatory strategy that addresses primary care growth,

patient retention and out of network care delivery.

The workgroups are made up of multi-disciplinary teams of physicians and

administrators from both private practice groups, SFHCP, Saint Francis

Hospital and Medical Center, and Trinity Health – New England, assisted

with consulting and guidance from Valence Health.

Together we will demonstrate the results and reap the rewards for

following this roadmap to risk.

“The biggest risk is not taking any risk...

In a world that’s changing really quickly,

the only strategy that is guaranteed to fail

is not taking risks.”

— MARK ZUCKERBERG

Risk


Regional Medical Directors:A Guiding Force for the NewHealthcare ModelRonald Kimmel, MDVice President, Chief Medical Officer

Healthcare is rapidly changing. We are seeing the shift from

volume to value-based reimbursement. There is a higher focus on

quality of care and how to measure and improve quality. Full-risk

contracting is on the near horizon.

Saint Francis HealthCare Partners (SFHCP) has responded to

these changes by instituting multiple programs. One such major

program is the Regional Medical Director (RMD) program. The initial

focus of this program is on Primary Care Physicians (PCPs) who are

responsible for performing and documenting the majority of the

required quality measures (see article by Dr. Bansal for listing of

measures).

Three PCPs from our network were selected to function in the

role of RMD. The RMDs will focus on educating our member

physicians about the upcoming changes

in healthcare. This includes population

health management, Hierarchical

Condition Categories (HCC) coding,

referral management, quality metrics and

other initiatives. This program will provide

our member physicians with the tools to

not only survive these changes, but to

thrive and continue to provide excellent

patient care. Achieving results in quality

of care and cost containment will lead to

financial rewards for our members.

Our three RMDs are Dr. Ronald

Buckman, Dr. David Howlett and Dr.

Varalakshmi Niranjan. Each physician

brings special interest and training that will benefit our network.

Dr. Buckman completed his Family Medicine residency training

at UConn and has been in private practice in Bolton, Conn. for the

past 32 years. He has been involved in medical informatics and has

served on the Board of Directors of eHealth-Connecticut and HITE-

CT. He is currently working to complete his Master’s degree in Public

Health from the University of New England College of Medicine. He

currently holds the position of Assistant Clinical Professor,

Department of Family Medicine, at both the University of

Connecticut School of Medicine and the University of New England

College of Medicine.

Dr. Buckman stated, “To say that healthcare and the role of the

primary care physician and clinician is changing does not give that

phrase justice. More and more, we, as PCPs and clinicians, are being

required to change the way we document to receive appropriate

credit and recognition for what we do best — care for people. In my

work for you, as a Regional Medical Director, I will bring you

information and expertise on how to make those changes in

documentation and improvements to workflow so that we can

successfully, and collectively, reap the

benefits of that recognition.”

Dr. David Howlett has been in private

practice for the past 32 years in East

Granby, Conn. Dr. Howlett completed his

Family Medicine residency training at

UConn and has been very involved in

medical education and holds the position

of Assistant Clinical Professor,

Department of Family Medicine at both

University of Connecticut and Frank H.

Netter MD School of Medicine at

Quinnipiac University. Dr. Howlett has

served as President of the Connecticut

Academy of Family Practice and has

served on the SFHCP Board of Directors

for the past three years. He has been a leader in Electronic Medical

Record (EMR) utilization and clinical quality measures for many years.

“Whether we like it or not, we physicians and clinicians of

SFHCP are now playing on the same team, whose goal is cost-

effective care for the individual patients we treat and for the

population we manage. We all feel that we give good care, but now

we must capture the data in efficient ways to prove it. Since 2005,

with the institution of our electronic records, office work flow

redesign, increased access to care and analysis of the quality of our

disease management and preventive care as a Patient Centered

Medical Home, which enabled us to meet Meaningful Use since

2011, I helped to ease East Granby Family Practice into the new

The RMDs will focus oneducating our member physiciansabout the upcoming changes in

healthcare. This includespopulation health management,Hierarchical Condition Categories

(HCC) coding, referralmanagement, quality metrics and

other initiatives.

9

world of data-driven healthcare. My job as Regional Medical Director is to share my

experiences and expertise with our primary care clinicians to guide them toward becoming

integral players on our team. If the team is to be successful, we all must know how to

execute the ‘plays’ to achieve our goals,” stated Dr. Howlett.

Dr. Varalakshmi Niranjan completed her residency training in Internal Medicine at

UConn. She has worked in Academic Medicine, as a full-time Hospitalist, and for the last

seven years in private practice in West Hartford, Conn. Dr. Niranjan currently holds the

position of Assistant Clinical Professor, Department of Medicine, at the University of

Connecticut School of Medicine. She earned her MBA from the University of

Massachusetts, Amherst, Business School of Management.

Dr. Niranjan stated, “We all know that the healthcare in our country is going through

a massive change now. This has created a lot of internal and external conflicts within and

among us. Doing our duty diligently is the best way to react to a conflict. When there is no

choice, ’just do it’ is my mantra. I believe by becoming a Regional Medical Director at

SFHCP, I will be able to do my duty as a physician in a better way. This position provides

me with a chance to educate myself and educate my fellow physicians with the upcoming

changes and challenges in the healthcare environment. We all can work; but together

we win.”

SFHCP is excited to start our Regional Medical Directors program with these three

outstanding physicians. Focusing on quality of care and population-health management

principles will allow our network to take on the risks, document the results and reap the

rewards of our changing healthcare world.

‘’The secret of change is to focus all

of your energy not on fighting the

old, but on building the new.’’

— SOCRATES.

L-R Ronald Buckman, MD; Varalakshmi Niranjan, MD; David Howlett, MD

Results

Saint Francis HealthCare Partners 2 0 1 5 A n n u a l R e p o r t1 0

Rewarding Quality Care Sudeep Bansal, MDChief Medical Informatics & Quality Officer

James H. Harrington, one of the original “quality gurus”

once stated:

“Measurement is the first step that leads to

control and eventually to improvement. If you

can’t measure something, you can’t understand

it. If you can’t understand it, you can’t control it.

If you can’t control it, you can’t improve it.”

Most of us would agree that the healthcare system in our

country is broken. We spend more than our European

counterparts with worse results. While a radical change in our

healthcare system may not be possible, a good starting point is to

measure the care that we deliver today. The idea behind

measuring healthcare is to improve processes, which, hopefully,

will lead to better outcomes for our patients.

However, the measurement fad has spun out of control in

the last few years. A recent article in Health Affairs calculated

that each year US physician practices in four common specialties

(Internal Medicine, Family Medicine, Cardiology and

Orthopedics), on average spend 785 hours per physician and

more than $15.4 billion dealing with the reporting of quality

measures. SFHCP is required to measure over 70 quality metrics

for all our contracts (Commercial, Medicare Advantage and

MSSP), and this has decreased significantly (over 150 quality

metrics in 2014) from our prior contracts. At SFHCP, we

recognize that quality measurement and reporting is a huge

burden for our practices. While we continue to push the payors

to decrease the number of quality metrics to manageable levels

and decrease this burden on our practices, we have created our

own list of 15 quality metrics* that are common across most of

our contracts, are based on national guidelines and are good

medical practice.

Clinical Quality Metrics are also important for shared savings.

Most insurance companies require us to meet thresholds for at

least some of the quality metrics in order to receive shared

savings. This is why the 15 quality metrics are so important. If we

meet the thresholds for most of the 15 common quality metrics,

we should qualify for our shared savings. At SFHCP we are

putting a process in place to distribute the quality metric

performance to individual providers. Furthermore, the Regional

Medical Directors will be sharing these metrics with Primary Care

Physicians and help them understand how they are measured

(e.g., documenting in EMR does not count as the insurance

companies do not have access to EMR data).

As Avis Donabedian once said: “The secret of quality is love.”

As physicians, if we love what we do, we will provide better care

and quality will follow — provided we know the starting point.

*15 Common Quality Metrics1. Breast Cancer screening

2. Colorectal Cancer screening

3. Cervical Cancer screening

4. Chlamydia screening

5. Diabetes: Retinal exam

6. Diabetes: Nephropathy screening

7. Diabetes: Control – Most are Hgb A1C > 9.0,

some also < 8.0

8. Medication Adherence: Statins

9. Medication Adherence: ACE/ARB

10. Medication Adherence: Diabetes

11. Pediatrics: Pharyngitis – Strep test prior to

administration of antibiotics

12. Pediatrics: URI – No Antibiotics for at least three days

13. Pediatrics: Well Child visits at least once per year

14. Pediatrics: Immunizations

15. BMI Measurement

1 1

Quality Care Rewards for 2015In 2015, Saint Francis HealthCare Partners (SFHCP) distributed over $1 million in

shared savings and incentives to our members for providing high quality care.

Anthem distributed $450,000 to SFHCP for performance on our shared savings

agreement. This was divided between our member physicians and Saint Francis

Hospital and Medical Center according to the “50-50-50” rule established by

physician committee members and the SFHCP Board of Directors. The “50-50-50”

rule divides the bonus incentives equally (50-50) between the hospital and physicians.

This physician incentive pool is divided equally (50-50)

between primary care physicians and specialty physicians.

Most Primary Care Physician members of SFHCP

also shared in over $530,000 in incentive bonus

payments from United HealthCare as part of their

Healthcare Quality-Patient Assessment Form (HQ-PAF)

program. Based upon the successful closure of gaps in

care and submission of a certain threshold percentage

of forms, the bonus payment was calculated, once

again, based upon the quality of care delivered by our

physician network.

Primary Care Physicians in a participating pilot

progr am shared in $40,000 in incentive payments from

Connecticare. They were part of a Quality Improvement pilot program for Medicare

Advantage patients and achieved certain quality metric thresholds.

We anticipate many more future shared savings payments as we learn and

execute on population health initiatives.

Dr. Gary Miller receivinghis check from JessKupec for his successfulparticipation in the HQ-PAF program

Rewards

While we continue to push thepayors to decrease the numberof quality metrics to manageablelevels, we have created our ownlist of 15 quality metrics that arecommon across most of our

contracts, are based on nationalguidelines, and are good

medical practice.



Physicians by Primary Specialty

Adolescent MedicineElaine Yordan, MD

Allergy and ImmunologyShayna Burke, MDHarini Hosain, MDMichael Krall, MDKevin McGrath, MDPrasad Srinivasan, MD

AnesthesiologyJonathan Abrams, MDSivasenthil Arumugam, MDJohn Barnett, MDJames Brakoniecki, MDVictor Camacho, MDAlison Considine, MDLeo Contois, MDPaul Cooke, MDJohn D'Alessio, MDAdam Debin, DOPhilip Dennen, MDDavid Freitas, MDAdam Gallucci, MDKenneth Gutierrez, MDRobert Herreria, MDPeter Kanelos, DOSam Kishawi, MDWesley Knauft, MDInna Maranets, MDGwendolyn Moraski, MDLaura Morello, MDFranklin Rosenberg, MDFrank Setter, MDSanjay Sinha, MDMark Spencer, MDRaymond Squier, MDPhillip Stark, MDGoolcher Wadia, MDShu-Ming Wang, MDGary Wilson, MDSaadia Zafar, MDRoxanne Zarmsky, MD

Bariatric SurgeryJon Pirrello Jr., MD

CardiacElectrophysiologyEllison Berns, MDJoseph Dell’Orfano, MDNeal Lippman, MDAneesh Tolat, MD

Cardiovascular DiseaseSabeena Arora, MDHaris Athar, MDJohn Baron, MD, FACCGeetha Bhumireddy, MDRonald Bloom, MDJohn Cardone, MD, FACC

Muzibul Chowdhury, MD,FACC

Russell Ciafone, MD, FACCBernard Clark, MDSteven Cohen, MDPatrick Corcoran, MDHazar Dahhan, MDAndrew Davidson, MDDaniel Diver, MDJulian Esteban, MDThomas Freund, MD, FACCJohn Scott Galle, MD, FACCDushyant Gandhi, MDJawad Haider, MDDavid Henry, MDGladys Kagaoan, MDAnita Kelsey, MDParveen Khanna, MD

FACC, FASNCThomas Knox, MD, FACP,

FACC, FCCP, FASNCDanny Korkmaz, MDCarolyn Kosack, MDSteven Lane, MD, FACCAtique Mirza, MDJoseph Mitchel, DO, FACC,

FSCAISaqib Naseer, MDBrett Nowlan, MDTracy Patel, MDCharles Philip, DOMurthappa Prakash, MDArshad Quadri, MDJayaram Radhakrishnan, MDVincent Romano, MDDonald Ruffett, MDChandra Sacheti, MDMaria Santos, MDJoseph Sappington, MD,

FACCH. Robert Silverstein, MDSatesh Singh, MDRobert Smith, MDDonald Soucier, DORichard Soucier Jr., MDMichael Therrien, MDJeffrey Thompsen, MDDale Toce, MD, FACCAseem Vashist, MDSun Wan, MDPeter White, MD

Clinical CardiacElectrophysiologySarah Levin, MD

Colon and Rectal SurgeryAmanda Ayers, MDSaumitra Banerjee, MD

Steven Brown, MDRobert Lewis, MDJames Matino, MDDaniel Mullins, MD

Complex GeneralSurgical OncologyJames Flaherty, MD, FACS

DermatologyAli Banki, DOSharon Christie, MDDorothy Cline, MDGary Last, MDRobert Nathanson, MDJennifer Pennoyer, MD

DermatopathologyPhilip Shapiro, MDAlicia Sigal, MDJonathan Zirn, MD

Diagnostic RadiologySwapnil Bagade, MDErik Bee, MDJayant Bhagat, MDMichael Biondi, MDTiffany Dube, MDJay Duxin, MDRobert Feld, MDMichael Firestone, MDClifford Freling, MDJulie Gershon, MDJonathan Getz, MDPupinder Jaswal, MDArbab Khan, MDAmy Martin, MDSean McKeon, MDPeter Morrison, MDPongsa-Pyn Muangman, MDRobert Perez, MDAnthony Posteraro, III, MDMichelle Romero, MDErin Rowe, MDJoseph Sala, DORena Shabalova, MDJames Slavin Jr., MDGeorge Stohr, DOMichael Twohig, MDJohn Ziewacz, MD

Emergency MedicineCarol Abbatiello, DORebecca Apollon, MDArnaz Bankwalla, MDHannah Bernard, DOHynes Birmingham, MDRichard Brody, MDThomas Brunell, MD, MA,

FACEP, FAAEMBeverly Carolan, MD

Zoe Casey, MDPaula Cinti, MDGerard Curran, MDPerry Dansky, MDJennifer Dugan, MDJohn Fialkovich, MDJohn Fojtik, MDJoan Gelin, MDThomas Gilmore, MDRobert Grant, MDTiphany Jolly, MDGary LaPolla, DO, FACOEPJohn Leavens, MDKie Lee, MDJennifer Martin, MDAmanda Medoro, MDJeffrey Moorman, MDMatthew Neulander, MDSachin Parekh, MDJohn Pettini, DOPeter Quinby, MDSean Rhyee, MDEmily Ryan, DOWilliam Sanders, MDElizabeth Schiller, MDJillian Smith, MDJeffrey Spear, MDThomas Turbiak, MDChe Ward, MDC. Steven Wolf, MDAmanda Zucker, DO

Endocrinology, Diabetesand MetabolismRacha Dermesropian, MDJorge Diez, MDLatha Dulipsingh, MDM. Nathan Lassman, MDKamal Shoukri, MD

Family MedicineGiselle Aerni, MDThomas Agresta, MDMark Belsky, MDHugh Blumenfeld, MDRonald Buckman, MDDaniel Callaghan, MDRobert Carlson, MDAlan Cementina, MD, FAAFPDaniel Chilton, MDRobert Cushman, MDJoseph Danyliw, MDSteven Dieterich, MDMontgomery Douglas, MDEdward Ewald, MDAndrew Feller, MDKevin Flanagan, MDElizabeth Freedman, MDRobin Gold, MD

Fonda Gravino, MDMary Guerrera, MD, FAAFPRichard Harrison-Atlas, MDDavid Henderson, MDDavid Howlett, MDE. Spencer Joslin, MDEdmund Kim, MDPatricia Lampugnale, DOCharlene Li, MDKenia Mansilla-Rivera, MDJudith Mascolo, MDJennifer Mastrocola, MDSmriti Ohri, MDEugene Orientale, MDAdam Perrin, MDNeena Pursnani, MDShaista Qureshi, MDShilpa Rajashekar, MDSaira Rani, MDAnne Reiher, MDCharlecinth Roberts, MDAlberto Rodriguez, MDAnthony Roselli, MDPaul Sullivan, DOIan Tucker, MDSusan Wiskowski, MDRoy Zagieboylo, MD

Family Medicine –Integrative MedicineKathleen Mueller, MD

Female Pelvic Medicineand ReconstructiveSurgeryRaul Mendelovici, MD

GastroenterologyMichael Butensky, MDMurali Dharan, MD, MRCPGolam Gazi, MDSteven Goldenberg, MDRonald Josephson, MDRaffi Karagozian, MDSwapnil Munsaf, MDCarol Petruff, MDLisa Rossi, MDAmer Skopic, DORichard Stone, MDBrian Van Linda, MDAnthony Zaldonis, MD

Geriatric MedicineVictoria Costello, MDAlexander Mbewe, MDHenry Schneiderman, MD

Gynecologic OncologyAllan Mayer, DOBeth Nelson, MDPhillip Roland, MD

2 0 1 5 A n n u a l R e p o r t Saint Francis HealthCare Partners 1 3

Hand SurgeryMichael Aron, MDAndrew Gabow, MD

HematologyJoseph Sinning, MD

Hematology andOncologySyed Fazl Ali Bilgrami, MDRobert Bona, MDAdam Boruchov, MDSusan Burroughs, MDAlessia Donadio, MDRichard Edwards, MDCharanjeev Kapoor, MDSudhanshu Mulay, MDMohammad Pazooki, MDSusan Rabinowe, MDZia Rahman, MDJoerg Rathmann, MDCarolyn Ray, MDMichael Reale, MDJoel Silver, MDJonathan Sporn, MDJaykumar Thumar, MD, MBBSJames Vredenburgh, MD

HospitalistSyed Ali, MDSama Alvi, MDSudeep Bansal, MDGerald Bayona, MDAnat Bergner, MDChetankumar Chauhan, MDShatya Chittoori, MDAmar Dalsania, MDJessie Dewanjee, MDAsha Dhamija, MDHerbert DiMeola, MDRachelle Dyquiangco, MDJohn Hanna, MDTheodore Hartenstein, MDKenrick Hom, MDSilda James, MDPraveen Joseph, MDNarrini Kannapathippillai, MDAnuradha Kapur, MDRoy Kellerman, Jr., MDHusnain Kermalli, MDSurendra Khera, MDAlbert Langou, MDRakesh Mahali, MDMadhuri Manne, MDRaja Manne, MDRavi Marfatia, MDKarl Markuszka, MDSyed Naqvi, MDRavi Kishore Narra, MDEdgar Naut, MD

Ethan Nguyen, MDJohn Osowski, MDFlora Parvin, MDHemal Patel, MDMahendra Patel, MDVanessa Pauig, MDResham Pawar, MDLynn Phillips, MDArchana Purushothaman, MDSwathi Rachoor, MDRicardo Ruiz, MDIngrid Salcedo, MDKaushal Shah, MDGagandeep Singh, MDJin Song, MDJose Soriano, MDSudeep Thumma, MDNailia Vodovskaia, MDMandy Wainscoat, DODavid Wolpaw, MDMarie Lourdes Ynson, MD

Infectious DiseaseHarry Conte, MDLauren Ibrahim, MDEytan Rubinstien, MDMyrla Sajo, MDCheryl Smith, MDUlysses Wu, MD

Internal MedicineKavita Advani, MDGeorge Anastasio, MDKofi Atta-Mensah, MDBechara Barrak, MDShannon Beausoleil, MDRobert Bogacki, MDSanto Buccheri, MDRichard Cagna, MDRaymond Chagnon, MDWayne Chen, MDGary Cohen, MDMatthew Colliton, MDEileen Comia, MDJeffrey Davies, MDManjaree Daw, MDArzu Demirci, MDLuis Diez-Morales, MDGeorge Donahue, MDLenworth Ellis, MD, MPHEdwin Fierer, MDAndrew Garrett, MDMarjorie Garrett, MDDouglas Gerard, MDKathryn Goldman, MDBruce Gould, MDIngrid Grafals, MDMichael Grey, MDGregory Isenberg, MD

Tracey Jablonski, MDMark Josel, MDSheldon Kafer, MDCharles Kantor, MDPhilip Karanian, MDRoy Kellerman, MDRonald Kimmel, MDOksana Bublik Kloyzner, MDRolf Knoll, MDJayapriya Krishnaswamy, MDLewis Levenson, MDNarinder Maheshwari, MDDaniel Marshall, MDRalph Martin, MDYounus Masih, MDDonald Maxwell, MDDonna McHugh, MDJacques Mendelsohn, MDStephen Milewski, MDGary Miller, MDLalarukh Mufti, MDIrina Muni, MDVenkateswara Narla, MDEllen Nestler, MDJulian Nieves, III, MD, MPHVaralakshmi Niranjan, MDBhawani Ojha, MDBarbara Padilla, MDDanilo Pangilinan, MDJohn Papandrea, MDDushyant Parikh, MDWayne Paulekas, MDMark Polatnick, MDScott Pompa, MDFrederick Pope, MDMaria Quinones, MDSundaram Ramanan, MDGilberto Ramirez, MDRobert Reginio, MDMaria Renna, MDJohn Rodgers, MDRobert Safer, MDSybil Sandoval, MDRamkumar Sankaran, MDDarshan Shah, MDRichard Siahaan, MDAdam Silverman, MDSheila Silverman, MDKamal Singh, MDCameale Smart, MDAlan Soroka, MDGeetha Swamy Iyah, MDRonald Szabo, MDAndrew Szczepanski, MDSatyarani Tallapureddy, MDSharon Tan, MDSebastian Tosto, MDElmo Villanueva, MD

Ivelisse Viruet, MDAnil Vithala, MDKeith vom Eigen, MDGregory Walsh, MDJohn Wenceslao, MDMahmood Yekta, MDSunil Yerragondu, MDStephen Yuan, MDConstantine Zariphes III, MD

Maternal and FetalMedicineReinaldo Figueroa, MDPadmalatha Gurram, MDMary Beth Janicki, MDJohn Rodis, MD

Neonatal/PerinatalMedicineJose Arias-Camison, MDFadel Balawi, MDIndira Panthagani, MD

NephrologyMeghana Gaiki, MDAri Geller, DOSrimathi Manickaratnam,

MD, MRCPMichael Moustakakis, MDSankar Niranjan, MD, FASNChristine Vigneault, MD

Neurological SurgeryStephen Calderon, MDBruce Chozick, MDHoward Lantner, MDDavid Spiro, DO

NeurologyMansour Afshani, MDMichelle Boudreau, DOBarry Gordon, DOSadaf Khorasanizadeh, MDMichael Krinsky, MDArjuna Mannam, MDKeshav Rao, MDPeter Wade, MD

NeuroradiologyAbner Gershon, MD

Obstetrics andGynecologyGeorge Bacall, MDRandy Berke, MDSmita Bhagat, MDKenneth Borkowski, DOMichael Bourque, MDAngelo Carrabba, MDFelice Colliton, MDAmal Das, MDCarla DeSantis, MD

Cristina Dinicu, MDKenneth Elligers, MDMaria Ellis, MDVirginia Ferlan, MDStephen Fishman, MDGene Freylikhman, MDKathleen Gabriele, DOGayle Harris, MDJennifer Johnson, MDYanna Karabatsos, MDKara Keeton, MDPeggy Ku, DOManocher Lashgari, MDParesh Limaye, MDTimothy Machon, MDLakshmi Magavi, MDTheresa Mangual, MDAnne Massucco, MDDeepali Mathur, MDMarco Morel, MDTony Ness, MDKathryn Pascucci, DOShannon Peterson, DOPavani Reddi Pingle, MDBrian Riley, DO, MPHLisabeth Shlansky, MDKarianne Silverman, MDStacy Spiro, MDJane Srinivasan, MDUrsula Steadman, MDWalter Trymbulak, MDMark Wolf, MDJonathan Zeisler, MD

OphthalmologyPatrick Albergo, MDDuane Austin, MDJames Castner, MD, FACSAndrew Epstein, MDMirela Krasniqi, MDWilliam Maron, MDJames Pasternack, MDMichael Ruddat, MDDonald Salzberg, MDEdmund Suski, MD

Orthopaedic SurgeryCarmine Ciccarelli, MDRobert Dudek, MDPedro Romero, MDDaryle Ruark, MD

Orthopedic SurgeryRobert Beer, MDScott Bissell, MDSteven Bond, MDDavid Burstein, MDJesse Eisler, MD, PhDRobert Green, MDClinton Jambor, MD


Physicians by Primary Specialty (continued)

Michael Joyce, MDChristina Kabbash, MDJohn Keggi, MDRobert Kennon, MDJay Kimmel, MDDavid Kruger, MDJohn Mara, MDRobert McAllister, MDRandall Risinger, MDSteven Selden, MDEric Silverstein, MDAnthony Spinella, MDBrett Wasserlauf, MDAris Yannopoulos, MD

Orthopedic TraumaTodd Mailly, MDJeffrey Meter, MD

OtolaryngologyMichael Bernstein, MDSheldon Nova, MD, FACSRonald Saxon, MDHoward Smith, MDG. Gordon Snyder, MDStephen Wolfe, MDTodd Zachs, MD

Pathology-Anatomical and ClinicalFrank Bauer, MDMatthew Curran, MDTorsten Ehrig, MDAnna Jovanovic, MDPamela Kowalczyk, MDThalia Mesologites, MDAileen Ong-Bacay, MDEdyta Rotundo, MDJohn Scholes, MDJihong Tang, MD

Pediatric SurgeryMichael Bourque, MDBrendan Campbell, MDChristine Finck, MDRichard Weiss, MD

PediatricsAmira Ahmed, MDAnton Alerte, MDSupriya Atianand, MDKaren Camera, MDChristine Chaput, MDSachin Dhingra, MDSarah Elbaum, MDMina Farkondeh, MDCarolyn Ganeles, MDSally Ginsburg, MDDena Hoberman, MDPatricia Joyce, MDScott Kallor, DONatalie Komaiszko, MDJanice Lopez, MD

Ellen Marmer, MDKristin McGregor, MDShafia Memon, MDDebora Mihaley-

Sobelman, MDGrael O’Brien, MD, PhDHemant Panchal, MDIshrat Imam Quadri, MDLawrence Rifkin, MDRichard Segool, MDJudith Tapper, MDJody Terranova, DORobert Toscano, MDRichard Tredeau, MDAnne Marie Villa, MDMatthew Warren, MDJennifer Wilner, MDJoseph Yunis, MD

Physical Medicine andRehabilitationKathleen Abbott, MDDavid Feingold, MDMoeid Khan, MDRobert Krug, MDThomas Miller, MDMatthew Raymond, DOMaria Tsarouhas, DO

Plastic SurgerySamuel Buonocore, MDLeo Otake, MDGary Russolillo, MD

Podiatric SurgeryRachel Balloch, DPM, AACFASDonna Boccelli, DPM, CWSJames Cancilleri, DPME. Steven Damon, DPMBrian Deschamps, DPMGabriel Gambardella, DPMRichard Grayson, DPMThomas Johnson, DPMJeffrey Kahn, DPMCraig Kaufman, DPMEric Kosofsky, DPMAyman Latif, DPMLynn LeBlanc, DPMHarvey Lederman, DPMMarc Lederman, DPMRobert Marra, DPMJeffrey Martone, DPMAdam Mucinskas, DPMRichard Reaback, DPMKurt Rode, DPMElizabeth Romac

Karrenberg, DPMRobert Rutstein, DPMEric Thompson, DPMBenedict Valentine, II, DPMLaura Vander Poel, DPMBrian Wagner, DPM

Rebecca Wiesner, DPMKristen Winters, DPMRobert Kalman, DPM

PsychiatryPaulo Correa, MDCarlos Enciso Chaves, MDYana Frenkel, MDNeelu Gill, MDLuis Gonzalez, MDAlejandro Gonzalez-

Restrepo, MDJeffrey Gottlieb, MDJonathan Greenberg, MDLadan Hamdheydari, MDDaisy Jacob, MDNina Jacobs, MDErnest Jermin, MDBernard Langenauer, MDNayyara Malik, MDJaveeria Manzoor, MDMehran Motamed, MDMuhammad Munawar, MDYann Poncin, MDNick Ramandi, MDBruce Rothschild, MDJuan Sosa, MDLaine Taylor, DOLarisa Yelunina, MDMalina Yotova, MD

Pulmonary DiseaseTapas Bandyopadhyay, MDDaniel Gerardi, MDLawrence Glaubiger, MDDavid Grise, MDPrashant Grover, MD, FCCPFielding Johnson III, MDBimalin Lahiri, MDWilliam Preskenis, MDAsher Qureshi, MDPhyllis Schatz, MDMichael Teiger, MD, FCCPRichard ZuWallack, MD

Radiation OncologyJoseph Colasanto, MDDavid Grew, MDRichard Shumway, MDEric van Rooy, MD

RheumatologyChristine Castro, DOWeishali Joshi, MDVarinder Kumar, MDAnn Parke, MDTimothy Quan, MDThomas Terenzi, DO, EdD,

FACRWilliam Traverse, MD

Sports MedicinePaul Tortland, DO

SurgeryAlfredo Arbulu, MDKimberly Caprio, MDScheuster Christie, MD, FACSIbrahim Daoud, MDJohn Dasilva, MD, FACSJames Feeney, MDLaureen Forgione-Rubino, MDTimothy Goundrey, MDVijay Jayaraman, MDMatthew Kasulke, MDPanos Livadiotis, MDWilliam Marshall, DORichard Newman, MD, FACSChristine Rizk, MDRajnish Tandon, MDEdward White, MDNiamey Wilson, MD

Surgical Critical CareStephanie Montgomery, MDDavid Shapiro, MD, FACS

Thoracic and CardiacSurgerySurendra Chawla, MDConstantinos

Constantinou, MDSandeep Gupta, MDTimothy Lehmann, MDWilliam Martinez Jr., MDJohn Thayer, MD

ToxicologyDanyal Ibrahim, MD

Transplant HepatologyMartin Hoffman, DO

Undersea and HyperbaricMedicineChristopher

Mozdzanowski, DODaniel Schwartz, MD

UrologyPeter Bosco, MDCarl Gjertson, MDHugh Kennedy, MDMarlene Murphy-Setzko, MDAdine Regan, MDMark Silk, MDG. Thomas Trono, Jr., MDJacob Zamstein, MD

Vascular SurgeryKristofer Bagdasarian, MDScott Fecteau, MDLori Greenwald, MD, PCKhubaib Mapara, MDSteven Ruby, MD, FACS, RVTEugene Sullivan, MD, FACS,

RVT

SurgeryAlfredo Arbulu, MDKimberly Caprio, MDScheuster Christie, MD, FACSIbrahim Daoud, MDJohn Dasilva, MD, FACSJames Feeney, MDLaureen Forgione-Rubino, MDTimothy Goundrey, MDVijay Jayaraman, MDMatthew Kasulke, MDPanos Livadiotis, MDWilliam Marshall, DORichard Newman, MD, FACSChristine Rizk, MDRajnish Tandon, MDEdward White, MDNiamey Wilson, MD

Surgical Critical CareStephanie Montgomery, MDDavid Shapiro, MD, FACS

Thoracic and Cardiac SurgerySurendra Chawla, MDConstantinos Constantinou, MDSandeep Gupta, MDTimothy Lehmann, MDWilliam Martinez Jr., MDJohn Thayer, MD

ToxicologyDanyal Ibrahim, MD

Transplant HepatologyMartin Hoffman, DO

Undersea and Hyperbaric MedicineChristopher Mozdzanowski, DODaniel Schwartz, MD

UrologyPeter Bosco, MDCarl Gjertson, MDHugh Kennedy, MDMarlene Murphy-Setzko, MDAdine Regan, MDMark Silk, MDG. Thomas Trono, Jr., MDJacob Zamstein, MD

Vascular SurgeryKristofer Bagdasarian, MDScott Fecteau, MDLori Greenwald, MD, PCKhubaib Mapara, MDSteven Ruby, MD, FACS, RVTEugene Sullivan, MD, FACS, RVT

2 0 1 5 A n n u a l R e p o r t Saint Francis HealthCare Partners 1 5

Denise Abbate, APRNBereshith Adams, APRNNanette Alexander, APRNLois Alimonti, APRNSharareh Amin Hanjani, APRNBecky Anderson, APRNMaria Annal, PAMatthew Ariyavatkul, PADeborah Aziz-Chmielorz, PAAudrey Bakanauskas, APRNUttam Banik, PAMelissa Battista, PASarah Beaudoin, PAKimberly Beaulieu, PAKevin Belanger, PAKimberly Bellavance, PALynne Benjamin, APRNMarc Benjamin, PAAna Kristia Bermudez, APRNAmber Berry, APRNChristopher Berube, PAFrank Biello, PASheila Bilica, PAJed Biondi, LCSWHaley Boles, PALaura Boone, PAColleen Borawski, APRNBrittany Bordonaro, PAJulie Bowerman, CNMClaudia Bradley, CNMJaclyn Brancato, PARobert Brancato, PATara Breslin, PAToni Brienza, PAMichelle Brisman, PhDKathleen Britting, APRNDeborah Broadley, APRNMary Bromage, LCSWWanda Bronstein, PATameka Brooks, APRNSarah Bruns, PARichard Buckberg, PASean Burke, PAStacey Burns, PAMarie Burton, APRNTracy Bylan, PAJohanna Cahill, PALori Calavan, PAJaime Camacho, PAElisabeth Campbell, PAAlison Carlson, APRNKristin Carney, PANadine Caron, APRNJennifer Carrier-Myers, APRNJohn Chapdelaine, LADCErica Cherry, APRNTracy Civitillo, PAJane Clark, APRNBarbara Clay, APRNAdrienne Clements, APRNMarci Cookson, PATracy Cormier, APRN

Jason Cornelio, PAKristine Correira, PAConcepcion Cortes, APRNPatrick Cosgrove, PAMelissa Costanzo, LMFTMary Anne Costerella, LADCSally Cote, PAJeannie Crabtree, APRNWilliam Cullen, PAJulie Culmone, APRNMiri Daly, APRNKari Daniels, PALawrence Daskal, LCSWVickie Dauphinais, APRNChristopher DelGross, PAGenevieve Dinh, APRNSarah Dobrowolski, APRNCarrie Doherty, PAEllen Duell, APRNRaymond Dunne, PAIryna Dyadchenko, APRNJill Epstein-Jones, LCSWLynn Fairchild, PAMarisa Fistola, PAAshley French, PAEleanor Fritz, APRNDawn Froonjian, APRNBrian Fry, PAGeriann Gallagher, APRNRichard Garibaldi, PAAlexis Gaskel, PAElaine Gayeski, APRNKristin Gemme, PAMichelle Glidden, APRNMichael Guerin, PANathan Gurtowsky, PABrian Haggerty, PASiobhan Harder, APRNMichael Harris, PAShawn Healy, PAAgatha Hecht, APRNChristina Heinssen, PAKevin Hickman, PAGina Higgins, APRNJesse Hill, PAThomas Hill, PANicole Hoover, PAPatrice Horan, APRNJesse Howes, PAStephanie Hull, PAAmanda Hurwitz, APRNRachel Hyde-McGuinness,

LMFTSandra Jacob, LCSWJessica Jean, PAKimberly Joerg, APRNAlison Johnson, PAYvonne Joy, APRNLinda Kaplan, APRNJennifer Karanian, APRNKathi Karp, APRNSue Keefe, APRN

James Kelly, APRNDaniel Klin, PAHeather Koning, PAMelissa LaBrosse, PAAshley LaChappelle, PAGail Lagana, APRNLynn Larochelle, PANatalie LeBlanc, PAErik Libby, PAJocelyn Libros, APRNGina Lidestri, PAMichael Lillpop, PADanielle Loos, PAJannette Lopez, APRNAlan Lozano, PAJames Lunn, PABettina Magliato, APRNStephanie Maguire, PARyan Makuck, PAThomas Maningas, PARichard Marcus, PAMichele Marek, APRNJordin Marousis, PAEliza Martel, PAAndrea Martelli, APRNKevin Martin, PANneka Mathew, APRNEvan McClure, LPCApril McConner, APRNDebra McDermott, APRNJill McGarry, CNMKerry McGuire, APRNElaine McKemmie, APRNMarcus McKinney, LPCAndrew McNamee, PAMary Ann Mecca-Monahan, PAEmily Mellor, APRNMarcia Metcalf, APRNAndrea Meyer, PATaylor Meyer, APRNTomasz Michalewski, APRNAlaina Miele, PAJoshua Miles, PADaniel Miller, PASean Miner, PADawn Monahan, APRNKatrina Monahan, APRNJose Morales-Marin, PABrian Morey, PAMarielle Morgan, PAChristina Morrissey, APRNJeffrey Moss, PAKarlyn Mott, PAJason Nall, PAAnn Navage, APRNAmy Neal, PAJill Nelson, APRNSarah Nguyen, PAThoa Nguyen, APRNRobin Nichols, LCSWLynn Nochisaki, APRN

Marybeth Norman, APRNPatricia Nugent, PAEmily O'Brien, APRNScott O'Brien, PATerry O'Donnell, PAJacqueline Ortiz-

Skenderidis, APRNSuzette Orzechowski, APRNKristin Overton, PAKara Pacelia, PASierra Pacholski, PASandra Palmer, APRNElizabeth Palomba, PAFrancis Pasini, PAGary Pastizzo, PAJennifer Paul, PhDWayne Perosky, PAMelissa Perregaux, PAJohn Pike, PAShannon Pitcher, PAMerin Plourd, PAElaine Pratt, APRNGladys Quinones, APRNSarah Rabbett, APRNCarolyn Ramos, PARebecca Randazzo, APRNJason Reese, PACatherine Regini, APRNJoshua Rickards, PAKelly Riggieri, APRNKristen Rinaldi, PALisa Rinaldi, PAJoan Rishel, PAJennifer Rivers, APRNKatie Roach, PASemone Roach, APRNElyssa Roberts, PAPaula Rocha, APRNDaniel Roche, PAThomas Romans, LCSWSalvatore Rondinelli, PAKaren Rosen, PAJennifer Ross, APRNAshley Rossi, PAKelly Rousseau, PAKelsey Rubin, PAPatricia Samuels, APRNPeter Sandor, PAMadeline Santiago, PAErin Sanzone, PADarlene Saucier, APRNMichelle Savarese, PADebra Sceppa, PAKristina Schaefer, APRNJennifer Schmidt, APRNJoan Schwartz, APRNMiriam Schwartz, APRNCaitlin Schwer, PAElaine Searle, APRNLaurie Seeger, PAChelsea Semrau, PA

Daniela Shvetsov, PAAdele Silhavy, CNMGabriella Smith, PAKelly Smith, PASerita Smith, APRNTanya Smith, LNMJeremy Smutz, PALinda Spiegel, APRNAnn-Marie Stawarky, APRNJeri Steele, APRNMichelle Steele, APRNBabette Sternat, APRNJennifer Stern-Hagen, CNMChristina Stoloff, LCSWLaurie Strand, APRNRobert Strange, PAMeghan Sullivan, PAMichael Suprenant, PABarbara Sycz, LCSWVidya Sylvester, APRNMarta Szerszen, PAMisti Talati, PAStephanie Tarasuk, APRNAllison Taylor, APRNChizoro Taylor, PAKatherine Taylor, APRNMary Tebo, APRNRobin Tedesco, PABianca Thibault, PAGlenda Thomas, APRNKatherine Thomsen, APRNLinda Thomson, APRNJoanne Tischer, PAJulie Tonioni, PALy Tran, PAChristine Turcotte, APRNAllison Valley, PAMichelle van Duinen, APRNSarah Vereneau, PAErin Vincent, PAElizabeth Visone, APRNPhilip Wagenbach, PAEphraim Wakszul, PADaniel Ward, PADouglas Ward, PAMatthew Ward, PAMary Ann Webster, APRNMargaret West, APRNJanice Whedon, APRNLoreen Williams, APRNElizabeth Winkler, APRNFrieda Winnick, APRNHoo-Ching Wong, PADavid Woodworth, PATing Ting Yang, APRNKimberly Youmans, LPCMary Young, APRNYing Zheng, PAMichelle Zywica, PA


Clinicians


SFHCP Committees**CredentialingChair: Ronald Kimmel, MD*

Ellison Berns, MD Anthony Posteraro, MDDonna Fitzpatrick* Amy Mattex*Adam Silverman, MD Ronald Szabo, MD Roy Zagieboylo, MD

Executive Compensation Co-Chair:Chris Dadlez Co-Chair: Roy Zagieboylo, MD

Daniel O’ConnellMichael Moustakakis, MD

Governance/ComplianceCo-Chair/BOD Hospital:Adam Silverman, MDCo-Chair/BOD Physician:Ellison Berns, MD

Jess Kupec*David Bittner, CPA, MBA, FHFMARussell Ciafone, MD Gary Cohen, MD Barry Gordon, DOTrudi McKenna * Anthony Posteraro, MDSteven Ruby, MD Jennifer Schneider Jennifer Searls *Satyarani Tallapureddy, MD Roxanne Zarmsky, MD

Medical ReviewUM Compliance Sub-Committee:Chair: Ronald Kimmel, MD*

Sudeep Bansal, MD*Matt Colliton, MDKhadija Poitras-Rhea, LCSWMichael Moustakakis, MD

Hearing Sub-Committee:Richard Newman, MDJulian Nieves, MDAnthony Posteraro, MDAdam Silverman, MDRoy Zagieboylo, MD

Contracting Chair: Jess Kupec*

Haris Athar, MD Ellison Berns, MD David M. Bittner, CPA, MBA, FHFMAJohn RobertsonJohn Rodis, MDRoy Zagieboylo, MD

Contracting Sub-Committee“Physician Contract Review”Chair: John Robertson*

Susan Albano Leslye LaCafta Susan Link Donna Rizzio Kathy SmithWilliam Witkowsky

Contracting Sub-Committee“Hospital Contract Review”David M. Bittner, CPA, MBA, FHFMAJohn Rodis, MD

FinanceDavid Bittner, CPA, MBA, FHFMANikki Schulz

QualityBeth Greig, RNSurendra Khera, MD

FinanceChair: Jess Kupec*

Ellison Berns, MD David Bittner, CPA,MBA, FHFMA Kraig Gland* John Rodis, MDRoy Zagieboylo, MD

Finance Sub-Committee“Reimbursement Sub-Committee”Susan Albano Michael Aron, MD John Baron, MD Mark Belsky, MDDavid M. Bittner, CPA, MBA, FHFMAAdam Boruchov, MD Stephen Calderon, MD Robert Feld, MD

Ari Geller, DO Kraig Gland*Timothy Goundrey, MD Jawad Haider, MD Ronald Kimmel, MD* Leslye LaCaftaSusan LinkWilliam Marshall, MD Adam Mucinskas, DPMVaralakshmi Niranjan, MD John Papandrea, MD Anthony Posteraro, MD John Rodis, MDAlberto Rodriguez, MDFranklin Rosenberg, MD Lisa Rossi, MDNikki Schulz Kathy SmithRonald Szabo, MD John Thayer, MD Aneesh Tolat, MDBrett Wasserlauf, MDWilliam Witkowsky Roy Zagieboylo, MD Jacob Zamstein, MD

Patient & CommunityEngagement

Chair: Ronald Kimmel, MD*

Paulette CarusoDebra CraneMarisol FelicianoVenton ForbesBrendan Fox, MD Joanne HoyeNadia LugoMatthew Kinney, Ph D Marek KukulkaMarcus McKinney, LCSW Sankaranarayanan Niranjan, MDKhadija Poitras-RheaRebecca SantiagoAdam Silverman, MD

Primary Care(All PCP’s have an open invitation)

Co-Chair: Adam Silverman, MDCo-Chair: Ronald Kimmel, MD*

Donna BenzingerFred Bogin, MDAngelo Carrabba, MDBernard Clark, MDManjaree Daw, MDMegan DurningJames Harris, MDDavid Howlett, MDRoy Kellerman, MDJess KupecJulien Nieves,MDJohn Papandrea, MDMarkl Polatnick, MDGilberto Ramirez, MDSharon Tan, MDRoy Zagieboylo, MD

Strategic Planning/CICo-Chair: Jess Kupec*Co-Chair: Ellison Berns, MD

David Bittner, CPA, MBA, FHFMABernard Clark, MDRobert Cushman, MDChristopher DadlezAri Geller, MDDouglas Gerard, MDJawad Haider, MDCharles Kantor, MDEdmund Kim, MDAdam Silverman, MDJames Matino, MDJacques Mendelsohn, MDJohn Papandrea, MDAnthony Posteraro, MDSteven Ruby, MDSatyarani Tallapureddy, MD

*SFHCP Staff

**Due to our conversion to for-profit and our transition to risk contracting,

our committees are being reviewed for relevance. Our new committee

structure is currently being developed.

Executive Staff

Jess KupecPresident & CEO

Steven Godfrey, MMHSVice President, Business Development

Ronald Kimmel, MDVice President, Chief Medical Officer

Jennifer Searls, MHAVice President, Operational Support& Chief Compliance Officer

Senior Staff

Sudeep Bansal, MDChief Medical Informatics Officer & Quality Officer

Kimberly ForbesExecutive Operations Coordinator

Kraig Gland (not pictured)

Executive Director, Business Intelligence & Data Analytics

Trudi McKenna, MFAExecutive Director, Finance & Administration

Khadija Poitras-Rhea, LCSWDirector, Care Coordination & Population Health Management

John Robertson, MBAExecutive Director Contracting

SFHCP Staff

Executive and Senior Staff, front row: Trudi McKenna, Jennifer Searls, Jess Kupec, Steven Godfrey, Ronald Kimmel, MDBack row: Khadija Poitras-Rhea, Sudeep Bansal, MD, Kimberly Forbes, John Robertson

Executive Staff: Jennifer Searls, Jess Kupec, Steven Godfrey, Ronald Kimmel, MD

Saint Francis HealthCare Partners staff

Managing risk.Achieving results.Sharing rewards.

95 Woodland Street • 4th Floor • Hartford, CT 06105-1299 • Tel: 860.714.5606 • Fax: 860.714.8057

www.sfhcp.org

2015 annual report - soho health · 2017-11-27 · 2015 annual report saint francis health care...

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