• CCQC's Mission is to assist doctors in providing high quality and improved coordinated care for the patients they have been entrusted while reducing the growth in costs.

 

ACO Name and Location:

Coastal Carolina Quality Care, Inc.

Previous Names: N/A
1020 Medical Park Avenue
New Bern, North Carolina 28562

ACO Primary Contact:

Primary Contact Name

Stephen Nuckolls

Primary Contact Phone Number

252-633-4111

Primary Contact Email Address

nuckolls@cchealthcare.com

Organizational Information:

ACO Participants:

ACO Participants

ACO Participant in Joint Venture (Enter Y or N)

Coastal Carolina Health Care, P.A.

N

Eastern Carolina Womens Center, P.A.

N

Crystal Coast Pain Management Center, PLLC

N

ACO Governing Body:

First Name

Last Name

Title/Position

Voting Power

Membership Type

ACO Participant TIN Legal Business Name

Phillip

Guilford

Member

7.14%

ACO Participant Representative

Coastal Carolina Health Care, P.A.

William M.

Wike

Member

7.14%

ACO Participant Representative

Coastal Carolina Health Care, P.A.

Kevin

French

Member

7.14%

ACO Participant Representative

Coastal Carolina Health Care, P.A.

Richard

Gorman

Member

7.14%

ACO Participant Representative

Coastal Carolina Health Care, P.A.

Byrd

David

Member

7.14%

ACO Participant Representative

Coastal Carolina Health Care, P.A.

Wood

Gibbs

Member

7.14%

ACO Participant Representative

Coastal Carolina Health Care, P.A.

Wright

Shields

Member

7.14%

ACO Participant Representative

Coastal Carolina Health Care, P.A.

Thomas

Curd

Member

7.14%

ACO Participant Representative

Coastal Carolina Health Care, P.A.

Michael

Casciello

Member

7.14%

ACO Participant Representative

Coastal Carolina Health Care, P.A.

Kirby

Mary

Member

7.14%

ACO Participant Representative

Coastal Carolina Health Care, P.A.

Kent

Lucas

Member

7.14%

ACO Participant Representative

Coastal Carolina Health Care, P.A.

Suman

Lamsal

Member

7.14%

ACO Participant Representative

Coastal Carolina Health Care, P.A.

Ronald

Lather

Member

7.14%

ACO Participant Representative

Coastal Carolina Health Care, P.A.

Stewart

Smith

Member

7.14%

Medicare Beneficiary Representative

N/A

Kirk

Harum

Member

7.14%

ACO Participant Representative

Crystal Coast Pain Management Center, PLLC

Key ACO Clinical and Administrative Leadership:

Stephen Nuckolls

ACO Executive

Kenneth W. Wilkins, Jr., M.D.

Medical Director

Julianne Willis

Compliance Officer

Kenneth W. Wilkins, Jr. M.D.

Quality Assurance/Improvement Officer

Associated Committees and Committee Leadership:

Committee Name

Committee Leader Name and Position

Quality Assurance and Improvement Committee

Kenneth W. Wilkins, Jr., M.D.

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

ACO professionals in a group practice arrangement

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Third Agreement Period
  • ⚬ Performance Year 2021, $7,708,270
  • ⚬ Performance Year 2020, $7,975,943
  • ⚬ Performance Year 2019, $3,316,647
  • Second Agreement Period
  • ⚬ Performance Year 2019, $2,403,808
  • ⚬ Performance Year 2018, $3,297,943
  • ⚬ Performance Year 2017, $3,370,629
  • ⚬ Performance Year 2016, $2,236,944
  • First Agreement Period
  • ⚬ Performance Year 2015, $0
  • ⚬ Performance Year 2014, $0
  • ⚬ Performance Year 2013, $0

Shared Savings Distribution

  • Second Agreement Period
  • ⚬ Performance Year 2021
  • » Proportion invested in infrastructure: 15.9%
  • » Proportion invested in redesigned care processes/resources: 12.5%
  • » Proportion of distribution to ACO participants: 71.6%
  • ⚬ Performance Year 2020
  • » Proportion invested in infrastructure: 25%
  • » Proportion invested in redesigned care processes/resources: 12.52%
  • » Proportion of distribution to ACO participants: 62.5%
  • ⚬ Performance Year 2019
  • » Proportion invested in infrastructure: 25%
  • » Proportion invested in redesigned care processes/resources: 12.52%
  • » Proportion of distribution to ACO participants: 62.5%
  • ⚬ Performance Year 2018
  • » Proportion invested in infrastructure: 24.5%
  • » Proportion invested in redesigned care processes/resources: 10.2%
  • » Proportion of distribution to ACO participants: 65.3%
  • ⚬ Performance Year 2017
  • » Proportion invested in infrastructure: 29%
  • » Proportion invested in redesigned care processes/resources: 20%
  • » Proportion of distribution to ACO participants: 51%
  • ⚬ Performance Year 2016
  • » Proportion invested in infrastructure: 20%
  • » Proportion invested in redesigned care processes/resources: 80%
  • » Proportion of distribution to ACO participants: 0%
  • First Agreement Period
  • ⚬ Performance Year 2015
  • » Proportion invested in infrastructure: N/A
  • » Proportion invested in redesigned care processes/resources: N/A
  • » Proportion of distribution to ACO participants: N/A
  • ⚬ Performance Year 2014
  • » Proportion invested in infrastructure: N/A
  • » Proportion invested in redesigned care processes/resources: N/A
  • » Proportion of distribution to ACO participants: N/A
  • ⚬ Performance Year 2013
  • » 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:

2020 Quality Performance Results:

ACO#

Measure Name

Rate

ACO Mean

ACO-1
CAHPS: Getting Timely Care, Appointments, and Information
84.84
84.67
ACO-2
CAHPS: How Well Your Providers Communicate
93.82
93.56
ACO-3
CAHPS: Patients’ Rating of Provider
92.36
92.19
ACO-4
CAHPS: Access to Specialists
77.27
78.80
ACO-5
CAHPS: Health Promotion and Education
69.25
61.61
ACO-6
CAHPS: Shared Decision Making
63.50
60.89
ACO-7
CAHPS: Health Status/Functional Status
69.16
71.78
ACO-34
CAHPS: Stewardship of Patient Resources
26.34
24.71
ACO-45
CAHPS: Courteous and Helpful Office Staff
93.62
91.88
ACO-46
CAHPS: Care Coordination
87.38
85.66
ACO-8
Risk Standardized, All Condition Readmission
13.88
15.40
ACO-38
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions
26.10
33.99
ACO-13
Falls: Screening for Future Fall Risk
97.46
87.03
ACO-14
Preventive Care and Screening: Influenza Immunization
93.70
80.52
ACO-17
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
94.12
80.97
ACO-18
Preventive Care and Screening: Screening for Depression and Follow-up Plan
89.58
74.38
ACO-19
Colorectal Cancer Screening
90.83
73.63
ACO-20
Breast Cancer Screening
93.47
75.11
ACO-42
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
91.23
84.24
ACO-27
Diabetes: Hemoglobin A1c Poor Control (>9%)
5.32
12.46
ACO-28
Controlling High Blood Pressure
88.84
74.87

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov.

For 2019 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2019-Shared-Savings-Program-SSP-Accountable-Care-O/v3c3-qqff/data

Note: In the Quality Performance Results file(s) above, search for “Coastal Carolina Quality Care, Inc.” to view the quality performance results. This ACO can also be found by using the ACO ID A76034 in the public use files on data.cms.gov.