• South Florida
    Integrated
    Kidney Care ESCO

    An ESRD Seamless Care Organization

ESCOs: A Way to Better Coordinate Patient Health Care

The South Florida Integrated Kidney Care ESCO is an ESRD Seamless Care Organization (ESCO) in the Medicare Comprehensive ESRD Care model. An ESCO is a group of dialysis facilities, nephrologists, and other health care providers working together with Medicare to coordinate and improve the quality of care for patients.

We're Working to Improve Patient Care

The goal of an ESCO is for dialysis facilities, nephrologists, and other health care providers to communicate closely with other health care providers, so they can deliver high-quality care that meets the individual needs and preferences of the patient.

South Florida Integrated Kidney Care ESCO Benefits

Patients, physicians and payors all benefit from ESCO’s integrated care management approach:

  • A specially trained nurse working with the South Florida Integrated Kidney Care ESCO member, family, dialysis team, doctors and care partners.
  • Coordinated support both inside and outside of the dialysis center to help the member better understand and manage their ESRD.
  • Nursing team available 24 hours a day/7 days a week at no additional charge to members.
  • Patients have the right to use any dialysis facility, provider or hospital that accepts Medicare, at any time.
  • Medicare benefits will not change. An ESCO is not a Medicare Advantage plan, a Health Maintenance Organization (HMO) plan, or an insurance plan of any kind.

Meet the ESCO Team

South Florida Integrated Kidney Care ESCO
2000 16th Street
Denver, CO 80202

Primary Contact
Bryan Gregory, Vice President, DaVita Integrated Kidney Care
615-928-3568
Bryan.Gregory@davita.com

About Your ESCO

Clinical and Administrative Leadership

  • Mike Staffieri, President, DaVita Inc.
  • Nathan Lohmeyer, Vice President, DaVita Integrated Kidney Care
  • Eric Franco, Treasurer and Finance and Reporting Officer, DaVita Integrated Kidney Care
  • Amir Moslemian, Secretary, DaVita VillageHealth
  • David Roer, M.D., Nephrologist Representative and Medical Director, DaVita Integrated Kidney Care
  • Brett Lindenfeld, Compliance Officer, DaVita Inc.
  • Vicki Burrier, Dialysis Center Operations Officer, DaVita Inc.
  • Sean Best, Information Technology Officer, DaVita Inc.

ESCO Participants

Participants in the South Florida Integrated Kidney Care ESCO include:

Nephrologist Groups

Coastal Nephrology & Hypertension Center, P.A.

  • Abbas Rabiei 

Dr. Hassan Ali, MD, P.A.

  • Hassan Ali, MD    

Kidney & Hypertension Specialists of Miami, P.A.

  • Alexander Velar
  • Anne Marie Miles
  • Jorge Mordujovich
  • Michael Lemont
  • Seymour Frankfurt

Mark Kaylin M.D., P.A.

  • Mark Kaylin

Nephrology Associates of South Broward P.A.

  • Alexander Markovich
  • James Reich

Richard  S. Sandler, MD, P.A

  • Richard Sandler

Renal Electrolyte and Hypertension Consultants

  • Alberto Casaretto
  • Brenda Bourassa
  • Carlos Duran-Martinez
  • Faizul Hussain
  • Parham Eftekhari
  • Reinaldo Rosario
  • Wayne Kotzker
  • Zachary Yablon

Dialysis Providers

DaVita, Inc.

  • Advanced Dialysis Center of Fort Lauderdale
  • Aventura Kidney Center
  • Broward Dialysis
  • Center For Kidney Disease at North Shore
  • Center For Kidney Disease at Venture
  • Complete Care At Home
  • Complete Dialysis Care
  • Coral Gables Kidney Center
  • Davie City Dialysis
  • Dialysis Associates of The Palm Beaches
  • Flamingo Park Kidney Center
  • Florida Renal Center
  • Fort Lauderdale Dixie Dialysis
  • Greater Miami At Home
  • Greater Miami Dialysis
  • Hallandale Dialysis
  • Hialeah Artificial Kidney Center
  • Lake Worth Dialysis
  • Lighthouse Point Dialysis
  • Miami Campus Dialysis
  • Miami Campus At Home
  • Miami Lakes Artificial Kidney Center
  • North Palm Beach At Home
  • North Palm Beach Dialysis Center
  • Pembroke Pines Dialysis
  • Pine Island Kidney Center
  • Plantation Dialysis
  • Plantation Ht At Home
  • Pompano Beach Artificial Kidney Center
  • South Beach Dialysis
  • South Florida Dialysis
  • Tamarac Artificial Kidney Center
  • West Boynton Dialysis

Joint Venture Dialysis Provider

 East Ft. Lauderdale, LLC

  • East Ft. Lauderdale Dialysis Center

Kavett Dialysis, LLC

  • Palmetto Artificial Kidney Center

Mautino Dialysis, LLC

  • West Boynton Dialysis

Okanogan Dialysis, LLC

  • Lauderhill Dialysis

Sands Dialysis, LLC

  • Boca Raton Artificial Kidney Center
  • Delray North-Boynton Dialysis

Talimena Dialysis, LLC

  • Golden Glades Dialysis

Townsend Dialysis, LLC

  • Plantation Home Training
  • Plantation at Home

Governing Body

Governing body members of the South Florida Integrated Kidney Care ESCO:

  • Alberto Casaretto, M.D., Governing Manager, Renal Electrolyte and Hypertension Consultants
  • Bryan Gregory, Governing Manager, DaVita Integrated Kidney Care
  • Vicki Burrier, Governing Manager, DaVita Inc.
  • Rex Buchanan, Governing Manager, National Kidney Foundation

Shared Savings

For nearly two decades, DaVita has invested, and continues to invest, in building the infrastructure and capabilities to holistically care for ESRD (End Stage Renal Disease) and CKD (Chronic Kidney Disease) beneficiaries. Our goal is to prepare for a future when integrated care is available to all patients. The ESCOs (ESRD Seamless Care Organizations) are one vehicle in which DaVita provides integrated care to our patients.

Amount of Shared Savings/Shared Losses

Performance Year 1 $2,597,001.00
Performance Year 2 $2,922,870.00
Performance Year 3 TBD (2019)
Performance Year 4 TBD (2020) 
Performance Year 5 TBD (2021)

As a participant in CMS’s (Centers for Medicare & Medicaid Services) Comprehensive ESRD Care (CEC) Model, the South Florida ESCO is a joint venture comprised of dialysis facilities and nephrologists. The South Florida ESCO achieved more than $2.5M in shared savings in Performance Year 1, which ran from October 2015 through December 2016. The South Florida ESCO returned 100% of the shared savings that it earned to its participant owners, who, in turn, used a portion of those savings to recoup their upfront financial investments in the ESCO venture, including infrastructure for Performance Year 1 and future years. The ESCO participants elected to reinvest any remaining surplus shared savings into redesigned care processes to support ESRD Medicare beneficiaries who are aligned to the ESCO.

During Performance Year 2 (calendar year 2017), the ESCO generated nearly $3 million in shared savings.  All shared savings continue to be reinvested in the ESCO’s infrastructure and other resources required to improve clinical outcomes.

Quality Measures

For performance year 1, all quality measures were in pay-for-reporting status. The South Florida ESCO successfully reported on all ESCO quality measures for a total quality score (TQS) of 100%.  During performance year 2, the ESCO achieved a total quality score of 80.56%, exactly in line with the overall average for all markets.

 

Patient Safety

Measure Title  ESCO Performance Rate Y1 Mean Performance Rate for ALL ESCOs Y1  ESCO Performance Rate Y2 Mean Performance Rate for ALL ESCOs Y2
Standardized Mortality Ratio 1.027 0.923 1.022 0.935
Falls: Screening 78.8% 85.6% 97.6% 93.3%
Falls: Risk Assessment 100% 99.7% 100% 98.0%
Falls: Plan of Care 0% 7.2% 90.9% 21.9%

Person- and Caregiver-Centered Experience and Outcomes

Measure Title  ESCO Performance Rate Y1 Mean Performance Rate for ALL ESCOs Y1  ESCO Performance Rate Y2 Mean Performance Rate for ALL ESCOs Y2
Advance Care Plan 60.8% 84.2% 97.1%
93.2%
ICH CAHPS: Nephrologists' Communication and Caring 70.1% 67.8% 68.9% 67.7%
ICH CAHPS: Providing Information to Patients 79.2% 78.7% 79.0% 79.3%
ICH CAHPS: Dialysis Center Care and Operations 62.1% 60.9% 62.4% 61.5%
ICH CAHPS: Rating of Kidney Doctors 65.6% 59.6% 62.2% 59.0%
ICH CAHPS: Rating of Dialysis Center Staff 61.5% 59.5% 59.0% 60.6%
ICH CAHPS: Rating of Dialysis Center 65.2% 64.7% 63.6%
65.8%

Clinical Quality of Care

Measure Title  ESCO Performance Rate Y1 Mean Performance Rate for ALL ESCOs Y1  ESCO Performance Rate Y2 Mean Performance Rate for ALL ESCOs Y2
Diabetes Care: Eye Exam 1.7% 4.0% 11.7%
22.5%
Diabetes Care: Foot Exam 1.7% 2.0% 7.8%
62.9%

Communication and Care Coordination

Measure Title  ESCO Performance Rate Y1 Mean Performance Rate for ALL ESCOs Y1  ESCO Performance Rate Y2 Mean Performance Rate for ALL ESCOs Y2
Medication Reconciliation Post Discharge 63.0% 46.9% 70.8% 38.8%

Population Health

Measure Title  ESCO Performance Rate Y1 Mean Performance Rate for ALL ESCOs Y1  ESCO Performance Rate Y2 Mean Performance Rate for ALL ESCOs Y2
Influenza Immunization in the ESRD Population 62.8% 71.3% 89.1% 77.7%
Pneumococcal Vaccination Status 37.0% 43.7% 98.8% 72.3%
Screening for Clinical Depression and Follow-Up Plan 66.4% 72.8% 83.7% 85.4%
Tobacco Use: Screening and Cessation Intervention 71.3% 74.8% 99.0% 85.9%

Questions?

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Call 1-833-IKC-DAVITA (452-3284)
TTY users dial 711

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Or call 1-800-MEDICARE
(1-800-633-4227)

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TTY users call
1-877-486-2048