Public Reporting


ACO Name and Location

Broward Guardian, LLC
3109 Stirling Road, Suite 101
Hollywood, Florida 33312

ACO Primary Contact

Monica Puga
mpuga@mhs.net
954-276-5334

Organizational information

ACO Participants ACO Participant in Joint Venture
Bahta and Associates, Inc. N
Beth and Howard Braver, MD, PA N
Cardiac & Veinworx, LLC N
Chris Ramsaran Family and Sports Medicine, Inc. N
Comprehensive Cardiology Consultants, LLC N
Comprehensive Health & Wellness Center, PA N
Dov S Linzer, MD, LLC N
Dr. Harry Pepe and Associates, Inc. N
Durairaj Venkatasamy, MD PA N
Emilio Pando, MD, PA N
Evergreen Medical Center, PA N
Family Medical Center of Hollywood, PA N
Family Practice of Davie, Inc. N
Florida Institute for Cardiovascular Care, PA N
Healthstone Medical Group, LLC N
Healthstone Primary Care Partners, LLC N
Hector Fabregas, MD, PA N
Hernando Giraldo MD, Inc. N
Howard M. Graubard, MD, PA N
Internal Medicine Specialty Associates, PA N
Jeffrey Rothstein, DO, PA N
Joshua Z. Steiner, DO, PA N
Juan Carlos Rondon, MD, PA N
Leonard J. Hoenig, MD, PA N
Leslie Shawn, DO, PA N
Medical Offices of Scott B. Halperin, MD, PA N
Mosbah Chehab, MD, PLLC N
Mudasiru A. Carew, DO, PA N
Prangnuan Durand, DO, PA N
Reeder Medical Group, LLC N
Reyes & Reyes, PA N
Saad Mirza, MD, PA N
Safecare Medical Center N
South Broward Hospital District N
Spiller Heart Institute, LLC N
Steven R. Linzer, DO, PA N
Total Healthcare of South Florida, Inc. N
Van Buren Medical Center, Inc. N
Wayne H. Case, MD, PA N
Wayne N. Evancho, DO, PA N
West-Ky Abrams, DO, PA N
Zoraida Rivera-Hidalgo, MD, PA N

ACO Governing Body

Member Member's Voting Power Membership Type ACO Participant TIN Legal Business Name/DBA, if Applicable
Last Name First Name Title/Position
Stone, MD Charles Chair 1 of 7 Votes ACO Participant and Voting Member Internal Medicine Specialty Associates
Fabregas, MD Hector Vice Chair 1 of 7 Votes ACO Participant and Voting Member Hector Fabregas, MD, PA
Reyes, MD Rene Medical Director 1 of 7 Votes ACO Participant and Voting Member Reyes & Reyes MD
Greenstein, MD Marc Board Member 1 of 7 Votes ACO Participant and Voting Member Evergreen Medical Center, PA
Macaluso, MD Tom Board Member 1 of 7 Votes Voting Member Chief Quality Officer, Memorial Healthcare System
Shulruff Larry Board Member 1 of 7 Votes Voting Member ACO Beneficiary Representative
Evancho, MD Wayne Board Member 1 of 7 Votes ACO Participant and Voting Member Wayne Evancho, DO, PA

Key ACO Clinical and Administrative Leadership

John Harkins ACO Executive
Dr. Rene Reyes Medical Director
Ken Resmini Compliance Officer
Dr. Tom Macaluso Quality Assurance/Improvement Officer

Associated Committees and Committee Leadership

Committee Name Committee Leader Name and Position
Finance and Contracting Committee Monica Puga, Chair
Quality and Information Technology Committee Dr. Tom Macaluso, Chair
Terri Thompson, Co-Chair

Types of ACO Participants, or Combinations of Participants that Formed the ACO

  • Networks of individual practices of ACO professionals
  • Partnerships or joint venture arrangements between hospitals and ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Second Agreement Period
    • Performance year 2019, $6,241,418
    • Performance Year 2018, $3,129,467
    • Performance Year 2017, $3,729,517
  • First Agreement Period
    • Performance Year 2016, $3,115,928
    • Performance Year 2015, $5,220,484
    • Performance Year 2014, $0

Shared Savings Distribution

  • Second Agreement Period
    • Performance Year 2019
      • Proportion invested in infrastructure: 35%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 65%
    • Performance Year 2018
      • Proportion invested in infrastructure: 35%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 65%
    • Performance Year 2017
      • Proportion invested in infrastructure: 35%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 65%

  • First Agreement Period
    • Performance Year 2016
      • Proportion invested in infrastructure: 35%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 65%
    • Performance Year 2015
      • Proportion invested in infrastructure: 35%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 65%
    • Performance Year 2014
      • Proportion invested in infrastructure: 0%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 0%

    Quality Performance Results

    2019 Quality Performance Results

    ACO# Measure Name Rate ACO Mean
    ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 88.89 85.86
    ACO-2 CAHPS: How Well Your Providers Communicate 95.82 94.11
    ACO-3 CAHPS: Patients' Rating of Provider 94.00 92.69
    ACO-4 CAHPS: Access to Specialists 82.98 81.54
    ACO-5 CAHPS: Health Promotion and Education 63.10 60.44
    ACO-6 CAHPS: Shared Decision Making 59.83 62.78
    ACO-7 CAHPS: Health Status/Functional Status 73.38 73.79
    ACO-34 CAHPS: Stewardship of Patient Resources 21.14 26.17
    ACO-45  CAHPS: Courteous and Helpful Office Staff 93.47  92.84 
    ACO-46  CAHPS: Care Coordination  88.79  86.89 
    ACO-8 Risk-Standardized, All Condition Readmission 16.06 14.86
    ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 59.25 58.15
    ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 1.64 1.87
    ACO-13 Falls: Screening for Future Fall Risk 86.27 84.04
    ACO-14 Preventive Care and Screening: Influenza Immunization 48.50 74.77
    ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 81.82 78.04
    ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 86.10 70.40
    ACO-19 Colorectal Cancer Screening 61.15 70.76
    ACO-20 Breast Cancer Screening 72.98 73.84
    ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 86.11 82.17
    ACO-40  Depression Remission at Twelve Months  10.64  13.58 
    ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 14.73 13.88
    ACO-28 Controlling High Blood Pressure 76.01 75.04

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