Notes: The posting of this list of organizations that have submitted a

Notes:

The posting of this list of organizations that have submitted a NOIA is not a confirmation of eligibility.

The deadline for submitting a full application is June 14, 2012 by 3:00pm EST.

Please direct questions about the Initiative to [email protected]. Programmatic questions regarding this opportunity

submitted after May 31, 2012 are not guaranteed a response.

More information on this Initiative can be found at the below websites:

http://innovation.cms.gov/initiatives/rahnfr/

http://www.cms.gov/Medicare-Medicaid-Coordination/Medicare-and-Medicaid-Coordination/Medicare-Medicaid-Coordination-

Office/ReducingPreventableHospitalizationsAmongNursingFacilityResidents.html

CMS INITIATIVE TO REDUCE AVOIDABLE HOSPITALIZATIONS AMONG NURSING FACILITY RESIDENTS

List of organizations that have submitted a Notice of Intent to Apply (NOIA) and have approved the posting of their information

The deadline for submitting a NOIA was May 7, 2012 by 3:00pm EST.

This list includes only those organizations that have granted permission for their information to be posted publicly. There are other

organizations that have submitted a NOIA.

The list is sorted alphabetically by "Primary" State targeted for the proposed intervention.

A NOIA is non-binding and organizations that have submitted a NOIA may choose not to apply to the Initiative. Additionally, the target

locations identified by organizations to implement their intervention may change. Information not associated with the proposed target

location has been removed from certain fields.

http://innovation.cms.gov/initiatives/rahnfr/

http://www.cms.gov/Medicare-Medicaid-Coordination/Medicare-and-Medicaid-Coordination/Medicare-Medicaid-Coordination-Office/ReducingPreventableHospitalizationsAmongNursingFacilityResidents.html

http://www.cms.gov/Medicare-Medicaid-Coordination/Medicare-and-Medicaid-Coordination/Medicare-Medicaid-Coordination-Office/ReducingPreventableHospitalizationsAmongNursingFacilityResidents.html

List of Organizations that have Submitted a Notice of Intent to Apply (NOIA) and have Approved the Posting of their Information

First Last Business Email Primary Secondary Tertiary

North Alabama Community Care,

Inc.

228 Holmes

Avenue

Huntsville AL 35801 Dana Garrard [email protected]

om

AL Madison, Limestone, Morgan and Cullman

counties in Alabama.

Primary Care Providers of

America, LLC

4212 N Carmichael

Dr

Montgomer

y

AL 36016 Michael Reeves [email protected] AL Montgomery, Huntsvile, Mobile and

Birmingham, Alabama

Premier Healthcare Solutions P.O Box 361003 Birmingha AL 35236 Gregory Ramsey [email protected] AL Jefferson County, State of Alabama

Alabama Quality Assurance

Foundation (AQAF)

2 Perimeter Park

South, Suite 200W

Birmingha

m

AL 35243 Liz Prosch [email protected] AL Twenty-five (25) contiguous counties in

central/southeast Alabama spanning across five

(5) Area Agency on Aging (AAA) service areas.

East Arkansas Area Agency on

Aging, Inc.

2005 East Highland

Drive, PO Box

5035

Jonesboro AR 72403 Melissa Prater [email protected] AR Northeast Arkansas Counties Include: Clay,

Randolph, Lawrence, Greene, Mississippi,

Craighead, Poinsett, Cross, St. Francis,

Crittenden, Lee and Phillips

Business Process Excellence, LLC 3820 W Happy

Valley Dr Ste 141-

128

Glendale AZ 85310 Amy Bair [email protected] AZ FL Metro Phoenix and Southern Florida

City of Mesa Fire and Medical

Department

13 W. 1st Street Mesa AZ 85201 TONY LO

GIUDICE

TONY.LOGIUDICE@MES

AAZ.GOV

AZ CITY OF MESA AND PHOENIX

METROPOLITAN

The list is sorted alphabetically by

"Primary" State targeted for the

proposed intervention.

2141 E. Broadway

Rd. Suite 118

Tempe AZ 85282 April Bolles Abolles@palliativeconnectio

ns.com

AZ Maricopa County, Arizona

IPC The Hospitalist Company dba

Hospitalist of Arizona

2510 W. Dunlap

Avenue, Suite 290

Phoenix AZ 85021 Saul Blair [email protected] AZ Maricopa, Yavapai and Coconino County

Banner Health 1441 N 12th Street Phoenix AZ 85006 Karen Bangle karen.bangle@bannerhealth.

com

AZ Marcopa Counties Pinal Counties

Dignity Health (DBA St. Joseph's

Hospital and Medical Center)

350 West Thomas

Road

Phoenix AZ 85013 Debra Mahan debra.mahan@dignityhealth.

org

AZ Greater Phoenix Metropolitan Area to include

Maricopa County and Northern Pinal County.

People Helping People 7609 E felicity

place

Tucson AZ 85750 Mary Hanna [email protected] AZ AZ

Sun Valley Internists LLC 14815 N Del Webb

Blvd

Sun City AZ 85351 Onkar Bhowra [email protected] AZ Maricopa County, Arizona

Meridian Health Systems, P.C. 4477 west 118th

Street Suite 304

Hawthorne CA 90250 323 2522784 [email protected] CA FL NC multi States

USMDDIRECT,INC. 2021 SANTA

MONICA SUITE

710E

SANTA

MONICA

CA 90404 FAWAD ZAFAR-

KHAN

[email protected] CA California -Santa Monica, West Los

angels,Beverly hill, Hollywood Inglewood, long

beach, Los Angeles, Irvin, Northern California

HealthCare Partners Affiliates

Medical Group

19191 South

Vermont Ave. Suite

#200

Torrance CA 90502 Jeremy Rich [email protected]

m

CA NV FL Southern California (primary) May include

Nevada and Florida, if feasible.

Companion Management Group,

LLC

5 Hutton Centre

Drive, Suite 1110

Santa Ana CA 92707 Steve Nahm [email protected] CA The California counties of Los Angeles, Orange,

Riverside, and San Bernardino.

Milvali Healthcare Consulting

Company (MHCC)

101 West Central

Avenue #249

Brea CA 92821 Mildred DeCastro mdecastro@milvalihealthcar

e.com

CA NV MHCC plans to implement proposed

interventions in California (Southern &

Northern).

Palo Alto Medical Foundation 795 El Camino

Real

Palo Alto CA 94301 Albert Lam [email protected] CA San Francisco South Bay Region from Palo Alto

in the West to Sunnyvale in the East, and to the

south in Santa Cruz.

Jewish Family Service of Los

Angeles

3580 Wilshire

Blvd. #700

Los

Angeles

CA 90010 Eli Veitzer [email protected] CA County of Los Angeles

Managed Care Systems/GEMCare

Medical Associates

4550 California

Ave., Suite 500

Bakersfield CA 93309 Michele Giboney mgiboney@managedcaresyst

ems.com

CA Kern County, Ventura County, San Luis Obispo

County, potentially other Central California and

California central coast counties.

Proposed Implementation State(s) Proposed target geographic location of the

proposed intervention.Name of Applicant Organization Street Address City State Zip Code

Point of Contact's Business Information

2

mailto:[email protected]
































Orange Coast Surgery Inc 1000 S.anaheim

blvd, #300

Anaheim CA 92805 krishna surapaneni [email protected] CA TX Southern California, CA, Dallas, TX

Belville Enterprises, Inc. 6225 Nancy Ridge

Drive

San Diego CA 92121 Betty Haller [email protected] CA MOSTLY SOUTHERN CALIFORNIA SOME

CENTRAL AND NORTHERN CALIFORNIA

Meadowood Health and

Rehabilitation Center

3110 Wagner

Heights Rd

Stockton CA 95209 Cathy Otte [email protected] CA Stockton, Lodi, Manteca, CA

California Alzheimer's Support

Services

343 Park street #1 Redwood

City

CA 94061 Monica Ewing [email protected] CA Redwood City, Palo Alto, San Francisco, San

Jose

Salveo Inc. 2941 Fulton

Avenue Suite B

Sacramento CA 95821 David Klaeser dklaeser@interimhealthcare.

com

CA Northern California

sigalit Marmorstein RN, MSN,

FNP-BC chief ER Nurse

Practitioner Verdugo Hills Hospital

4535 Park allegra Calabasas CA 91302 David Tashman [email protected] CA Nursing home and long term care facilities in

CA.

Snowline Hospice 6520 Pleasant

Valley Road

Diamond

Springs

CA 95619 530 621-7820 mschmidt@snowlinehospice.

org

CA Sacramento County and El Dorado County in

Northern California

Lorian Home Systems, Inc. 3570 Camino Del

Rio North, Suite

201

San Diego CA 92108 Julian Ahumada [email protected] CA IN NV Indiana, Southern California, and Nevada,

including San Diego, Orange, Los Angeles,

Riverside, San Bernadino and Clark counties

California Telehealth Network 2001 P Street, Ste

100

Sacramento CA 95811 Cindy Morton [email protected] CA State of California

On Lok, inc. 1333 Bush St. San

Francisco

CA 94109 Susan Poor [email protected] CA San Francisco Bay Area

West Coast Wound Care, Inc. 976 McLean

Avenue, Suite 387

Yonkers NY 10704 Craig Bunker [email protected] CA California

SCAN Health Plan 2501 Cherry

Avenue

Signal Hill CA 90755 Denise Likar [email protected] CA Our proposed geographic locations are Los

Angeles County, a predominantly densely

populated urban area and San Joaquin County, a

predominately rural and less densely populated

area.

Access to Independence of San

Diego, Inc.

8885 Rio San

Diego Dr., Ste. 131

San Diego CA 92108 Louis Frick [email protected] CA San Diego and Imperial Counties

Acute Response Team Inc 2951 Four Corners

Street

Chula Vista CA 91914 Guillerm

o

Castillo drgcastillo@acuteresponsete

am.com

CA

Lumina Healthcare, LLC 2121 Rosecrans

Avenue, Suite 4325

El Segundo CA 90245 Robert Mathuny rmathuny@luminahealthcare

.com

CA Los Angeles County

Kennedy Krieger Institute 707 N. Broadway Baltimore MD 21201 Karen Cox [email protected] CO Nursing facilities & hospitals in El Paso County,

CO.

Hospital Remedy 3453 S. Ammons

St. 2-8

Lakewood CO 80227 Teresa Freudig [email protected] CO Denver Metro area

Catholic Health Initiatives Colorado

Foundation

6385 Corporate

Drive, Suite 301

Colorado

Springs

CO 80919 Jane Barnes [email protected] CO Colorado: Denver metro area, Colorado Springs,

Pueblo

Hospice & Palliative Care of

Western Colorado

3090 N 12th St Grand

Junction

CO 81506 Christy Whitney [email protected] CO Mesa and Montrose County

Colorado Access 10065 E. Harvard

Ave, Suite 600

Denver CO 80231 Ford Allison [email protected] CO Denver-Boulder Metropolitan area

Agape Healthcare 6041 S Syracuse

Way

Greenwood

Village

CO 80111 Amanda Stanley astanley@agape-

healthcare.com

CO The target geographic location will be the greater

Denver area (north, south, east and west along

the Denver Front Range)

3
































Colorado Geriatric Care, PC 2001 Lincoln Street

Suite 911

Denver CO 80202 Brenda Hernandez [email protected] CO Central Denver North Denver South Denver

Boulder

Kennedy Krieger Institute 707 North

Broadway

Baltimore MD 21201 Karen Cox [email protected] CO MD In Colorado Springs, Colorado.

Evercare 6455 S Yosemite St Greenwood

Village

CO 80111 Peter Hansen [email protected] CO NM Colorado

West Haven Medical Group 687 Campbell

Avenue

West

Haven

CT 06516 Jana DeSilva jdesilva@westhavenmedical.

com

CT State of Connecticut. Muliptle Longterm Care

fascilities mostly located in Milford,

Wallingford,Fairfield, New Haven.

Danbury Hospital/Western CT

Health Network

24 Hospital Avenue Danbury CT 06810 Joann Petrini [email protected] CT Western Connecticut

Liberty Rehab & Patient Aid Center 650 Main Street #8 Monroe CT 06468 Marc Connolly mconnolly@libertyrehabpati

entaid.com

CT MA Target area is the entire state of Connecticut we

currently cover the entire state. The New Haven

County Area has the highest readmission rate in

the state and our Derby office is in New Haven

County

Notre Dame Convalescent Home,

Inc.

76 West Rocks

Road

Norwalk CT 06851 Dana Paul [email protected] CT Norwalk, Connecticut and surrounding area

Robert C. Geer Memorial Hospital

d/b/a Geer Nursing and

Rehabilitation Center

99 South Canaan

Road

Canaan CT 06018 John Horstman [email protected] CT Litchfield County, Connecticut and surrounding

tri-state region

Care Transitions LLP 45 Ridge Street Waterbury CT 06706 Francine Du Verger [email protected] CT NY MA NorthEast USA CMS Region 1

Connecticut Community Care, Inc

(CCCI)

43 Enterprise Drive Bristol CT 06010 Sherry Ostrout sherry.ostrout@ctcommunity

care.org

CT Western Connecticut

Qualidigm 1111 Cromwell

Ave, suite 201

Rocky Hill CT 06067 Ann Spenard [email protected] CT Primary focus is planned for the Northwestern

region of CT.

AFrame Digital, Inc. 1889 Preston White

Drive

Reston VA 20191 571 308-0147 [email protected] DC VA Washington, DC and Virginia

Hospice by the Sea, Inc. 1531 West

Palmetto Park Road

Boca Raton FL 33486 Cindy Hassett [email protected] FL Medicare-Medicaid Certified Skilled Nursing

Facilities located in Palm Beach and Broward

Counties in South Florida

Greystone Healthcare Management 4042 Park Oaks

Blvd

Tampa FL 33579 Chris Masterson [email protected]

om

FL OH IN Florida - Covering the following counties -

Alachua, Flagler, Volusia, Pinellas, Sarasota,

Charlotte, Lee, Broward, Miami-Dade, Lake,

Marion, Sumter, Brevard, Manatee.

Central Florida Inpatient Medicine 2180 West State

Road 434, Suite

2104

Longwood FL 32779 Ana Handshuh [email protected] FL Orange, Osceola and Seminole Counties

America Home Health Inc. 6595 NW 36th

Street #2223

Miami FL 33166 Erika Bonilla [email protected] FL Miami Dade County Monroe County

CareMasters 26150 SW 132nd

Place

Homestead FL 33032 Jasmin Holder [email protected] FL NY GA Florida-Miami Dade

AGS Healthcare Specialists, Inc. 14902 Winding

Creek Court 105C

Tampa FL 33613 Vivienne Evans [email protected] FL NC Florida (mainly the west coast) is the target

geographic location of the intervention, but the

program can be replicated in North Carolina as

well.

Hope Hospice and Community

Services, Inc.

9470 HealthPark

Circle

Fort Myers FL 33908 Ron Burris [email protected] FL Southwest Florida

Moorings Park Healthy Living, Inc 111 Moorings Park

Dr

Naples FL 34105 Michael Gloth [email protected] FL MD PA Naples, FL

4






























Phoenix LTC, Inc. 14462 Commerce

Way

Miami

Lakes

FL 33016 Jose Alarcon [email protected] FL Miami Dade County, Broward County, Palm

Beach County, Pinellas County, Hillsborough

County, Osceola County.

Larkin Community Hopsital 7031 Southwest

62nd Avenue

South

Miami

FL 33143 Nicolas Gross ngross@larkincommunityhos

pital.com

FL Miami-Dade County

Hope Hospice and Community

Organizations

9470 HealthPark

Circle

Fort Myers FL 33908 Ron Burris [email protected] FL CO VA This project will affect an area consisting of 1)

Southwest Florida 2) Western Colorado; and 3)

the Washington DC area.

Council On Aging Volusia County 160 N. Beach

Street

Daytona

Beach

FL 32114 Shari Day [email protected] FL Volusia County, Florida. Volusia County is

located along the east central Florida coast and is

comprised of approximately 1207 square miles.

Accountable Care Medical Group

of Florida, Inc.

5200 Blue Lagoon

Drive Suite 100

Miami FL 33126 Chris Pertierra [email protected] FL We are starting in South Florida but currently

engaging into out of state facilities for this

initiative.

Baba Healthcare,Inc 948, S. Wickham

road ,suite103

West

Melbourne

FL 32904 Geetha Priyanka [email protected] FL Brevard county and Florida

WellCare Innovation Institute 8735 Henderson

Road, Building 1,

Third FL

Tampa FL 33634 Pamme Lyons

taylor

[email protected]

m

FL LA GA The targeted geographic location for the

WellCare Innovation Institutes' proposal includes

FL, GA, HI, IL, KY, LA, NY with expansion

opportunities including KS, NJ and TN.

East Coast Wound Care, P.C. 976 McLean

Avenue, Suite 387

Yonkers NY 10704 Craig Bunker [email protected] FL NJ New Jersey, Illinois, Florida, Georgia, Arkansas,

Texas

The Hospice of the Florida

Suncoast (DBA Suncoast Hospice)

5771 Roosevelt

Blvd

Clearwater FL 33760 Molly Sipp [email protected] FL Pinellas County, Florida

Area Agency on Aging for

Southwest Florida, Inc., d/b/a

Senior Choices for Southwest Fla.

15201 N. Cleveland

Ave. #1100

N Fort

Myers

FL 33903 Leigh Wade-

Schield

[email protected] FL The geographic location of the proposed

intervention will include Sarasota, Charlotte, Lee,

Collier, Glades, Hendry and DeSoto counties.

Jewish Community Services of

South Florida, Inc.

735 N.E. 125th

Street

North

Miami

FL 33161 Fred Stock [email protected] FL Miami Dade County, Florida

Soren Technology 817 S. University

Drive, #106

Plantation FL 33324 Faiz Fatteh [email protected] FL Florida markets to include South Florida (Dade,

Broward and Palm Beach Counties), Tampa area

and Orlando area.

American Radiologist Network 2298 NW 60th st Boca Raton FL 33496 Dr

Charles

Mandell [email protected] FL NC Southern Florida

Sushoo Health information

Excahnge

948, S. Wickham

road ,Suite 101

West

Melbourne

FL 32904 Geetha Priyanka [email protected] FL State of Florida with Focus on Brevard , Indian

River county, Osceola, Seminole ,Orlando area.

L A Geriatric Consulting Services P O Box 30291 Savannah GA 31410 Linda Argrow [email protected] GA SC 1. Southeast region of Georgia to include the

following counties. Chatham, Bryan, Bulloch,

Effingham, Liberty and Glynn. 2. South Carolina

to include Beaufort, Bluffton and Hilton Head.

Association of Clinicians for the

Underserved, Inc.

1420 Spring Hill

Road, Suite 600

Tysons

Corner

VA 22102 Kathie Westpheli

ng

[email protected] GA VA MO Chatham County, Georgia, including, but not

limited to, the City of Savannah

Chatham County Safety Net

Planning Council, Inc.

24 Oglethorpe

Professional Bldg.,

3rd Floor

Savannah GA 31406 Paula Reynolds [email protected] GA CT RI Chatham County, Georgia, including, but not


Rural Health IT Corporation 1950 Lafayette

Road, Suite 201,

Box 1

Portsmouth NH 03801 E. Earle Rugg [email protected] GA CT MA Chatham County, Georgia, including, but not


5


























Reddy and associates LLC D/B/A

Reddy health innovations

1061 dowdy road,

suit 101

Athens GA 30606 Ram Reddy rreddy@reddymedicalgroup.

com

GA Several nursing homes in Northeast Georgia.

Georgia Partnership For Telehealth 914 Memorial

Drive

Waycross GA 31502 Paula Guy [email protected] GA AL FL The proposed target location is the middle

Georgia towns of Grey and Metter; northern

Georgia towns of Alpharetta and Dalton.

Community Health Services of

Georgia

213 Third St. Macon GA 31202 Lorraine Taylor [email protected] GA Skilled nursing facilities across Georgia

Pulmonary Diagnostic Testing,

LLC

3616 Steve

Reynolds Blvd.

Duluth GA 30096 Laurence Cox PulmonaryDiagnos@bellsout

h.net

GA Metro Atlanta

Schaller Anderson 11675 Great Oaks

Way

Alpharetta GA 30022 Jackie Jenkins [email protected] GA Statewide in Georgia

Georgia Parent Support Network 1381 Metropolitan

Parkway

Atlanta GA 30310 Sue Smith [email protected] GA Persons who live in Fulton County Georgia and

have a persistant mental health issues such that is

has decreased functioning to significantly impact

daily life.

Ka pā hóōla Patient Centered

Medical Home

161 Waliea Ike Pl Waliea,

Hawaii

OH 96753 William Johnson [email protected] HI HI Maui, Hawaii; Hawaii, Hawaii; Oahu, Hawaii

and other islands solicited.

Straub Clinic & Hospital 888 S. King Street Honolulu HI 96813 Glenda Kaalakea [email protected] HI 96813 and 96792

HCI Care Services 2910 Westown

Parkway

West Des

Moines

IA 50266 Tray Wade [email protected] IA HCI Care Services will seek to impact nursing

facility residents throughout its 35 county service

area located across 18,000 sqaure miles in central

and southern Iowa.

Healthy Aging and Memory Clinic 1300 50th Street -

Suite 104

West Des

Moines

IA 50266 Matthew Schemmel mschemmel@healthyagingio

wa.org

IA Des Moines, IA - Central Iowa

Nancy Thompson 6725 W Dry Creek

Rd

Boise ID 83714 Nancy Thompson [email protected] ID Southwest Idaho

Life's Doors 420 S. Orchard Boise ID 83705 Tim Pape [email protected] ID ID ID South West Idaho, including but not limited to;

Glenns Ferry, Mountain Home, Boise, Idaho

City, Cascade, Meridian, Eagle, Kuna, Nampa,

Marsing, Melba, Parma, Caldwell, Middleton,

Emmett, Payette

Stephenson Nursing Center 2946 South Walnut

Road

Freeport IL 61032 Darnell Fortney [email protected]

s

IL 50,000

University of Chicago Medical

Center

5841 South

Maryland Ave,

MC6098

Chicago IL 60637 William Dale [email protected]

go.edu

IL Chicago’s south side, an area heavily populated

with low-income, minority populations,

accounting for approximately (2370/23,724)

10% and 27% (2968/11,169) of UCMC and

MHMC 2011 hospital admissions.

HRS Home Health 1806 S. Highland

Ave

Lombard IL 60148 Robert Mikulak [email protected] IL Cook County and Chicago Metropolitan Market

and surrounding counties such as: Lake, Kane,

Kendall, DuPage and Will.

Advocate Health Care/Advocate

Charitable Foundation

205 West Touhy

Avenue, Suite 125

Park Ridge IL 60068 Barbara Giloth barbara.giloth@advocateheal

th.com

IL Chicago Metropolitan Area Bloomington/Normal

University of Illinois at Chicago

Geriatric Medicine

840 S. Wood Street

m/c 717

Chicago IL 60612 Donald Jurivich [email protected] IL AZ Urban and suburban locations in Illinois with

large (Chicago) and medium - sized population

centers.

Cardiomedix Inc. 1840 Oak Ave Evanston IL 60201 Zipora David [email protected] IL WI Illinois and Wisconsin

Provena Resurrection Health

Network

7435 W. Talcott

Avenue

Chicago IL 60631 Dan Liberty [email protected]

g

IL The Chicago metropolitan area and East-Central

Illinois.

Northwestern University Feinberg

School of Medicine

211 East Ontario

Street, Suite 700

Chicago IL 60611 Mark Williams [email protected] IL Location: Illinois

6

































CriticalKey LLC 1415 W. 22nd St

Tower Floor

Oak Brook IL 60523 Gerald Galloway [email protected] IL NY Chicago metropolitan region including Cook

County, DuPage County, Kane County, Lake

County, McHenry County, Will County Illinois.

New York, NY

Visiting Nurses Association of the

Rockford Area

4223 East State St. Rockford IL 61108 Denise Schrader [email protected] IL Northern Illinois counties of Winnebegao,

Boone, and Ogle. Illinois is the #6 worst state

ranking according to the Center for Stategic

Planning for Dual Eligible Beneficiaries & PAH

9/11 report.

Alden Management Services 4200 W. Peterson

Ave

Chicago IL 60646 Bob Molitor bob.molitor@thealdennetwor

k.org

IL WY Multiple locations (Chicagoland and Wisconsin

area). Collaborative care processes. Post acute

programs implemented including processes for

prevention of unnecessary returns to the hospital.

Health Resources Alliance, Inc. 1520 Kensington

Road, Suite 110

Oak Brook IL 60523 Jill Krueger [email protected] IL PA Illinois: Lake, Cook DuPage, Madison, Peoria,

and Sangamon Counties Western Pennsylvania:

Erie, Crawford, Mercer, Venango, Jefferson,

Allegheny, Fayette, Butler, Westmorland,

Lawrence Counties

Passages Hospice/Passages

Palliative Care

515 Warrenville

road

Lisle IL 60532 Seth Gillman [email protected] IL Illinois state wide, concentration in and around

the cities of Chicago Rockford Bloomington-

Peoria Belleville Carbondale

VoCare, Inc 5225 Exploration

Drive

Indianapoli

s

IN 46241 Patrick Malloy [email protected] IN IL Indiana

In Touch Pharmaceuticals, Inc. 1150 Eastport

Centre Dr

Valparaiso IN 46383 Rick Rondinelli [email protected] IN Our service area is throughout Indiana.

Silver Care Solutions 1001 Hawkins

Street

Nashville TN 37203 Frazer Buntin fbuntin@silvercaresolutions.

com

IN MA For Indiana and Massachusetts states, we will

cover both urban and rural markets so as to be

able to prove interventions across the realistic

scope of the long-term care environment.

Indiana University 980 Indiana

Avenue

Indianapoli

s

IN 46202 John Talbott [email protected] IN Central Indiana: Urban and Suburban

Geriatric Providers of America,

LLC

5918 Mill Oak

Drive

Noblesville IN 46062 Marc Hurst [email protected] IN SNFS that are located in rural, micropolitan and

metropolitan area.

ADVANTAGE Health Solutions 9045 River Road.

Suite 200

Indianapoli

s

IN 46240 John Hinton [email protected] IN Nursing facilities located in Central Indiana.

Pike Medical Consultants, P.C.

DBA GeriCare Indy

6040 W. 84th St. Indianapoli

s

IN 46278 Benjami

n

Worrell [email protected] IN North and west side Indianapolis skilled nursing

facilities with GeriCare Indy attending presence.

Southewest Kansas Area Agency

on Aging, Inc.

236 San Jose Dodge City KS 67801 Janis DeBoer [email protected] KS State of Kansas with emphasis in the Kansas City

and Wichita metro areas.

University of Kentucky Healthcare 800 Rose Street Lexington KY 40536 Gary Johnson [email protected] KY Within 125 miles of Lexington of Kentucky

Manchester Memorial Hospital 210 Marie Langdon

Drive

Manchester KY 40962 Arlene Zerbee [email protected] KY 100 mile radius of Manchester, Kentucky in

Southeast, KY

Commonwealth Leverage LLC. 4965 US Highway

42, Suite 1000

Louisville KY 40222 Sheri Rose [email protected] KY Underserved rural populations across the

Commonwealth of Kentucky will be targeted. For-

profit, non-profit, corporate owned, and

independently owned long-term care facilities

will participate.

Qualitas Geriatrics, LLC 143 East Main

Street

Georgetow

n

KY 40324 Anthony Chase [email protected] KY IN TX Commonwealth of Kentucky - Group One State

of Indiana - Group Two (if allowed)

The Wharton Health Care

Management Alumni Association

3641 Locust Walk Philadelphi

a

PA 19104 John Whitman [email protected] KY PA Kentucky

7


























The TRECS Institute 105 Thatcher Court North

Wales

PA 19454 John Whitman [email protected] KY PA Kentucky

Kentucky Hospital Association 2501 Nelson Miller

Parkway, PO Box

436629

Louisville KY 40253 Elizabeth Cobb [email protected] KY Kentucky

Norton Healthcare Foundation 234 East Gray

Street, Ste 450

Louisville KY 40202 Lynnie Meyer lynnie.meyer@nortonhealthc

are.org

KY The proposed targeted locations are located in

State of Kentucky with primary of Jefferson

County; secondary of Oldham, Shelby, Spencer,

Bullitt Counties; tertiary (throughout State of

Kentucky).

Kentuckiana Regional Planning and

Development Agency

11520

Commonwealth

Drive

Louisville KY 40299 Barbara Gordon [email protected] KY Jefferson County, KY and 6 rural counties in

KIPDA region.

Hospice of the Bluegrass 2312 Alexandria

Drive

Lexington KY 40504 Gretchen Brown [email protected] KY 17 central and northern Kentucky counties are

targeted. A mix of urban and rural sites and

patients are included.

Green River Area Development

District

300 GRADD Way Owensboro KY 42301 Vivian McNatton [email protected] KY KY The GRADD region which includes: Daviess,

Hancock, Henderson, McLean, Ohio, Union, and

Webster Counties.

TeleMD360, LLC 1704 Milan St New

Orleans

LA 70115 Ricardo Febry

M.Sc.,

M.D.

[email protected] LA 15 plus nursing facilities in Louisiana

managed/operated independently by various

management companies in the state.

Cory L Cashman M.D. 1111 Medical

Center Blvd S340

Marrero LA 70072 504 328-5703 [email protected] LA Jefferson Parish Westbank Louisiana

St. Francis Medical Center, Inc. 309 Jackson St. Monroe LA 71201 318 966-4185 [email protected] LA While we are open to working with nursing

homes and other partners throughout Region 8 in

Northeast Louisiana, we will primarily focus our

efforts in Ouachita Parish where we are located.

Louisiana Senior Care Coalition 1409 North

Acadian Thruway

West

Baton

Rotieuge

LA 70802 Donnie Batie [email protected] LA LSCC proposes to engage 18 nursing homes in

the Baton Rouge area.

Reliant Rehabilitation 5212 Village Creek

Drive

Plano TX 75093 Stephani

e

Necaise [email protected] LA TX Due to the diverse geographic locations and

diversity within both Louisiana and Texas, we

will choose facilities from all areas of each state.

They will include a mix of rural and urban

markets.

CHRISTUS Central Louisiana -

CHRISTUS St. Frances Cabrini

Hospital

3330 Masonic

Drive

Alexandria LA 71301 Taj Bhaloo [email protected]

rg

LA The proposed intervention will take place in

Louisiana in Rapides, Red River, Caddo,

Calcasieu, Orleans, and Jefferson Parishes,

encompassing the NW, SW, central, and SE

areas of the state.

MediPoint Staffing, LLC 1500 Lafayette

Street, Suite 107

Gretna LA 70053 Ronald McLendon

, Jr.

rmclendon@medipointstaffin

g.com

LA Rural and suburban areas of Louisiana

Spectrum Logic 3532 Garrett Road Monroe LA 71202 Harry Bruce [email protected]

om

LA TX MS Louisiana

Irving Restituyo 651 orchad st New

Bedford

MA 02740 Irving Restituyo [email protected] MA The greater NB area

Ideal Healthcare Solutions 19 Henry St Sharon MA 02067 Patricia Walker pwalker@idealhealthcaresolu

tions.com

MA Nursing facilities located in eastern

Massachusetts

8


























Guardian Hospice of MA Inc., d/b/a

Guardian Hospice & Palliative Care

1214 Park Street,

Suite 203

Stoughton MA 02072 Michele Clayborne [email protected]

m

MA PA GA Initial geographic location Central Eastern

Massachusetts. In addition, we propose

expanding intervention to include nursing homes

operated by The Guardian Foundation along

Atlantic seaboard.

Partners Continuing Care 125 Nashua Street Boston MA 02114 Timothy Lynch [email protected] MA Eastern Massachusetts

DoctorDoctors LLC 444-A North Main

Street PMB 291

East

Longmeado

w

MA 01028 Osazee Osagie [email protected]

m

MA 15 SNFs in Worcester, Middlesex, Essex,

Berkshire & Suffolk counties, MA, with areas of

poverty, extreme rurality and limited access to

providers, and upscale communities with access

to the best MDs.

Jewish Family & Children's Service 1430 Main Street Waltham MA 02451 Alan Jacobson [email protected] MA JF&CS will target nursing facility residents from

selected Greater Boston nursing facilities for the

Initiative.

BergenCare Home Health, LLC 400 Old Hook

Road

Westwood NJ 07675 Danette Manzi [email protected] MA NJ CT We are anticipating partnering with nursing

facilities in the following counties: Norfolk,

Hampshire, Middlesex, Essex, Hampden,

Worcester, Bristol, Essex, Berkshire

New England Community Medical

Services

120 Water Street,

Suite 404

North

Andover

MA 01845 Sawad Thotathil [email protected] MA The proposed intervention will affect residents in

northeastern Massachusetts including, but not

limited to Medicare beneficiaries in Suffolk,

Middlesex and Essex counties.

East Longmeadow Skilled Nursing

Facility

305 Maple St. East

Longmeado

w

MA 01028 Theresa Williams [email protected] MA CT East Longmeadow is located in Hampden County

Mass. We receive admissions from Baystate

Medical Center, Mercy Medical Center, Holyoke

Medical Center and some from Hartford Hosp.as

we are near CT..

Affordable Healthcare Nurse

Practitioner Clinic

8238 Georgia Ave Silver

Spring

MD 20886 Stella Jefferies healthcare@affordablenpclin

ic.com

MD DC The proposed target geographic location of the

Proposed intervention: "The Practitionerlist

Model" is the Medicare-Medicaid enrollee of the

Washington Metropolitan area and Baltimore

City

Gilchrist Hospice Care 11311 McCormick

Road, Suite 350

Hunt

Valley

MD 21031 Lori Mulligan [email protected]

rg

MD Central Maryland: Baltimore City, Baltimore

County, Howard County, Harford County,

Carroll County

Adventist HealthCare, Inc. 1801 Research

Blvd, Suite 400

Rockville MD 20850 Terri Bennett [email protected] MD Montgomery County, Maryland and Prince

George's County, Maryland.

The Coordinating Center 8258 Veterans

Highway

Millersville MD 21108 Carol Marsiglia cmarsiglia@coordinatingcent

er.org

MD Maryland

ServarusRM 113450 Random

Hills Road, Suite C-

120

Fairfax VA 22030 Kenita Hill [email protected] MD PA DC Nursing homes and hospitals in Washington,

DC, Maryland and Pennsylvania.

Omni Medical Systems, Inc. 115 Catamount

Drive

Milton VT 05468 Lori Bello [email protected] MD PA NC Although we have representation across the

USA, our PACE group contact working out of

John Hopkins University, Baltimore Maryland

could be our proposed geographic target location.

9
























Medical Mall Services of Maryland 8201 Corporate

Drive, Suite 500

Landover MD 20785 Timothy McNeill [email protected]

m

MD We are implementing a integrated care model to

reduce hospitalizations that will include nursing

homes in the following Maryland Counties:

Prince George's County, Howard County, and

Anne Arrundel Co.

LifeBridge Health, Inc. 2401 West

Belvedere Ave

Baltimore MD 21215 Evelyn Amaral [email protected]

g

MD The LifeBridge Health intervention targets two

areas served by member hospitals: Sinai Hosptial

serves Baltimore's urban, inner city population;

Northwest Hospital serves NW Baltimore

County.

MedStar Health 5565 Sterrett Place Columbia MD 21044 Kathy Talbot [email protected] MD DC Maryland-Baltimore City and Suburbs, St.

Mary's County, Montgomery County, and

District of Columbia.

UPCAP Services 2501 14th Avenue

South, P.O. Box

606

Escanaba MI 49829 Mark Bomberg [email protected] MI The fifteen counties of Michigan's Upper

Peninsula.

Detroit Area Agency on Aging 1333 Brewery Park

Boulevard Suite

200

Detroit MI 48207 Tammi Pollum [email protected] MI Wayne County, Michigan

Hospice of Michigan, Inc. 400 Mack Avenue Detroit MI 48201 Lynne Geller [email protected] MI MI cities: Alpena, Center Line, Clinton Twp,

Dearborn Hts, Detroit, Frankenmuth, Gaylord,

Grand Rapids, Ludington, Madison Hts,

Midland, Southfield, Taylor, Traverse City,

Warren, Westland, Whitehall

Telemedicine & Telehealth

Technologies LLC

22200 W. Eleven

Mile Rd., # 781

Southfield MI 48037 Denise Henry [email protected] MI FL Michigan, Florida

CARE SOLUTIONS GROUP, LLC 123 MAIN

STREET, SUITE

260

ROYAL

OAK

MI 48331 TIFFINY REO [email protected] MI OH Southeastern Michigan - Oakland, Wayne,

Macomb, Washtenaw and Genessee counties

Ohio - Toledo and Cincinnati

HHS, Health Options 2100 Raybrook SE,

Suite 203

Grand

Rapids

MI 49546 Steve Velzen-

Haner

steve.velzen-

[email protected]

MI Allegan, Ottawa, Kent, Muskegon, Oceana,

Mason, Lake, Newaygo, Osceola, Mecosta,

Montcalm, and Ionia

Henry Ford Physician Network One Ford Place Detroit MI 48202 Katherin

e

Scher [email protected] MI Southeast Michigan (Metropolitan Detroit area)

Healthcare Discharge Planning

Resources LLC

222 10th Ave NW Byron MN 55920 Kolloh Nimley [email protected] MN NJ VA Our target geographical loactions are the states

that have the highest readmission rates and needs

to find ways to keep residents out of the hospital.

Kansas City Quality Improvement

Consortium

6000 North Oak

Trafficway, Suite

300

Kansas

City

MO 64118 Catherin

e

Davis [email protected] MO KS Greater Kansas City Bi-State (Kansas and

Missouri)- Cass, Clay, Jackson, and Platte

Counties/MO & Johnson and Wyandotte

Counties/ KS. Adjacent counties may be

included in the application

St. Andrew's Management Services 6633 Delmar Blvd. St. Louis MO 63130 Diane Meatheany [email protected]

m

MO Greater Saint Louis Metropolitan Area

Evercare 3720 DaVinci

Court; Suite 400

Norcross GA 30092 Tyler Grisham [email protected] MO TX NJ MO, TX, NJ, FL, PA, LA, KY, AL, GA, TN (St

Louis, Kansas City, Houston, Miami, Pittsburgh,

Baton Rouge, New Orleans, Lafayette,

Louisville, Lexington, Birmingham, Huntsville,

Montgomery,Savannah, Augusta)

Paris Pharmacy 223 N. Main Paris MO 65275 660 3274514 [email protected] MO Monroe County, MO

10

























Disability Resource Association,

Inc.

420-B South

Truman Blvd.

Crystal City MO 63019 Craig Henning craigh@disabilityresourceass

ociation.org

MO The geographic location is the greater St. Louis

metropolitan area, including St. Louis City, St.

Louis County, and Jefferson County, Missouri

CareLinc Options, LLC 2127 Innerbelt

Business Center

Drive, Suite 107

St Louis MO 63114 Catherin

e

Dulle [email protected] MO IL KS St Louis, Missouri and surrounding community

is our primary market. The Kansas City,

Missouri/Kansas market would be our secondary

market.

MD MedicStats 7111 W. 151st. St.,

Suite 311

Overland

Park

KS 66223 Randy Miller [email protected] MO State of Missouri

Skaggs Regional Medical Center 251 Skaggs Rd. Branson MO 65616 Heather Zoromski [email protected] MO Southwest Missouri (Taney, Stone, Christian,

Ozark, Webster and Greene counties)

Burrell, Inc. 1300 E. Bradford

Parkway

Springfield MO 65804 Holly Jones [email protected]

m

MO TX DMH Service Areas 10 and 12, Missouri, 17

counties total with operational hubs in

Springfield and Columbia. These regions contain

multiple 120+ bed facilities.

Stonebridge Maryland Heights 2963 Doddridge

Avenue

Maryland

Heights

MO 63043 Susan McClenah

an

smcclenahan@stonebridgese

niorliving.com

MO Stonebridge Maryland Heights is a SNF serving

more than 200 seniors in Maryland Heights. We

have implemented a process for reducing

readmissions and our outcomes reveal

improvement.

SSM Healthcare – St. Louis 1173 Corporate

Lake Dr.

St. Louis,

MO 63132

MO 63141 Lorraine Yehlen [email protected]

m

MO The proposed intervention includes SSM St.

Louis’ 5 adult hospitals which cover 7 Missouri

counties including St. Louis City, St. Louis

County, Franklin, Warren, Jefferson, St. Charles

and Lincoln.

Mobile Wound Solutions, LLC 16657 East 23rd

Street, #254

Independen

ce

MO 64055 Martha Kelso marthakelso@mobilewounds

olutions.com

MO KS Greater Kansas City Metro area, St. Joseph

Missouri, Maryville Missouri, Greater St. Louis

area, Boonville Missouri, Milan Missouri,

Grandview Missouri, Belton Missouri,Greater

Kansas City Kansas area

Schaller Anderson 2404 Forum Blvd Columbia MO 65203 Pamela Johnson [email protected] MO Throughout the State of Missouri

Medical Mall Health Services of

Mississippi

350 W. Woodrow

Wilson Ave

Jackson MS 39216 Timothy McNeill [email protected]

m

MS Our integrated care coordination model to reduce

avoidable hospitalizations among nursing home

residents will serve Central and Southern

Mississippi - from Hinds County south to Biloxi,

MS.

Christian Healthcare Case

Management

125 Avian Lane Jackson MS 39204 Jerriesue Williams [email protected] MS Nursing Home Residents in the Hinds, Madison,

and Rankin Counties.

Community Care of Western North

Carolina

53 South French

Broad Avenue,

Suite 300

Asheville NC 28801 Wendy Sause [email protected] NC Western North Carolina

University of North Carolina at

Chapel Hill

725 Martin Luther

King Jr., Blvd

Chapel Hill NC 27599 Sheryl Zimmerma

n

[email protected]

u

NC Thirty nursing homes in eight counties (Orange,

Wake, Nash, Wilson, Richmond, Robeson,

Davidson, Rockingham) served by eight

hospitals identified as those with the highest

rehospitalization rates.

Medicine Mart Long Term Care,

LLC

214 South Main

Street

Tabor City NC 28463 Sterling Koonce sterling@kooncedrugcompan

y.com

NC SC VA We service NC, SC, and VA.

11




























Premier Inc. 13034 Ballantyne

Corporate Park

Charlotte NC 28277 Alan Sauber [email protected]

m

NC CA MA Geograhic locations include rural and urban

locations in North Carolina, California,

Massachusetts, Indiana, Ohio, Michigan and

Tennessee

PBH 4855 Milestone

Avenue

Kannapolis NC 28081 Amy Kendall [email protected]

rg

NC Alamance, Cabarrus, Caswell, Chatham,

Davidson, Franklin, Granville, Halifax, Orange,

Person, Rowan, Stanly, Union, Vance and

Warren counties in North Carolina.

Alegent Health 12809 West Dodge

Road

Omaha NE 68154 Selma Brown [email protected] NE Nebraska Counties of Douglas, Sarpy,

Washington, and Dodge

St. Francis Medical Center 601 Hamilton

Avenue

Trenton NJ 08629 Jill Viggiano jviggiano@stfrancismedical.

org

NJ Greater Mercer County in central New Jersey

including Trenton and surrounding municipalties

in Mercer County and neighboring Counties

Jersey shore pharmacy 236e Jimmie Leeds

rd

Galloway NJ 08205 Keith Hartman [email protected] NJ PA Southern New Jersey

Holy Name Medical Center 718 Teaneck Road Teaneck NJ 07666 Catherin

e

Yaxley [email protected] NJ Bergen and Hudson Counties form the target

area.

Hackensack University Medical

Center

30 Prospect St. Hackensac

k

NJ 07601 Laura Cima [email protected]

rg

NJ Cresskill, Emerson, Engelwood, Fair Lawn,

Hackensack, Livingston, New Milford, Oradell,

Paramus, Ridgewood, Teaneck, West Caldwell,

Westwood, Wayne,

Health Research & Educational

Trust of NJ

760 Alexander Rd. Princeton NJ 08543 Theresa Edelstein [email protected] NJ The Health Research & Educational Trust of NJ

proposes to target Bergen, Monmouth and/or

Ocean counties given the demographics and the

presence of many nursing facilities in these areas.

Lotus Medicine LLC 2635 Westfield

Ave.

Camden NJ 08105 Sarthak Shah [email protected]

om

NJ PA Southern New Jersey (including, but not limited

to Camden, Burlington, Gloucester, and Salem

Counties)

NJ Health Care Quality Institute 400 Sullivan Way West

Trenton

NJ 08628 Allison DeBlois [email protected] NJ Mercer County, New Jersey

I Physician Hub 462 New Road Monmouth

Junction

NJ 08852 Ramdev Regulapati [email protected] NJ Middlesex, Mercer, and Somerset counties in

New Jersey

Lighthouse Hospice, INC. 1040 North King's

Highway STE 100

Cherry Hill NJ 08034 Thomas Johnson-

Medland

tomjohnsonmedland@gmail.

com

NJ Burlington County, NJ Camden County, NJ

Gloucester County, NJ

CentraState Healthcare System 901 West Main

Street

Freehold NJ 07728 Carl Ausfahl [email protected] NJ Proposed target geographic location include's

CentraState's primary ans secondary service areas

which covers a population of more than 1 million

residents in 36 central New Jersey municipalities.

Valley Health System 15 Essex Road Paramus NJ 07652 Gail Callandrill

o

[email protected] NJ Bergen and Passaic Counties, NJ

Care Group Foundation, Inc. 173 Bridge Plaza

North

Fort Lee NJ 07024 Danette Manzi [email protected] NJ CT MA Our proposed market will cover nursing facility

partners in the following counties in NJ: Bergen,

Middlesex, Burlington, Mercer, Monmouth,

Ocean, Essex, Morris, Somerset, Camden,

Passaic

Rutgers University- College of

Nursing

180 University

Avenue

Newark NJ 07102 Deanna Gray-

Miceli

[email protected] NJ 15 long term care nurisng facilities providing

skilled nursing care (average of 120 bed size

capacity) within the 21 counties of New Jersey.

HealthInsight Nevada 6830 W. Oquendo

Road Ste #102

Las Vegas NV 89118 Jackie Buttaccio [email protected] NV Proposed target area spreads across the state of

Nevada.

12





























EMERGING HEALTHCARE

INNOVATIONS INC.

911 NORTH

BUFFALO

LAS

VEGAS

NV 89128 LANCE JONES [email protected] NV CA UT Las Vegas and surrounding areas

Pedorthic Footcare Association 8400 Westpark Dr.,

2nd Fl.

McLean VA 22102 Brian Lagana [email protected] NY Central New York State

CareNext, LLC 2500 Westchester

Ave

Purchase NY 10577 Richard Kaplan [email protected] NY New York Counties: Westchester, Nassau,

Suffolk, Bronx, Kings, Queens, Manhattan

Huntington Hospital 270 Park Ave Huntington NY 11743 Samar Raza [email protected] NY Partnering with local area nursing and rehab

facilities within a 10 mile radius of Huntington

Hospital.

The ElderCare Companies, Inc. 2517 Hwy 35, Suite

J203

Manasquan NJ 08736 Kamien Lowe klowe@eldercarecompanies.

com

NY Bronx, Kings, Queens, New York, Nassau,

Richmond, Suffolk, Westchester Counties.

Park Avenue Health Care

Management, LLC

3 Barker Avenue White

Plains

NY 10601 Brad Markowitz [email protected]

d

NY New York State

The Research Foundation of the

State University of New York -

Stony Brook University Hospital

S5422 Frank

Melville Junior

Library, Stony

Brook University

Stony

Brook

NY 11794 Lucy Kenny [email protected] NY Suffolk County, New York

State University of New York at

Albany

One University

Place

Renesselaer NY 12144 Yuchi Young [email protected] NY The proposed intervention will recruit eligible

nursing homes located in Central and Western

New York State Counties.

The Viinetwork 9250 Bendix Road Columbia NY 21045 Richard Seldes [email protected] NY NJ MD The proposed target location will be a sampling

of nursing homes from 3+ states. The lead

applicant contact person Richard Seldes,MD has

several contacts with nursing homes in NY, NJ

and the DC area.

Adirondack Health Institute, Inc. 9 Carey Road Queensbur

y

NY 12804 Cathy Homkey [email protected] NY Clinton, Essex, Franklin, Hamilton, Saratoga,

Warren & Washington Counties

Essen Medical Associates, P.C. 2015 Grand

Concourse

Bronx NY 10453 Patricia Tobon [email protected] NY The following New York State Counties will be

covered under our initiative: Kings, Bronx,

Queens, Richmond, Suffolk, Westchester,

Dutchess, Onondaga, Erie, and Fulton.

Alphacare 755 Second avenue New York NY 11771 Shana Carrico [email protected] NY Kings and Queens counties, New York

Greater New York Hospital

Association

555 W. 57th Street New York NY 10019 Tim Johnson [email protected] NY The target geographic location of the proposed

intervention is New York City and the greater

metropolitan area, including but not limited to

Nassau, Suffolk, and Westchester Counties.

Ocean Therapy Group INC 129 Melissa Ct Lakewood NJ 08701 Jason Hersko [email protected] NY NJ New York, New Jersey

Cogent Healthcare, Inc. 5410 Maryland

Way, Ste. 300

Brentwood TN 37027 Beth Hawley [email protected]

m

NY New York

Comprehensive Geriatric Medicine

P.C.

7104 Fort Hamilton

Parkway

Brooklyn NY 11228 Paul Rosenstoc

k MD

[email protected] NY NJ CT New York, New Jersey, Connecticut

Internal Medicine Center of

Massillon/Jackson

2823 Aaronwood

Ave., NE

Massillon OH 44646 Jennifer Spoonemo

re

[email protected] OH The target geographic location for the

intervention will be primarily in northeast and

northwest portions of Ohio, and will include

populations from the Youngstown, Akron,

Cleveland, and Toledo areas.

Summa Health System 525 East Market St. Akron OH 44304 Kathy Blake [email protected] OH Northeastern Ohio

Health Care Management Group 12100 Reed

Hartman Hwy

Cincinnati OH 45241 Kim Barrows [email protected] OH KY Greater Cincinnati, Ohio area.

13




























Accelecare 10900 NE 4th

Street, Suite 1920

Bellevue WA 98004 Tod Smith [email protected] OH TX IN Central Ohio, Columbus Ohio, Down the I-70

corridor to Dayton Ohio. Then Extending North

to along the I-75 hwy, ending in the North West

region of Toledo Ohio .

ViaQuest 525 Metro Place

North suite 300

Dublin OH 43017 Chris Wolf [email protected] OH PA Columbus, Ohio - Cleveland, Ohio - Cincinnati,

Ohio - Dayton, Ohio - Pittsburgh, Pennsylvania

Area Office on Aging of NW Ohio,

Inc.

2155 Arlington

Avenue

Toledo OH 43609 Emilie Owens [email protected]

om

OH The proposed target geographic location will be

Northwest Ohio which includes the following

counties: Erie, Defiance, Fulton, Henry, Lucas,

Ottawa, Paulding, Sandusky, Williams, and

Wood

Case Western Reserve University

School of Medicine

111000 Euclid

Avenue, Lerner

Tower 1056

Cleveland OH 44106 George Kikano,

MD

[email protected] OH Northeast Ohio/Ohio

Benjamin Rose Institute on Aging 11900 Fairhill

Road, Suite 300

Cleveland OH 44120 Farida Ejaz [email protected] OH Counties in Ohio that are NOT participating in

the proposed Ohio State Demonstration to

Integrate Care for Medicare-Medicaid Enrollees,

submitted to the Center for Medicare and

Medicaid Innovation.

Premier Health Advocates, LLC 3401 Enterprise

Parkway, suite 340

Beachwood OH 44122 Arman Askari [email protected] OH Our proposed target geographic location is

Midwest, specifically, the State of Ohio.

United MedicDirect 297 Woodland

Avenue

Columbus OH 43215 William Johnson [email protected] OH OH Franklin County/Columbus, Ohio; Summit

County/ Akron, Ohio, Jackson, Ohio, Hamilton

County; Montgomery County and selected rural

areas currently solicited in Southern, Ohio.

Mosaic Community Health Center 1293 Jackson Hole Gahanna,

Ohio

OH 43004 William Johnson [email protected] OH OH Franklin County/Columbus, Ohio; Summit




Gateway Health and Wellness 112 Jefferson

Avenue

Gahanna,

Ohio

OH 43215 William Johnson [email protected] OH OH Franklin County/Columbus, Ohio; Summit




Greater Cincinnati Health Council 2100 Sherman

Avenue Suite 100

Cincinnati OH 45221 Nancy Strassel [email protected] OH Hamilton County and potentially some of the

surrounding counties.

Advanced Specialty Hospital 1015 Garden Lake

Parkway

Toledo OH 43614 Charles Stoltz [email protected] OH MD PA Ohio (statewide), Western Pennsylvania,

Maryland (central) and Missouri (East - St.

Louis)

Pembrooke place 850 East

Midlothian blvd

Youngstow

n

OH 44502 Lori Ference [email protected]

om

OH OH Mahoning County

Omnicare, Inc. 100 East

RiverCenter

Boulevard, Suite

1600

Covington KY 41011 Gary Erwin [email protected] OH Northeast Ohio

HCR ManorCare Services of

Florida, LLC d/b/a Heartland Care

Partners

3425 Executive

Parkway Suite 131

Toledo OH 43606 Karen Severance kseverance@hcr-

manorcare.com

OH 45243 45239 45014 45342 45331 45429 45320

45503 45432 45356 45640 43011 45750 45662

45601 45133 43215 45680 43302 43078 44820

Providence Medical Group, Inc 2912 Springboro

W, Suite 201

Dayton OH 45439 Cheryl Burns [email protected] OH Within the Dayton, Ohio MSA

14
























ADS Partners, LLC 100 West Big

Beaver, Suite 655

Troy MI 48084 Greg Moore [email protected] OH MI KY

Integrity Health Partners, Inc 88 North Fifth

Street

Columbus OH 43215 Gil Snyder gilsnyder@integrityhealthpar

tners.com

OH Northeast and Central Ohio

Valley Medical Primary CAre 6611 Clyo Rd Suite

E

Dayton OH 45459 Anton Vasiliu [email protected] OH

Senior Class Living 401 South Boston

Suite 301

Tulsa OK 74103 Rusty McMurray [email protected]

m

OK Greater Tulsa, OK area AND Greater Oklahoma

City, OK area including rural nursing facilities

within a 50 mile radius of Tulsa and Oklahoma

City. Including Veterans Centers in Claremore

and Norman

Tulsa Health Innovation Zone 4502 East 41st

Street, Suite 2G10

Tulsa OK 74135 Matthew Clark [email protected] OK State of Oklahoma

My Health 16 East 16th Street,

Suite 405


Community Services Council of

Greater Tulsa

16 East 16th Street,

Suite 202


University of Oklahoma, School of

Community Medicine

4502 East 41st

Street, Suite 2G10


OU Sooner Health Access Network 4502 East 41st

Street, Suite 2G10


Yeaman Consulting 1218 W Rock

Creek Rd

Norman OK 73069 Brian Yeaman [email protected] OK State of Oklahoma, with primary focus in

Central, Eastern and Northeastern parts of the

state. Point of contact phone # 405-204-3369

Crozer-Keystone Health System Pavilion II, 100 W.

Sproul Road

Springfield PA 19064 Barbara Looby [email protected] PA The nursing homes that will be participation are

located in Southeastern Pennsylvania

Kendal Outreach LLC 1107 E Baltimore

PIke

Kennett

Square

PA 19348 Beryl Goldman [email protected]

rg

PA Several counties throughout the Commonwealth.

Primary targets will be the Pittsburgh and

Philadelphia regions.

The ElderCare Companies, Inc. 2517 Hwy 35, Suite

J203

Manasquan NJ 08736 Kamien Lowe klowe@eldercarecompanies.

com

PA Philadelphia, Lancaster, Montgomery, Delaware,

Bucks, Chester, Lebanon, Luzerne, Lehigh,

Dauphin, York, Berks , Northumberland,

Allegheny, Butler, Erie, Washington, Beaver

Counties

University of Pittsburgh Medical

Center (UPMC) Community

Provider Services (CPS) Aging

Institute (AI) d/b/a the Aging

Institute of UPMC Senior Services

and the University of Pittsburgh

Forbes Tower,

Suite 10055, 200

Lothrop Street

Pittsburgh PA 15213 Mary

Ann

Sander [email protected] PA We propose to implement the initiative to reduce

avoidable hospitalizations in western

Pennsylvania, including in-state portions of the

Pittsburgh and Erie Hospital Referral Regions.

Temple University Healt System 3401 North Broad

Street

Philadelphi

a

PA 19140 Steven Carson [email protected]

du

PA The target geographic location will include the

North Philadelpia corridor and mid to lower

Northeast Philadelphia area.

WellSpan Health 45 Monument Road York PA 17403 Nancy Newton [email protected] PA South Central Pennsylvania, primarily York and

Adams Counties.

Geisinger Health System 100 N. Academy

Ave.

Danville PA 17822 Lyn Boocock-

Taylor

[email protected]

u

PA PA The intervention will serve Northeastern and

Central Pennsylvania

Westmoreland Regional Hospital 532 West

Pittsburgh Street

Greensburg PA 15601 Polly Benning [email protected] PA The proposed project location is Southwest

Pennsylvania with a primary focus in

Westmoreland County and the surrounding areas

of Allegheny, Indiana, and Fayette Counties.

15






























Robert Morris University 6001 University

Blvd

Moon

Township,

PA 15108-

1189

PA 15108 Joseph Angelelli [email protected] PA The proposed project will involve enhanced care

and coordination providers in the western half of

the Pittsburgh MSA - Counties include

Washington, Allegheny (south suburbs of PGH),

Beaver & Lawrence

Healthcare Ventures Alliance 4631 West Lake

Road

Erie PA 16505 Michael Gallagher [email protected] PA IL Western Pennsylvania: Erie, Crawford, Mercer,

Venango, Jefferson, Allegheny, Fayette, Butler,

Westmorland, Lawrence Counties. Illinois:

Lake, Cook adn DuPage Counties.

Lehigh Valley Hospital, Inc. 1200 S. Cedar

Crest Boulevard

Allentown PA 18103 Mary

Ellen

Herzog [email protected] PA Lehigh Valley, PA, and surrounding areas.

Geisinger Health System 100 N. Academy

Ave.

Danville PA 17822 Lyn Boocock-

Taylor

[email protected]

u

PA PA The intervention will serve Northeastern and

Central Pennsylvania

The Institute of Consultative

Bioethics

217 Constance Dr McKees

Rocks

PA 15136 Mitch Gennuso [email protected]

om

PA Western Pennsylvania

The Wharton Health Care

Management Alumni Associaiton

3641 Locust Walk Philadelphi

a

PA 19104 John Whitman [email protected] PA The proposed interventions will target 10 for-

profit and 10 not-for-profit nursing facilities

located throughout Pennsylvania with a focus on

the Philadelphia, Harrisburg and Pittsburgh

markets.

The TRECS Institute 105 Thatcher Court North

Wales

PA 19454 John Whitman JohnWhitman@TheTRECSI

nstitute.org

PA The proposed interventions will target 10 for-

profit and 10 not-for-profit nursing facilities

located throughout Pennsylvania with a focus on

the Philadelphia, Harrisburg and Pittsburgh

markets.

Accountable Physician Associates 1000 Dunham

Drive

Dunmore PA 18512 Brian Ebersole [email protected]

rg

PA Northeastern Pennsylvania to include

Lackawanna and Luzerne counties and the

surrounding area serviced by our operating

partners

Schaller Anderson 2000 Market Street,

Suite 850

Philadelphi

a

PA 19103 Deborah Nichols [email protected] PA Throughout the State of Pennsylvania

Schaller Anderson 2000 Market Street,

Suite 850

Philadelphi

a

PA 19103 Deborah Nichols [email protected] PA Throughout the State of Pennsylvania

excelleRx, Inc. 1601 Cherry Street,

Suite 1700

Philadelphi

a

PA 19102 Kate Woods [email protected] PA NJ NJ Philadelphia Metropolitan Area and/or Newark

Metropolitan Area

Nalari Health, LLC 18 Maple Ave,

Suite 103

Barrington,

RI

RI 02806 Lisa Hofer [email protected] RI MA We will be targeting the entire State of Rhode

Island and into Southern Massachusetts.

CareLink, Inc. 225 Chapman

Street

Providence RI 02905 401 490-7610 [email protected] RI MA CT The proposed target geographic location is the

State of RI. Depending on interest, we may

partner with CT or MA.

Gentle Touch 111 D. J. Eboni

Lane

Summervill

e

SC 29483 Katrina Deas [email protected]

m

SC Charleston, Berkley, Beaufort, Orangeburg,

Sumter, Colleton,Florence and Georgetown

counties

Senior Health Associates, PA 335 Pleasant Point

Drive

Beaufort SC 29907 Keith Guest, MD [email protected] SC State of South Carolina

Lewis & Clark Health Education

and Service Agency: dba Avera

Education & Staffing Solutions

1000 West 4th

Street, Suite 9

Yankton SD 57078 Sandy Williams [email protected] SD NE 57031, 57037, 57040, 57045, 57046, 57059,

57062, 57063, 57066, 57067, 57069, 57072,

57073, 57078, 57079, 57315,

68727,68730,68736, 68739, 68760, 68774,

68792

16



























Provider Health Services 9155 Crestwyn

Hills Drive

Memphis TN 38125 Mark Smith mark.smith@providerhealths

ervices.net

TN TN TN We will be working with 15-20 nursing homes

across the state of Tennessee.

Healthcare Education Systems,

LLC DBA Progressive Healthcare

Solutions

115 North Spring

Street

Livingston TN 38570 Zachary Gantt [email protected] TN GA KY Fifteen or more Skilled Nursing Facilities

throughout TN, representing each grand division

of the state.

ETHRA / East Tennessee Area

Agency on Aging and Disability

9111 Cross Park

Drive, Suite D-100

Knoxville TN 37923 Aaron Bradley [email protected] TN Knox / Union / Anderson / Roane / Loudon /

Blount / Sevier / Jefferson / Grainger counties.

All in Tennessee. 15 nursing facilities in these 9

counties.

Tempus Healthcare, LLC 235 Noah Drive Franklin TN 37064 Bart Cunningha

m

bcunningham@tempushealth

care.com

TN TN Cites: Celina, Jonesborough, Clarksville,

Oneida, McMinnville, Soddy-Daisy, Franklin,

Elizabethton, Adamsville, Cordova, Woodbury,

Sneedville, Whites Creek, Knoxville, and

Jackson

Medalogix, LLC 2202 Belmont Blvd Nashville TN 37212 Dan Hogan [email protected] TN OH FL We are based in Tennessee and will make that

our primary geographic location. However, we

have developed some valuable relationships with

providers in Ohio and Florida as well.

Advanced Living Technologies,

Inc.

10415 Morado

Circle St 120

Austin TX 78759 Paul Gray [email protected] TX Central Texas

Baylor Research Institute 3310 Live Oak, Ste.

501

Dallas TX 75204 Deborah Price [email protected] TX Dallas and Ft. Worth, Texas

TrueMedicine P.A. 2800 E State

Highway 114, Suite

130

Trophy

Club

TX 76262 Doug Kelly [email protected] TX North Texas area with a focus on: Dallas, Ft

Worth, Plano, McKinney, Frisco, Richardson,

Trophy Club, Southlake, Westlake, Keller,

Garland, Mesquite, Allen, The Colony,

Lewisville, Denton, Corinth

ADVault, Inc. dba

MyDirectives.com

17304 Preston

Road, Suite 800

Dallas TX 75252 Scott Brown [email protected] TX OK LA If required to focus on specific geographic

location, MyDirectives would focus on Texas,

Oklahoma and Louisiana; however, we could

also envisage other states across the US b/c cloud-

based solution.

US Telehealth 1180 Seton

Parkway Ste 300

Kyle TX 78640 Lauren Brandt [email protected] TX Primarily rural and underserved areas of Texas,

but would consider urban areas where it is

difficult to obtain physician specialist coverage.

Elite Patient Care 7500 Rialto Blvd.

Suite 140

Austin TX 78735 Antonio Gamba [email protected]

m

TX Austin and adjacent cities including Pflugerville,

Elgin, and Round Rock.

Texas Tech University Health

Sciences Center

3601 4th Street Lubbock TX 79430 Pearl Merritt [email protected] TX TX TX Complete State of Texas

Houston-Galveston Area Council

Area Agency on Aging

3555 Timmons

Lane, Suite 120

Houston TX 77027 Lisa Hayes [email protected] TX The HGAC Area Agency on Aging provides care

coordination and long-term care ombudsman

programs across the 10,722 sq. miles of the 12

county service area surrounding Harris Co., TX.

Alamo Area Council of

Governments

8700 Tesoro Drive,

Suite 700

San

Antonio

TX 78217 Stan Livengood [email protected] TX AACOG is headquartered in San Antonio, Texas

and serve the 12 counties that include Atascosa,

Bandera, Bexar, Comal, Frio, Gillespie,

Guadalupe, Karnes, Kendall, Kerr, Medina, and

Wilson Counties.

Alta Vista Rehab and Health Care. 510 Paredes Line

Rd.

Brownsvill

e

TX 78521 Lorenzo Pelly MD,

CMD

[email protected] TX Rio Grande Valley, Brownsville Texas in

Cameron County

17
























Memorial Hermann Southwest

Hospital

7600 Beechnut Houston TX 77074 Mary

Lou

Heater mary.heater@memorialherm

ann.org

TX The proposed site is the greater Houston

metropolitan area, including Harris and Fort

Bend Counties.

Scott and White Healthcare 2401 South 31st

Street

Temple TX 76508 Matthew Wright [email protected]

g

TX Central Texas, including nursing facilities in at

least the Texas Counties of Bell, Williamson,

McLennan, Travis and Washington

Baumer Medical Inc. 910 Houston #701 Fort Worth TX 76102 Joane Baumer [email protected] TX MA Over 1000 skilled nursing facilities that are

providing rehabilitation services to post CVA and

dementia patients with feeding disorders that

affect prognosis and rehospitalization

Fredericksburg Clinic 1308 South State

Hwy 16

Fredericksb

urg

TX 78624 Jayson Housson [email protected] TX TX TX Texas Hill County. West of Austin Texas. Center

point will be Fredericksburg Texas. Service

Gillespe, Kerr, Blanco, and Llano county.

Brighter Day Health, LLC 2400 Augusta

Drive, Suite 326

Houston TX 77057 Al Forcella forcellaa@brighterdayhealth.

com

TX IA NE Rural counties

Your Doctor Program, LP 6800 West Loop

South, Suite 180

Houston TX 77401 Priscilla Goode pgoode@yourdoctorprogram

.com

TX North and East regions of Texas

Emergency Medical Services

Corporation

6200 S. Syracuse

Way, Suite 200

Greenwood

Village

CO 80111 Steve Murphy [email protected] TX FL CA Greater Dallas Metroplex Area

Empirica Psychiatric Services, LLC 3905 Hedgcoxe

Road, # 250487

Plano TX 75025 Rubin Bhatia [email protected] TX North Texas- Dallas Fort Worth area

CHRISTUS St Michael Health

System

2600 St Michael

Drive

Texarkana TX 75503 Mike Finley [email protected]

rg

TX AR The area considered as North East Texas and

Southwest Arkansas to include contiguous

counties in both states

TeleCog, Inc. 331 Avenue L Dickinson TX 77539 Arman Bajwa [email protected] TX IL Nursing facility residents throughout the state of

Texas, focusing on the Houston, Austin and

Dallas metropolitan areas

The University of Texas Health

Science Center at Houston

6901 Bertner Houston TX 77030 Carmen Castro [email protected] TX Nurisng facilities in Harris County and Houston,

TX

Valley Doctors Clinic 864 Central Blvd

Suite 2500

Brownsvill

e

TX 78520 Lorenzo Pelly [email protected] TX CA AZ We are proposing to work w/ approx. 18-20

SNFs in Texas that are part of one umbrella

organzation.

DocTalker Family Medicine 370 Maple Avenue,

Suite V

Vienna VA 22180 Jodi Lyons jodi@continuumofcareconsu

ltants.com

VA MD DC Fairfax, Arlington & Loudoun Counties, VA.

Montgomery County, MD. Congressional

Districts: VA-8 (Moran). VA-10th (Wolfe). VA-

11 (Connolly). MD-3 (Sarbanes). MD-

7(Cummings). MD-8 (van Hollen).

ClickMedix 4019 Thistlebridge

Way

Rockville MD 20853 Ting Shih [email protected] VA MD DC Fairfax, Arlington & Loudoun Counties, VA.





Continuum of Care Consultants 7019 Metropolitan

Place 302

Falls

Church

VA 22043 Jodi Lyons jodi@continuumofcareconsu

ltants.com






18




























Kinergy Health 10115 Mill Wheel

Lane

Vienna VA 22182 Gail Embt [email protected]

m






Inova Health System 8110 Gatehouse

Road

Falls

Church

VA 22042 Julie Garcia [email protected] VA Northern Virginia (Fairfax County, Arlington

County, Loudoun County, Alexandria City,

Prince William County)

Capital Caring 2900 Telestar Court Falls

Church

VA 22042 Malene Davis [email protected] VA MD Capital Caring seeks to implement the proposed

intervention in Northern Virginia in the following

regions: Manassas, Arlington, Alexandria,

Leesburg and Falls Church.

AréA Health Solutions, LLC 5679 Styers Ferry

Road

Clemmons NC 27012 Timothy Taylor timtaylor@areahealthsolution

s.org

VA This region includes the Richmond, Virginia

Metropolitan Statistical Area (MSA) with a

population over 907,000. The MSA includes the

City of Richmond, and Chesterfield, Hanover,

and Henrico Counties.

Wireless MedCARE, LLC 10 Church Street

SE, Suite 202

Roanoke VA 24011 Daniel Wrappe [email protected]

om

VA WV Mid- Atlantic region.

University of Virginia Center for

Telehealth

1215 Lee Street Charlottesv

ille

VA 22908 Karen Rheuban [email protected] VA Central and Western Virginia

U S Therapeutics, Inc 4828 Lake

Bradford Lane

Virginia

Beach

VA 23455 SyEd Absar [email protected]

rg

VA FL NV Southeastern Virginia: Richmond, Petersburg,

Williamsburg, Newport News, Virginia Beach,

Norfolk, Chesapeake, Suffolk, Franklin,

Windsor, Emporia, Lawrenceville, Blackstone,

Eastern Shore of Virginia.

Sentara Healthcare 6015 Poplar Hall

Dr.

Norfolk VA 23502 Bruce Robertson [email protected] VA At least 20 nursing facilities in Virginia

Tidewater Community College 1700 College

Crescent

Virginia

Beach

VA 23453 Gretchen LeFever [email protected] VA The project will service the seven cities in

Hampton Roads, Virginia -- Virginia Beach,

Norfolk, Portsmouth, Sufolk, Chesapeake,

Hampton, and Newport News -- with possible

expansion across the state.

Long Term Care of Tidewater, PC 110 Kingsley Lane,

Suite 106

Norfolk VA 23505 Jill Mitchell [email protected] VA Southeastern Virginia

Vermont Program for Quality In

Health Care

132 Main Street Montpelier VT 05602 Catherin

e

Fulton [email protected] VT The targeted geographic location for the

proposed intervention will be to serve all

interested long term care nursing home facilities

within the borders of the State of Vermont.

MultiCare Health System 315 Martin Luther

King Junior Way

Tacoma WA 98405 Cathy Brewis [email protected] WA Pierce, South King, Kitsap, Thurston, Lewis

Counties

Genelex Corp. 3101 Western Ave

Suite 100

Seattle WA 98121 Paul Verbeurgt [email protected] WA OR ID Washington state with possible expansion to

Oregon and Idaho.

Island Hospital 1211 24th Street Anacortes WA 98221 Anthony Young [email protected] WA The target geographic location is Washington

State in the counties of Skagit, Whatcom, Island,

and San Juan.

The HOPE of Wisconsin 3240 University

Avenue, Ste 2

Madison WI 53705 Melanie Ramey [email protected] WI The State of Wisconsin or substantial portions

thereof.

Community Care, Inc. 1555 S. Layton

Blvd.

Milwaukee WI 53215 Rob McComm

ons

rob.mccommons@communit

ycareinc.org

WI Eastern and Central Wisconsin

19



























Coyle Care Management and

Consulting, LLC

P.O. Box 1464 Appleton WI 54912 Sue Coyle sue@coylecaremanagement.

com

WI The Appleton-Fox Valley area of Wisconsin and

an approximate 50 mile radius.

Cedar Lake Health & Rehabilitation

Center

5595 County Road

Z

West Bend WI 53095 Joanne Bodien [email protected]

g

WI Washington County Ozaukee County Waukesha

County

HMD Consulting (Healthcare

Management & Diagnostics) ics

1442 N Farwell

Avenue Suite 501

Milwaukee WI 53202 Amy Kirkland,

RN

[email protected] WI Southeastern Wisconsin including the urban area

surrounding Milwaukee and Madison. Able to

expand to central Wisconsin

CAMC Health Education and

Research Institute, Inc.

3110 MacCorkle

Avenue, SE

Charleston WV 25304 Mary Huntley [email protected] WV The proposed intervention would take place in

the following WV counties: Kanawha, Putnam,

Fayette, Boone, Logan, Jackson, Roane, Clay,

Braxton, Nicholas, Lincoln and Raleigh

20







Documents

Notes: The posting of this list of organizations that have submitted a