ACO name and location

St. Vincent's Accountable Care Organization LLC
1 Shircliff Way, Suite 1302
Jacksonville, FL 32204

ACO primary contact

Laura Behr
850-746-1403
SVACO@ascension.org

Organizational information

ACO Participants:

ACO Participants	ACO Participant in Joint Venture
St. Vincent's Ambulatory Care, Inc DBA Ascension Medical Group, St. Vincent's	Y
St. Vincent's Full Service Urgent Care, LLC DBA Ascension St. Vincent's Urgent Care	Y

 

ACO Governing Body:

Member
Member Last Name	Member First Name	Member Title / Position	Member's Voting Power (Expressed as a percentage)	Membership Type	ACO Participant Legal Business Name / DBA, if Applicable
Mayher	Bill	Vice-President	10%	ACO Participant Representative	St Vincent's Full Service Urgent Care, LLC DBA Ascension St Vincent's Urgent Care
Cornejo	Susan	Treasurer	10%	ACO Participant Representative	St Vincent's Full Service Urgent Care, LLC DBA Ascension St Vincent's Urgent Care
Behr	Laura	Board Member	10%	ACO Participant Representative	St Vincent's Full Service Urgent Care, LLC DBA Ascension St Vincent's Urgent Care
King	Don	Board Member	10%	ACO Participant Representative	St Vincent's Full Service Urgent Care, LLC DBA Ascension St Vincent's Urgent Care
Redmon	Estrellita	Board Member	10%	ACO Participant Representative	St Vincent's Full Service Urgent Care, LLC DBA Ascension St Vincent's Urgent Care
Coots	Lawrence	Board Member	10%	Medicare Beneficiary Representative	N/A
Pennick	Willie	Board Member	10%	ACO Participant Representative	St Vincent's Ambulatory Care Inc DBA Ascension Medical Group, St Vincent's
Rolle	Pauline	Board Member	10%	ACO Participant Representative	St Vincent's Ambulatory Care Inc DBA Ascension Medical Group, St Vincent's
Sonntag	Marcus	Board Member	10%	ACO Participant Representative	St Vincent's Ambulatory Care Inc DBA Ascension Medical Group, St Vincent's
Tucker	Dale	Board Member	10%	ACO Participant Representative	St Vincent's Ambulatory Care Inc DBA Ascension Medical Group, St Vincent's

 

Key ACO Clinical and Administrative Leadership:

ACO Executive	Laura Behr
Medical Director	Willie Pennick, MD
Compliance Officer	Becky Lovelace
Quality Assurance/Improvement Officer	Laura Behr

 

Associated Committees and Committee Leadership:

Committee Name	Committee Leader Name and Position
Clinical Performance and Quality Assurance	Laura Behr
Care Coordination Committee and Patient Engagement	Laura Behr
Finance Committee	Susan Cornejo
Evidence-Based Medicine Committee	Benjamin O'Connell, DO
Information Technology Committee	Willie Pennick, MD

 

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

• Hospitals employing ACO professionals
• Partnerships or joint venture arrangements between hospitals and ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses:

Third Agreement Period

• Performance Year 2022:$3,949,432
• Performance Year 2021:$3,712,981
• Performance Year 2020:$3,751,383

Second Agreement Period

• Performance Year 2019: $0
• Performance Year 2018: $386,932
• Performance Year 2017, $0

First Agreement Period

• Performance Year 2016, $0
• Performance Year 2015, $855,553
• Performance Year 2014, $0

Shared Savings Distribution:

Third Agreement Period

• Performance Year 2021:
  • Proportion invested in infrastructure: N/A
  • Proportion invested in redesigned care processes/resources: 76%
  • Proportion of distribution to ACO participants: 24%
• Performance Year 2020:
  • Proportion invested in infrastructure: N/A
  • Proportion invested in redesigned care processes/resources: 76%
  • Proportion of distribution to ACO participants: 24%

Second Agreement Period

• Performance Year 2019
  • 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 2018
  • Proportion invested in infrastructure: N/A
  • Proportion invested in redesigned care processes/resources: 100%
  • Proportion of distribution to ACO participants: N/A
• Performance Year 2017
  • Proportion invested in infrastructure: N/A
  • Proportion invested in redesigned care processes/resources: N/A
  • Proportion of distribution to ACO participants: N/A

First Agreement Period

• Performance Year 2016
  • 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 2015
  • Proportion invested in infrastructure: N/A
  • Proportion invested in redesigned care processes/resources: 100%
  • 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

Quality Performance Results

2022 Quality Performance Results:

Quality performance results are based on CMS Web Interface.

Measure #	Measure Name	Collection Type	Rate	ACO Mean
CAHPS-1	Get Timely Care, Appointments, and Information	CAHPS for MIPS Survey	83.73	83.96
CAHPS-2	How Well Providers Communicate	CAHPS for MIPS Survey	92.48	93.47
CAHPS-3	Patient's Rating of Provider	CAHPS for MIPS Survey	90.73	92.06
CAHPS-4	Access to Specialists	CAHPS for MIPS Survey	71.32	77.00
CAHPS-5	Health Promotion and Education	CAHPS for MIPS Survey	61.72	62.68
CAHPS-6	Shared Decision Making	CAHPS for MIPS Survey	62.44	60.97
CAHPS-7	Health Status and Functional Status	CAHPS for MIPS Survey	71.75	73.06
CAHPS-8	Care Coordination	CAHPS for MIPS Survey	84.14	85.46
CAHPS-9	Courteous and Helpful Office Staff	CAHPS for MIPS Survey	91.07	91.97
CAHPS-11	Stewardship of Patient Resources	CAHPS for MIPS Survey	25.82	25.62
001	Diabetes: Hemoglobin A1c (HbA1c) Poor Control	CMS Web Interface	8.78	10.71
134	Preventative Care and Screening: Screening for Depression and Follow-up Plan	CMS Web Interface	88.24	76.97
236	Controlling High Blood Pressure	CMS Web Interface	70.56	76.16
318	Falls: Screening for Future Fall Risk	CMS Web Interface	100.00	87.83
110	Preventative Care and Screening: Influenza Immunization	CMS Web Interface	82.11	77.34
226	Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention	CMS Web Interface	94.44	79.27
113	Colorectal Cancer Screening	CMS Web Interface	73.39	75.32
112	Breast Cancer Screening	CMS Web Interface	77.42	78.07
438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	CMS Web Interface	88.51	86.37
370	Depression Remission at Twelve Months	CMS Web Interface	10.94	16.03
479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups	Administrative Claims	0.1674	0.1510
484	All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)	Administrative Claims	30.88	30.97

For Previous Years' Financial and Quality Performance Results, Please Visit data.cms.gov

Payment Rule Waivers: 

• Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
  • Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.

Fraud and Abuse Waivers can be found at the following: A2205 Fraud and Abuse Waivers

Version: September 2023