Accountable Care Organization (ACO)

St. Vincent’s Health Partners is now working with your doctor to offer:

  • Care Coordination Among All Your Healthcare Providers
    • St. Vincent’s will work with all your providers to help them focus on your unique health needs
  • Community Resource Referrals
    • We will suggest other resources, such as prescription assistance and community support programs..
  • Disease Support Services
    • Our Health Partners are glad to discuss any chronic conditions and develop a care plan to keep you moving toward better health.
  • Post-Hospital Care
    • Expect a call from a Health Partner as you return home from a hospital stay to help you put into practice new health goals. Smoking cessation and weight management coaching Our Health Partners will work with you to develop wellness goals and a plan to achieve them.

What is an Accountable Care Organization?
An Accountable Care Organization (ACO) is a group of doctors and other health care providers who voluntarily work together with Medicare to give you high quality of service and care at the right time in the right setting. Doctors participating in Medicare Shared Savings Program ACOs work closely with other doctors and providers in the ACO to coordinate care for Medicare beneficiaries, like yourself, who have traditional Medicare.

For general questions or additional information about Accountable Care Organizations, please visit www.medicare.gov/acos.html or call 1-800-MEDICARE (1-800-633-4227) TTY users should call 1-877-486-2048

ACO Name and Location

St Vincents Accountable Care Organization LLC
Previous Names: N/A
1 Shircliff Way
Suite 1302 Attn: President ACO, Estrellita Redmon
Jacksonville, FL 32204

ACO Primary Contact

Primary Contact Name

Estrellita Redmon

Primary Contact Phone Number

904-308-6169

Primary Contact Email Address

Estrellita.Redmon@ascension.org

 

Organizational Information

ACO participants:

ACO Participants

ACO Participant in Joint Venture (Enter Y or N)

Vincent Galiano M D P A

Y

St Lukes - St Vincents Healthcare

Y

Margarita M. Vendrell MD PA

Y

St. Vincent's First Care, LLC

Y

Peter Saliba

Y

ST VINCENTS MEDICAL CENTER - CLAY COUNTY INC

Y

Bacon County Health Services, Inc.

Y

ST VINCENTS MEDICAL CENTER INC

Y

ST VINCENT'S AMBULATORY CARE INC

Y

Physician Associates of Jacksonville, P.A.

Y

Arlene G. Schlumbohm, D.O., P.A.

Y

 

 

ACO governing body:

Member

Member's Voting Power – Expressed as a percentage or number

Membership Type

ACO Participant Legal Business Name/DBA, if Applicable

Last Name

First Name

Title/Position

Redmon

Estrellita

President

I

ACO Participant Representative

St. Vincent’s Medical Center, Inc

Mayher

Bill

Vice President

I

ACO Participant Representative

St. Vincent’s Medical Center, Inc

Cornejo

Susan

Treasurer

I

ACO Participant Representative

St. Vincent’s Medical Center, Inc

Rodriguez

Elizabeth

Secretrary

I

ACO Participant Representative

St. Vincent’s Medical Center, Inc

Vallier

Jean

Board Member, Managed Care

I

ACO Participant

Representative

St. Vincent’s Medical Center, Inc

Nauman

Steve

Board Member

I

Medicare Beneficiary Representative

N/A

Narvel

Ravish

Board Member

I

Community Stakeholder Representative

N/A

Vanosdol

Thomas

Board Member

I

ACO Participant Representative

St. Vincent’s Medical Center

Meyer

David

Board Member

I

ACO Participant Representative

St. Vincent’s Medical Center, Inc

Middlebrooks

Jeffrey

Board Member

I

ACO Participant Representative

St. Vincent’s Medical Center, Inc

Durocher

Wanda

Board Member

I

ACO Participant Representative

St. Vincent’s Medical Center, Inc

McInnes

David

Board Member

I

ACO Participant Representative

St. Vincent’s Medical Center, Inc

Pennick

Willie

Board Member

I

ACO Participant Representative

St. Vincent’s Ambulatory Care, Inc

Sonntag

Markus

Board Member

I

ACO Participant Representative

St. Vincent’s Medical Center, Inc

O’Connell

Benjamin

Board Member

I

ACO Participant Representative

St. Vincent’s Medical Center, Inc

 

Key ACO clinical and administrative leadership:

Estrellita Redmon

ACO Executive

Frank Gilberstadt

Medical Director

April Brown

Compliance Officer

Benjamin O’Connell

Quality Assurance/Improvement Officer

 

 

Associated committees and committee leadership:

Committee Name

Committee Leader Name and Position

Clinical Performance & Quality Assurance

Benjamin O’Connell, DO

Care Coordination Committee & Patient Engagement

Coleen Rickey

Finance Committee

Pam Hess, CFO

Evidence- Based Medicine Committee

Frank Gilberstadt, MD

Information Technology Committee

Willie Pennick, MD

 

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

  • Hospital employing 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 2017, $0
  • First Agreement Period
    • Performance Year 2016, $0
    • Performance Year 2015, $855,553
    • Performance Year 2014, $0

 

Shared Savings Distribution

  • Second Agreement Period
    • 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: Not Yet Determined
      • Proportion invested in redesigned care processes/resources: Not Yet Determined
      • Proportion of distribution to ACO participants: Not Yet Determined
    • 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

2017 Quality Performance Results:

ACO#

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

80.03

80.60

ACO-2

CAHPS: How Well Your Providers Communicate

93.66

93.13

ACO-3

CAHPS: Patients’ Rating of Provider

93.12

92.31

ACO-4

CAHPS: Access to Specialists

85.81

83.32

ACO-5

CAHPS: Health Promotion and Education

65.03

62.30

ACO-6

CAHPS: Shared Decision Making

78.11

75.85

ACO-7

CAHPS: Health Status/Functional Status

73.51

73.05

ACO-34

CAHPS: Stewardship of Patient Resources

24.65

25.68

ACO-8

Risk Standardized, All Condition Readmission

15.49

15.01

ACO-35

Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)

20.69

18.46

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes

60.61

53.95

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

87.76

79.16

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

65.06

61.74

ACO-43

Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))

2.23

1.93

ACO-11

Use of Certified EHR Technology

100.00

98.48

ACO-12

Medication Reconciliation

34.64

75.32

ACO-13

Falls: Screening for Future Fall Risk

92.05

74.38

ACO-44

Imaging Studies for Low Back Pain

62.50

67.32

ACO-14

Preventive Care and Screening: Influenza Immunization

64.49

72.52

ACO-15

Pneumonia Vaccination Status for Older Adults

67.07

72.92

ACO-16

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up

87.69

70.69

ACO-17

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

67.29

90.48

ACO-18

Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan

68.95

61.98

ACO-19

Colorectal Cancer Screening

56.63

64.58

ACO-20

Breast Cancer Screening

80.23

70.05

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

88.92

79.89

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

19.27

16.74

ACO-41

Diabetes: Eye Exam

43.64

50.37

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

71.88

71.47

ACO-30

Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic

93.94

86.86

 

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

 

Note: In the Quality Performance Results file(s) above, search for “St Vincents Accountable Care Organization LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A22925 in the public use files on data.cms.gov.

Payment Rule Waivers

  • No, our ACO does not use the SNF 3-Day Rule Waiver.