Ascension St. Vincent's Accountable Care Organizations
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.
ACO Quality Measure Number | Measure Name | Collection Type | Rate | ACO Mean |
CAHPS-1 |
Getting Timely Care, Appointments, and Information |
CAHPS for MIPS Survey |
81.26 | 83.96 |
CAHPS-2 |
How Well Providers Communicate |
CAHPS for MIPS Survey | 94.71 |
93.47 |
CAHPS-3 |
Patient’s Rating of Provider |
CAHPS for MIPS Survey |
94.09 |
92.06 |
CAHPS-4 |
Access to Specialists | CAHPS for MIPS Survey |
75.00 |
77.00 |
CAHPS-5 | Health Promotion and Education |
CAHPS for MIPS Survey |
63.23 |
62.68 |
CAHPS-6 |
Shared Decision Making |
CAHPS for MIPS Survey | 65.60 |
60.97 |
CAHPS-7 |
Health Status and Functional Status |
CAHPS for MIPS Survey | 73.53 |
73.06 |
CAHPS-8 |
Care Coordination |
CAHPS for MIPS Survey | 86.16 |
85.46 |
CAHPS-9 |
Courteous and Helpful Office Staff |
CAHPS for MIPS Survey | 93.13 |
91.97 |
CAHPS-11 |
Stewardship of Patient Resources |
CAHPS for MIPS Survey | 28.74 | 25.62 |
001 | Diabetes: Hemoglobin A1c (HbA1c) Poor Control |
CAHPS for MIPS Survey | 9.27 | 10.71 |
134 | Preventative Care and Screening: Screening for Depression and Follow-up Plan |
CAHPS for MIPS Survey | 75.30 | 76.97 |
236 | Controlling High Blood Pressure |
CAHPS for MIPS Survey | 75.00 | 76.16 |
318 | Falls: Screening for Future Fall Risk |
CAHPS for MIPS Survey | 94.35 |
87.83 |
110 | Preventative Care and Screening: Influenza Immunization |
CAHPS for MIPS Survey | 76.50 |
77.34 |
226 | Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention |
CAHPS for MIPS Survey | 100.00 | 79.27 |
113 | Colorectal Cancer Screening |
CAHPS for MIPS Survey | 79.84 | 75.32 |
112 | Breast Cancer Screening |
CAHPS for MIPS Survey | 77.02 |
78.07 |
438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease |
CAHPS for MIPS Survey | 87.50 | 86.37 |
370 | Depression Remission at Twelve Months |
CAHPS for MIPS Survey | 15.9 | 16.03 |
479 | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups |
CAHPS for MIPS Survey | .1586 |
.1510 |
484 | Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions for ACOs |
CAHPS for MIPS Survey | 33.02 | 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