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

First Name

Member

Last Name

Member

Title/Position

Member's Voting Power (Expressed as a percentage)

Membership Type

ACO Participant Legal Business Name/DBA, if applicable

Bill

Mayher

Voting Member

11.11%

ACO Participant Representative

St Vincent’s Full Service Urgent Care, LLC DBA Ascension St Vincent’s Urgent Care

Jalima

Trank

Voting Member

11.11%

ACO Participant

Representative

St Vincent’s Full Service Urgent Care, LLC DBA Ascension St Vincent’s Urgent Care

Jafri

Syed

Voting

Member

11.11%

ACO Participant

Representative

St Vincent’s Full Service Urgent Care, LLC DBA Ascension St Vincent’s Urgent Care

Michael

Shaw

Voting Member

11.11%

ACO Participant

Representative

St Vincent’s Full Service Urgent Care, LLC DBA Ascension St Vincent’s Urgent Care

Lawrence

Coots

Voting Member

11.11%

Medicare Beneficiary

N/A

Willie

Pennick

Voting

Member

11.11%

ACO Participant Representative

St Vincent’s Ambulatory Care Inc DBA Ascension Medical Group, St Vincent’s

Pauline

Rolle

Board Member

11.11%

ACO Participant Representative

St Vincent’s Ambulatory Care Inc DBA Ascension Medical Group, St Vincent’s

Markus

Sonntag

Board Member

11.11%

ACO Participant Representative

St Vincent’s Ambulatory Care Inc DBA Ascension Medical Group, St Vincent’s

Dale

Tucker

Board Member

11.11%

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

Kathryn Yurkovich

Quality Assurance/Improvement Officer

Laura Behr

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 2023: $5,674,631
  • 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 2023
    • Proportion invested in infrastructure: NA
    • Proportion invested in redesigned care processes/ resources: 76%
    • Proportion of distribution to ACO participants: 24%
  • Performance Year 2022
    • Proportion invested in infrastructure: N/A
    • Proportion invested in redesigned care processes/resources: 76%
    • Proportion of distribution to ACO participants:24%
  • 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

2023 Quality Performance Results:

Quality performance results are based on eCQM/MIPS CQM Measure Set.

ACO Quality Measure Number

Measure Name

Collection Type

Rate

ACO Mean

CAHPS-1

Getting Timely Care, Appointments, and Information

CAHPS for MIPS Survey

77.82

83.68

CAHPS-2

How Well Providers Communicate

CAHPS for MIPS Survey

93.14

93.69

CAHPS-3

Patient’s Rating of Provider

CAHPS for MIPS Survey

91.56

92.14

CAHPS-4

Access to Specialists

CAHPS for MIPS Survey

78.20

75.97

CAHPS-5

Health Promotion and Education

CAHPS for MIPS Survey

63.73

63.93

CAHPS-6

Shared Decision Making

CAHPS for MIPS Survey

61.34

61.60

CAHPS-7

Health Status and Functional Status

CAHPS for MIPS Survey

75.27

74.12

CAHPS-8

Care Coordination

CAHPS for MIPS Survey

82.37

85.77

CAHPS-9

Courteous and Helpful Office Staff

CAHPS for MIPS Survey

90.52

92.31

CAHPS-11

Stewardship of Patient Resources

CAHPS for MIPS Survey

28.04

26.69

Measure #: 001

Diabetes: Hemoglobin A1c (HbA1c) Poor Control

eCQM

47.29

27.39

Measure #: 134

Preventative Care and Screening: Screening for Depression and Follow-up Plan

eCQM

34.49

48.99

Measure #: 236

Controlling High Blood Pressure

eCQM

69.15

72.35

Measure #: 321

CAHPS for MIPS

CAHPS

4.98

6.25

Measure #: 479

Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups

Administrative Claims

.1575

.1553

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.

Medicare Shared Savings Program Fraud and Abuse Waivers: A2205 Fraud and Abuse Waivers

Version: November 2024