Ascension St. Vincent's Accountable Care Organizations | Ascension

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