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 Voting Member 11.11% ACO Participant Representative St Vincent's Full Service Urgent Care, LLC DBA Ascension St Vincent's Urgent Care
Trank Jalima 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
Shaw Michael Voting Member 11.11% ACO Participant Representative St Vincent's Full Service Urgent Care, LLC DBA Ascension St Vincent's Urgent Care
Coots Lawrence Voting Member 11.11% Medicare Beneficiary Representative N/A
Pennick Willie Voting Member 11.11% ACO Participant Representative St Vincent's Ambulatory Care Inc DBA Ascension Medical Group, St Vincent's
Rolle Pauline Voting Member 11.11% ACO Participant Representative St Vincent's Ambulatory Care Inc DBA Ascension Medical Group, St Vincent's
Sonntag Marcus Voting Member 11.11% ACO Participant Representative St Vincent's Ambulatory Care Inc DBA Ascension Medical Group, St Vincent's
Tucker Dale Voting 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 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