ACO name and location

SJFI LLC dba Oklahoma Health Initiatives
Previous Names: N/A
St. John Administration
1923 S. Utica Ave.
Tulsa, OK 74104

ACO primary contact

Primary Contact Name: Mike Christian
Primary Contact Phone Number: 918-744-2180
Primary Contact Email Address: okhi@ascension.org

ACO participants

  • Northeast Oklahoma Physician Network Inc.
  • St. John Physicians Inc.
  • St. John Urgent Care Clinics Inc.
  • OMNI Medical Group

No ACO participants are involved in a joint venture between ACO professionals or hospitals.

ACO governing body

Click here to view members of the ACO's governing body.

Key ACO clinical and administrative leadership

  • ACO Executive –Mike Christian
  • ACO Medical Director – Ashley Hildebrand, MD 
  • ACO Compliance Officer – Kathryn Yurkovich
  • ACO Quality Assurance/Improvement Officer – Edward Rylander, MD

ACO associated committees and committee leadership

  • Board of Managers – Chair, Jason Lepak, MD
  • Nominations & Elections Committee – Chair, Jason Lepak, MD
  • Quality Improvement & Population Health Committee – Chair, Edward Rylander, MD
  • Finance & Operations Committee – Chair, Mike Christian 
  • Community and Communications Advisory Committee – Chair, Milton Olsen, PhD

Types of ACO participants, or combination of participants, that formed the ACO

  • ACO professionals in a group practice arrangement
  • Networks of individual practices of ACO professionals
  • Hospital employing ACO professionals
  • Critical Access Hospital (CAH) billing under Method II
  • Rural Health Clinic (RHC)

Shared savings and losses

Amount of shared savings/losses:

  • Third Agreement Period
    • Performance Year 2022, $2,688,668
    • Performance Year 2021, $2,039,906
    • Performance Year 2020, $1,836,111
  • Second Agreement Period
    • Performance Year 2019, $0
    • Performance Year 2018, $0
    • Performance Year 2017, $0
  • First Agreement Period
    • Performance Year 2016, $0
    • Performance Year 2015, $0
    • Performance Year 2014, $0

Shared savings distribution:

  • Third Agreement Period
    • Performance Year 2022
      • Proportion invested in infrastructure: 20%
      • Proportion invested in redesigned care processes/resources: 40%
      • Proportion of distribution to ACO participants: 40%
    • Performance Year 2021
      • Proportion invested in infrastructure: 20%
      • Proportion invested in redesigned care processes/resources: 40%
      • Proportion of distribution to ACO participants: 40%
    • Performance Year 2020
      • Proportion invested in infrastructure: 20%
      • Proportion invested in redesigned care processes/resources: 40%
      • Proportion of distribution to ACO participants: 40%
  • 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: N/A
      • 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: N/A
      • 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

Medicare shared savings program waiver disclosures (arrangements for which waiver protection is sought)

  • This ACO has an agreement with each of its ACO Participants to participate in the Medicare Shared Savings Program.
  • There are certain other arrangements among ACO Participants and ACO Affiliates, including St. John Medical Center; Harvard Family Physicians; Stewart Katz, MD; James Russell, MD; Nephrology Associates, Inc.; and Tulsa OB-GYN Associates, Inc. regarding the support of electronic health records software and related services that qualify under the pre-participation or participation waivers issued by the Centers for Medicare and Medicaid Services and the Office of the Inspector General, Department of Health and Human Services, Sec. 76 Fed. Reg. p.67992 Nov. 2, 2011 and Sec. 80 Fed. Reg. p. 66727 Oct. 29, 2015. These occurred June 20, 2014 through December 31, 2017.
  • The ACO has arranged for the regional Health Information Exchange, MyHealth Access Network to create and support the use of a Secure Direct Messaging account and Provider Portal for those ACO Participants, ACO Affiliates, and other providers that did not have access to a Secure Direct Messaging account and Provider Portal for the purpose of communicating Transition of Care and other health related documents and data with the provider during the course of patient care. The provision regarding the support of the Secure Direct Messaging and Provider Portal related services qualify under the pre-participation or participation waivers issued by the Centers for Medicare and Medicaid Services and the Office of the Inspector General, Department of Health and Human Services, Sec. 76 Fed. Reg. p.67992 Nov. 2, 2011 and Sec. 80 Fed. Reg. p. 66727 Oct. 29, 2015. This began June 12, 2015.
  • A demonstration project has been established by an ACO Participant, St. John Medical Center, which has arranged for transportation assistance of certain patients to be provided by Morton Comprehensive Health Center (a federally qualified health center) as an independent contractor. Such services are approved on a case-by-case basis to established patients of St. John Medical Center who are among underserved populations. These transportation services qualify under the pre-participation or participation or patient incentive waivers issued by the Centers for Medicare and Medicaid Services and the Office of the Inspector General, Department of Health and Human Services, Sec. 76 Fed. Reg. p.67992 and 68001 Nov. 2, 2011 and Sec. 80 Fed. Reg. p. 66727 Oct. 29, 2015. This began September 12, 2014.

Public information last updated: September 18, 2023