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

Mike Christian
918-244-4394
okhi@ascension.org

Organizational Information

ACO participants

ACO Participants ACO Participant in Joint Venture
OMNI Medical Group N
Northeast Oklahoma Physician Network Inc. N
St. John Physicians Inc. N 
St. John Urgent Care Clinics Inc. N

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
Jason Leepak, MD Manager, Chairman 9.1% ACO Participant Representative (Phys) St. John Physicians Inc.
Edward Rylander, MD Manager, Vice-Chairman 9.09% ACO Participant Representative (Phys) St. John Physicians Inc.
Charles Powell, MD Manager 9.09 ACO Participant Representative (Phys) St. John Physicians Inc.
Mike
 Christian Manager 9.09% ACO Participant Representative (Hosp) St. John Sapulpa Inc.
Bryan Fissel Manager 9.09% ACO Participant Representative St. John Physicians Inc.
Ashley Hildebrand, MD Manager 9.09% ACO Participant Representative (Phys) St. John Physicians Inc.
Bo  Beaudry Manager 9.09% ACO Participant Representative (Hosp) St. John Physicians Inc.
Milton Olsen, PhD Manager 9.09% Community Stakeholder Representative N/A
Ric  Shields Manager 9.09% Medicare Beneficiary N/A
Brent Steward  Manager 9.09% ACO Participant Representative (Phys) St. John Physicians Inc.
W. Michael Woods, MD Manager 9.09% ACO Participant Representative (Phys) St. John Physicians Inc.

“Due to rounding, ‘Member’s Voting Power’ may not equal 100%”

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

Committee Name Committee Leader Name and Position
Board of Managers Jason Lepak, MD - Chair
Nominations & Elections Committee Jason Lepak, MD - Chair
Quality Improvement Committee Edward Rylander, MD - Chair
Finance & Operations Committee Mike Christian - Chair

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 2023: $1,476,886
    • 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 2023
      • Proportion invested in infrastructure: 20%
      • Proportion invested in redesigned care processes/resources: 30%
      • Proportion of distribution to ACO participants: 50%
    • 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

2023 Quality Performance Results:

Quality performance results are based on CMC 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  81.99 83.68
CAHPS-2 How Well Providers Communicate CAHPS for MIPS Survey  90.96 93.69
CAHPS-3 Patient’s Rating of Provider CAHPS for MIPS Survey  89.96 92.14
CAHPS-4 Access to Specialists CAHPS for MIPS Survey  74.62 75.97
CAHPS-5 Health Promotion and Education CAHPS for MIPS Survey  60.88 63.93
CAHPS-6 Shared Decision Making CAHPS for MIPS Survey  64.17 61.60
CAHPS-7 Health Status and Functional Status CAHPS for MIPS Survey  73.36 74.12
CAHPS-8 Care Coordination CAHPS for MIPS Survey  82.09 85.77
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS Survey  89.72 93.21
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS Survey  33.12 26.69
001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control CMS Web Interface  14.57 9.84
134 Preventative Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface  64.30 80.97
236 Controlling High Blood Pressure CMS Web Interface  69.23 77.80
318 Falls: Screening for Future Fall Risk CMS Web Interface 91.68 89.42
110 Preventative Care and Screening: Influenza Immunization CMS Web Interface 54.45 70.76
226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface
52.46 79.29
113 Colorectal Cancer Screening CMS Web Interface
64.22 77.14
112 Breast Cancer Screening CMS Web Interface
71.73 80.36
438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface
86.59 87.05
370 Depression Remission at Twelve Months  CMS Web Interface  17.07 16.58
321  CAHPS for MIPS CMS Web Interface 4.29 6.25
479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups Administrative Claims  .1459 .1553
484  Clinician and Clinician Group Risk-standardized Hospital Admission Rate for Patients with Multiple Chronic Conditions (1) Administrative Claims   35.11 35.39

For previous years' financial and quality performance results, please visit data.cms.gov.

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.

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: November 19, 2024