ACO Name and Location

Northwest Florida Health Partners, LLC
5151 N. Ninth Avenue
Pensacola, FL 32504

ACO Primary Contact

Laura Behr
(850) 746-1403
lwbehr@ascension.org

Organizational Information

ACO Participants:

ACO Participants

ACO Participant in Joint Venture

Sacred Heart Hospital of Pensacola

N

Sacred Heart Hospital on the Gulf

N

Sacred Heart Medical Group

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

Syed

Jafri

Chairperson

12.50%

ACO Participant Representative

Sacred Heart Medical Group

Susan

Cornejo

Voting Member

12.50%

ACO Participant

Representative

Sacred Heart Hospital of Pensacola

Dr. Dale

Tucker

Voting Member

12.50%

ACO Participant

Representative

Sacred Heart Medical

Group

Michael

Shaw

Voting

Member

12.50%

ACO Participant

Representative

Sacred Heart Hospital

Pensacola

Rachel

Bixler

Voting Member

12.50%

ACO Participant Representative

Sacred Heart Medical Group

Justin

Labrato

Voting

Member

12.50%

ACO Participant

Representative

Sacred Heart Medical

Group

Dr.Susan

Laenger

Voting

Member

12.50%

ACO Participant

Representative

Sacred Heart Medical Group

Vicki

Abrams

Voting Member

12.50%

Medicare Beneficiary Representative

N/A

Key ACO Clinical and Administrative Leadership:

ACO Executive: Laura Behr

Medical Director: Dale Tucker, MD

Compliance Officer: Kathryn Yurkovich

Quality Assurance/Improvement Officer: Rachel Bixler, MD

Types of ACO Participants, or Combinations of Participants, that Formed the ACO:

  • ACO professionals in a group practice arrangement
  • Networks of individual practices of ACO professionals
  • Hospitals employing ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses:

Third Agreement Period

  • Performance Year 2023: $0
  • Performance Year 2022: $0
  • Performance Year 2021: $2,870,185
  • Performance Year 2020: $0

Second Agreement Period

  • Performance Year 2019: $0
  • Performance Year 2018: $0
  • Performance Year 2017, $0

First Agreement Period

  • Performance Year 2016, $3,371,438
  • Performance Year 2015, $3,562,750
  • Performance Year 2014, $0

Shared Savings Distribution:

Third Agreement Period

  • Performance Year 2023
    • 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 2022
    • 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 2021
    • Proportion invested in infrastructure: 25%
    • Proportion invested in redesigned care processes/resources: 25%
    • Proportion of distribution to ACO participants: 50%
  • Performance Year 2020
    • Proportion invested in infrastructure: N/A
    • Proportion invested in redesigned care processes/resources: N/A
    • Proportion of distribution to ACO participants: N/A

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: 25%
    • Proportion invested in redesigned care processes/resources: 25%
    • Proportion of distribution to ACO participants: 50%
  • Performance Year 2015
    • Proportion invested in infrastructure: 25%
    • Proportion invested in redesigned care processes/resources: 25%
    • Proportion of distribution to ACO participants: 50%
  • 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 the CMS Web Interface 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

82.81

83.68

CAHPS-2

How Well Providers Communicate

CAHPS for MIPS Survey

94.77

93.69

CAHPS-3

Patient’s Rating of Provider

CAHPS for MIPS Survey

93.80

92.14

CAHPS-4

Access to Specialists

CAHPS for MIPS Survey

76.97

75.97

CAHPS-5

Health Promotion and Education

CAHPS for MIPS Survey

66.15

63.93

CAHPS-6

Shared Decision Making

CAHPS for MIPS Survey

67.89

61.60

CAHPS-7

Health Status and Functional Status

CAHPS for MIPS Survey

72.88

74.12

CAHPS-8

Care Coordination

CAHPS for MIPS Survey

86.91

85.77

CAHPS-9

Courteous and Helpful Office Staff

CAHPS for MIPS Survey

90.94

92.31

CAHPS-11

Stewardship of Patient Resources

CAHPS for MIPS Survey

23.01

26.69

Measure #: 001

Diabetes: Hemoglobin A1c (HbA1c) Poor Control

CMS Web Interface

9.68

9.84

Measure #: 134

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

CMS Web Interface

86.53

80.97

Measure #: 236

Controlling High Blood Pressure

CMS Web Interface

75.40

77.80

Measure #: 318

Falls: Screening for Future Fall Risk

CMS Web Interface

100.00

89.42

Measure #: 110

Preventative Care and Screening: Influenza Immunization

CMS Web Interface

64.04

70.76

Measure #: 226

Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention

CMS Web Interface

79.17

79.29

Measure #: 113

Colorectal Cancer Screening

CMS Web Interface

82.66

77.14

Measure #: 112

Breast Cancer Screening

CMS Web Interface

82.66

80.36

Measure #: 438

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

CMS Web Interface

90.99

87.05

Measure #: 370

Depression Remission at Twelve Months

CMS Web Interface

13.48

16.58

Measure #: 321

CAHPS for MIPS

CMS Web Interface

6.99

6.25

Measure #: 479

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

Administrative Claims

.1639

.1553

Measure #: 484

Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions

Administrative Claims

34.00

35.39

For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov

Fraud and Abuse Waivers

A2299 Waiver disclosures

 Version: November 2024