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

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 Version: November 2024