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

Andrew Barna
918-744-2025
okhi@ascension.org

Organizational Information

Newsletter

Fall 2025 Beneficiary Newsletter

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.
Andrew Barna ACO President 9.09 ACO Participant Representative (Phys) St. John Physicians Inc.
Roger
 Ray Manager, Treasurer 9.09% ACO Participant Representative (Hosp) St. John Physicians Inc.
David Haws Manager 9.09% ACO Participant Representative St. John Physicians Inc.
Ashley Hildebrand, MD Manager 9.09% ACO Participant Representative (Phys) St. John Physicians Inc.
Bryan Cavitt 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.
Timothy Bushyhead 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 –Andrew Barna
  • ACO Medical Director – Ashley Hildebrand, MD 
  • ACO Compliance Officer – Kathryn Yurkovich
  • ACO Quality Assurance/Improvement Officer – Lisa Hildreth- Anderson

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 Andrew Barna - 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 2024: $6,931,719
    • 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 2024
      • Proportion invested in infrastructure: 20%
      • Proportion invested in redesigned care processes/resources: 5%
      • Proportion of distribution to ACO participants: 70%
    • 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

2024 Quality Performance Results:

Quality performance results are based on eCQMs/MIPS CQMs/ Medicare CQMs collection type

ACO Quality Measure Number Measure Name  Collection Type Rate ACO mean
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS for MIPS Survey  79.76 83.7
CAHPS-2 How Well Providers Communicate CAHPS for MIPS Survey  91.67 39.96
CAHPS-3 Patient’s Rating of Provider CAHPS for MIPS Survey  89.1 92.43
CAHPS-4 Access to Specialists CAHPS for MIPS Survey  70 75.76
CAHPS-5 Health Promotion and Education CAHPS for MIPS Survey  61.87 65.48
CAHPS-6 Shared Decision Making CAHPS for MIPS Survey  61.32 62.31
CAHPS-7 Health Status and Functional Status CAHPS for MIPS Survey  72.41 74.14
CAHPS-8 Care Coordination CAHPS for MIPS Survey  80.9 85.89
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS Survey  91.33 92.89
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS Survey  27.76 26.98
001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control CMS Web Interface  - -
134 Preventative Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface  - -
236 Controlling High Blood Pressure CMS Web Interface  - -
318 Falls: Screening for Future Fall Risk CMS Web Interface - -
110 Preventative Care and Screening: Influenza Immunization CMS Web Interface - -
226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface
- -
113 Colorectal Cancer Screening CMS Web Interface
- -
112 Breast Cancer Screening CMS Web Interface
- -
438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface
- -
370 Depression Remission at Twelve Months  CMS Web Interface  - -
321  CAHPS for MIPS CMS Web Interface 3.82 6.67
479* Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups Administrative Claims  .1541 .1517
484*  Clinician and Clinician Group Risk-standardized Hospital Admission Rate for Patients with Multiple Chronic Conditions (1) Administrative Claims   39.29 37

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

* For Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [Quality ID #001], Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [Measure #479], and Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], a lower performance rate indicates better measure performance.

* For Clinician and Clinician Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], patients are excluded if they were attributed to Qualifying Alternative Payment Model (APM) Participants (QPs). Most Providers participating in Track E and ENHANCED Track ACOs are QPs, and so performance rates for Track E and ENHANCED track ACOs may not be representative of the care provided by these ACO’s providers overall. Additionally, many of these ACOs do not have a performance rate calculated

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: February 2026