St. Vincent's Health Partners

St. Vincent’s Health Partners is now working with your doctor to offer:

Care Coordination Among All Your Healthcare Providers
St. Vincent’s will work with all your providers to help them focus on your unique health needs.
Community Resource Referrals
We will suggest other resources, such as prescription assistance and community support programs.
Disease Support Services
Our Health Partners are glad to discuss any chronic conditions and develop a care plan to keep you moving toward better health.
Post-Hospital Care
Expect a call from a Health Partner as you return home from a hospital stay to help you put into practice new health goals. Smoking cessation and weight management coaching Our Health Partners will work with you to develop wellness goals and a plan to achieve them.
What is an Accountable Care Organization?

An Accountable Care Organization (ACO) is a group of doctors and other health care providers who voluntarily work together with Medicare to give you high quality of service and care at the right time in the right setting. Doctors participating in Medicare Shared Savings Program ACOs work closely with other doctors and providers in the ACO to coordinate care for Medicare beneficiaries, like yourself, who have traditional Medicare.

For general questions or additional information about Accountable Care Organizations, please visit www.medicare.gov/acos.html or call 1-800-MEDICARE (1-800-633-4227) TTY users should call 1-877-486-2048

ACO Name and Location

St Vincents Accountable Care Organization LLC
1 Shircliff Way
Suite 1302 Attn: President ACO, Kyle Sanders
Jacksonville, Florida 32204

 

ACO Primary Contact

Primary Contact Name

 Estrellita Redmon

Primary Contact Phone Number

904-308-6169

Primary Contact Email Address

 Estrellita.Redmon@ascension.org

 

Organizational Information

ACO participants:

ACO Participants

ACO Participant in Joint Venture (Enter Y or N)

Vincent Galiano M D P A

Y

St Lukes - St Vincents Healthcare

Y

Margarita M. Vendrell MD PA

Y

St. Vincent's First Care, LLC

Y

Peter Saliba

Y

ST VINCENTS MEDICAL CENTER - CLAY COUNTY INC

Y

Bacon County Health Services, Inc.

Y

ST VINCENTS MEDICAL CENTER INC

Y

ST VINCENT'S AMBULATORY CARE INC

Y

Physician Associates of Jacksonville, P.A.

Y

Arlene G. Schlumbohm, D.O., P.A.

Y

ACO governing body:

Member

Member's Voting Power

Membership Type

ACO Participant TIN Legal Business Name/DBA, if   Applicable

Last Name

First Name

Title/Position

Redmon

Estrellita

President

I

ACO Participant Representative

St. Vincent’s Medical Center, Inc

Mayher

Bill

Vice President

I

ACO   Participant Representative

St. Vincent’s Medical Center, Inc

Cornejo

Susan

Treasurer

I

ACO   Participant Representative

St. Vincent’s Medical Center, Inc

Rodriguez

Elizabeth

Secretrary

I

ACO   Participant Representative

St. Vincent’s Medical Center, Inc

Vallier

Jean

Board Member, Managed Care

I

ACO Participant

Representative

St. Vincent’s Medical Center, Inc

Nauman

Steve

Board Member

I

Medicare Beneficiary Representative

N/A

Narvel

Ravish

Board   Member

I

 Community Stakeholder Representative

N/A

Vanosdol

Thomas

Board   Member

I

ACO   Participant Representative

St. Vincent’s Medical Center

Meyer

David

Board   Member

I

ACO   Participant Representative

St. Vincent’s Medical Center, Inc

Middlebrooks

Jeffrey

Board   Member

I

ACO   Participant Representative

St. Vincent’s Medical Center, Inc

Durocher

Wanda

Board   Member

I

ACO   Participant Representative

St. Vincent’s Medical Center, Inc

McInnes

David

Board   Member

I

ACO   Participant Representative

St. Vincent’s Medical Center, Inc

Pennick

Willie

Board   Member

I

ACO   Participant Representative

St. Vincent’s Ambulatory Care, Inc

Sonntag

Markus

Board   Member

I

ACO   Participant Representative

St. Vincent’s Medical Center, Inc

 O’Connell

 Benjamin

Board   Member

I

 ACO   Participant Representative

 

St. Vincent’s Medical Center, Inc

 

Key ACO clinical and administrative leadership:

Estrellita Redmon

ACO Executive

Frank Gilberstadt

Medical Director

 April Brown

Compliance Officer

 Benjamin O’Connell

Quality Assurance/Improvement Officer

 

 

 

Associated committees and committee leadership:

                                   

  

Committee Name

  
  

Committee Leader    Name and Position

  
  

Clinical Performance    & Quality Assurance

  
  

 Benjamin O’Connell DO

  
  

Care Coordination    Committee & Patient Engagement

  
  

 Coleen Rickey

  
  

Finance Committee

  
  

Pam Hess, CFO

  
  

Evidence- Based    Medicine Committee

  
  

Frank Gilberstadt,    MD

  
  

Information    Technology Committee

  
  

Willie Pennick, MD

  

 

Types of ACO participants, or combinations of participants, that formed the ACO:

  • Partnerships or joint venture arrangements      between hospitals and ACO professionals
  • Hospital employing ACO professionals

 

Shared Savings and Losses

Amount of Shared Savings/Losses

  • First      Agreement Period
    • Performance       Year 2016, $0
    • Performance       Year 2015, $855,553
    • Performance       Year 2014, $0

 

Shared Savings Distribution

  • 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: Not Yet Determined
      •   
      • Proportion invested in redesigned care        processes/resources: Not Yet Determined
      •   
      • Proportion of distribution to ACO participants:        Not Yet Determined
    • 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

2016 Quality Performance Results:

ACO#

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

81.67

80.51

ACO-2

CAHPS: How Well Your Providers Communicate

94.23

93.01

ACO-3

CAHPS: Patients’ Rating of Provider

93.97

92.25

ACO-4

CAHPS: Access to Specialists

84.81

83.49

ACO-5

CAHPS: Health Promotion and Education

58.84

60.32

ACO-6

CAHPS: Shared Decision Making

75.85

75.40

ACO-7

CAHPS: Health Status/Functional Status

71.12

72.30

ACO-34

CAHPS: Stewardship of Patient Resources

28.67

26.97

ACO-8

Risk Standardized, All Condition Readmission

14.81

14.70

ACO-35

Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)

18.17

18.17

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes

60.29

53.20

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

77.82

75.23

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic   Conditions

60.56

59.81

ACO-9

Ambulatory Sensitive Condition Admissions: Chronic Obstructive   Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality   Indicator (PQI) #5)

9.39

9.27

ACO-10

Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ   Prevention Quality Indicator (PQI) #8)

18.41

14.53

ACO-11

Percent of PCPs who Successfully Meet Meaningful Use Requirements

91.67

82.72

ACO-39

Documentation of Current Medications in the Medical Record

98.54

87.54

ACO-13

Falls: Screening for Future Fall Risk

64.40

64.04

ACO-14

Preventive Care and Screening: Influenza Immunization

67.94

68.32

ACO-15

Pneumonia Vaccination Status for Older Adults

62.03

69.21

ACO-16

Preventive Care and Screening: Body Mass Index (BMI) Screening and   Follow-Up

84.15

74.45

ACO-17

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

91.49

90.98

ACO-18

Preventive Care and Screening: Screening for Clinical Depression and   Follow-up Plan

50.20

53.63

ACO-19

Colorectal Cancer Screening

34.54

61.52

ACO-20

Breast Cancer Screening

71.88

67.61

ACO-21

Preventive Care and Screening: Screening for High Blood Pressure and   Follow-Up Documented

89.41

76.79

ACO-42

Statin therapy for the Prevention and Treatment of Cardiovascular   Disease

82.31

77.72

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

18.40

18.24

ACO-41

Diabetes: Eye Exam

39.24

44.94

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

70.68

70.69

ACO-30

Ischemic Vascular Disease (IVD): Use of Aspirin or Another   Antithrombotic

85.95

85.05

ACO-31

Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic   Dysfunction (LVSD)

98.25

88.67

ACO-33

Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor   Blocker (ARB) Therapy - for patients with CAD and Diabetes or Left   Ventricular Systolic Dysfunction (LVEF<40%)

77.84

79.67

 

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples.

 

Note: In the Quality Performance Results file(s) above, search for “St Vincents Accountable Care Organization LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A22925 in the public use files on data.cms.gov.

Payment Rule Waivers

  • No, our ACO does not use the SNF 3-Day Rule Waiver.

St. Vincent's Health Partners

Services provided free-of-charge. Contact us at 1.855.529.5762