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Medicare ACO

The purpose of this document is to provide ACOs participating in the Shared Savings Program with a public reporting template, pre-populated with ACO-specific information obtained from CMS records. Information to populate the template is obtained from ACO reported information submitted to the ACO Management System (ACO-MS). ACOs participating in the Shared Savings Program are required to publicly report ACO organizational information and performance results on a designated webpage, per 42 CFR § 425.308.

ACO Name and Location

St Joseph Health Partners ACO
2801 Franciscan Dr, Bryan, TX 77802

ACO Primary Contact

Primary Contact Name                     Sarah Habeeb

Primary Contact Phone Number      979-774-2109

Primary Contact Email Address         [email protected]

Organizational Information

ACO participants:

ACO Participants

ACO Participant in Joint Venture (Enter Y or N)

Julie Lim

N

Kuppusamy Ragupathi, MD

N

Bcs Abundant Life Family Practice PA

N

Remon Fino, MD, PA

N

Steve Opersteny

N

Owens Interventional Pain Management PLLC

N

St. Joseph Regional Health Center

Y

Mark B. Lindsay, MD

N

Bryan Radiology Associates

N

James M. Kirby and Joseph J. Fedorchik

N

Central Texas Heart Center

N

Paul Roquet, MD, PA

N

Brazos Lung Associates, LLP

N

Central Texas Digestive Disease Association PA  

N

Charles K. Peirce, MD, PA

N

Stephen L. Hand, OD, PA

N

Kelly W. Lobb

N

Ricardo S. Lemos, MD, PA

N

ACO governing body:

Last Name First Name Member Title/Position Member's Voting Power (Expressed as a percentage or number) Membership Type ACO Participant Legal Business Name and D/B/A, if applicable
Parsi Kia MD, Chair 1 Participant Representative St. Joseph Health Medical Group
Steins Michael MD, Voting Member 1 Participant Representative St. Joseph Health Medical Group
White Brad MD, Voting Member 1 Participant Representative St. Joseph Health Medical Group
Ficklen David MD, Voting Member 1 Participant Representative St. Joseph Health Medical Group
Damien David MD, Voting Member 1 Participant Representative St. Joseph Health Medical Group
Cheng Clint MD, Voting Member 1 Participant Representative St. Joseph Health Medical Group
Colato Fernando MD, Voting Member 1 Participant Representative St. Joseph Health Medical Group
Wear Amy MD, Voting Member 1 Community Stakeholder Representative Texas A&M University Health Science Center

Key ACO Clinical and Administrative Leadership:

  • ACO Executive: Sarah Habeeb
  • Medical Director: Kia Parsi
  • Compliance Officer: Christi Knox
  • Quality Assurance/Improvement Officer: Sarah Habeeb

Associated committees and committee leadership:

 

 Committee Name

 Committee Leader Name and Position

 Patient and Family Advisory Council 

 Gail Lazarine, Director of Patient Experience

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

  • Critical Access Hospital (CAH) billing under Method II
  • Hospital employing ACO professionals
  • Networks of individual practices of ACO professionals
  • Rural Health Clinic (RHC)

Shared Savings and Losses

Amount of Shared Savings/Losses

  • 3rdAgreement Period
    • Performance Year 2020, $4.1 Million
  • 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 2020
      • Proportion invested in infrastructure (Providers): 22.3%
      • Proportion invested in redesigned care processes/resources: 33.3%
      • Proportion of distribution to ACO participants: 44.4%

Quality Performance Results

2020 Quality Performance Results:

ACO #

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

91.78

85.86

ACO-2

CAHPS: How Well Your Providers Communicate

96.93

94.11

ACO-3

CAHPS: Patients’ Rating of Provider

95.01

92.69

ACO-4

CAHPS: Access to Specialists

81.14

81.54

ACO-5

CAHPS: Health Promotion and Education

56.11

60.44

ACO-6

CAHPS: Shared Decision Making

66.99

62.78

ACO-7

CAHPS: Health Status/Functional Status

74.53

73.79

ACO-34

CAHPS: Stewardship of Patient Resources

30.98

26.17

ACO-45

CAHPS: Courteous and Helpful Office Staff

95.41

92.84

ACO-46

CAHPS: Care Coordination

91.53

86.89

ACO-8

Risk Standardized, All Condition Readmission

14.90

14.86

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

57.50

58.15

ACO-43

Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91)

0.78

0.95

ACO-13

Falls: Screening for Future Fall Risk

85.77

84.97

ACO-14

Preventive Care and Screening: Influenza Immunization

67.72

76.03

ACO-17

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

41.18

81.67

ACO-18

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

72.76

71.46

ACO-19

Colorectal Cancer Screening

76.26

72.59

ACO-20

Breast Cancer Screening

72.53

74.05

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

83.68

82.17

ACO-40

Depression Remission at Twelve Months

8.75

13.58

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

12.65

14.70

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

72.22

72.87

For Previous Year's Financial and Quality Performance Results, Please Visit data.cms.gov.  

Payment Rule Waivers

  • Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
    • Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.
  • Waiver for Payment for Telehealth Services:
    • Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR § 425.612(f) and 42 CFR § 425.613.

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