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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 Regional Health Partners ACO
Previous Names: N/A
2801 Franciscan Dr
Bryan, TX 77802

ACO Primary Contact

Primary Contact Name

Reyann Davis

Primary Contact Phone Number      

979-774-2114

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:

Member

Member's Voting Power –Expressed as a percentage or number

Membership Type -

ACO Participant Legal Business Name/DBA, if Applicable

Last Name

First Name

Title/Position

Parsi

Kia

MD, Chair

1

Participant Representative

St. Joseph Health Medical Group

Campbell

James

MD, Voting Member

1

Participant Representative

Bryan Radiology Associates

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

Damian

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

Central Texas Heart Center

Waer

Amy

MD, Voting Member

1

Community Stakeholder Representative

Texas A&M University Health Science Center

Key ACO clinical and administrative leadership:

Reyann Davis

ACO Executive

Kia Parsi

Medical Director

Christi Knox

Compliance Officer

Sarah Habeeb 

Quality Assurance/Improvement Officer

Associated committees and committee leadership:

Committee Name

Committee Leader Name and Position

St. Joseph Health Partners ACO 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

  • First Agreement Period
    • Performance Year 2014, $0
    • Performance Year 2015, $0
    • Performance Year 2016, $0
  • Second Agreement Period
    • Performance Year 2017, $0
    • Performance Year 2018, $0
    • Performance Year 2019, $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: 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
  • 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

Quality Performance Results

2019 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)

1.90

1.87

ACO-13

Falls: Screening for Future Fall Risk

82.96

84.04

ACO-14

Preventive Care and Screening: Influenza Immunization

66.53

74.77

ACO-17

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

52.63

78.04

ACO-18

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

72.03

70.40

ACO-19

Colorectal Cancer Screening

76.26

70.76

ACO-20

Breast Cancer Screening

75.18

73.84

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

75.18

82.17

ACO-40

Depression Remission at Twelve Months

8.75

13.58

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

14.52

13.88

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

70.36

75.04

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

Payment Rule Waivers

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