Medicare ACO

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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