ACO Name and Location

Northwest Florida Health Partners, LLC
5151 N. Ninth Avenue
Pensacola, FL 32504

ACO Primary Contact

Laura Behr
(850) 746-1403
lwbehr@ascension.org

Organizational Information

ACO Participants:

ACO Participants

ACO Participant in Joint Venture

Sacred Heart Hospital of Pensacola

N

Sacred Heart Hospital on the Gulf

N

Sacred Heart Medical Group

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

Syed

Jafri

Chairperson

12.50%

ACO Participant
Representative

Sacred Heart Medical Group

Susan

Cornejo

Voting Member

12.50%

ACO Participant
Representative

Sacred Heart Hospital Pensacola

Dr. Dale

Tucker

Voting Member

12.50%

ACO Participant
Representative

Sacred Heart Medical Group

Michael

Shaw

Voting Member

12.50%

ACO Participant
Representative

Sacred Heart Hospital Pensacola

Rachel

Bixler

Voting Member

12.50%

ACO Participant
Representative

Sacred Heart Medical Group

Justin

Labrato

Voting Member

12.50%

ACO Participant
Representative

Sacred Heart Medical Group

Dr. Susan

Laenger

Voting Member

12.50%

ACO Participant
Representative

Sacred Heart Medical Group

Vicki

Abrams

Voting Member

12.50%

Medicare Beneficiary Representative

N/A

Key ACO Clinical and Administrative Leadership:

 ACO Executive:

Laura Behr 

 Medical Director:

 Dale Tucker, MD

 Compliance Officer:

 Kathryn Yurkovich

 Quality Assurance/Improvement Officer:

 Rachel Bixler, MD

Types of ACO Participants, or Combinations of Participants, that Formed the ACO:

  • ACO professionals in a group practice arrangement
  • Networks of individual practices of ACO professionals
  • Hospitals employing ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses:

  • Third Agreement Period
    • Performance Year 2023: $0
    • Performance Year 2022: $0
    • Performance Year 2021: $2,870,185
    • Performance Year 2020: $0
  • Second Agreement Period
    • Performance Year 2019: $0
    • Performance Year 2018: $0
    • Performance Year 2017, $0
  • First Agreement Period
    • Performance Year 2016, $3,371,438
    • Performance Year 2015, $3,562,750
    • Performance Year 2014, $0

Shared Savings Distribution:

  • Third Agreement Period
    • Performance Year 2023
      • 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 2022
      • 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 2021
      • Proportion invested in infrastructure: 25%
      • Proportion invested in redesigned care processes/resources: 25%
      • Proportion of distribution to ACO participants: 50%
    • Performance Year 2020
      • 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
  • First Agreement Period
    • Performance Year 2016
      • Proportion invested in infrastructure: 25%
      • Proportion invested in redesigned care processes/resources: 25%
      • Proportion of distribution to ACO participants: 50%
    • Performance Year 2015
      • Proportion invested in infrastructure: 25%
      • Proportion invested in redesigned care processes/resources: 25%
      • Proportion of distribution to ACO participants: 50%
    • 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

2023 Quality Performance Results:

Quality performance results are based on the CMS Web Interface Measure Set.

ACO Quality Measure Number

Measure Name

Collection Type

Rate

ACO Mean

CAHPS-1

Getting Timely Care, Appointments, and Information

CAHPS for MIPS Survey

82.81

83.68

CAHPS-2

How Well Providers Communicate

CAHPS for MIPS Survey

94.77

93.69

CAHPS-3

Patient’s Rating of Provider

CAHPS for MIPS Survey

93.80

92.14

CAHPS-4

Access to Specialists

CAHPS for MIPS Survey

76.97

75.97

CAHPS-5

Health Promotion and Education

CAHPS for MIPS Survey

66.15

63.93

CAHPS-6

Shared Decision Making

CAHPS for MIPS Survey

67.89

61.60

CAHPS-7

Health Status and Functional Status

CAHPS for MIPS Survey

72.88

74.12

CAHPS-8

Care Coordination

CAHPS for MIPS Survey

86.91

85.77

CAHPS-9

Courteous and Helpful Office Staff

CAHPS for MIPS Survey

90.94

92.31

CAHPS-11

Stewardship of Patient Resources

CAHPS for MIPS Survey

23.01

26.69

Measure #: 001

Diabetes: Hemoglobin A1c (HbA1c) Poor Control

CMS Web Interface

9.68

9.84

Measure #: 134

Preventative Care and Screening: Screening for Depression and Follow-up Plan

CMS Web Interface

86.53

80.97

Measure #: 236

Controlling High Blood Pressure

CMS Web Interface

75.40

77.80

Measure #: 318

Falls: Screening for Future Fall Risk

CMS Web Interface

100.00

89.42

Measure #: 110

Preventative Care and Screening: Influenza Immunization

CMS Web Interface

64.04

70.76

Measure #: 226

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

CMS Web Interface

79.17

79.29

Measure #: 113

Colorectal Cancer Screening

CMS Web Interface

82.66

77.14

Measure #: 112

Breast Cancer Screening

CMS Web Interface

82.66

80.36

Measure #: 438

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

CMS Web Interface

90.99

87.05

Measure #: 370

Depression Remission at Twelve Months

CMS Web Interface

13.48

16.58

Measure #: 321

CAHPS for MIPS

CMS Web Interface

6.99

6.25

Measure #: 479

Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups

Administrative Claims

.1639

.1553

Measure #: 484

Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions

Administrative Claims

34.00

35.39

For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov

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Update: November 2024