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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 Emerald Coast N
Sacred Heart Hospital on the Gulf N
Sacred Heart Medical Group  N

ACO Governing Body:

Member First Last Member First Name Member Title/Position Member's Voting Power (Expressed as a percentage) Membership Type ACO Participant Legal Business Name/DBA, if applicable
Estrellita Redmon Chairperson 20% ACO Participant Representative Sacred Heart Medical Group
Paul Baroco Voting Member 20% Medicare Beneficiary Representative N/A
Rachel Bixler Voting Member 20% ACO Participant Representative Sacred Heart Medical Group
Susan Cornejo Voting Member 20% ACO Participant Representative Sacred Heart Hospital Pensacola

Key ACO Clinical and Administrative Leadership:

ACO Executive:                                         Laura Behr
Medical Directo:                                         Estrellita Redmon, MD
Compliance Officer:                                   Rebecca Lovelace
Quality Assurance/Improvement Officer:   Rachel Bixler, MD

ACO Committees and Committee Leadership:

Committee Name Committee Leader Name and Position
Quality/Care Coordination Dr. Rachel Bixler, Chair
Patient Safety Dr. Estrellita Redmon, Chair
Beneficiary Engagement Melissa Hatch, Chair
Finance Susan Cornejo, Chair

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 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 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
  • FirstAgreement 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

2022 Quality Performance Results:

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

Measure # Measure Name Collection Type Rate ACO Mean
CAHPS-1 Get Timely Care, Appointments, and Information CAHPS for MIPS Survey 83.73 83.96
CAHPS-2 How Well Providers Communicate CAHPS for MIPS Survey 92.48 93.47
CAHPS-3 Patient's Rating of Provider CAHPS for MIPS Survey 90.73 92.06
CAHPS-4 Access to Specialists CAHPS for MIPS Survey 71.32 77.00
CAHPS-5 Health Promotion and Education CAHPS for MIPS Survey 61.72 62.68
CAHPS-6 Shared Decision Making CAHPS for MIPS Survey 62.44 60.97
CAHPS-7 Health Status and Functional Status CAHPS for MIPS Survey 71.75 73.06
CAHPS-8 Care Coordination CAHPS for MIPS Survey 84.14 85.46
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS Survey 91.07 91.97
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS Survey 25.82 25.62
001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control CMS Web Interface 8.78 10.71
134 Preventative Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface 88.24 76.97
236 Controlling High Blood Pressure CMS Web Interface 70.56 76.16
318 Falls: Screening for Future Fall Risk CMS Web Interface 100.00 87.83
110 Preventative Care and Screening: Influenza Immunization CMS Web Interface 82.11 77.34
226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 94.44 79.27
113 Colorectal Cancer Screening CMS Web Interface 73.39 75.32
112 Breast Cancer Screening CMS Web Interface 77.42 78.07
438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 88.51 86.37
370 Depression Remission at Twelve Months CMS Web Interface 10.94 16.03
479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups Administrative Claims 0.1674 0.1510
MCC1 All-Cause Unplanned Admissions for Patients with
Multiple Chronic Conditions for ACOs (MCC)		 Administrative Claims 30.88 30.97

For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov.

Fraud and Abuse Waivers

A2299 Waiver disclosures, updated September 2023

 


 
 
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