This page contains accountable care organization information required to be published on an ACO's website per Centers for Medicare & Medicaid Services regulations.
ACO Name and Location
SJFI LLC dba Oklahoma Health Initiatives
St. John Administration
1923 S. Utica Ave.
Tulsa, OK 74104
ACO Primary Contact
Ann Paul, MPH, ACO President
- Jane Phillips Memorial Medical Center Inc.
- Owasso Medical Facility Inc. dba St. John Owasso
- St. John Broken Arrow Inc.
- St. John Medical Center Inc.
- St. John Sapulpa Inc.
- Elite Medical Care PLLC dba Elite Medical Clinic
- Gemini Medical Group Inc.
- Harvard Family Physicians PC
- James Russell MD Inc.
- Muskogee Medical and Surgical Associates LLC
- Northeast Oklahoma Physician Network Inc.
- St. John Physicians Inc.
- St. John Urgent Care Clinics Inc.
No participants are involved in a joint venture between ACO professionals or hospitals.
ACO Governing Body
Click here to view members of the ACO's governing body.
Key ACO Clinical and Administrative Leadership
- ACO President – Ann Paul, MPH
- ACO Vice President – Todd Hoffman, MD
- ACO Secretary – Mike Moore, CPA
- ACO Treasurer – Lex Anderson, CPA
- ACO Compliance Official – Kevin Steck
- ACO Medical Director – Tobie Bresloff, MD, St. John Physicians Inc.
ACO Associated Committees and Committee Leadership
- Board of Managers – Chair, Todd Hoffman, MD
- Nominations & Elections Committee – Chair, Todd Hoffman, MD
- Quality Improvement Committee – Chair, Edward Rylander, MD
- Finance & Operations Committee – Chair, Mike Moore, CPA
- Population Health and Care Pathways Committee – Chair, Mark Trimble, MD
- Community and Communications Advisory Committee – Chair, Milton Olsen, PhD, LPC
Types of ACO Participants, or Combination of Participants, that Formed the ACO
Oklahoma Health Initiatives is formed with a composition of multiple, otherwise independent ACO participants that consist of ACO professionals in a group practice environment, individual practices of ACO professionals, ACO participants that are hospitals, and an ACO participant that is a critical access hospital.
SJFI LLC dba Oklahoma Health Initiatives ("OKHI") was formed specifically for submission of an application to provide coordinated care to Medicare beneficiaries who are not enrolled through other Medicare shared savings (or other innovation) programs or Medicare Advantage plans. The OKHI model provides ACO Participants with the motive and means for collaborating through shared electronic health records and a physician-driven committee governance structure to improve the care and reduce the cost trend for patients. While initially for Medicare beneficiaries, the program expanded to serve other populations as well. The OKHI patient care model envisions a person-centered approach to health care, emphasizing prevention and wellness, chronic disease management, and better care coordination across the full continuum of care with every Medicare beneficiary as an active participant in his or her care coordination. We seek to improve the health status of every patient in a manner that spends health care dollars wisely and effectively.
OKHI is wholly owned by Utica Services Inc., a subsidiary of St. John Health System ("St. John"), a tax-exempt, "non-profit" integrated health delivery system. Utica Services is the sole member of OKHI. OKHI is established as a for-profit limited liability company whose board of directors consists predominantly of physicians and includes at least one Medicare beneficiary.
The mission of St. John is that "we commit ourselves to serving all persons with special attention to those who are poor and vulnerable. Our Catholic health ministry is dedicated to spiritually centered, holistic care that sustains and improves the health of individuals and communities." Our promise to our patients is to provide "Medical Excellence and Compassionate Care." The goals of the ACO are consistent with this mission and are further supported through the organizational vision, which states that our ministry "will lead to the transformation of health care. We will ensure service that is committed to health and well-being for our communities and that responds to the needs of individuals throughout the life cycle."
Shared Savings and Losses
Amount of shared savings/losses:
- Agreement period beginning 2014, Performance Year 2014: $0
- Agreement period beginning 2014, Performance Year 2015: $0
Shared savings distribution:
Agreement period beginning 2014, Performance Year 2014, 2015
- Proportion of distribution to ACO Participants:
- ACO Participant physicians = 50%
- ACO Participant hospitals = 15%
- Proportion invested in infrastructure = 20%
- ACO Affiliates = 15% distributed as performance improvement incentive
Payment rule waivers:
No, our ACO does not utilize SNF 3-Day Rule Waiver.
Quality Performance Results
- Click here to see the 2015 Quality Performance Results Table.
- Click here to see 2012-2014 Quality Performance Results Table.
Medicare Shared Savings Program Waiver Disclosures (arrangements for which waiver protection is sought)
- This ACO has an agreement with each of its ACO Participants to participate in the Medicare Shared Savings Program.
- There are certain other arrangements among ACO Participants and ACO Affiliates, including St. John Medical Center; Harvard Family Physicians; Stewart Katz, MD; James Russell, MD; Nephrology Associates, Inc.; and Tulsa OB-GYN Associates, Inc. regarding the support of electronic health records software and related services that qualify under the pre-participation or participation waivers issued by the Centers for Medicare and Medicaid Services and the Office of the Inspector General, Department of Health and Human Services, Sec. 76 Fed. Reg. p.67992 Nov. 2, 2011 and Sec. 80 Fed. Reg. p. 66727 Oct. 29, 2015.
- The ACO has arranged for the regional Health Information Exchange, MyHealth Access Network to create and support the use of a Secure Direct Messaging account for those ACO Participants, ACO Affiliates, and other providers that did not have access to a Secure Direct Messaging account for the purpose of communicating Transition of Care and other health related documents and data with the provider during the course of patient care. The provision regarding the support of the Secure Direct Messaging related services qualify under the pre-participation or participation waivers issued by the Centers for Medicare and Medicaid Services and the Office of the Inspector General, Department of Health and Human Services, Sec. 76 Fed. Reg. p.67992 Nov. 2, 2011 and Sec. 80 Fed. Reg. p. 66727 Oct. 29, 2015.
- A demonstration project has been established by an ACO Participant, St. John Medical Center, which has arranged for transportation assistance of certain patients to be provided by Morton Comprehensive Health Center (a federally qualified health center) as an independent contractor. Such services are approved on a case-by-case basis to established patients of St. John Medical Center who are among underserved populations. These transportation services qualify under the pre-participation or participation or patient incentive waivers issued by the Centers for Medicare and Medicaid Services and the Office of the Inspector General, Department of Health and Human Services, Sec. 76 Fed. Reg. p.67992 and 68001 Nov. 2, 2011 and Sec. 80 Fed. Reg. p. 66727 Oct. 29, 2015.
Public information last updated: Nov. 2, 2016