ACO Reporting

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
Previous Names: N/A
St. John Administration
1923 S. Utica Ave.
Tulsa, OK 74104

ACO Primary Contact

Primary Contact Name: Ann Paul, MPH
Primary Contact Phone Number: 918-744-2180
Primary Contact Email Address: okhi@sjmc.org

ACO Participants

  • 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.
  • Gemini Medical Group Inc.
  • James Russell MD Inc.
  • Northeast Oklahoma Physician Network Inc.
  • St. John Physicians Inc.
  • St. John Urgent Care Clinics Inc.

No ACO 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 Executive – Ann Paul, MPH
  • ACO Medical Director – Todd Hoffman, MD
  • ACO Compliance Officer – Sara Powers
  • ACO Quality Assurance/Improvement Officer – Todd Hoffman, MD

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, Dustin Cupp, DO
  • Community and Communications Advisory Committee – Chair, Milton Olsen, PhD, LPC

Types of ACO Participants, or Combination of Participants, that Formed the ACO

  •  ACO professionals in a group practice arrangement
  •  Networks of individual practices of ACO professionals
  •  Hospital employing ACO professionals
  •  Critical Access Hospital (CAH) billing under Method II
  •  Rural Health Clinic (RHC)

Shared Savings and Losses

Amount of shared savings/losses:

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

Shared savings distribution:

  • Second Agreement Period
    • 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: 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

Quality Performance Results

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting, due to low samples.

 

Note: In the Quality Performance Results file(s) above, search for “SJFI, LLC” or "Oklahoma Health Initiatives" to view the quality performance results. This ACO can also be found by using the ACO ID A40650 in the public use files on data.cms.gov.

Payment Rule Waivers

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

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: July 20, 2018