Medicare Shared Savings Program Public Reporting

ACO Name and Location

Saint Francis Accountable Health Alliance LLC
6161 South Yale Avenue
Tulsa, OK, 74136

ACO Primary Contact

Scott Ptacnik
918-499-4800
[email protected]

Organizational Information

ACO Participants

ACO Participants	ACO Participant in Joint Venture
WARREN CLINIC INC	No

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, if applicable
Brent	Dennis	Chief Medical Officer	15%	ACO Participant Representative	WARREN CLINIC INC
Cliff	Robertson	CEO	4%	Other	N/A
Collin	Henry	President	15%	ACO Participant Representative	WARREN CLINIC INC
Deborah	Dage	CFO	4%	Other	N/A
James	Bailey	Medicare Beneficiary	5%	Medicare Beneficiary Representative	N/A
Mike	Lissau	General Counsel	4%	Other	N/A
Patrick	Henderson	Physician	15%	ACO Participant Representative	WARREN CLINIC INC
Rebekah	Kriegsman	Physician	15%	ACO Participant Representative	WARREN CLINIC INC
Reetu	Singh	CMO	4%	Other	N/A
Scott	Ptacnik	ACO Executive	4%	Other	N/A
Steven	Geister	Physician	15%	ACO Participant Representative	WARREN CLINIC INC

Member's voting power may have been rounded to reflect a total voting power of 100 percent.

Key ACO Clinical and Administrative Leadership

ACO Executive: Scott Ptacnik
Medical Director: Brent Dennis, Coy Peters
Compliance Officer: Cathy Johnson
Quality Assurance/Improvement Officer: Kasey Rachel

Associated Committees and Committee Leadership

Committee Name	Committee Leader Name and Position
Saint Francis Physician Advisory Council	Dr. Brent Dennis, Chief Medical Officer (Warren Clinic)
Warren Clinic Quality Improvement Committee	Dr. Brad Hardy, Medicare Director (Warren Clinic)

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

ACO Professionals in a group practice arrangement

Shared Savings and Losses

Amount of Shared Savings/Losses:

Second Agreement Period
- Performance Year 2026, N/A
- Performance Year 2025, N/A
First Agreement Period
- Performance Year 2024, $13,221,977.36

Shared Savings Distribution:

Second Agreement Period
- Performance Year 2026
  - 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 2025
  - 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 2024
  - Proportion invested in infrastructure: 72.7%
  - Proportion invested in redesigned care processes/resources: 7.6%
  - Proportion of distribution to ACO participants: 19.7%

Quality Performance Results

2024 Quality Performance Results:

Quality performance results are based on the eCQMs/MIPS CQMs/Medicare CQMs collection type.

Measure #	Measure Title	Collection Type	Performance Rate	Current Year Mean Performance Rate (Shared Savings Program ACOs)
321	CAHPS for MIPS	CAHPS for MIPS Survey	7.07	6.67
479^*	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups	Administrative Claims	0.1492	0.1517
484^*	Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC)	Administrative Claims	-	37
318	Falls: Screening for Future Fall Risk	CMS Web Interface	-	-
110	Preventative Care and Screening: Influenza Immunization	CMS Web Interface	-	-
226	Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention	CMS Web Interface	-	-
113	Colorectal Cancer Screening	CMS Web Interface	-	-
112	Breast Cancer Screening	CMS Web Interface	-	-
438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	CMS Web Interface	-	-
370	Depression Remission at Twelve Months	CMS Web Interface	-	-
001^*	Diabetes: Hemoglobin A1c (HbA1c) Poor Control	eCQM	23.52	28.16
134	Preventative Care and Screening: Screening for Depression and Follow-up Plan	eCQM	56.73	54.68
236	Controlling High Blood Pressure	eCQM	77.72	71.39
CAHPS-1	Getting Timely Care, Appointments, and Information	CAHPS for MIPS Survey	87.82	83.7
CAHPS-2	How Well Providers Communicate	CAHPS for MIPS Survey	94.49	93.96
CAHPS-3	Patient's Rating of Provider	CAHPS for MIPS Survey	93.48	92.43
CAHPS-4	Access to Specialists	CAHPS for MIPS Survey	73.63	75.76
CAHPS-5	Health Promotion and Education	CAHPS for MIPS Survey	64.64	65.48
CAHPS-6	Shared Decision Making	CAHPS for MIPS Survey	60.14	62.31
CAHPS-7	Health Status and Functional Status	CAHPS for MIPS Survey	74.19	74.14
CAHPS-8	Care Coordination	CAHPS for MIPS Survey	87.91	85.89
CAHPS-9	Courteous and Helpful Office Staff	CAHPS for MIPS Survey	93.53	92.89
CAHPS-11	Stewardship of Patient Resources	CAHPS for MIPS Survey	21.37	26.98

For previous years' Financial and Quality Performance Results, please visit: data.cms.gov

^*For Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [Quality ID #001], Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [Measure #479], and Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], a lower performance rate indicates better measure performance.

^*For Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], patients are excluded if they were attributed to Qualifying Alternative Payment Model (APM) Participants (QPs). Most providers participating in Track E and ENHANCED track ACOs are QPs, and so performance rates for Track E and ENHANCED track ACOs may not be representative of the care provided by these ACOs' providers overall. Additionally, many of these ACOs do not have a performance rate calculated due to not meeting the minimum of 18 beneficiaries attributed to non-QP providers.

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.

Urgent Care Options

Emergency Care

DispatchHealth In-Home Care

Be True to Your Heart

Health Zone

Well Connected by Warren Clinic