We want to help folks stay healthier, and that means improving our care standards and changing the ways we deliver those services to our patients.A primary goal of the BJC ACO is to improve the quality of care our patients receive under the program. We want to help folks stay healthier, and that means improving our care standards and changing the ways we deliver those services to our patients.

BJC and Medicare have agreed to track 33 important quality of care measurements to ensure that seniors in the program are receiving quality care. These measures range from nationally recognized standards for heart disease and diabetes treatment all the way to the availability of physicians to see their patients and the overall patient care experience. 

Some measures emphasize good preventive care and avoiding health problems, and others track how we care for vascular disease and other important problems. Overall, patients should see an improvement in the coordination and quality of care that they receive from their doctor's office as part of the Accountable Care Organization.

How the BJC ACO is Organized

View our current BJC ACO commercial.

ACO Name and Location

BJC HealthCare ACO, LLC

Suite 300

670 Mason Ridge Center Drive

St. Louis, MO 63141


ACO Primary Contact

Nancy Kadlec, 

Program Director, Accountable Care



ACO Participants

**No participants are involved in a joint venture between ACO professionals and hospitals**

  • Ahmad A. Karadaghy, MD

  • Alton MultiSpecialists, Ltd.

  • Associated Specialists in Medicine

  • Aubra Houchin, DO

  • Barnes-Jewish St. Peters Hospital Physician Services

  • Boonslick Medical Group, Inc.

  • Brian Stufflebam, MD

  • CA Group, LLC

  • Christopher M. Perry, DO, PC

  • Comprehensive Spine Care

  • Consultants In Women’s Healthcare, Inc.

  • Fairview Heights Medical Group, S. C.

  • Internal Medicine and Geriatrics Associates

  • Jacquelyn B. Garrett, MD

  • James Goldring, MD

  • Metropolitan Orthopedics, Ltd.

  • Michael J. Adams, DO

  • Mid Missouri Pain Management

  • Midwest Vascular and General Surgery, Inc.

  • Missouri Baptist Medical Center Physician Services

  • MSA Alliance, LLC

  • Nephrology and Hypertension Specialists

  • O.A. Associates, LLC

  • OB Practice, LLC

  • PC Associates, LLC

  • Physician Groups, L.C.

  • Podiatry Associates, Inc.

  • Pulmonary Critical Care Medicine

  • Specialists In Gastroenterology

  • Specialists In Urology

  • Specialty & Primary Care, LLC

  • St. Charles Orthopaedic Surgery Associates

  • St. Louis Cardiology Center, P.C.

  • St. Louis Cardiology Consultants, Ltd.

  • St. Louis Urological Surgeons

  • St. Peters Bone and Joint Surgery

  • Stein Urology, S.C.

  • Stephen E. Kraft, MD

  • Stuart R. Adler, MD

  • Suburban OB/GYN, Ltd.


BJC ACO Governing Body

The ACO's governing body is its Board of Managers, which currently consists of the following individuals:

  • Sandra Van Trease, Voting Member and Chair, serving ex officio as the President of BJC ACO

  • Dale Nowlin, Voting Member, Medicare Beneficiary Representative

  • Gary Grix, MD, Voting Member, ACO Provider/Supplier, Practicing Physician, BJC Medical Group

  • John Antes, Voting Member, President, Missouri Baptist Medical Center

  • John Ellena, MD, Voting Member, serving ex officio as the Medical Director of BJC Medical Group of Missouri and the President of BJC Medical Group of Illinois

  • John Lynch, MD, Voting Member, Vice President, Chief Medical Officer, Barnes-Jewish Hospital

  • Rick Stevens, Voting Member, President, Christian Hospital

  • Mark Turner, Voting Member, President, Memorial Hospital

  • Hans Mossa, MD, Voting Member, Medical Director, Memorial Hospital

  • Douglas Pogue, MD, Voting Member, BJC ACO Medical Director and President, BJC Medical Group

  • Tony Schwarm, Voting Member, President, Missouri Baptist Sullivan Hospital

Key Leadership Personnel

  • ACO Executive: Sandra Van Trease, BJC ACO President

  • Medical Director: Douglas Pogue, MD

  • Compliance Officer: Steven Bernstetter

  • Quality Assurance and Improvement Officer: Douglas Pogue, MD

  • Program Director: Nancy Kadlec

  • Clinical Program Manager: Megan Guinn, RN, BSN

  • Operation Program Manager: Karen Shakiba

BJC ACO Committees

  • Quality Assurance and Improvement: Douglas Pogue, MD, Chair

  • Nominating Committee: Sandra Van Trease, Chair

  • Network Committee: Douglas Pogue, MD, Chair

ACO Composition

  • A network of individual practices of ACO professionals and partnership arrangements between hospitals and ACO professionals

Aggregate Amount of Shared Savings/Losses

  • Agreement Period beginning 2012, Performance Year 1: $0

  • Agreement Period beginning 2012, Performance Year 2014: $0

  • Agreement Period beginning 2012, Performance Year 2015: $0

How Shared Savings are Distributed

  • Reinvest in infrastructure: First Dollars, At Cost
  • Distribution to ACO Participants:
  • Physicians: $0
  • Primary Care Physician: $0
  • Specialists: $0
  • BJC Hospitals: $0

Yes, our ACO uses the SNF 3-Day Rule Waiver

  • Garden View Care Center Inc.
  • Meridian Village Association
  • Lutheran Senior Services - at Meramec Bluffs
  • Lutheran Senior Services - Mason Pointe Care Center
  • Lutheran Senior Services - Lenoir Health Care Center
  • Lutheran Senior Services - Laclede Groves
  • Lutheran Senior Services - at Breeze Park
  • Americare at Southbrook Nursing Center LLC
  • Tiger Place, LLC
  • Manor Grove, Inc
  • Mount Carmel Communities, LLC
  • Country Meadows Nursing and Rehab
  • Delmar Gardens of Meramec Valley Operating, LLC
  • Delmar Gardens North Operating, LLC
  • Delmar Gardens of Creve Coeur Operating, LLC
  • Delmar Gardens of South County, Inc.
  • Delmar Gardens on the Green Operating, LLC
  • Delmar Gardens of Chesterfield Operating, LLC
  • Delmar Gardens West Operating, LLC
  • Delmar Gardens O'Fallon Operating, LLC
  • NHC HealthCare - Desloge, LLC
  • NHC HealthCare - Maryland Heights, LLC
  • NHC HealthCare - Macon, LLC
  • NHC HealthCare - St. Charles, LLC
  • Villages of St. Peters, LLC
  • Alton Memorial Hospital
  • Village North, Inc.
  • Bethesda Long Term Care, Inc. (Southgate)
  • Bethesda Long Term Care, Inc. (Bethesda Meadows)
  • Bethesda Long Term Care, Inc. (Dilworth)
  • Memorial Care Center

Quality Performance Results