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ACO Reporting

ACO Name and Location
Riverside Health Source, LLC
701 Town Center Drive
Suite 1000
Newport News, VA 23606

ACO Primary Contact
Jamie Eastham, CMS Liaison
[email protected]
757-532-8389

Organization Information/ACO Participants
Riverside Physicians Services, Inc.
Peninsula Cancer Institute, LLC
Michumi, PLLC

ACO participants in joint ventures between ACO professionals and hospitals:

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

Riverside Health Source, LLC – Governing Board:

Member Name Medical Specialty, Position Title / Position Voting Power Membership Type ACO Participant TIN
David Jones Internal Medicine Chairman - Board of Directors 10% ACO Participant RIVERSIDE PHYSICIAN SERVICES, INC.
Dwight Herbert Family Medicine Chair - Clinical Value Subcommittee 10% ACO Participant RIVERSIDE PHYSICIAN SERVICES, INC.
James McCorry Emergency Medicine Chair - Finance and Network Operations 10% ACO Participant RIVERSIDE PHYSICIAN SERVICES, INC.
Chan Park Urgent Care / ED Specialty Member 10% ACO Participant MICHUMI, PLLC
Ed Chu Cardiology Member 10% ACO Participant RIVERSIDE PHYSICIAN SERVICES, INC.
John Miller Oncology Member 10% ACO Participant PENINSULA CANCER INSTITUTE, LLC
Gregg Shivers Internal Med / Geriatrics (LLH) Member 10% ACO Participant RIVERSIDE PHYSICIAN SERVICES, INC.
Teresa Thompson Hospitalist Service Member 10% ACO Participant RIVERSIDE PHYSICIAN SERVICES, INC.
Paula Burcher Community Representative Member 10% Medicare Beneficiary N/A
Thomas Taghon Management Non-voting Member 0 Other - Facility Representative N/A
Thomas Kayrouz Management Non-voting Member 0 Other - Facility Representative N/A
Mike Dacey Management Non-voting Member 0 Other - Facility Representative N/A
Sally Hartman Management Member 10% Other - RHS Managed Care N/A

Key ACO Clinical and Administrative Leadership:
ACO Executive - Sally Ryan
ACO President & Medical Director: Thomas Kayrouz, MD
Compliance Officer - Lisa Salsberry
Quality Assurance/Improvement Officer - Anne Mercer

Associated Committees and Committee Leadership:
Value Based Contracting and Network Operations Subcommittee – Sally Hartman, SVP, Co-Chair and James McCorry, Co-Chair
Clinical Value Subcommittee – Terry Sievers, Co-Chair and Dwight Herbert, MD, Co-Chair

Types of ACO participation, or combinations of participants, that formed the ACO:

  • Hospital employing ACO professionals

Shared Saving and Losses
Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2018, $0
    • Performance Year 2019, $0
    • Performance Year 2020, $0
    • Performance Year 2021, $0

Shared Savings Distribution

  • N/A

Payment Rule Waivers:

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

Quality Performance Results:

2021 Quality Performance Results (Based on CMS Web Interface Measures)

Measure #

Measure Name

Eligible For Scoring1

Reported Performance Rate

Current Year Mean Performance Rate (SSP ACOs)

001

Diabetes: Hemoglobin A1c (HbA1c) Poor Control2

Y

12.23

12.46

134

Preventative Care and Screening: Screening for Depression and Follow-up Plan

N

89.73

74.38

236

Controlling High Blood Pressure

Y

72.62

74.87

318

Falls: Screening for Future Fall Risk

Y

90.99

87.03

110

Preventative Care and Screening: Influenza Immunization

Y

92.72

80.52

226

Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention

Y

94.74

80.97

113

Colorectal Cancer Screening

Y

75.91

73.63

112

Breast Cancer Screening

Y

80.08

75.11

438

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

N

85.23

84.24

321

CAHPS for MIPS3

Y

N/A

N/A

479

Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2

Y

0.1553

0.1540

MCC1

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)2

Y

31.93

33.99

CAHPS-1

Getting Timely Care, Appointments, and Information

Y

86.92

84.67

CAHPS-2

How Well Providers Communicate

Y

95.64

93.56

CAHPS-3

Patient’s Rating of Provider

Y

93.99

92.19

CAHPS-4

Access to Specialists

N

80.66

78.80

CAHPS-5

Health Promotion and Education

Y

60.87

61.61

CAHPS-6

Shared Decision Making

Y

59.67

60.89

CAHPS-7

Health Status and Functional Status

N

73.16

71.78

CAHPS-8

Care Coordination

Y

89.71

85.66

CAHPS-9

Courteous and Helpful Office Staff

Y

95.10

91.88

CAHPS-11

Stewardship of Patient Resources

Y

21.08

24.71

Please note, the Quality ID #: 370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

For Previous Years' Financial and Quality Performance Results please visit: data.cms.gov

 

Payment Waivers

  • Skilled Nursing Facility (SNF) 3-day Rule Waiver: N/A

Beneficiary Incentive Program: N/A