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
Jamie.Eastham@rivhs.com
757-532-8389

Organization Information/ACO Participants
Riverside Physicians Services, Inc.
Riverside Hospital, 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
Robert Harding Hospitalist Chairman - Board of Directors 1 ACO Participant RIVERSIDE PHYSICIAN SERVICES, INC.
Dwight Herbert Family Medicine Chair - Clinical Value Subcommittee 1 ACO Participant RIVERSIDE PHYSICIAN SERVICES, INC.
James McCorry Emergency Medicine Chair - Finance and Network Operations 1 ACO Participant RIVERSIDE PHYSICIAN SERVICES, INC.
Bradley Touchet FM Residency Director Member 1 ACO Participant RIVERSIDE PHYSICIAN SERVICES, INC.
Chan Park Urgent Care / ED Specialty Member 1 ACO Participant MICHUMI, PLLC
Ed Chu Cardiology Member 1 ACO Participant RIVERSIDE PHYSICIAN SERVICES, INC.
John Miller Oncology Member 1 ACO Participant PENINSULA CANCER INSTITUTE, LLC
Gregg Shivers Internal Med / Geriatrics (LLH) Member 1 ACO Participant RIVERSIDE PHYSICIAN SERVICES, INC.
Teresa Thompson Hospitalist Service Member 1 ACO Participant RIVERSIDE PHYSICIAN SERVICES, INC.
Wirt Cross General Surgery Member 1 ACO Participant RIVERSIDE PHYSICIAN SERVICES, INC.
Patricia Barry Community Representative Member 1 Medicare Beneficiary N/A
David Cohen Emergency Medicine Member 1 ACO Participant RIVERSIDE PHYSICIAN SERVICES, INC.
Thomas Kayrouz Management Non-voting Member 0 Other - Facility Representative N/A
William Downey Management Member 1 Other - Facility Representative N/A
Mike Dacey Management Non-voting Member 0 Other - Facility Representative N/A
Sally Hartman Management Member 1 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

Shared Savings Distribution

  • N/A

Payment Rule Waivers:

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

Quality Performance Results:

2019 Quality Performance Results

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 85.08 85.86
ACO-2 CAHPS: How Well Your Providers Communicate 95.13 94.11
ACO-3 CAHPS: Patients' Rating of Provider 93.12 92.69
ACO-4 CAHPS: Access to Specialists 80.17 81.54
ACO-5 CAHPS: Health Promotion and Education 61.57 60.44
ACO-6 CAHPS: Shared Decision Making 59.4 62.78
ACO-7 CAHPS: Health Status/Functional Status 73.48 73.79
ACO-34 CAHPS: Stewardship of Patient Resources 21.66 26.17
ACO-45 CAHPS: Courteous and Helpful Office Staff 94.56 92.84
ACO-46 CAHPS: Care Coordination 88.53 86.89
ACO-8 Risk Standardized, All Condition Readmission 14.58 14.86
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 52.94 58.15
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 1.4 1.87
ACO-13 Falls: Screening for Future Fall Risk 78.24 84.04
ACO-14 Preventative Care and Screening: Influenza Immunization 80.39 74.77
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 89.09 78.04
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 72.51 70.4
ACO-19 Colorectal Cancer Screening 78.67 70.76
ACO-20 Breast Cancer Screening 81.32 73.84
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 82.86 82.17
ACO-40 Depression Remission at Twelve Months 11.11 13.58
ACO-27 Diabetes: Hemoglobin A1c Poor Control (>9%) 12.6 13.88
ACO-28 Controlling High Blood Pressure 70.44 75.04

 

For 2018 Quality Performance Results please visit: https://data.cms.gov

 

Payment Waivers

  • Skilled Nursing Facility (SNF) 3-day Rule Waiver: N/A
  • Waiver for Payment for Telehealth Services:
    • Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR §425.612(f) and 42 CFR §425.613.

Beneficiary Incentive Program: N/A