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.
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. |
| Paula Burcher | Community Representative | Member | 1 | 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 |
| 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
- Performance Year 2020, $0
Shared Savings Distribution
- N/A
Payment Rule Waivers:
- No, our ACO does not use the SNF 3-Day Rule Waiver.
Quality Performance Results:
2020 Quality Performance Results
| ACO# | Measure Name | Rate | ACO Mean |
|---|---|---|---|
| ACO-1 | CAHPS: Getting Timely Care, Appointments, and Information | Waived | Waived |
| ACO-2 | CAHPS: How Well Your Providers Communicate | Waived | Waived |
| ACO-3 | CAHPS: Patients' Rating of Provider | Waived | Waived |
| ACO-4 | CAHPS: Access to Specialists | Waived | Waived |
| ACO-5 | CAHPS: Health Promotion and Education | Waived | Waived |
| ACO-6 | CAHPS: Shared Decision Making | Waived | Waived |
| ACO-7 | CAHPS: Health Status/Functional Status | Waived | Waived |
| ACO-34 | CAHPS: Stewardship of Patient Resources | Waived | Waived |
| ACO-45 | CAHPS: Courteous and Helpful Office Staff | Waived | Waived |
| ACO-46 | CAHPS: Care Coordination | Waived | Waived |
| ACO-8 | Risk Standardized, All Condition Readmission | 14.92 | 15.07 |
| ACO-38 | All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions | 45.40 | 49.50 |
| ACO-43 | Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) | 0.72 | 0.95 |
| ACO-13 | Falls: Screening for Future Fall Risk | 94.20 | 84.97 |
| ACO-14 | Preventative Care and Screening: Influenza Immunization | 82.10 | 76.03 |
| ACO-17 | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100.00 | 81.67 |
| ACO-18 | Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan | 84.04 | 71.46 |
| ACO-19 | Colorectal Cancer Screening | 74.41 | 72.59 |
| ACO-20 | Breast Cancer Screening | 80.57 | 74.05 |
| ACO-42 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | 83.74 | 83.37 |
| ACO-40 | Depression Remission at Twelve Months | 39.58 | 13.99 |
| ACO-27 | Diabetes: Hemoglobin A1c Poor Control (>9%) | 13.87 | 14.70 |
| ACO-28 | Controlling High Blood Pressure | 67.95 | 72.87 |
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
- 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