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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

Anne Mercer, CMS Liaison
[email protected]
757-316-5807

Organization Information
ACO Participants

ACO Participants ACO Participant in Joint Venture
Riverside Physicians Services, Inc N
Peninsula Cancer Institute, LLC N
Michumi, PLLC N

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.
Kevin McKelvey 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
Leslie Brunick 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:
ACO Subcommittee - Dwight Herbert, MD, Co-Chair and Debra Boyer, 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

  • Second Agreement Period
    • Performance Year 2023, $0
    • Performance Year 2022, $0
  • First Agreement Period
    • Performance Year 2018, $0
    • Performance Year 2019, $0
    • Performance Year 2020, $0
    • Performance Year 2021, $0

Shared Savings Distribution

  • N/A 

Quality Performance Results:

2023 Quality Performance Results (Based on CMS Web Interface Measures)

7

Measure #

Measure Name

Collection Type

Rate

ACO Mean
Quality ID# 001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control CMS Web Interface 8.18 9.84
Quality ID# 134 Preventative Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface 95.22 80.97
Quality ID# 236 Controlling High Blood Pressure CMS Web Interface 77.26 77.80
Quality ID# 318 Falls: Screening for Future Fall Risk  CMS Web Interface  94.26 89.42
Quality ID# 110  Preventative Care and Screening: Influenza Immunization  CMS Web Interface  81.33 70.76
Quality ID# 226  Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention  CMS Web Interface  97.44 79.29
Quality ID# 113  Colorectal Cancer Screening  CMS Web Interface
 80.14 77.14
Quality ID# 112
 Breast Cancer Screening CMS Web Interface  89.47 80.36
Quality ID# 438  Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
 CMS Web Interface  87.83 87.05
Quality ID# 370
 Depression Remission at Twelve Months
 CMS Web Interface
 41.67 16.58
Quality ID# 321  CAHPS for MIPS  CAHPS for MIPS Survey  7.24 6.25
Measure# 479  Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups  Administrative Claims  0.1483 0.1553
Measure# 484  Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions  Administrative Claims  32.14 35.39
CAHPS-1  Getting Timely Care, Appointments, and Information  CAHPS for MIPS Survey  84.11 83.68
CAHPS-2  How Well Providers Communicate  CAHPS for MIPS Survey  95.00 93.69
CAHPS-3  Patient’s Rating of Provider  CAHPS for MIPS Survey  94.18 92.14
CAHPS-4  Access to Specialists  CAHPS for MIPS Survey  74.65 75.97
CAHPS-5  Health Promotion and Education  CAHPS for MIPS Survey  63.64 63.93
CAHPS-6  Shared Decision Making  CAHPS for MIPS Survey  60.61 61.60
CAHPS-7  Health Status and Functional Status  CAHPS for MIPS Survey  74.72 74.12
CAHPS-8
 Care Coordination  CAHPS for MIPS Survey  87.81 85.77
CAHPS-9  Courteous and Helpful Office Staff  CAHPS for MIPS Survey  94.13 92.31
CAHPS-11  Stewardship of Patient Resources  CAHPS for MIPS Survey  24.63 26.69

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

 

Fraud and Abuse Waivers

  • ACO Pre-Participation Waiver:

    The following information describes each arrangement for which our ACO seeks protection under the ACO Pre-Participation Waiver, including any material amendment or modification to a disclosed arrangement - N/A

  • ACO Participation Waiver:

    The following information describes each arrangement for which our ACO seeks protection under the ACO Participation Waiver, including any material amendment or modification to a disclosed arrangement - N/A