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