ACO Public 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
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.

ACO Governing Body
[Key: Board member name, Title/Position, Membership Type, Legal Business Name (TIN). All members have 1 Voting Power.]

  • Robert Harding, Chairman, Board of Directors, ACO Participant, Riverside Physician Services, Inc.
  • Dwight Herbert, Chair, Clinical Value Subcommittee, ACO Participant, Riverside Physician Services, Inc.
  • James McCorry, Chair, Finance and Network Operations, ACO Participant, Riverside Physician Services, Inc.
  • Bradley Touchet, Member, ACO Participant, Riverside Hospital, Inc.
  • Chan Park, Member, ACO Participant, Michumi, PLLC
  • Ed Chu, Member, ACO Participant, Riverside Physician Services, Inc.
  • John Miller, Member, ACO Participant, Peninsula Cancer Institute, LLC
  • Greg Shivers, ACO Participant, Riverside Physician Services, Inc.
  • Terry Thompson, Member, ACO Participant, Riverside Physician Services, Inc.
  • Wirt Cross, Member, ACO Participant, Riverside Physician Services, Inc.
  • Patricia Barry, Member, Medicare Beneficiary
  • William Downey, Member, Other - Facility Representative
  • Mike Dacey, Non-Voting Member,Other-Facility Representative
  • Sally Hartman, Member, Other - RHS Managed Care

Key ACO Clinical and Administrative Leadership:
ACO Executive - Sally Ryan
Executive Medical Director - O.T. Adcock, Jr., R.PH.,  MD
Compliance Officer - Lisa Salsberry
QA Officer - Anne Mercer

Associated Committees and Committee Leadership:
Finance and Network Operations Committee – James McCorry, DO, Chairman
Clinical Value Committee – Dwight Herbert, MD, Chairman

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

Shared Savings Distribution

  • N/A

Payment Rule Waivers:

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

Quality Performance Results:
2018 Quality Performance Results

ACO#

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

84.34

86.14

ACO-2

CAHPS: How Well Your Providers Communicate

94.57

93.93

ACO-3

CAHPS: Patients’ Rating of Provider

92.18

92.45

ACO-4

CAHPS: Access to Specialists

85.06

81.50

ACO-5

CAHPS: Health Promotion and Education

58.59

59.26

ACO-6

CAHPS: Shared Decision Making

60.32

61.94

ACO-7

CAHPS: Health Status/Functional Status

73.74

73.35

ACO-34

CAHPS: Stewardship of Patient Resources

17.37

26.26

ACO-8

Risk Standardized, All Condition Readmission

14.77

14.98

ACO-35

Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)

18.71

18.59

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes

34.83

37.01

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

68.58

76.75

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

51.42

59.00

ACO-43

Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91)

1.53

1.98

ACO-11

Use of Certified EHR Technology

100.00

98.20

ACO-12

Medication Reconciliation Post-Discharge

65.38

85.91

ACO-13

Falls: Screening for Future Fall Risk

62.02

79.73

ACO-44

Use of Imaging Studies for Low Back Pain

57.53

64.36

ACO-14

Preventive Care and Screening: Influenza Immunization

62.80

72.71

ACO-15

Pneumonia Vaccination Status for Older Adults

80.76

75.97

ACO-16

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up

43.59

76.83

ACO-17

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

61.90

72.81

ACO-18

Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan

33.91

66.74

ACO-19

Colorectal Cancer Screening

69.45

68.27

ACO-20

Breast Cancer Screening

68.74

71.96

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

80.46

81.47

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

13.92

15.51

ACO-41

Diabetes: Eye Exam

51.10

52.42

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

69.54

73.10

ACO-30

Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet

93.17

88.92

Please note, the AC-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

Note: In the Quality Performance Results file(s) above, search for “Riverside Health Source, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A3759 in the public use files on data.cms.gov.