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

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 HOSPITAL, 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:
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
    o Performance Year 2018, $0
    o 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

Preventive 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 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 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