Riverside Online

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

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

ACO Public Reporting