Need Help?

For help in finding a physician, making appointments and general information call Riverside Nurse.

1-800-675-6368
Follow Us Today

ACO 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
[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