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

Anne Mercer, CMS Liaison
[email protected]
757-316-5807

Organization Information
ACO Participants

ACO Participants ACO Participant in Joint Venture
Riverside Physicians Services, Inc N
Peninsula Cancer Institute, LLC N
Michumi, PLLC N

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:
ACO Subcommittee - Dwight Herbert, MD, Co-Chair and Debra Boyer, 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

  • Second Agreement Period
    • Performance Year 2023, $0
    • Performance Year 2022, $0
  • First Agreement Period
    • Performance Year 2018, $0
    • Performance Year 2019, $0
    • Performance Year 2020, $0
    • Performance Year 2021, $0

Shared Savings Distribution

  • N/A 

Quality Performance Results:

2023 Quality Performance Results (Based on CMS Web Interface Measures)

Measure #

Measure Name

Collection Type

Rate

ACO Mean
Quality ID# 001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control CMS Web Interface 8.18 9.84
Quality ID# 134 Preventative Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface 95.22 80.97
Quality ID# 236 Controlling High Blood Pressure CMS Web Interface 77.26 77.80
Quality ID# 318 Falls: Screening for Future Fall Risk  CMS Web Interface  94.26 89.42
Quality ID# 110  Preventative Care and Screening: Influenza Immunization  CMS Web Interface  81.33 70.76
Quality ID# 226  Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention  CMS Web Interface  97.44 79.29
Quality ID# 113  Colorectal Cancer Screening  CMS Web Interface
 80.14 77.14
Quality ID# 112
 Breast Cancer Screening CMS Web Interface  89.47 80.36
Quality ID# 438  Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
 CMS Web Interface  87.83 87.05
Quality ID# 370
 Depression Remission at Twelve Months
 CMS Web Interface
 41.67 16.58
Quality ID# 321  CAHPS for MIPS  CAHPS for MIPS Survey  7.24 6.25
Measure# 479  Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups  Administrative Claims  0.1483 0.1553
Measure# 484  Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions  Administrative Claims  32.14 35.39
CAHPS-1  Getting Timely Care, Appointments, and Information  CAHPS for MIPS Survey  84.11 83.68
CAHPS-2  How Well Providers Communicate  CAHPS for MIPS Survey  95.00 93.69
CAHPS-3  Patient’s Rating of Provider  CAHPS for MIPS Survey  94.18 92.14
CAHPS-4  Access to Specialists  CAHPS for MIPS Survey  74.65 75.97
CAHPS-5  Health Promotion and Education  CAHPS for MIPS Survey  63.64 63.93
CAHPS-6  Shared Decision Making  CAHPS for MIPS Survey  60.61 61.60
CAHPS-7  Health Status and Functional Status  CAHPS for MIPS Survey  74.72 74.12
CAHPS-8
 Care Coordination  CAHPS for MIPS Survey  87.81 85.77
CAHPS-9  Courteous and Helpful Office Staff  CAHPS for MIPS Survey  94.13 92.31
CAHPS-11  Stewardship of Patient Resources  CAHPS for MIPS Survey  24.63 26.69

For Previous Years' Financial and Quality Performance Results please visit: data.cms.gov

 

Fraud and Abuse Waivers

  • ACO Pre-Participation Waiver:

    The following information describes each arrangement for which our ACO seeks protection under the ACO Pre-Participation Waiver, including any material amendment or modification to a disclosed arrangement - N/A

  • ACO Participation Waiver:

    The following information describes each arrangement for which our ACO seeks protection under the ACO Participation Waiver, including any material amendment or modification to a disclosed arrangement - N/A