Tidewater Accountable Care Organization


Tidewater Accountable Care Organization Name and Location

Tidewater Accountable Care Organization
Tidewater Medical Center
860 Omni Boulevard, Suite 401
Newport News, Virginia  23606

Tidewater Accountable Care Organization Primary Contact

Contact:  Sibyl Wilson, COO

Phone:  (757) 232-8764

Email:  Sibby.Wilson@tpmgpc.com


Organizational Information

Tidewater Accountable Care Organization Participants

ACO ParticipantsACO Participant in Joint Venture 
Tidewater Physicians Multispecialty Group, PCN

 

Tidewater Accountable Care Organization (TACO) Governing Body

MemberMember’s Voting Power – Expressed as a percentage or numberMembership Type ACO Participant Legal Business Name/DBA, if applicable
Last NameFirst NameTitle/Position
Sharp – Warthan, MDJenniferTACO Executive11.1%ACO Participant RepresentativeTidewater Physicians Multispecialty Group, PC
Banning, MDScottPresident11.1%ACO Participant RepresentativeTidewater Physicians Multispecialty Group, PC
Morrison, DOJeffreyVice – President11.1%ACO Participant RepresentativeTidewater Physicians Multispecialty Group, PC
Wilson, COOSibylSecretary11.1%ACO Participant RepresentativeTidewater Physicians Multispecialty Group, PC
Capps, MDP. MarleneVoting Member11.1%ACO Participant RepresentativeTidewater Physicians Multispecialty Group, PC
Norfleet, MDStephenVoting Member11.1%ACO Participant RepresentativeTidewater Physicians Multispecialty Group, PC
Bryant, MDJohnVoting Member11.1%ACO Participant RepresentativeTidewater Physicians Multispecialty Group, PC
Winters, MDMarkVoting Member11.1%ACO Participant RepresentativeTidewater Physicians Multispecialty Group, PC
Rossiter, PhDLouisVoting Member11.1%Medicare Beneficiary RepresenativeN/A

 

Key ACO Clinical and Administrative Leadership

  • ACO Executive: Jeffrey Morrison, DO
  • Medical Director:  Apostolos I. Hiotellis, MD
  • Compliance Official:  Sibyl Wilson, COO
  • Quality Assurance/Improvement Officer:  Jeffrey Morrison, DO

Tidewater Accountable Care Organization Associated Committees and Committee Leadership

Committee NameCommittee Leader Name and Position 
Practice Standards CommitteeApostolos I. Hiotellis, MD
 Sibyl Wilson, COO
Finance/Shared Savings CommitteeJeffrey Morrison, DO
 Linda Larue, CFO
Utilization Management CommitteeJeffrey Morrison, DO
 Brett Brickey, CIO
Quality and Performance Monitoring CommitteeApostolos I. Hiotellis, MD
 Jeffrey Morrison, DO
 Brett Brickey, CIO

 


Types of Accountable Care Organization Participants, or Combinations of Participants, that Formed the Accountable Care Organization

ACO professionals in a group practice arrangement


Shared Savings and Losses

Amount of Shared Savings/Losses

  • Second Agreement Period
    • Performance Year 2018, $0
    • Performance Year 2017, $0
  • First Agreement Period
    • Performance Year 2016, $0
    • Performance Year 2015, $0
    • Performance Year 2014, $0

 Shared Savings Distribution

  • Second Agreement Period
    • Performance Year 2018
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • Performance year 2017
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    •  
  • First Agreement Period
    • Performance Year 2016
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
  • Performance Year 2015
    • Proportion invested in infrastructure: N/A
    • Proportion invested in redesigned care processes/resources: N/A
    • Proportion of distribution to ACO participants: N/A
  • Performance Year 2014
    • Proportion invested in infrastructure: N/A
    • Proportion invested in redesigned care processes/resources: N/A
    • Proportion of distribution to ACO participants: N/A

2018 Quality Performance Results

ACO #Measure NameRateACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

88.87

86.14

ACO-2

CAHPS: How Well Your Providers Communicate

94.46

93.93

ACO-3

CAHPS: Patients’ Rating of Provider

93.82

92.45

ACO-4

CAHPS: Access to Specialists

83.69

81.50

ACO-5

CAHPS: Health Promotion and Education

61.33

59.26

ACO-6

CAHPS: Shared Decision Making

67.80

61.94

ACO-7

CAHPS: Health Status/Functional Status

73.31

73.35

ACO-34

CAHPS: Stewardship of Patient Resources

27.46

26.26

ACO-8

Risk Standardized, All Condition Readmission

15.09

14.98

ACO-35

Skilled Nursing Facility 30-day All-Cause Readmission measure

(SNFRM)

18.34

18.59

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes

35.10

37.01

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

72.43

76.75

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

54.20

59.00

ACO-43

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

1.76

1.98

ACO-11

Use of Certified EHR Technology

100.00

98.20

ACO-12

Medication Reconciliation Post-Discharge

99.36

85.91

ACO-13

Falls: Screening for Future Fall Risk

85.08

79.73

ACO-44

Use of Imaging Studies for Low Back Pain

64.71

64.36

ACO-14

Preventive Care and Screening: Influenza Immunization

90.54

72.71

ACO-15

Pneumonia Vaccination Status for Older Adults

92.74

75.97

ACO-16

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

92.71

76.83

ACO-17

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

70.59

72.81

ACO-18

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

84.68

66.74

ACO-19

Colorectal Cancer Screening

83.47

68.27

ACO-20

Breast Cancer Screening

82.66

71.96

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

85.46

81.47

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

10.89

15.51

ACO-41

Diabetes: Eye Exam

73.79

52.42

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

75.00

73.10

ACO-30

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

93.55

88.92

For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov.

 


Payment Rule Waivers

  • Skilled Nursing Facility (SNF) 3-day Rule Waiver:
      • Yes/No, our ACO uses/does not use the SNF 3-Day Rule Waiver, pursuant to 42 CFR 425.612.
  • Waiver for Payment for Telehealth Services:
    • Yes/No, our ACO clinicians do/do not provide telehealth services using the flexibilities under 42 CFR 425.612(f) and 42 CFR 425.613.