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 Participants
Tidewater Physicians Multispecialty Group, PC
ACO Participant in Joint Venture
N

Tidewater Accountable Care Organization (TACO) Governing Body

Jeffrey Morrison, DO
Scott Banning, MD
Jeffrey Morrison, DO
Sibyl Wilson, COO
P. Marlene Capps, MD
Stephen Norfleet, MD
John Bryant, MD
Mark Winters, MD
Louis Rossiter, PhD
Jennifer Sharp – Warthan, MD
Title/Position
TACO Executive
President
Vice – President
Secretary
Voting Member
Voting Member
Voting Member
Voting Member
Voting Member
Voting Member
Member’s Voting Power – Expressed as a percentage or number
10%
10%
10%
10%
10%
10%
10%
10%
10%
10%
Membership Type
ACO Participant Legal Business Name/DBA, if applicable
ACO Participant Legal Business Name/DBA, if applicable
ACO Participant Legal Business Name/DBA, if applicable
ACO Participant Legal Business Name/DBA, if applicable
ACO Participant Legal Business Name/DBA, if applicable
ACO Participant Legal Business Name/DBA, if applicable
ACO Participant Legal Business Name/DBA, if applicable
ACO Participant Legal Business Name/DBA, if applicable
Medicare Beneficiary Represenative
ACO Participant Legal Business Name/DBA, if applicable
ACO Participant Legal Business Name/DBA, if applicable
Tidewater Physicians Multispecialty Group, PC
Tidewater Physicians Multispecialty Group, PC
Tidewater Physicians Multispecialty Group, PC
Tidewater Physicians Multispecialty Group, PC
Tidewater Physicians Multispecialty Group, PC
Tidewater Physicians Multispecialty Group, PC
Tidewater Physicians Multispecialty Group, PC
Tidewater Physicians Multispecialty Group, PC
TIdewater Physicians Multispecialty Group, PC
TIdewater Physicians Multispecialty Group, PC

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 Name
Practice Standards Committee
Finance/Shared Savings Committee
Utilization Management Committee
Quality and Performance Monitoring Committee
Committee Leader Name and Position
Apostolos I. Hiotellis, MD
Sibyl Wilson, COO
Jeffrey Morrison, DO
Linda Larue, CFO
Jeffrey Morrison, DO
Brett Brickey, CIO
Apostolos 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 2019, $0
    • 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

  • Performance Year 2019
    • Proportion invested in infrastructure: N/A
    • Proportion invested in redesigned care processes/resources: N/A
    • Proportion of distribution to ACO participants: N/A
  • 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

2019 Quality Performance Results

ACO #
ACO-1
ACO-2
ACO-3
ACO-4
ACO-5
ACO-6
ACO-7
ACO-34
ACO-45
ACO-46
ACO-08
ACO-38
ACO-43
ACO-13
ACO-14
ACO-17
ACO-18
ACO-19
ACO-20
ACO-42
ACO-40
ACO-27
ACO-28
”Measure
Rate
88.21
95.11
94.19
84.39
66.14
67.29
75.16
24.16
94.13
88.12
14.97
53.80
1.52
91.53
88.29
73.91
76.21
85.08
85.48
84.91
8.64
6.85
77.42
ACO Mean
85.86
94.11
92.69
81.54
60.44
62.78
73.79
26.17
92.84
86.89
14.86
58.15
1.87
84.04
74.77
78.04
70.40
70.76
73.84
82.17
13.58
13.88
75.04

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

Payment Rule Waivers

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

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