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

Tidewater Physicians Multispecialty Group (TPMG)
(No participants are involved in a joint venture between ACO professionals and hospitals)

Tidewater Accountable Care Organization (TACO) Governing Body

  • Jennifer Sharp-Warthan, MD, TACO Executive, TACO participant representative, TPMG
  • Scott Banning, MD, President, TACO participant representative, TPMG
  • Jeffrey Morrison, DO, Vice-President, TACO participant representative, TPMG
  • Webb Jones, MD, Voting Member, Medicare beneficiary representative (N/A)
  • Sibyl Wilson, COO, Secretary, TACO participant representative, TPMG
  • P. Marlene Capps, MD, Voting Member, TACO participant representative, TPMG
  • Stephen Norfleet, MD, Voting Member, TACO participant representative, TPMG
  • John Bryant, MD, Voting Member, TACO participant representative, TPMG
  • Mark Winters, MD, Voting Member, TACO participant representative, TPMG
  • Louis Rossiter, PhD, Voting Member, TACO participant representative (N/A)

Key Clinical and Administrative Leadership

  • ACO Executive: Jeffrey Morrison, DO
  • Medical Director:  Jennifer Sharp-Warthan, MD
  • Compliance Official:  Sibyl Wilson, COO

Tidewater Accountable Care Organization Associated Committees and Committee Leadership

Practice Standards Committee
  • Jennifer Sharp-Warthan, MD, CMO
  • Sibyl Wilson, COO
Finance/Shared Savings Committee
  • Jennifer Sharp-Warthan, MD, CMO
  • Linda Larue, CFO
Utilization Management Committee
  • Jeffrey Morrison, DO
  • Brett Brickey, CIO
Quality and Performance Monitoring Committee
  • Jennifer Sharp-Warthan, MD, CMO
  • Jeffrey Morrison, DO
  • Brett Brickey, CIO

Tidewater Accountable Care Organization Key ACO Clinical and Administrative Leadership

  • Apostolos “Paul” Hiotellis, MD, Committee Chair
  • Jeffrey Morrison, DO
  • Christopher Ciccone, MD
  • Anthony DeRosa, MD
  • Dana Bachtell, MD
  • Ifeanyi Ani, MD
  • Jeff Harris, DO
  • Margaret Gaglione, MD
  • Richard Hartle, MD
  • Kent Willyard, MD
  • Vijay, Subramaniam, MD
  • Timothy Petersen, MD
  • Steven Leblang, MD

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

  • Agreement Period beginning 2017, Performance Year 2017: $0

How Shared Savings Are Distributed

Agreement period beginning 2017, Performance year 2017:

  • Proportion invested in infrastructure 100%

Agreement period beginning 2017, Performance year 2018:

  • Proportion of distribution to ACO participants 20%
  • Proportion invested in infrastructure 80%

Agreement period beginning 2017, Performance year 2019:

  • Proportion invested in redesigned care processes/resources 30%
  • Proportion invested in IT infrastructure 30%
  • Proportion of distribution to ACO participants 40%

Payment Rule Waivers

  • Our ACO does not utilize the SNF 3-day rule waiver

Quality Performance Results

2017 Quality Performance Results

2016 Quality Performance Results 

2015 Quality Performance Results

2014 Quality Performance Results


Medicare Annual Wellness Visit


 

 

 

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ATTENTION ALL FEE-FOR-SERVICE MEDICARE BENEFICIARIES

Because your health care provider is a participant in the Tidewater Accountable Care Organization, you may get a survey in the mail from the Centers for Medicare & Medicaid Services (CMS) that asks about your experience with your health care provider and his or her office staff.

CMS is the federal agency that administers the Medicare program and is responsible for making sure that Medicare beneficiaries get high quality care. One of the ways that CMS fulfills that responsibility is by asking Medicare beneficiaries about the care they are currently receiving.

If you are selected to receive a survey, please take the time to evaluate your health care provider honestly. Completing this survey is voluntary and your decision to participate or not to participate will not affect your Medicare benefits in any way. However, your opinion is important and we hope you will take this chance to tell CMS about the quality of care you receive. CMS will combine the information you provide with information from others to understand the quality of care delivered to Medicare beneficiaries. Your provider does not know who is selected to receive a survey, and will not see your individual survey or answers.


Public Announcement of Renewal into the Shared Savings Program