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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

Morrison DO, Jeffrey
Banning MD, Scott
Morrison DO, Jeffrey
Wilson COO, Sibyl
Capps MD, P. Marlene
Norfleet, MD Stephen
Bryant MD, John
Winters MD, Mark
Rossiter PhD, Louis
Sharp - Warthan MD, Jennifer
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

2020 Quality Performance Results

ACO #
ACO-38
ACO-43
ACO-13
ACO-14
ACO-17
ACO-18
ACO-19
ACO-20
ACO-42
ACO-27
ACO-28
Measure Name
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions
Ambulatory Sensitive Condition Acute Composite
Falls: Screening for Future Falls
Preventive Care and Screening: Influenza Immunization
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Preventive Care and Screening: Screening for Depression and Follow-up Plan
Colorectal Cancer Screening
Breast Cancer Screening
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
Diabetes Hemoglobin A1c (HbA1c) Poor Control (>9%)
Hypertension (HTN) - Controlling High Blood Pressure
Rate
42.18
.91
91.13
85.78
73.33
68.95
83.87
84.27
85.59
10.48
73.79
ACO Mean
49.5
.95
84.97
76.03
81.67
74.46
72.59
74.05
83.37
14.70
72.87
Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.

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

Questions?

For more details about our ACO, ask the front desk for a copy of the ACO beneficiary notice. If you have questions or concerns, call us at 757-260-9020 or we can talk about them during your visit in our office. You can also call 1-800-MEDICARE or visit Medicare.gov/acos.html.