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

Jennifer Sharp – Warthan, MD
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
Title/Position
TACO Executive
President
Vice – President
Secretary
Voting Member
Voting Member
Voting Member
Voting Member
Voting Member
Member’s Voting Power – Expressed as a percentage or number
11.1%
11.1%
11.1%
11.1%
11.1%
11.1%
11.1%
11.1%
11.1%
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
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
N/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 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 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 #
ACO-1
ACO-2
ACO-3
ACO-4
ACO-5
ACO-6
ACO-7
ACO-34
ACO-8
ACO-35
ACO-36
ACO-37
ACO-38
ACO-43
ACO-11
ACO-12
ACO-13
ACO-44
ACO-14
ACO-15
ACO-16
ACO-17
ACO-18
ACO-19
ACO-20
ACO-42
ACO-27
ACO-41
ACO-28
ACO-30
Measure Name
CAHPS: Getting Timely Care, Appointments, and Information
CAHPS: How Well Your Providers Communicate
CAHPS: Patients’ Rating of Provider
CAHPS: Access to Specialists
CAHPS: Health Promotion and Education
CAHPS: Shared Decision Making
CAHPS: Health Status/Functional Status
CAHPS: Stewardship of Patient Resources
Risk Standardized, All Condition Readmission
Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)
All-Cause Unplanned Admissions for Patients with Diabetes
All-Cause Unplanned Admissions for Patients with Heart Failure
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions
Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91)
Use of Certified EHR Technology
Medication Reconciliation Post-Discharge
Falls: Screening for Future Fall Risk
Use of Imaging Studies for Low Back Pain
Preventive Care and Screening: Influenza Immunization
Pneumonia Vaccination Status for Older Adults
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan
Colorectal Cancer Screening
Breast Cancer Screening
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
Diabetes Mellitus: Hemoglobin A1c Poor Control
Diabetes: Eye Exam
Hypertension (HTN): Controlling High Blood Pressure
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet
Rate
88.87
94.46
93.82
83.69
61.33
67.8
73.31
27.46
15.09
18.34
35.1
72.43
54.2
1.76
100
99.36
85.08
64.71
90.54
92.74
92.71
70.59
84.68
83.47
82.66
85.46
10.89
73.79
75
93.55
ACO Mean
86.14
93.93
92.45
81.5
59.26
61.94
73.35
26.26
14.98
18.59
37.01
76.75
59
1.98
98.2
85.91
79.73
64.36
72.71
75.97
76.83
72.81
66.74
68.27
71.96
81.47
15.51
52.42
73.1
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.

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