Peninsula Regional Clinically Integrated Network

ACO Name and Location

Peninsula Regional Clinically Integrated Network, LLC

100 East Carroll St

Salisbury, MD 21801


ACO Primary Contact

Nancy Creighton

410-543-4759

Nancy.creighton@tidalhealth.org


Organizational Information

ACO Participants

ACO Participants ACO Participant in Joint Venture
Jonathan C. Patrowicz, D.O., P.A. Y
Three Lower Counties Community Services, Inc. Y
TidalHealth Primary Care, LLC Y
Vel Natesan M.D., P.A. Y
TidalHealth Physician Network, Inc. Y

ACO Governing Body

Member Last Name Member First Name Member Title/Position Member's Voting Power: expressed as a percentage or number Membership
Type
ACO Participant Legal Business Name/DBA, if Applicable
Patrowicz Jonathan ACO Participant 1 ACO Participant Representative Jonathan C. Patrowicz, D.O., P.A.
Natesan Vel ACO Participant/Chairman 1 ACO Participant Representative Vel Natesan MD, PA
Robinson Stephen ACO Participant 1 ACO Participant Representative Three Lower Counties Community Services, Inc
Townsend Linda Beneficiary 1 Medicare Beneficiary Representative
Anthony Harry ACO Participant/Vice Chairman 1 ACO Participant Representative TidalHealth Physician Network, Inc.
Creighton Nancy ACO Executive 0 Ex Officio TidalHealth Peninsula Regional
Travitz Ronald ACO Participant 1 ACO Participant Representative TidalHealth Primary Care, LLC
Trumble James ACO Participant 1 ACO Participant Representative TidalHealth Primary Care, LLC

Key ACO Clinical and Administrative Leadership:

ACO Executive: Nancy Creighton

Medical Director: Ron Travitz

Compliance Officer: Tim Feist

Quality Assurance/Improvement Officer: Courtney Cooper


Associated Committees and Committee Leadership:

Committee Name Committee Leader Name and Position
Clinical Integration and Quality Improvement Committee James Trumble, M.D., PRCIN Medical Director and Committee Chairman
Credentialing Committee Vel Natesan, Chairman of the Board
Compliance Committee Tim Feist, Chairman
Managed Care Committee Nancy Creighton, ACO Executive

Types of ACO participants, or combinations of participants, that formed the ACO:

Shared Savings and Losses

Amount of Shared Savings/Losses

Shared Savings Distribution

Our ACO re-entered the Shared Savings Program in the 2020 performance year under agreement period 2. Shared savings/losses and shared savings distributions are therefore reported, beginning with this agreement period.

Quality Performance Results

2020 Quality Performance Results:

ACO # Measure Name Rate ACO Mean
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 0.61 0.95
ACO-13 Falls: Screening for Future Fall Risk 96.02 84.97
ACO-14 Preventive Care and Screening: Influenza Immunization 77.78 76.03
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 88.00 81.67
ACO-18 Preventive Care and Screening: Screening for Depression and Follow-up Plan 85.27 71.46
ACO-19 Colorectal Cancer Screening 74.19 72.59
ACO-20 Breast Cancer Screening 80.08 74.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 88.97 83.37
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 15.71 14.70
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 68.80 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.