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 First Name Member Last Name Member Title/Position Member's Voting Power (Expressed as a percentage) Membership
Type
ACO Participant Legal Business Name/DBA, if Applicable
Jonathan Patrowicz ACO Participant 14.29% ACO Participant Representative Jonathan C. Patrowicz, D.O., P.A.
Vel Natesan ACO Participant/Chairman 14.29% ACO Participant Representative Vel Natesan MD, PA
Stephen Robinson ACO Participant 14.29% ACO Participant Representative Three Lower Counties Community Services, Inc
Linda Townsend Beneficiary 14.26% Medicare Beneficiary Representative
John Appiott ACO Participant/Vice Chairman 14.29% ACO Participant Representative TidalHealth Physician Network, Inc.
Nancy Creighton ACO Executive 0% Other TidalHealth Peninsula Regional
Ronald Travitz ACO Participant 14.29% ACO Participant Representative TidalHealth Primary Care, LLC
James Trumble ACO Participant 14.29% 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

2021 Quality Performance Results:

Quality performance results are based on CMS Web Interface

Measure # Measure Name Rate ACO Mean
001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control 14.45 12.46
134 Preventative Care and Screening: Screening for Depression and Follow-up Plan 93.2 74.38
236 Controlling High Blood Pressure 71.97 74.87
318 Falls: Screening for Future Fall Risk 95.72 87.03
110 Preventative Care and Screening: Influenza Immunization 82.66 80.52
226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention 75.86 80.97
113 Colorectal Cancer Screening 74.7 73.63
112 Breast Cancer Screening 83.6 75.11
438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 89.07 84.24
479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups 0.1533 0.154
MCC1 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC) 33.16 33.99
CAHPS-1 Getting Timely Care, Appointments, and Information 84.48 84.67
CAHPS-2 How Well Providers Communicate 92.93 93.56
CAHPS-3 Patient's Rating of Provider 92.28 92.19
CAHPS-4 Access to Specialists 79.31 78.8
CAHPS-5 Health Promotion and Education 66.08 61.61
CAHPS-6 Shared Decision Making 63.33 60.89
CAHPS-7 Health Status and Functional Status 72.28 71.78
CAHPS-8 Care Coordination 83.48 85.66
CAHPS-9 Courteous and Helpful Office Staff 93.12 91.88
CAHPS-11 Stewardship of Patient Resources 25.71 24.71

Please note, the Quality ID #: 370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

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