ACO Name and Location
Hampton Roads Good Help ACO, LLC d/b/a Hampton Roads Good Help ACO
7007 Harbour View Blvd
Suffolk, VA 23435
ACO Primary Contacts
Dr. Michael Kiritsy 
(508) 864-5744
Michael_Kiritsy@bshsi.org
 

Key Clinical and Administrative Leadership

  • ACO Executive(Interim): Dr. Michael Kiritsy 
  • Medical Director(Interim): Dr. Michael Kiritsy 
  • Compliance Officer: Matthew Potter, J.D.
  • Quality Assurance/Improvement Officer: Pamela Reiser, MD

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

  • Hospital employing ACO professionals
  • ACO professionals in a group practice arrangement

Shared Savings and Losses:

Amount of Shared Savings/Losses

  • Second Agreement Period
    • Performance Year 2021: $0
    • Performance Year 2020: $1,729,879.23
  • First Agreement Period 
    • Performance Year 2019: $5,409,225.36
    • Performance Year 2018: $2,220,389.69
    • Performance Year 2017:  $0

Shared Savings Distribution

  • Second Agreement Period
    • Performance Year 2021: N/A
    • Performance Year 2020
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: 100%
  • First Agreement Period 
    • Performance Year 2019
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: 100%
    • Performance Year 2018
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: 100%
    • 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
ACO Participants
ACO Participant in Joint Venture (Enter Y or N)
Maryview Hospital N
Mary Immaculate Hospital N
Bon Secours Mercy Health Franklin LLC N
Bon Secours Medical Group Hampton Roads Primary Care LLC N
Roper Saint Francis Physicians Network Y
St. Francis Physician Services N
St. Francis Hospital Inc N

 

 

 

ACO Governing Body

Member Member’s Voting Power – Expressed as a percentage or number Membership Type ACO Participant Legal Business Name/DBA, if Applicable
First Name Last Name Title/Position
Michael Kiritsy, MD Chair(Interim)  8.33% Administrative N/A
Aron Boney, MD Board Member 8.33% ACO Participant Representative Bon Secours Medical Group Hampton Roads Primary Care, LLC
Arthur  Collins Medicare Beneficiary 8.33% Medicare Beneficiary Representative N/A
Aron Hyson, MD Board Member 8.33% ACO Participant Representative Roper Saint Francis Physician Network
Anand Kapur, MD Board Member 8.33% ACO Participant Representative Bon Secours Medical Group Hampton Roads Primary Care LLC
Steve  Newman, MD Board Member 8.33% ACO Participant Representative St. Francis Physician Services Inc
Robert Oliverio, MD Board Member 8.33% ACO Participant Representative Roper Saint Francis Physician Network
Jocelyn Ricasa, MD Board Member 8.33% ACO Participant Representative Bon Secours Medical Group Hampton Roads, LLC
John Rowe, MD Board Member 8.33%

ACO Participant Representative

 Roper Saint Francis Physician Network
Bruce  Swords, MD Board Member 8.33% ACO Participant Representative St. Francis Physician Services Inc
Jennifer Tollefson, LNHA Board Member 8.33% ACO Participant Representative  St. Francis Physician Services Inc.
Brian Yanofchick Board Member 8.33% ACO Participant Representative

Maryview Hospital
           

Quality Improvement Committee

Name Position
Pamela Reiser, MD Chair
Glenn Brothers, DO Member
Jordan Grnak, DO Member
Anand Kapur, MD Member
Divya Kulkarmi, MD Member
Robert Oliverio, MD Member
Vikas Thakral, MD Member
   
   

Finance Committee

Name Position
Michele Nedelka, MD Chair
Stephen Jones Member
Raana Naidu, MD Member
Robert Oliverio, MD Member
Vishwas Patel, MD Member
Scott C. Weikle, DO Member
Jennifer Tollefson, LNHA Member
   
   

Quality Performance Results

2021 Quality Performance Results:

Quality performance results are based on CMS Web Interface                                                                                                                                             

Measure#

 Measure Name

Performance

Rate

 Current Year Mean 
001 Diabetes: Hemoglobin A1c(HbA1c)Poor Control2  5.84 12.46
134 Preventative Care and Screening: Screening for Depression and Follow-Up Plan 98.54 74.38
236 Controlling High Blood Pressure 80.69 74.87
318 Falls: Screening for Future Fall Risk 97.63 87.03
110 Preventative Care & Screening: Influenza Immunization 80.47 80.52
226 Preventative Care & Screening: Tobacco Use: Screening & Cessation Intervention 97.78 80.97
113 Colorectal Cancer Screening 82.66 73.63
112 Breast Cancer Screening 89.69 75.11
438 Statin Therapy for Prevention and Treatment of Cardiovascular Disease 83.91 84.24
370 Depression Remission at Twelve Months N/A N/A
321 CAHPS for MIPS N/A N/A
479 Hospital-Wide, 30 Day, All-Cause Unplanned Readmission(HWR) Rate for MIPS Groups .1496 .1540
MCC1 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs(MCC) 32.38 33.94
CAHPS-1 Getting timely care, appointments & information 74.11 84.67
CAHPS-2 How well Providers communicate 88.90 93.56
CAHPS-3 Patient’s rating of Provider 87.72 92.19
CAHPS-4 Access to Specialists 74.32 78.80
CAHPS-5 Health Promotion and Education 62.05 61.61
CAHPS-6 Shared Decision Making 60.36 60.89
CAHPS-7 Health Status and Functional Status 70.19 71.78
CAHPS-8 Care Coordination 78.84 85.66
CAHPS-9 Courteous and Helpful Office Staff 86.98 91.88
CAHPS-11 Stewardship of Patient Resources 26.12 24.71

Please note, measure 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.

Payment Rule Waivers

  • Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
    • Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.
  • Waiver for Payment for Telehealth Services:
    • Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR § 425.612(f) and 42 CFR § 425.613.

Fraud and Abuse Waivers

ACO Participation Waiver

The following information describes each arrangement for which our ACO seeks protection under the ACO Participation Waiver, including any material amendment or modification to a disclosed arrangement. 

Parties to the arrangement: Hampton Roads GoodHelp ACO and Roper Saint Francis Healthcare and Charleston Oncology, PA

Date of arrangement: January 1, 2023

Items, services, goods, or facility provided: infrastructure efficiency such as specialty pharmacy management, infusion management, clinical research integration with defined goals and outcome metrics: Oncology Quality scorecard and Oncology Program(IPN) scorecard

Date and nature of amendments to the arrangement, if applicable: N/A

Parties to the arrangement: Hampton Roads GoodHelp ACO and Transitional Care Management Services 

Date of arrangement: January 26, 2023

Items, services, goods, or facility provided: Transitional Care Management program provides transitional care management services upon hospital discharge to beneficiaries with medical and/or psychosocial problems requiring moderate or high complexity medical decision-making arrangement.

Date and nature of amendments to the arrangement, if applicable: N/A

Parties to the arrangement: Hampton Roads GoodHelp ACO and Ambulatory Care Management Services 

Date of arrangement: January 26, 2023

Items, services, goods, or facility provided: Ambulatory Care Management program provides support for Participating Providers in managing high risk and rising risk patients in collaboration with a patient centered team approach arrangement. 

Date and nature of amendments to the arrangement, if applicable: N/A

 

 

ACO Board 2023

Hampton Roads Good Help ACO Org Chart – 2023