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Richmond Quality ACO

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Richmond Quality ACO in Staten Island NY | RUMCSI

ACO Name and Location

  Richmond Quality, LLC
  355 Bard Avenue
  Staten Island, NY 10310

ACO Primary Contact

Primary Contact NameHumroy Mendez, MS
Primary Contact Phone Number718 818-1719
Primary Contact Email Address hmendez@rumcsi.org

Organizational Information

ACO participants:

ACO ParticipantsACO Participant in Joint Venture (Enter Y or N)
Nicolette FilitisN
Amboy Medical Practice PCN
Neil Nepola MDN
Richmond Medical CenterN
The Narrows Medical Group PC  N
Premier Medical PllcN
Leroy Hardyal, MD  N
GEORGE JOHN AYYAD PHYSICIAN PC  N
Peter Stathopoulos  N
Deepak Vadhan MD FCCP PC  N
Deborah A. Aanonsen Do Pllc  N
Frank Scafuri Iii D.O. P.C.  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
Last Name First Name Title/Position      
LaBarbera, MD Marianne Chairman of the Board 1 ACO Participant Representative Amboy Medical Practice, PC
Ayyad, MD George Vice President 1 ACO Participant Representative George John Ayyad,
Naing, MD Sundee Vice President 1 ACO Participant Representative Amboy Medical Practice, PC
Scafuri, MD Frank Secretary 1 ACO Participant Representative Frank Scafuri III DO PC
Murray Dave Co-Chair Finance Committee 1 ACO Participant Representative Richmond Medical Center
Mendez Humroy Co-Chair, Performance Improvement 0 ACO Participant Representative Richmond Medical Center
Stathopoulos, MD Peter Co-Chair, Performance Improvement 1 ACO Participant Representative Amboy Medical Practice, PC
Salhany, MBA, FACHE Richard Executive Director 1 ACO Participant Representative Richmond Medical Center
Messina, PhD, FACHE Daniel Associate Executive Director 1 ACO Participant Representative Richmond Medical Center
Carpenito, MD Pietro Medical Director 1 ACO Participant Representative Richmond Medical Center
Fultz Mary Member 1 Member Beneficiary N/A

Key ACO clinical and administrative leadership:

Position Name
ACO Executive Richard Salhany, MBA, FACHE
Medical Director Pietro Carpenito, MD
Compliance Officer Dale Weber, R.N.
Quality Assurance/Improvement Officer Humroy Mendez, MS

Associated committees and committee leadership:

Committee Name Committee Leader Name and Position
Finance Committee Dave Murray and Marianne LaBarbera, MD, Co-Chairpersons
Performance Improvement Committee Peter Stathopoulos, MD and Humroy Mendez, Co-Chairpersons

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

  • Hospital employing ACO professionals
  • Networks of individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Third Agreement Period
    • Performance Year 2021, $2,494,908
  • Second Agreement Period
    • Performance Year 2020, $3,365,658
    • Performance Year 2019, $3,462,333
    • Performance Year 2018, $0
  • First Agreement Period
    • Performance Year 2017, $4,871,913
    • Performance Year 2016, $3,473,744
    • Performance Year 2015, $1,830,512

Shared Savings Distribution

Third Agreement Period

  • Performance Year 2021
    • Proportion invested in infrastructure: 25 %
    • Proportion invested in redesigned care processes/resources: 25%
    • Proportion of distribution to ACO participants: 50%

Second Agreement Period

  • Performance Year 2020
    • Proportion invested in infrastructure: 25 %
    • Proportion invested in redesigned care processes/resources: 25%
    • Proportion of distribution to ACO participants: 50%
  • Performance Year 2019
    • Proportion invested in infrastructure: 25%
    • Proportion invested in redesigned care processes/resources: 25%
    • Proportion of distribution to ACO participants: 50%
  • Performance Year 2018
    • Proportion invested in infrastructure: 25%
    • Proportion invested in redesigned care processes/resources: 25%
    • Proportion of distribution to ACO participants: 50%

First Agreement Period

  • Performance Year 2017
    • Proportion invested in infrastructure: 25%
    • Proportion invested in redesigned care processes/resources: 25%
    • Proportion of distribution to ACO participants: 50%
  • Performance Year 2016
    • Proportion invested in infrastructure: 25%
    • Proportion invested in redesigned care processes/resources: 25%
    • Proportion of distribution to ACO participants:50%
  • Performance Year 2015
    • Proportion invested in infrastructure: 25%
    • Proportion invested in redesigned care processes/resources: 25%
    • Proportion of distribution to ACO participants: 50%

Quality Performance Results

2021 Quality Performance Results:

Measure # Measure Name Performance Rate ACO Mean
001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control2 10.17 12.46
134 Preventative Care and Screening: Screening for Depression and Follow-up Plan 92.36 74.38
236 Controlling High Blood Pressure 80.94 74.87
318 Falls: Screening for Future Fall Risk 98.20 87.03
110 Preventive Care and Screening: Influenza Immunization 83.55 80.52
226 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 97.92 80.97
113 Colorectal Cancer Screening 67.59 73.63
112 Breast Cancer Screening 71.45 75.11
438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 83.77 84.24
370 Depression Remission at Twelve Months 19.23 15.50
321 CAHPS for MIPS3 N/A N/A
479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2 0.1659 0.1540
MCC1 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)2 33.16 33.99

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

Payment Rule Waivers

  • 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