HOME HEALTH STRATEGIC MANAGEMENT
Impact Act Solutions for Value Reforms
Over 30 Years of Post-Acute Leadership
Home Health Strategic Management (HHSM) is a progressive healthcare practice delivering Post-Acute Utilization Review (UR) programming to Health Systems and Post-Acute Providers responding to CMS Impact Act reforms. Arnie Cisneros PT, President and Founder, has a history of 30+ years of clinical rehab delivery and management across the care continuum, and his legacy as a rehab Provider and clinician across the evolving PPS Post-Acute continuum offers insight into Value era changes required for success. HHSM’s PAC UR Care Protocol has outperformed traditional Post-Acute management models under PPS, PDGM and other Impact Act reform Alternative Payment Models. Under PAC PPS, HHSM’s PAC UR model provides Hospitals & Health Systems with seamless episodic management as patients progress from acute to Post-Acute programming.
Progressive Post-Acute Care Management
By adapting Utilization Review (UR) techniques employed for managing acute inpatient programs, HHSM developed a Post-Acute UR Management Model called S.U.R.C.H. – Service Utilization Review for Care after Hospital. SURCH operationalizes the Medicare Benefit Policy Manual Post-Acute directive to produce CMS-compliant programs, and Providers post unseen clinical and fiscal outcomes. SURCH has been validated by CMS on numerous occasions:
– SURCH was named the 2017 VNAA Innovative Care Model award for CMS Impact Act reform outcomes.
– SURCH is accepted by CMS as a Plan of Correction for Home Health Providers on Focus Audit Review, assuring compliant HH Care management.
– SURCH was the operating Model for the Detroit Medical Center’s BPCI Total Joint Replacement CJR Pilot program. The DMC, a Pioneer ACO System, posted the highest savings and lowest readmissions of any BPCI CJR Pilot based on SURCH’s real-time PAC Clinical Acuity model.
– SURCH has performed PAC PPS trials with Pioneer ACO populations to outstanding results, savings, and single-digit readmissions.
– SURCH is the clinically based management system that exceeds AI outcomes in both clinical and fiscal terms under PDGM, PDPM, and
PAC PPS.
Single Digit Readmissions In Your Agency
Home Health Value-Based Purchasing (HHVBP) requires single-digit readmits for bonus qualification, a level of performance few HH Providers across the country can consistently produce. HHSM, in its previous work with Medicare’s BPCI and CMMI divisions, managed the drivers of readmissions. Since then, HHSM has helped clients across the country by installing their Readmission Reduction Program to achieve 9% or less readmits.
HHSM will reduce your readmit rate through installation of our Readmission Reduction process. This process assures single-digit readmits if followed, and 3 – 6 month engagements are available to hardwire the process.
Services
HHSM has developed an exciting homecare program that utilizes real-time solutions to solve clinical questions and decisions Medicare-certified agencies face daily.
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Presentations
As leaders in the industry, HHSM often presents at conferences, sharing knowledge we’ve learned from over 30 years of experience.
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Home event
2:15-3:45 p.m. – Making Money Per Visit
4:00-5:15 p.m. – Value Based Purchasing
Presenters – Arnie Cisneros & Kimberly McCormick