Healthcare training, consulting, and coaching

Over 30 Years of Experience

HHSM was born from 30 years as clinical rehab service providers focused on elevated outcomes in both clinical patient programs and the related financial results. As Medicare introduced the PPS model and installed it to Providers across the care continuum, increased case management was required to create the successful care programs, particularly under an evolving Home Health model. Based on contracts with multiple level Provider types (acute care, SNF, HH), we were accustomed to Utilization Review Management models that assured efficient, best practice care programs used to manage care outside the homecare environment. When Skilled Nursing Facility contracts were re-engineered to address PPS reforms, we quickly noted that the adaptation of similar management techniques provided similar outcomes in the Home Health sector.

Demonstrating the Highest Level of Care Production and Delivery

Continuing to seek the highest level of care production and delivery for our Home Health clients and patients, we extrapolated the Utilization Review philosophies onto the newly introduced Home Health PPS model. Our Home Health UR model, SURCH – Service Utilization Review for Care in the Home, was introduced in 1999 in our private practice. Based on CMS UR philosophies from outside the homecare world, SURCH created Medicare-compliant efficient care programs that achieved elevated levels of clinical and fiscal outcomes compared to Home health benchmarks. Over the next 10-15 years, SURCH became recognized as an effective quality care management model that addresses the demands of a shifting Healthcare landscape. In 2016, SURCH was named the Innovative Care Model of the year by the Visiting Nurses Association of America (VNAA).

Post – Acute Management

HHSM subsequently entered the Post – Acute management industry due to the newly introduced ACO model that creates episodic care programs. By employing our extensive first-person knowledge of Post – DC patient management and progression for Medicare clients, we have worked with multiple Pioneer ACOs as Post – Acute strategists with varying programs. The unique HHSM approach of employing acuity-based Utilization Review pays dividends under the episodic model; outlining the preferred Post-DC path and Providers, and managing specific LOS vs. care quality questions. Based on our proprietary Post-Acute Utilization model, we have been awarded and managed Bundled Pilot Programs and managed ACO post-Acute populations to higher level outcomes as a results of real-time UR management extended throughout the entire episode.


HHSM has developed an exciting homecare program that utilizes real-time solutions to solve clinical questions and decisions Medicare-certified agencies face daily.

Learn More ›


As leaders in the industry, HHSM often presents at conferences, sharing knowledge we’ve learned from over 30 years of experience.

Learn More ›

Home event

"Arnie's presentation was amazing. Very informative, very inspirational"
2018 HCAF District Meeting - Miami
"Always appreciate Arnie & Kim's knowledge of the industry, new issues facing agencies & innovative approach to HH"
2018 HCLA Annual Conference
"The information is always timely, accurate, and beneficial to agency operations"
2017 VAHC Annual Conference
"Love Arnie's energy and passion for helping agencies be prepared for the future."
"Arnie always has a good global perspective."
"The best class yet!"
2018 HCAF District Meeting - Orlando
"Needed to know this information – glad I came."
Michigan HomeCare & Hospice Association 2019
"Have her back!"
2018 MAHC Annual Conference
"Arnie's presentation was excellent! All info was pertinent and informative"
2018 HCAF District Meeting - Ft. Lauderdale
"Very knowledgeable. Engaged the audience"
2018 MAHC Annual Conference
"Excellent presentation; great info on proposed upcoming challenges"
2018 HCAF District Meeting - Ft. Myers
"Excellent! Best presentation so far. Speaker was knowledgeable with valuable information."
2016 HCAF Annual Conference, Orlando FL
"Great presentation by Arnie! Thought provoking; the information was awesome, really got creative juices flowing"
2018 HCAF District Meeting - Ft. Myers
"Speaker was very engaging & knowledgeable in above topic. Kept me interested from start to finish."
2018 MAHC Annual Conference
"Known Speaker who's knowledgeable in home care."
Michigan HomeCare & Hospice Association 2019
"Kim kept it lively, funny, and relevant"
2018 HCAF Annual Conference