HCAF 2020 Home Care Warm Up

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Arnie Cisneros

President • Home Health Strategic Management (HHSM)

Arnie Cisneros, PT, is President of Home Health Strategic Management (HHSM). Arnie has provided clinical services, program development, and management consultation in the areas of post-acute care, sports medicine, and episodic programming for more than 30 years.


He is renowned for his adaptation of traditional care philosophies to address current and future health care reform initiatives. Having delivered care across an evolving care continuum during the Prospective Payment System era, he is able to position HHSM as the leading post-acute consulting firm in terms of rewiring care for quality clinical outcomes. As a result, HHSM has been selected as post-acute consultants for multiple Pioneer Accountable Care Organizations (ACO), including the awarding and development of a Centers for Medicare & Medicaid Services (CMS) Innovation Center Bundling Pilot Demonstration project in conjunction with the Detroit Medical Center. The subsequent Bundling program served as the basis of the first mandatory CMS Alternative Payment Model, Comprehensive Care for Joint Replacements (CJR). HHSM subsequently became Post-Acute clinical consultants for the DMC MI Pioneer ACO, managing all DMC discharges for sub-acute and home health services.


HHSM is a leader in the establishment of a utilization review (UR) model for home health care development and delivery. The HHSM UR model, SURCH (Service Utilization Review for Care in the Home), was named the 2016 VNAA Innovative Home Health Care Model for its ability to successfully address and program care in terms of the quality requirements. The SURCH model routinely increases care-mix and Home Care Resources Group (HHRG) levels greater than 25 percent, decreases nursing staffing costs while improving productivity, manages care on an in-episode basis, and delivers 4.5- to 5-Star Ratings — all in an audit-proof manner.