Use VBP lessons to Improve Clinical & Fiscal Outcomes

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[3957] Use VBP lessons to Improve Clinical & Fiscal Outcomes

Addressing and programming for VBP baselines can produce meaningful improvements.

Presentation Info:

TAHC&H Event | 56th Annual Meeting | Rich-Media Presentation Capture | Online On-Demand Access
Presentation Date: August 27, 2025

Program Description:

Home Health Providers have faced significant changes to care programming since the Impact Act transitioned to a Value-Based model under PDGM. In addition, the arrival of Value-Based Purchasing (VBP) introduces a Pay-4-Performance (P4P) element to our industry. Finally, the VBP Model outlines a series of elevated outcomes in terms of process, clinical outcomes, and Potentially Preventable Hospitalizations (PPH) that must be achieved to qualify for the bonus. Though most HH Agencies may fail to achieve success with the VBP bonus, addressing and programming for VBP baselines can produce meaningful improvements. By focusing on the clinical content of our programs in terms of efficiency, best practices, and rapid value outcomes, agencies can achieve significant Star Rating improvements. Providers who focus on SOC Acuity accuracy increase HHRG payments greater than 20%.

Start today to plot a VBP-based Operational Improvement programs and watch your outcomes improve to levels that will change your agency!

HCSSA Topic(s) Addressed:

§558.259[d][4] agency responsibilities
§558.260[a][3] basic principles of management in a licensed health-related setting
§558.260[a][5]quality improvement
§558.260[a][6]risk assessment and management
§558.260[a][7]financial management

Education-Training Credits:

TX HCSSA Administrator/Alternate Continuing Education
- 1.0 Clock Hr(s)
Continuing Education for Nurses
- 1.0 Contact Hr(s)
- This program awards CNE until 08.27.2027

Texas HCSSA CE Approval Statement

This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.

Nurse CE Approval Statement

Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by Louisiana State Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. LSNA Provider No. 4002151

Requirements for Successful Completion:

To receive continuing education credits for this online presentation, the participant must view the entire online presentation, complete an evaluation, and post-test attestation.

Reporting of Perceived Bias:

Bias, as defined by the American Nurses Credentialing Center's Commission on Accreditation (ANCC COA/LSNA) is the tendency or inclination to cause partiality, favoritism, or influence. Commercial bias may occur when a CNE activity promotes one or more product(s) (drugs, devices, services, software, hardware, etc.). This definition is not all inclusive and participants may use their own interpretation in deciding if a presentation is biased. The ANCC COA is interested in the opinions and perceptions of participants at approved CNE activities, especially in the presence of actual or perceived bias in continuing education. Therefore, ANCC invites participants to access their ANCC Accreditation Feedback Line to report any noted bias or conflict of interest in the education activity. The toll-free number is 1(866) 262-9730.

TAHC&H Faculty/Presenter(s):

TAHC&H Faculty/Presenter(s): Arnie Cisneros, Owner and President; and Kimberly McCormick, Executive Clinical Director; Home Health Strategic Management (HHSM)

About the Presenter(s): Arnie Cisneros

Arnie is the President of Home Health Strategic Management; he has 30+ years of experience as a Physical Therapist across the care continuum, and he serves as a Post-Acute Consultant for multiple Health Systems and HH Providers. He is renowned for his adaptation of traditional Healthcare operations to address ongoing CMS reforms.

About the Presenter(s): Kimberly McCormick

Kimberly is a highly accomplished clinical consultant in the Home Health industry, is Executive Clinical Director for Home Health Strategic Management. Her 28 years’ experience in Home Health, 8 spent as Administrator of a Home Health Agency, has given her the experience and the knowledge to provide unrivaled insight into the home care arena. Kimberly has established herself as a national expert in the area of Utilization Management and Operation Excellence in Home Health services. During her time as Administrator, she achieved deficiency-free surveys by The Joint Commission, deficiency-free Department of Health & CMS surveys, and a 0.42% error rate on an ADR audit. Kimberly is a contributing author on the HHSM newsletter and is presenting nationally on home care topics and care models proposed by CMS and MedPac for the future of the Home Health industry. has more than 25 years of experience in the healthcare industry and provides consulting services for all aspects of home health care and hospice, including operations, reimbursement and education. He specializes in comprehensive consulting services offering clients and providers survey/licensure coaching, clinical review and training, financial and revenue cycle management, third-party audit response, and quality assurance/performance improvement training.