Partnering with a Technology Innovation Lab in Skilled Nursing
A recent AXI project with Foundations Health Solutions (FHS)—one of Ohio’s premier skilled nursing operators—demonstrates what human-centered automation looks like in practice.
FHS operates over 60 facilities statewide and has long been recognized for its clinical leadership and operational excellence. As part of its commitment to continuous improvement, FHS recently established a technology innovation lab focused on applying digital tools to optimize core processes and support frontline staff.
One of the lab’s early priorities was enhancing how FHS tracks and acts on clinical Quality Measures—metrics that affect CMS Five-Star ratings, regulatory compliance, and, most importantly, resident care.
While the underlying practices were sound, the process for gathering and interpreting data was largely manual and time-intensive. FHS saw an opportunity to give its teams better visibility and earlier insight—moving from retrospective reporting to real-time action.
“What made this successful wasn’t just the automation—it was how AXI worked side-by-side with our teams to get it right. Our clinical leaders helped shape the solution, and now it feels like something made for them, not to them.”
—Joe Altieri, VP of Business Development, Foundations Health Solutions
AXI partnered with FHS to develop a centralized dashboard and alert system that automated data flows and flagged emerging issues. But the real value came from how the system was designed.
We began with in-depth discussions with the Minimum Data Set (MDS) Director, who outlined the realities his team faced across dozens of facilities. Then, we collaborated with a pilot group of regional MDS nurses, whose feedback shaped how data was visualized, how alerts were prioritized, and how the system integrated into weekly quality workflows.
“What made this successful wasn’t just the automation—it was how AXI worked side-by-side with our teams to get it right,” said Joe Altieri, VP of Business Development at FHS. “Our clinical leaders helped shape the solution, and now it feels like something made for them, not to them.”
“Automation should support the judgment of the professionals using it,” added Sree Vedula, AXI’s VP of Engineering. “That’s why we designed the system to highlight risks, but always let the MDS nurses stay in control of decisions.”
This is the human layer of automation in action: partnering with a technology-forward provider, co-designing with end users, and delivering tools that make great teams even more effective.
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