Millions of dollars have been paid by nursing homes who unsuccessfully defended themselves against incomplete or absent documentation. There are not as many legal guidelines regarding medical records maintenance...
Does cognitive impairment contribute to SNF-to-hospital transition?
By
Steven Littlehale
Feb 28, 2018
Exceptional SNF utilized appropriate structure, process and outcome measures. Despite this, however, it might have better been called “Mediocre SNF.”
Nursing Home Compare revisions deserve only 2 stars
By
Steven Littlehale
May 13, 2019
Recent changes to the Nursing Home Compare website leave a lot to be desired. I give them two out of a possible four stars.
Embracing end-of-life choices: A journey with Grandma
By
Steven Littlehale
Feb 02, 2024
At the beginning of the year, my grandmother found herself in an acute-care hospital, addressing blood clots in her legs and lungs. Having just recovered from COVID-19 at the age of 100, uncertainty loomed...
Beyond ‘document, document document’ — Risk mitigation strategies that work
By
Steven Littlehale
Feb 03, 2023
We encounter risk every day. Risk is present in the most innocuous actions, like crossing the street, walking into the supermarket, and even eating dinner. And as nursing home operators and providers well...
Have you met Jimmo’s stepbrother Jimmo?
By
Steven Littlehale
Apr 21, 2017
Therapy utilization will be as scrutinized as much as it ever has been, even though the “improvement standard” has once again been deemed deceased.
Portmanteau a PDPM parody
By
Steven Littlehale
Mar 15, 2019
Here’s how you use some humor to directly confront PDPM myths and nonsense, as well as suggest some authentic opportunities to provide and document better care.
Resolving that tension between clinical and financial leadership
By
Steven Littlehale
Jan 27, 2020
It’s time to give purchasing agents more room to operate in long-term care. Here’s why, and now here’s a group that can help their efforts.
The heightened requirement for data-driven discharge planning
By
Steven Littlehale
Jul 20, 2016
It’s fascinating to observe the evolution of business processes regarding transitions of care.
Do you really want to be ‘average’?
By
Steven Littlehale
Jul 22, 2014
A provider client once said to me, “I don’t understand all this ‘statistical gobbledygook.’ Tell me why I should care and how I can actually use this.” It was a valid request.