One of my favorite lyrics from the musical “Ragtime” is “We can never go back to before.” The character Mother sings about no longer being a slave to societal expectations; she is confident, moving...
Supporting the unpaid caregiver through the virtuous circle
By
Steven Littlehale
Nov 12, 2021
It seems inevitable. You are likely among the 53 million people in the United States who are unpaid caregivers for a loved one. If not, you may soon join their ranks. This unpaid and frequently unplanned...
Increase your occupancy now
By
Steven Littlehale
Aug 02, 2021
Preparing for a presentation is always fun for me, especially when it involves original research. In anticipation of Reimbur$ement-Con, and my session “The Unexpected Nemesis,” we took a deep dive...
‘Keep it simple’ is just not in our nature
By
Steven Littlehale
Jun 28, 2021
I asked all the leadership at New Choice Nursing and Rehabilitation Center to bring me their department-specific resident assessment tools. They were to leave them on my desk by 5 p.m. When I returned...
When the rules change, not everyone wins: Counting IC deficiencies in Five-Star
By
Steven Littlehale
Feb 05, 2021
Do you remember how, as you were growing up, there was always another kid who would change the rules mid-game to ensure that he won? I do, and it would always make my blood boil. The Centers for Medicare...
What the government gives, the government can take away: Why you should CARES
By
Steven Littlehale
Nov 15, 2020
“Don’t worry about it. Take the money. We’ll deal with the details later,” said no one ever — especially not the federal government.
Carnac the Magnificent psychically divines your most despised quality Measure
By
Steven Littlehale
Oct 16, 2020
Busy yourselves with the excellent suggestions provided by other top-performing SNFs around the country.
The new world of compliance under COVID-19
By
Steven Littlehale
Jul 19, 2020
With so many “cooks in the kitchen,” trying to direct pandemic response actions, by whose authority should we be taking action and direction?
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.
Prepare for a visit from the ghosts of reimbursement past, present and future!
By
Steven Littlehale
Dec 20, 2019
“If I could work my will, every idiot who goes about with ‘Reimbursement Reform’ on their lips would be boiled in their own pudding and buried with a stake of holly through their heart!” Ebenezer...