Are narrow networks going to yield the best result?
By
Steven Littlehale
Jun 11, 2015
In the future, the skilled nursing facility of choice (by other provider partners) won’t be defined by a single metric but rather by a multifaceted scale that considers resident needs, strengths...
Analytically Speaking: Time to look at data
By
Steven Littlehale
Jan 03, 2012
Have you ever said, “I didn’t see it coming” or felt you were “drowning in data”? Do you use data to validate your actions or define your future strategies? Whatever the case,...
New models predict SNF hospital readmission rates
By
Steven Littlehale
Jan 21, 2015
If a skilled nursing facility were an overall Five Star performer, you would think that it would provide the best care and have the fewest rehospitalizations, right?
A tisket, a tasket … No LPNs in the RN basket
By
Steven Littlehale
Jul 20, 2015
Reporting direct care hours is nothing new, but the Affordable Care Act takes it to the next level with mandatory quarterly electronic submission of staffing and census data. This focus on staffing ratios...
Asking for the medical record
By
Steven Littlehale
Jan 29, 2014
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...
Shining some light on the new Five Star system
By
Steven Littlehale
Sep 05, 2012
The Five Star overall score is comprised of three domains: Survey, Staffing and Quality Measures. This month, look a little deeper into the overall Five Star Scores.
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.
Ball girl, stand down!
By
Steven Littlehale
Aug 24, 2018
There is something you and your team must do immediately, the success of which will make or break your transition to the government’s new payment model. Relax. Refresh. Recharge. Only with a clear...
Five-Star insights: Will those stars ever illuminate your path?
By
Steven Littlehale
May 16, 2012
I recently asked a hospital discharge planner how she chooses which nursing home to discharge to. “Five-Star” was the reply. Was I surprised? Not at all. Once again, it demonstrates just how...
When technology fails us: ‘We talk’
By
Steven Littlehale
Dec 19, 2016
Driving my Grandma to one of her favorite restaurants to celebrate a significant birthday (she prefers that I don’t specify which) offered me an important lesson in communication.