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...
Which matters most: Social media or Five-Star?
By
Steven Littlehale
May 27, 2022
Recently my colleague Ken Kelley, MS, OTR/L, RAC-CT, a clinical consultant/reimbursement specialist, posited something about Five-Star ratings that I hadn’t considered. He suggested that, in general,...
Sorting out the antipsychotic quality measures
By
Steven Littlehale
Mar 05, 2013
While antipsychotic measurements can vary, providers must carefully and thoroughly examine all antipsychotic medication use in their facility.
Analytically Speaking: CMS Quality Measures for MDS 3.0
By
Steven Littlehale
Feb 17, 2012
At first, the MDS 3.0 Quality Measures do not appear to be very different from those based on MDS 2.0. But “the devil is in the details” and nearly every measure that seems familiar is different...
Five-Star is anything but frozen
By
Steven Littlehale
Dec 13, 2017
The day after Thanksgiving, CMS further defined its intensions with the Five-Star Quality Rating System; more specifically how the new survey process and derivative data will be used in its calculation...
The country line dance of pain management: One step forward, two steps back
By
Steven Littlehale
Mar 05, 2021
“Pain is whatever the experiencing person says it is.” “We just hope that you don’t say it. Oh, and we’ll likely not hear you anyway.” We credit Mary Margo McCaffery, MS, RN-BC, FAAN, a pioneer...
A concept worth exploring: using clinical data to develop a marketing campaign
By
Steven Littlehale
Jun 24, 2009
Information is readily available, so why not use it to your advantage? Developing a marketing strategy based on clinical evidence from your skilled nursing facility could prove invaluable in attracting...
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.”
It’s not morbid to talk about death … a lot
By
Steven Littlehale
Dec 07, 2018
It’s not morbid to talk about death, even on the dance floor at your high school reunion.
The cheese has moved … will Sniff find it?
By
Steven Littlehale
Aug 23, 2017
Imagine my surprise when several people came bearing the shocking news that “the MDS will not matter anymore” and that RCS-1 is “the end of the MDS.” Wait, what? Not on your life!