Sometimes a carrot is really a stick … but sometimes it’s 24-karat gold!
By
Steven Littlehale
Nov 27, 2017
We all yearn for a time when value-based purchasing (and care) loses its originality. A time when motivations for providing excellent care and achieving excellent resident outcomes are aligned with reimbursement.
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...
Setting up for MDS 3.0 success
By
Steven Littlehale
Jan 06, 2023
Are you a “New Year’s resolution” kind of person? I am not, but I am a strong believer in establishing goals and setting intentions. Whether you prefer to make a resolution or set a goal, January...
Staffing challenges: A time to look inward
By
Steven Littlehale
Sep 16, 2022
As the Biden administration marches toward some type of minimum staffing requirement for nursing homes, it’s easy for providers to feel like helpless, angry victims. Even as a proponent of acuity-based...
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?
Revamping CMS survey data integration amid regulatory lag in nursing home oversight
By
Steven Littlehale
Dec 08, 2023
The report titled “Uninspected and Neglected” by the majority staff of the US Senate Special Committee on Aging brings attention to a pressing issue: the severe understaffing of inspection agencies...
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.