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...
Fiscal Year 2015: Can you handle it?
By
Steven Littlehale
Oct 23, 2014
It’s that time of the year again! Do the shorter days have you thinking of colorful leaves, a harvest moon, ghouls and goblins on All Hallows’ Eve? Or were you a SNF provider waiting for the...
‘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...
Good things come in threes
By
Steven Littlehale
May 28, 2021
When you get three outstanding long-term care influencers on the same webinar panel and they’re talking the key issues of the day it pays to listen.
Are your Ultra High RUGs putting you at risk?
By
Steven Littlehale
Feb 22, 2016
The 2016 Office of Inspector General work plan calls for increased scrutiny of the Ultra High therapy billing category because the amount of this therapy delivered has increased over time, despite resident...
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.
The elephant in the room: PDPM clinical success metrics
By
Steven Littlehale
Feb 28, 2020
Are we prepared to defend the increase in Patient Driven Payment Model revenue with superior clinical outcomes?
The nurse guilt Is unbearable
By
Steven Littlehale
May 04, 2020
Amid a deep bout of “nurse guilt,” I feel like I should be doing more.
Residents with cognitive impairment don’t feel pain
By
Steven Littlehale
May 19, 2017
Please, someone tell me why we are still challenged with identifying and treating pain in the elderly, particularly those with dementia.
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.