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.
Cracking the code to seven years of Five-Star ratings success
By
Steven Littlehale
Sep 19, 2016
Since the inception of the Five-Star Quality Rating program in December 2008, there have been 113 Skilled Nursing Facilities (SNFs) that have earned and maintained an overall 5-star score. Who are these...
Moving beyond the ZIP code
By
Steven Littlehale
Mar 26, 2014
Why is there greater disparity occurring in some states but not all? Is it about the size of the state or the number of survey districts?
Multistate corporations, listen up!
By
Steven Littlehale
May 30, 2014
It is not a numbers game. Well, I guess it kind of is. Let’s face it: It is now common practice to monitor your facilities’ Five Star ratings.
Selling fear: Are you buying?
By
Steven Littlehale
Oct 17, 2016
Fearmongering has certainly played a major role in the 2016 presidential race, but you might not realize it’s also become more and more common in our own industry as well.
I rinse out my plastic bags
By
Steven Littlehale
Sep 22, 2017
I rinse out my used plastic bags. Maybe not all the time, but often … I do love our Mother Earth, but that wasn’t driving my behavior.
Ready Set: QAPI!
By
Steven Littlehale
Nov 05, 2012
Nursing facilities must submit written QAPI plans to CMS one year after promulgation of the regulation. This regulation will be in addition to current QAA standards.
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...
This blog makes me think of ‘Seinfeld’
By
Steven Littlehale
Feb 27, 2017
Jerry Seinfeld’s successful nine-season comedy sitcom was a “show about nothing,” yet it won more than 40 international awards. Although this blog might not receive such international...