How will PBJ impact Five-Star staffing? Would you like one lump or two?
By
Steven Littlehale
Mar 30, 2018
We don’t know when, and we don’t know how, but when Payroll-Based Journal staffing data replaces the data currently being captured from CMS Form 671 for calculating Five-Star staffing, we are...
Why some are resisting vaccination, and how we can help
By
Steven Littlehale
Jan 10, 2021
The woeful percentages of long-term care employees willing to receive a COVID-19 vaccination are going to improve. But only with time and ramped up communication efforts.
Payment reform: Ready! Set! Don’t go! No, I mean go!
By
Steven Littlehale
Apr 23, 2018
Perhaps you think that the new therapy-payment bombshell (RCS-1) has turned out to be a dud. I hope to make the point that it was not.
Is ‘location, location, location’ still driving your Five-Star success? Yes!
By
Steven Littlehale
Apr 01, 2022
Tying reimbursement to investments in quality is a good idea, but it won’t work with the current Five-Star system.
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.
Compliance with confidence
By
Steven Littlehale
Feb 16, 2012
Undergoing the annual survey and certification process and demonstrating compliance with federal and requirements are a critical – and sometimes daunting – obligation of any nursing home operator...
New staffing rules redux
By
Steven Littlehale
Jun 05, 2015
The Centers for Medicare & Medicaid Services’ proposed rule for skilled nursing facilities in fiscal 2016 contains some “must read” information about new staff reporting requirements.
The Jimmo scorecard and CMS compliance update
By
Steven Littlehale
Nov 25, 2014
In some ways, 2014 has been a monumental year. But it’s not over yet, especially with regard to Centers for Medicare & Medicaid Services steps regarding the historic Jimmo settlement agreement signed...
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.”
The Five Star Report, once again, in the SNF spotlight
By
Steven Littlehale
Sep 24, 2014
The Five Star Quality Rating System takes the spotlight on the front page of the New York Times and the top of the news cycle, kicking off other publicity and political pressure. Regardless of any of the...