Current use, and perhaps misuse, of Five-Star Nursing Home Ratings place significant emphasis on achieving a three-star overall rating, which requires stable performance in survey, staffing and quality....
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...
Analytically Speaking: Time to look at data
By
Steven Littlehale
Jan 03, 2012
Have you ever said, “I didn’t see it coming” or felt you were “drowning in data”? Do you use data to validate your actions or define your future strategies? Whatever the case,...
Nursing Home Compare revisions deserve only 2 stars
By
Steven Littlehale
May 13, 2019
Recent changes to the Nursing Home Compare website leave a lot to be desired. I give them two out of a possible four stars.
Five-Star insights: Will those stars ever illuminate your path?
By
Steven Littlehale
May 16, 2012
I recently asked a hospital discharge planner how she chooses which nursing home to discharge to. “Five-Star” was the reply. Was I surprised? Not at all. Once again, it demonstrates just how...
Analytically Speaking: MDS data accuracy
By
Steven Littlehale
Jan 13, 2012
Since the late 1990’s, the Minimum Data Set has been a primary driver in the long-term care industry, influencing all areas of skilled nursing facility operations. With so much depending on it, ensuring...
NYT: You are as much of the problem as the Five-Star system
By
Steven Littlehale
Apr 02, 2021
A recent New York Times article about nursing homes is shameful, lazy journalism. Coupled with the need to sell advertising space, it purposefully perpetuates misunderstandings about nursing homes, caregivers...
Final rule for joint replacement: Don’t come unhinged!
By
Steven Littlehale
Jan 20, 2016
The first mandatory bundled payment program was set into motion with the publication of the Final Rule on Comprehensive Care for Lower Extremity Joint Replacement (CJR). The implementation date is now...
Do you really want to be ‘average’?
By
Steven Littlehale
Jul 22, 2014
A provider client once said to me, “I don’t understand all this ‘statistical gobbledygook.’ Tell me why I should care and how I can actually use this.” It was a valid request.
Don’t drop the ball when the music ends: creating the right discharge plans
By
Steven Littlehale
Jul 02, 2014
Providing a safe handoff during discharge from a skilled nursing facility is the operator’s responsibility. Unfortunately, it’s not happening enough. SNFs without effective discharge planning...