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...
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.
How good does your data need to be?
By
Steven Littlehale
Jan 29, 2018
It’s a loaded question: How good does your data need to be? If we’re honest with ourselves, we must admit that we’re not perfect. Nor are the systems we create to help minimize error...
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.
Be thankful … for QAPI details?!
By
Steven Littlehale
Nov 25, 2015
t’s the time of year when we reflect and give thanks. With all the rapid changes in post-acute care, providers can be thankful for the Quality Assurance and Performance Improvement regulations detailed...
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.
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.
MDS data quality: Things are not always as they seem
By
Steven Littlehale
Jul 15, 2013
Open up the hood and look at the engine. Does the data scrubbing module focus only on standard CMS coding and consistency checks and the “RUG” items, or is it more robust and emphasize clinical...
How consistent CNA assignments will help residents
By
Steven Littlehale
Feb 07, 2013
Consistent assignments for CNAs are discussed and implemented more frequently than they used to be. For the most part, research studies speak to the positive attributes of this model of care. From improved...
‘Patient’ is a virtue
By
Steven Littlehale
Aug 26, 2016
Maybe I’m getting old, or the world is more complex, but lately I find my thoughts drifting to simpler times and moments that shaped me into the person I am today. Take, for example, by experience...