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...
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.”
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...
Five-Star is anything but frozen
By
Steven Littlehale
Dec 13, 2017
The day after Thanksgiving, CMS further defined its intensions with the Five-Star Quality Rating System; more specifically how the new survey process and derivative data will be used in its calculation...
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.
A natural evolution of the MDS coordinator: Nurse Informaticist
By
Steven Littlehale
Oct 27, 2017
Jennifer Gross, BSN, RN-BC, RAC-CT, fascinates me. Most recently, she completed a graduate certificate program in informatics, a subject that is playing a critical role in the explosion of health information...
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.
The cheese has moved … will Sniff find it?
By
Steven Littlehale
Aug 23, 2017
Imagine my surprise when several people came bearing the shocking news that “the MDS will not matter anymore” and that RCS-1 is “the end of the MDS.” Wait, what? Not on your life!
And he did it ‘his way’ — will you and yours?
By
Steven Littlehale
Jul 21, 2017
Packing for New Jersey to help Bernie (my father-in-law, whom I was honored to call “Dad”) navigate his transition from hospitalization to SNF, something told me to pack a suit.
Don’t mess with my Uber rating!
By
Steven Littlehale
Jun 21, 2017
My most recent trip to Washington, D.C., was wrapping up like most others. I was heading to Reagan Airport by way of Uber, but what happened next was not typical — and drove me to write this piece.