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.”
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.
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!
Have you met Jimmo’s stepbrother Jimmo?
By
Steven Littlehale
Apr 21, 2017
Therapy utilization will be as scrutinized as much as it ever has been, even though the “improvement standard” has once again been deemed deceased.
Maybe you don’t want to be in that preferred network …
By
Steven Littlehale
Jan 23, 2017
When it comes to contemplating joining caregiving networks, maybe you have more in common with the hospital than you think. Poor-performing hospitals tend to coexist in the same market as poor-performing...
The heightened requirement for data-driven discharge planning
By
Steven Littlehale
Jul 20, 2016
It’s fascinating to observe the evolution of business processes regarding transitions of care.
Who else is using Five-Star? (Who isn’t?)
By
Steven Littlehale
Apr 14, 2016
I continue to be struck by how deep Five-Star has worked its way into the countless nooks and crannies of our industry. It’s far beyond what the Centers for Medicare & Medicaid Services intended...
Do the new QMs have you seeing stars?
By
Steven Littlehale
Mar 18, 2016
Actions providers take now will make or break their Five-Star Quality Rating experience in July. That’s because the Centers for Medicare & Medicaid Services has changed quality measures in a way...
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...