Through humor we directly confront Patient-Driven Payment Model myths and nonsense, as well as offer key “aha!” moments that ultimately lead to success under PDPM. Never wanting to hold back, or otherwise...
Selling fear: Are you buying?
By
Steven Littlehale
Oct 17, 2016
Fearmongering has certainly played a major role in the 2016 presidential race, but you might not realize it’s also become more and more common in our own industry as well.
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.
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.
A tisket, a tasket … No LPNs in the RN basket
By
Steven Littlehale
Jul 20, 2015
Reporting direct care hours is nothing new, but the Affordable Care Act takes it to the next level with mandatory quarterly electronic submission of staffing and census data. This focus on staffing ratios...
Asking for the medical record
By
Steven Littlehale
Jan 29, 2014
Millions of dollars have been paid by nursing homes who unsuccessfully defended themselves against incomplete or absent documentation. There are not as many legal guidelines regarding medical records maintenance...
This blog makes me think of ‘Seinfeld’
By
Steven Littlehale
Feb 27, 2017
Jerry Seinfeld’s successful nine-season comedy sitcom was a “show about nothing,” yet it won more than 40 international awards. Although this blog might not receive such international...
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.
Shining some light on the new Five Star system
By
Steven Littlehale
Sep 05, 2012
The Five Star overall score is comprised of three domains: Survey, Staffing and Quality Measures. This month, look a little deeper into the overall Five Star Scores.
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...