Returning from an early morning walk down to the harbor of this sleepy Cape Cod town, it’s hard not to feel hopeful. My geriatric pups Melvin and Theodore couldn’t get enough of the sea smells...
Predicting future SNF viability through the Facility Stability Index
By
Steven Littlehale
Jun 24, 2022
While shopping for my first condo in 1993, I was initially drawn to new and shiny developments in an area of Boston that was “up and coming.” I visited one abode that seemed promising at first. Its...
Sometimes you don’t need a predictive analytic when common sense will do
By
Steven Littlehale
Feb 08, 2019
Once again, we’re seeing that the importance of Five-Star outcomes has increased at a greater velocity than a cupcake out of the Magnolia Bakery.
Cut into some apple pie instead of your MDS staffing budget
By
Steven Littlehale
Nov 05, 2018
It was about an hour after the release of the Center for Medicare & Medicaid Services’ proposed rule for FY19, which contained the big Patient-Driven Payment Model reveal, that a wave of bold and somewhat...
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!
I was a HIMSS Virgin (#HIMSSnewbie)
By
Steven Littlehale
Mar 24, 2017
Yes, this was my first time. I was nervous and did not know what to expect. Let me start with a confession: Five years ago, I didn’t even know what HIMSS (Healthcare Information and Management Systems...
What goes around comes around: Time to set up YOUR smart network
By
Steven Littlehale
May 20, 2016
The recent publication of the SNF PPS Proposed rule for FY 2017 seekd to unite post-acute providers by aligning payment incentives and overlapping value-based penalties. It might be trickier than it looks.
Back to before census
By
Steven Littlehale
Dec 10, 2021
One of my favorite lyrics from the musical “Ragtime” is “We can never go back to before.” The character Mother sings about no longer being a slave to societal expectations; she is confident, moving...
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...
It’s not morbid to talk about death … a lot
By
Steven Littlehale
Dec 07, 2018
It’s not morbid to talk about death, even on the dance floor at your high school reunion.