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...
New staffing rules redux
By
Steven Littlehale
Jun 05, 2015
The Centers for Medicare & Medicaid Services’ proposed rule for skilled nursing facilities in fiscal 2016 contains some “must read” information about new staff reporting requirements.
Going with your gut?
By
Steven Littlehale
Dec 01, 2014
Intuition fascinates us. Over and over, we hear stories of people having amazing successes following their gut instincts. We seldom hear about those who listen to that inner voice and fail.
Don’t drop the ball when the music ends: creating the right discharge plans
By
Steven Littlehale
Jul 02, 2014
Providing a safe handoff during discharge from a skilled nursing facility is the operator’s responsibility. Unfortunately, it’s not happening enough. SNFs without effective discharge planning...
‘Keep it simple’ is just not in our nature
By
Steven Littlehale
Jun 28, 2021
I asked all the leadership at New Choice Nursing and Rehabilitation Center to bring me their department-specific resident assessment tools. They were to leave them on my desk by 5 p.m. When I returned...
What will it cost you to stay in the post-acute care game?
By
Steven Littlehale
Apr 22, 2015
More than just collecting data, providers need to use standardized, nationally recognized measures. Especially in this era of ACOs and alternative payment models. In the past, many individual providers...
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...
Fiscal Year 2015: Can you handle it?
By
Steven Littlehale
Oct 23, 2014
It’s that time of the year again! Do the shorter days have you thinking of colorful leaves, a harvest moon, ghouls and goblins on All Hallows’ Eve? Or were you a SNF provider waiting for the...
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...
Moving beyond the ZIP code
By
Steven Littlehale
Mar 26, 2014
Why is there greater disparity occurring in some states but not all? Is it about the size of the state or the number of survey districts?