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...
Payment reform: Ready! Set! Don’t go! No, I mean go!
By
Steven Littlehale
Apr 23, 2018
Perhaps you think that the new therapy-payment bombshell (RCS-1) has turned out to be a dud. I hope to make the point that it was not.
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...
Where were YOU when CMS changed the Five-Star rating system?
By
Steven Littlehale
Mar 20, 2015
Some things will always stay etched in our mind. Where were you on February 12, when CMS publicly announced immediate changes to the Five Star Quality Rating System for Nursing Homes?
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...
Bingo: The road to ruins or the road to riches?
By
Steven Littlehale
May 21, 2018
Grandma sure liked her bingo. She excelled at bingo and most card games. Even in games that seemed to involve no skill at all, Grandma almost always emerged the winner.
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.
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.”
‘Love hurts’ and sometimes so do averages
By
Steven Littlehale
Jul 23, 2018
Averages can help or hinder your evaluation of performance. Adding a few additional pieces of data can really support your efforts to properly see opportunity and manage risk.