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...
The nurse guilt Is unbearable
By
Steven Littlehale
May 04, 2020
Amid a deep bout of “nurse guilt,” I feel like I should be doing more.
Residents with cognitive impairment don’t feel pain
By
Steven Littlehale
May 19, 2017
Please, someone tell me why we are still challenged with identifying and treating pain in the elderly, particularly those with dementia.
MDS data quality: Things are not always as they seem
By
Steven Littlehale
Jul 15, 2013
Open up the hood and look at the engine. Does the data scrubbing module focus only on standard CMS coding and consistency checks and the “RUG” items, or is it more robust and emphasize clinical...
How consistent CNA assignments will help residents
By
Steven Littlehale
Feb 07, 2013
Consistent assignments for CNAs are discussed and implemented more frequently than they used to be. For the most part, research studies speak to the positive attributes of this model of care. From improved...
‘Patient’ is a virtue
By
Steven Littlehale
Aug 26, 2016
Maybe I’m getting old, or the world is more complex, but lately I find my thoughts drifting to simpler times and moments that shaped me into the person I am today. Take, for example, by experience...
Do you really want to be ‘average’?
By
Steven Littlehale
Jul 22, 2014
A provider client once said to me, “I don’t understand all this ‘statistical gobbledygook.’ Tell me why I should care and how I can actually use this.” It was a valid request.
Let’s brainstorm, think outside the box and … doom our future
By
Steven Littlehale
Aug 31, 2020
The best way for our industry to NOT move forward is to conduct a series of “brainstorming” sessions where we agree to “think outside the box.”
The Jimmo scorecard and CMS compliance update
By
Steven Littlehale
Nov 25, 2014
In some ways, 2014 has been a monumental year. But it’s not over yet, especially with regard to Centers for Medicare & Medicaid Services steps regarding the historic Jimmo settlement agreement signed...
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.