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...
Making sense of the data deluge
By
Steven Littlehale
Nov 11, 2022
My happy place is standing in front of nursing home providers and honoring them through education. Shining a loving light on these special people and honoring their commitment to better care feeds my soul....
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.
Lots to learn with new Five-Star
By
Steven Littlehale
Jul 22, 2022
On a recent flight, I sat next to an attorney whose principal focus was compliance. It turned out that we were both on our way to speak at events in the same popular Florida conference destination. She...
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.
Redefining the role of agency staff in nursing homes: Unveiling new realities
By
Steven Littlehale
Jan 05, 2024
In the ever-evolving landscape of nursing home care, the use of agency staff has long been a topic of scrutiny, historically linked to concerns about inferior outcomes. However, as we navigate the aftermath...