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...
Hospice improves your Quality Measures
By
Steven Littlehale
Jun 23, 2023
My father died a little over a year ago. While I usually derive tremendous comfort and support by sharing both happy and sad milestones with friends, family, and colleagues, in this instance, sharing the...
‘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.
Setting up for MDS 3.0 success
By
Steven Littlehale
Jan 06, 2023
Are you a “New Year’s resolution” kind of person? I am not, but I am a strong believer in establishing goals and setting intentions. Whether you prefer to make a resolution or set a goal, January...
Will you pass CMS’s new schizophrenia MDS audits?
By
Steven Littlehale
Mar 31, 2023
In 2016, the Centers for Medicare & Medicaid Services started focused on-site surveys to address the issue of erroneous coding of schizophrenia in nursing homes. More recently, the agency began conducting...
Supporting the unpaid caregiver through the virtuous circle
By
Steven Littlehale
Nov 12, 2021
It seems inevitable. You are likely among the 53 million people in the United States who are unpaid caregivers for a loved one. If not, you may soon join their ranks. This unpaid and frequently unplanned...
Beyond ‘document, document document’ — Risk mitigation strategies that work
By
Steven Littlehale
Feb 03, 2023
We encounter risk every day. Risk is present in the most innocuous actions, like crossing the street, walking into the supermarket, and even eating dinner. And as nursing home operators and providers well...