Aiming for the stars? Reflections on staffing to acuity
By
Steven Littlehale
Jun 17, 2013
Experts have proposed standards for minimum and ideal facility staffing, and some states have adopted minimums as legal requirements. However, there is no industry-wide agreement on any of the three targets...
Why ‘Staffing to the Stars’ isn’t enough: How to make the right staffing decisions
By
Steven Littlehale
Aug 09, 2012
Operators should try to hire RNs whenever they have a vacant position for a licensed nurse — the increased hourly wage will be more than offset by the increased revenue and decreased costs. Nonetheless,...
Maybe you don’t want to be in that preferred network …
By
Steven Littlehale
Jan 23, 2017
When it comes to contemplating joining caregiving networks, maybe you have more in common with the hospital than you think. Poor-performing hospitals tend to coexist in the same market as poor-performing...
The Five Star Report, once again, in the SNF spotlight
By
Steven Littlehale
Sep 24, 2014
The Five Star Quality Rating System takes the spotlight on the front page of the New York Times and the top of the news cycle, kicking off other publicity and political pressure. Regardless of any of the...
All the data points to … you tell me
By
Steven Littlehale
Jun 22, 2018
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...
Capturing acuity: How MDS accuracy has a critical impact on Medicare/Medicaid payment systems
By
Steven Littlehale
Apr 20, 2012
There’s a familiar saying in the industry that “If it’s not documented, then it’s not done.” But what if it is documented, but just not documented correctly?
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?