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...
Carnac the Magnificent psychically divines your most despised quality Measure
By
Steven Littlehale
Oct 16, 2020
Busy yourselves with the excellent suggestions provided by other top-performing SNFs around the country.
Let’s talk turkey about early PDPM trends
By
Steven Littlehale
Nov 26, 2019
We’re not even two months in, and some very interesting trends for the Patient Driven Payment Model are beginning to emerge.
Sorting out the antipsychotic quality measures
By
Steven Littlehale
Mar 05, 2013
While antipsychotic measurements can vary, providers must carefully and thoroughly examine all antipsychotic medication use in their facility.
And he did it ‘his way’ — will you and yours?
By
Steven Littlehale
Jul 21, 2017
Packing for New Jersey to help Bernie (my father-in-law, whom I was honored to call “Dad”) navigate his transition from hospitalization to SNF, something told me to pack a suit.
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.
Copernicus update! The Earth now revolves around ICD-10 codes
By
Steven Littlehale
Oct 03, 2018
In the past, our skilled nursing world has revolved around a sun of its own, known as resource utilization groups (particularly the lucrative high-therapy ones). Now, however, according to the details...
Which matters most: Social media or Five-Star?
By
Steven Littlehale
May 27, 2022
Recently my colleague Ken Kelley, MS, OTR/L, RAC-CT, a clinical consultant/reimbursement specialist, posited something about Five-Star ratings that I hadn’t considered. He suggested that, in general,...
Who else is using Five-Star? (Who isn’t?)
By
Steven Littlehale
Apr 14, 2016
I continue to be struck by how deep Five-Star has worked its way into the countless nooks and crannies of our industry. It’s far beyond what the Centers for Medicare & Medicaid Services intended...
Resolving that tension between clinical and financial leadership
By
Steven Littlehale
Jan 27, 2020
It’s time to give purchasing agents more room to operate in long-term care. Here’s why, and now here’s a group that can help their efforts.