Final rule for joint replacement: Don’t come unhinged!
By
Steven Littlehale
Jan 20, 2016
The first mandatory bundled payment program was set into motion with the publication of the Final Rule on Comprehensive Care for Lower Extremity Joint Replacement (CJR). The implementation date is now...
Additional staffing metrics point to organizational stability
By
Steven Littlehale
Mar 04, 2022
The Centers for Medicare & Medicaid Services, through its consumer‐facing website, has made additional nursing home staffing data available. Doing so during a public health emergency, when the industry...
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....
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,...
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...
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,...
When the rules change, not everyone wins: Counting IC deficiencies in Five-Star
By
Steven Littlehale
Feb 05, 2021
Do you remember how, as you were growing up, there was always another kid who would change the rules mid-game to ensure that he won? I do, and it would always make my blood boil. The Centers for Medicare...
Monet embraced change, have you?
By
Steven Littlehale
Apr 12, 2019
It’s a wild time in long-term care — and a good time to embrace change.
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.