Is ‘location, location, location’ still driving your Five-Star success? Yes!
By
Steven Littlehale
Apr 01, 2022
Tying reimbursement to investments in quality is a good idea, but it won’t work with the current Five-Star system.
The country line dance of pain management: One step forward, two steps back
By
Steven Littlehale
Mar 05, 2021
“Pain is whatever the experiencing person says it is.” “We just hope that you don’t say it. Oh, and we’ll likely not hear you anyway.” We credit Mary Margo McCaffery, MS, RN-BC, FAAN, a pioneer...
Who cares about Five-Star during a pandemic?
By
Steven Littlehale
Jun 15, 2020
Just as the sun continues to rise, the need to objectively monitor and evaluate care in nursing homes has not ceased, nor has the need for providers to continuously work on quality improvement initiatives.
Waiver or not, here I come!
By
Steven Littlehale
Mar 28, 2020
The immediate relief I felt when the Centers for Medicare & Medicaid Services issued a blanket waiver 1135 on March 13 was soon replaced with confusion and anxiety.
Portmanteau, a PDPM parody, part Deux
By
Steven Littlehale
Jun 24, 2019
Through humor we directly confront Patient-Driven Payment Model myths and nonsense, as well as offer key “aha!” moments that ultimately lead to success under PDPM. Never wanting to hold back, or otherwise...
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...
Ball girl, stand down!
By
Steven Littlehale
Aug 24, 2018
There is something you and your team must do immediately, the success of which will make or break your transition to the government’s new payment model. Relax. Refresh. Recharge. Only with a clear...
Agency staffing on the rise? Believe it — and plan for it
By
Steven Littlehale
Nov 21, 2016
The use of contract agency staff to fill nurse aide and licensed nurse vacancies is escalating. This increase is seen across many states, not to mention across the nation as a whole. Yes, we have a well-documented...
Ready for a little late summer seasoning? (PEPPER to be exact!)
By
Steven Littlehale
Aug 30, 2013
The SNF PEPPER or “Program for Evaluating Payment Patterns Electronic Report” summarizes Medicare claims data to identify risk for abuse or improper payment. PEPPER compares a SNF’s claims...
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.