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,...
Tough conversations on gender equity, from dinner tables to boardrooms
By
Steven Littlehale
Apr 29, 2022
To solve our staffing shortage, we must address the issue of gender parity in leadership. And to do that, we must embrace our fear, speak up, and act; we must start the tough conversations.
Back to before census
By
Steven Littlehale
Dec 10, 2021
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...
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...
Increase your occupancy now
By
Steven Littlehale
Aug 02, 2021
Preparing for a presentation is always fun for me, especially when it involves original research. In anticipation of Reimbur$ement-Con, and my session “The Unexpected Nemesis,” we took a deep dive...
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...
Rehabilitating the nursing home image
By
Steven Littlehale
Dec 14, 2020
Have you ever asked a question, even though the answer is obvious? “Would you like another homemade chocolate chip cookie?” “Do you want to sit where you have a view of the ocean?” Even when the...
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 brainstorm, think outside the box and … doom our future
By
Steven Littlehale
Aug 31, 2020
The best way for our industry to NOT move forward is to conduct a series of “brainstorming” sessions where we agree to “think outside the box.”
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.