Five-Star insights: Will those stars ever illuminate your path?
By
Steven Littlehale
May 16, 2012
I recently asked a hospital discharge planner how she chooses which nursing home to discharge to. “Five-Star” was the reply. Was I surprised? Not at all. Once again, it demonstrates just how...
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...
A tisket, a tasket … No LPNs in the RN basket
By
Steven Littlehale
Jul 20, 2015
Reporting direct care hours is nothing new, but the Affordable Care Act takes it to the next level with mandatory quarterly electronic submission of staffing and census data. This focus on staffing ratios...
CMS sneaks a trick in with its treats
By
Steven Littlehale
Oct 21, 2015
With so many regulatory changes kicking in on Oct. 1, it’s no wonder providers were likely too distracted to notice the latest “trick” by the Centers for Medicare & Medicaid Services.
From volume to value: The conversation now applies to staffing
By
Steven Littlehale
Aug 21, 2015
It’s all you hear about in healthcare today: from Volume to Value. With the July 30 release of the PPS proposed rule, we see how this discussion now applies to staffing.
Ready Set: QAPI!
By
Steven Littlehale
Nov 05, 2012
Nursing facilities must submit written QAPI plans to CMS one year after promulgation of the regulation. This regulation will be in addition to current QAA standards.
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?
Cut into some apple pie instead of your MDS staffing budget
By
Steven Littlehale
Nov 05, 2018
It was about an hour after the release of the Center for Medicare & Medicaid Services’ proposed rule for FY19, which contained the big Patient-Driven Payment Model reveal, that a wave of bold and somewhat...
Selling fear: Are you buying?
By
Steven Littlehale
Oct 17, 2016
Fearmongering has certainly played a major role in the 2016 presidential race, but you might not realize it’s also become more and more common in our own industry as well.
Five-Star is anything but frozen
By
Steven Littlehale
Dec 13, 2017
The day after Thanksgiving, CMS further defined its intensions with the Five-Star Quality Rating System; more specifically how the new survey process and derivative data will be used in its calculation...