The impact of survey delays on nursing home quality and consumer information
By
Steven Littlehale
May 24, 2024
In a column published by McKnight’s in December 2023, “Revamping CMS Survey Data Integration Amid Regulatory Lag in Nursing Home Oversight,” I urged the Centers for Medicare & Medicaid Services...
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...
The nurse guilt Is unbearable
By
Steven Littlehale
May 04, 2020
Amid a deep bout of “nurse guilt,” I feel like I should be doing more.
Embracing end-of-life choices: A journey with Grandma
By
Steven Littlehale
Feb 02, 2024
At the beginning of the year, my grandmother found herself in an acute-care hospital, addressing blood clots in her legs and lungs. Having just recovered from COVID-19 at the age of 100, uncertainty loomed...
Why some are resisting vaccination, and how we can help
By
Steven Littlehale
Jan 10, 2021
The woeful percentages of long-term care employees willing to receive a COVID-19 vaccination are going to improve. But only with time and ramped up communication efforts.
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...
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...
Sometimes a carrot is really a stick … but sometimes it’s 24-karat gold!
By
Steven Littlehale
Nov 27, 2017
We all yearn for a time when value-based purchasing (and care) loses its originality. A time when motivations for providing excellent care and achieving excellent resident outcomes are aligned with reimbursement.
What the government gives, the government can take away: Why you should CARES
By
Steven Littlehale
Nov 15, 2020
“Don’t worry about it. Take the money. We’ll deal with the details later,” said no one ever — especially not the federal government.
Does cognitive impairment contribute to SNF-to-hospital transition?
By
Steven Littlehale
Feb 28, 2018
Exceptional SNF utilized appropriate structure, process and outcome measures. Despite this, however, it might have better been called “Mediocre SNF.”