Friday, October 31, 2014

Antipsychotic Drug Use in Nursing Homes: Trend Update from CMS

Holly Harmon


The National Partnership to Improve Dementia Care in Nursing Homes is committed to improving the quality of care for individuals with dementia living in nursing homes. The Partnership has a mission to deliver health care that is person-centered, comprehensive, and interdisciplinary, with a specific focus on protecting residents from being prescribed antipsychotic medications, unless there is a valid, clinical indication and a systematic process to evaluate each individual’s need.

CMS is tracking the progress of the Partnership by reviewing publicly reported measures. The official measure of the Partnership is the percent of long-stay nursing home residents who are receiving an antipsychotic medication, excluding those residents diagnosed with schizophrenia, Huntington's Disease, or Tourette’s Syndrome. In the fourth quarter of 2011, 23.9% of long-stay nursing home residents were receiving an antipsychotic medication. Since then, there has been a decrease of 18.8% to a national prevalence of 19.4% in the second quarter of 2014. Success has varied by state and CMS region, with some states and regions having seen a reduction of greater than 20%. For more information on the Partnership, please send correspondence to dnh_behavioralhealth@cms.hhs.gov.

AHCA’s Skilled Nursing Progress Report for First Quarter 2014 can be found on the Quality Initiative website or by clicking here: http://www.ahcancal.org/quality_improvement/qualityinitiative/Documents/AP%20Q1_2014%20Progress%20Report_CMS%20numbers.pdf

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