Monday, June 13, 2016

CMS Updates Report on the National Partnership to Improve Dementia Care in Nursing Homes

 Lyn Bentley, MSW


 On June 3, 2016, CMS issued S&C: 16-28-NH on the subject: Update Report on the National Partnership to Improve Dementia Care in Nursing Homes. The Update Report provides a brief overview of the National Partnership, summarizes activities following the release of Survey & Certification policy memorandum 14-19-NH, and outlines next steps. The Report describes the results of the Focused Dementia Care Surveys conducted in FY2015 and the conclusions gathered based upon post-survey data analysis, covering the period of Calendar Year (CY) 2014 Quarter 2 through CY2015 Quarter 3.

CMS reports that since the start of the National Partnership in 2011 Quarter 4 there has been a decrease of 27 percent in the prevalence of antipsychotic medication use in long-stay nursing home residents, to a national prevalence of 17.4 percent in 2015 Quarter 3, and that success has varied by state. The CMS team, with input from its partners, established a new national goal of reducing the use of antipsychotic medications in long-stay residents by 25 percent by the end of 2015 and 30 percent by the end of 2016.

The Update Report highlights ongoing efforts to reduce the use of antipsychotic medications and create environments that support person-centered care for individuals living with dementia. These include:
  • sharing best practices among peers and stakeholders through State Coalition calls as well as MLN Connects calls;
  • awarding a Federal grant to use Federal CMP Funds to support National Partnership Goals; sharing tools and resources through websites including CMS’ National Partnership website and the Advancing Excellence website;
  • using both the long-stay and short-stay quality measures related to the incidence and prevalence of antipsychotic medication use for star rating calculation on the Five Star Quality Rating System;
  • tracking data trends in the national prevalence of antipsychotic medication use in long-stay residents; and
  • further assessing the survey and enforcement processes around dementia care.
According to the Update Report, CMS will continue to analyze data related to variation in enforcement activity; monitor potential consequences of reducing antipsychotic medication use; and conduct additional Focused Dementia Care Surveys across the country, targeting nursing homes that have high rates of antipsychotic medication use.

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