Eliminating Inappropriate Antipsychotic Medication Use

Working to improve the quality of care delivery to nursing home residents.

Webinar  "Eliminating Inappropriate Anti-psychotic Medication Use"

Objective

  1. Develop an understanding of the Anti-psychotic medication quality measure
  2. Identify the significance of using Critical Thinking related to Anti-psychotic medication use and how to eliminate off-label use in residents with dementia
  3. Identify the significance of Engaging the Resident and/or Representative in Decision-Making.

Introduction

Understanding the long stay Anti-psychotic quality measure “Percent of long stay residents who received an anti-psychotic medication”; and how the measure is calculated is beneficial to eliminating inappropriate medication use and thus improving residents’ quality of care. Residents receiving inappropriate anti-psychotic medication must have the medication eliminated. Resident should only be given medication if clinically indicated as necessary to treat a specific diagnosis, and target symptoms as diagnosed and documented in the medical record. Residents that are fittingly prescribed and receive anti-psychotic medications must also receive gradual dose reductions and behavioral interventions, unless clinically contraindicated, in an effort discontinue the drugs. To ensure prudent use of psycho-pharmacological medications, residents (to the extent possible) or their representatives should be actively engaged in the discussion of potential approaches to address recognized behavioral symptoms.

Resources

Reducing Resident Stressors that Generate the Behavioral Distress and Anti-Psychotic Medications (Video)

Medication Use Tools & Resources

Antipsychotic Medication Reference

10/21/15 NHQCC Teleconference: Working to Eliminate Inappropriate Antipsychotic Medication Use

Next Step

Review the organizations anti-psychotic quality measure data; review residents that trigger the quality measure; review the off-label use for the medication, discuss an area targeted for improvement of the measure based on the CASPER, QAPI self-assessment data, and policy and procedure practice (i.e. QM, interdepartmental communication practice, staff stability issues, consistent assignment, prescribing practice etc.); develop a strategy and timeline to eliminate inappropriate medication use.

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New York

Pauline Kinney, RN, MA, LNHA, RAC-CT
Senior Director, Health Care Quality Improvement
Tel: (516) 209-5402
Fax: (516) 326-0434
pauline.kinney@area-I.hcqis.org

Maureen Valvo, RN, BSN, RAC-CT
Senior Quality Improvement Specialist
Tel: (516) 209-5308
Maureen.valvo@area-I.hcqis.org

David L. Johnson, NHA, RAC-CT
Senior Quality Improvement Specialist
Tel: (518) 320-3516
David.johnson@area-I.hcqis.org

Dan Yuricic, MA
Senior Quality Improvement Specialist
Tel: (516) 209-5458
Danny.yuricic@area-I.hcqis.org

IPRO Nursing Home Team
ipronursinghometeam@ipro.org