Eliminating Inappropriate Antipsychotic Medication Use

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

Webinar  "Eliminating Inappropriate Anti-psychotic Medication Use"


  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.


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.

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


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

Medication Use Tools & Resources

Antipsychotic Medication Reference

Isabella Geriatric Center Webinar "Caring for a Resident’s Behaviors - From a NH and Family’s Perspective". Family member and Isabella Staff discuss "Comfort Matters" care model implemented to improve Quality of Life for Residents.

Getting Better All the Time: Working Together for Continuous Improvement: a Guide for Nursing Home Staff

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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Pauline Kinney, RN, MA, LNHA, RAC-CT
Senior Director, Health Care Quality Improvement
Tel: (516) 209-5402
Fax: (516) 326-0434

Maureen Valvo, RN, BSN, RAC-CT
Senior Quality Improvement Specialist
Tel: (516) 209-5308

David L. Johnson, NHA, RAC-CT
Senior Quality Improvement Specialist
Tel: (518) 320-3516

Dan Yuricic, MA
Senior Quality Improvement Specialist
Tel: (516) 209-5458

IPRO Nursing Home Team