Quality Initiatives

Use of Antipsychotics in Nursing Homes

Information on the Initiative
Nebraska Antipsychotic Usage Table – Rolling Quarters and Nebraska Antipsychotic Usage Table – Individual Quarters – Updated as of October 26, 2017, and includes information through second quarter 2017. (Click here to view the previous four quarters only.) A missing value for the quality measure indicates that the facility either did not have enough residents to be included in the denominator (equal to 30 residents for the long-stay measure and 20 residents for the short-stay), or the score was missing for that facility.

CMS 2012 Nursing Home Action Plan – this document explains the overall plan. Page 28 begins the discussion on the plan and goals

Initiative to Improve Behavioral Health and Reduce the Use of Antipsychotic Medications in Nursing Homes Residents (archived webcast of March 29, 2012)

CMS clarification of the difference in the data noted on Casper and Nursing Home Compare for the Antipsychotic data

AHCA Quality Improvement Committee on business case one-sheet information.  The business case outlines the key reasons why achieving this goal will improve member organizations.

CMS – Survey and Certification Memo – S&C: 12-42-NH Request to Convey Information: Partnership to Improve Dementia Care in Nursing Homes.  CMS memo discussing the initiative.

CMS – Survey & Certification MemoS&C 12-44-NH with information on the purpose and planned release date of the Hand-to-Hand training.

CMS – Survey & Certification MemoS&C 12-44-NH revised  The revision was issued 9-27-2012.  It changes the date for the Hand-in-Hand training to be released by December of 2012.

Resources
SBAR for off label use of antipsychotics

Nursing Process for Gradual Dose Reduction

Info on Use of Anti Psychotics

Safely Reduce the Off-Label Use of Antipsychotics

AHCA – Resources for the goals (scroll down the page to access the specific resources)

QIS Survey-Stage 2 Critical Elements for Unnecessary Medication Review (updated 8/20/12) – note this review will be done on 10 residents with each survey and review the list of medications on the first page that will be assessed with each survey

Advancing Excellence – site has numerous resources for working with dementia residents and is recommended by CMS.

Hand-in-Hand training – CMS has announced the release of “Hand in Hand: A Training Series for Nursing Homes,” a groundbreaking presentation about person-centered care for people with dementia and prevention of abuse. CMS anticipates shipping the course, which includes an orientation guide and six one-hour video-based modules, each of which has a DVD and an accompanying instructor guide, directly to the nursing facility by the end of September.

F329 – Unnecessary Drugs – This F tag is in the process of being revised to reflect the changes identified.  Not released yet.

The National Consumer Voice for Quality Long Term Care (formerly NCCNHR) – website has information on antipsychotic drugs in nursing homes.

Partnership to Improve Dementia Care in Nursing Homes State Coalition Provider Question Worksheet (Self-Assessment Tool)

Partnership to Improve Dementia Care in Nursing Homes Suggestions for Provider Checklist

Partnership to Improve Dementia Care in Nursing Homes Provider Implementation Flow Diagram

Partnership to Improve Dementia Care in Nursing Homes Questions to Consider in Interdisciplinary Team Review of Individual Dementia Care Cases

Iowa Geriatric Education Center – Improving Antipsychotic Appropriateness in Dementia Patients (IA-ADAPT) WebsiteThis is the website the speakers at NHCA/NALA Fall Convention referred to in the session on Wednesday, September 19th “B5-Reducing the Use of Off-Label Antipsychotics.”  The reference tools (pocket guides) given at this session are available on this site.  In addition there is training information and resident/family reference tools.  You will need to register on this website to access the detailed information.

Alzheimer’s & Dementia Care SeminarNebraska Nursing Facility Association and Nebraska Assisted Living Association are offering a seminar on Dementia Care by the National Council of Certified Dementia Practitioners in North Platte on November 14-15, 2012.  Part of this seminar will discuss the non-pharmacological management of dementia.  In addition this training meets one of the requirements for staff to be certified as a dementia care practitioner.

Updated November 6, 2012

Please check back regularly for new information on this and other CMS quality initiatives!