Antipsychotics

Reducing seniors' drug use, one iPod at a time

Reducing seniors' drug use, one iPod at a time

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For reasons that are understandable yet hard to countenance, antipsychotic drugs are widely used in nursing homes. Too often over-used, according to government statistics. But it's beginning to look like new help may arrive — in the form of the iPod.

Top 5 news stories reveal varied interests among long-term care professionals

Top 5 news stories reveal varied interests among long-term care professionals

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What do neck abnormalities, dangerous bacteria, a murder-suicide, a defensive nursing home chain, and antipsychotic guidelines have in common? These five developments were voted the most popular news stories appearing on the McKnight's website during 2013.

Such a bargain: 2013 closeout has plenty of concerns

Such a bargain: 2013 closeout has plenty of concerns

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If you're feeling the suction of the end-of-year vortex grabbing you, you're certainly not alone. Whether it's holiday preparations, work deadlines, challenging weather or a combination of them, you have company. Even if it's just me, you would have company.

Medical directors introduce program for improving dementia care

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Long-term care providers now can access a new interactive program for improving dementia care, developed by a prominent association of medical directors.

AHCA members near antipsychotics usage goal

AHCA members near antipsychotics usage goal

The AHCA Quality Initiative goal to reduce antipsychotics use is in sight, the group announced Wednesday. The goal is 15% by the end of this month. The group used federal data in its calculations.

Reducing antipsychotics one resident at a time

Reducing antipsychotics one resident at a time

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Like many bad habits, the overuse of antipsychotics is not going down without a fight. Still, there are reasons for long-term optimism.

Ask the legal expert ... about antipsychotic medication liability

Ask the legal expert ... about antipsychotic medication liability

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I'm an administrator who's read all of this stuff about overuse of antipsychotics on long-term care residents. I like and trust my director of nursing, medical director and clinical staff — to a degree, that is — but what can I do to REALLY know that we're not overusing this stuff, and would not be liable for some sort of adverse regulatory or court findings?

J&J settles antipsychotics cases in historic $2.2B deal

J&J settles antipsychotics cases in historic $2.2B deal

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Pharmaceuticals giant Johnson & Johnson and some subsidiaries will pay more than $2.2 billion to settle claims that they inappropriately promoted antipsychotic drugs for use in nursing homes. The agreement also will settle kickback charges related to the nation's largest long-term care pharmacy, Omnicare.

Pressure ulcer treatments should be re-evaluated, expert says

Pressure ulcer treatments should be re-evaluated, expert says

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Nursing home staff should adopt evidence-based approaches to pressure ulcer prevention and treatment, and significantly more research is needed, a top expert said Saturday.

A tough retirement nest egg, the whistle-blowing way

A tough retirement nest egg, the whistle-blowing way

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Two big reactions hit me when news of Johnson & Johnson's $2.2 billion Risperdal settlement with the government landed this week. First, J&J probably made a lot more than it's paying out and, second, some individual probably is going to cash a nice paycheck for bringing it all to light.

AHCA leader: Progress made

AHCA leader: Progress made

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The leader of the nation's largest nursing home association trumpeted gains made over the last three years but also exhorted members to press for more change.

AHCA/NCAL names new board leaders, Parkinson says providers' survival depends on quality improvement

AHCA/NCAL names new board leaders, Parkinson says providers' survival depends on quality improvement

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Leonard Russ will lead the American Health Care Association's Board of Governors as its new chairman, the organization has announced. The nation's largest long-term care provider association concluded its annual convention and expo yesterday.

CMS and AHCA: Providers zeroing in on antipsychotic reduction target

CMS and AHCA: Providers zeroing in on antipsychotic reduction target

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Nursing homes have made strides toward reducing antipsychotic medication use among residents with dementia, according to new figures from the Centers for Medicare & Medicaid Services and the American Health Care Association/National Center for Assisted Living.

Government agency calls off effort to assess antipsychotic use in nursing homes, watchdog group reports

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A government investigation into nursing homes' antipsychotic prescribing practices will not move forward due to budget and staff cuts, according to nonprofit investigative news organization The Center for Public Integrity.

Progress, success stories on tap for national conference call on dementia care in nursing homes

Providers and other stakeholders are invited to a national conference call on improving dementia care by lessening the use of antipsychotic medications in nursing homes. The call begins at 12:30 p.m. Eastern on July 10 and is sponsored by The Centers for Medicare & Medicaid Services. The regulatory agency has created a "national partnership" that promotes person-centered, comprehensive, interdisciplinary care.

CMS updates survey guidelines for antipsychotic drugs in dementia care

CMS updates survey guidelines for antipsychotic drugs in dementia care

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The Centers for Medicare & Medicaid Services has updated survey guidelines regarding nursing homes' use of antipsychotic medications for dementia care. The 59-page interim guidance revises Appendix P and Appendix PP of the State Operations Manual.

Judge dismisses claims of 'nationwide' Medicare fraud in Omnicare antipsychotics case

Judge dismisses claims of 'nationwide' Medicare fraud in Omnicare antipsychotics case

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Long-term care pharmacy Omnicare will not face charges that it engaged in "nationwide" Medicare fraud for off-label antipsychotics prescriptions, a federal judge recently ruled. However, the pharmacy still faces more limited False Claims Act charges over billing for antipsychotic drugs allegedly used for dementia care.

Long-term care physicians respond to report on antipsychotic over-prescribing

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The top professional association of long-term care physicians and medical directors has reiterated its commitment to reducing the use of antipsychotics for dementia care. It did so Tuesday, in response to a recent report that criticized prescribing practices.

Providers respond to report of inadequate government oversight of antipsychotics prescriptions

Providers respond to report of inadequate government oversight of antipsychotics prescriptions

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Long-term care organizations have responded to a report that physicians are prescribing antipsychotic medications for seniors without proper oversight from the Centers for Medicare & Medicaid Services. This is hampering efforts to reduce off-label antipsychotic use for dementia care in nursing homes, according to ProPublica, which compiled the report based on a review of Medicare Part D claims.

Report shows slow progress on reducing antipsychotics, but AHCA renews 15% goal for 2013

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Skilled nursing providers fell well short of reaching a 15% reduction in off-label antipsychotic use by the end of 2012, the American Health Care Association announced Monday.

Drug withdrawals are advised

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Providers should be taking most of their dementia residents off antipsychotics — and can generally do so without fear of relapse to dementia-related behaviors — researchers say.

Antipsychotic goals missed, officials say

Antipsychotic goals missed, officials say

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Skilled nursing facilities are expected to have missed their overall goal of reducing off-label use of antipsychotics by 15% for 2012, but they should continue to push for reductions, provider leaders said.

Reassessments, respect spark antipsychotic-reduction success, providers told

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Reducing the number of residents with dementia who are on antipsychotics starts with reassessment, experts advised at this week's American College of Health Care Administrators convocation In Orlando. The key is a multi-step process providers can follow.

Providers reduced hospital readmissions, AHCA progress report says

Providers reduced hospital readmissions, AHCA progress report says

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A majority of long-term care providers reduced hospital readmissions and the off-label use of antipsychotics within the last year, according to the American Health Care Association. The organization recently posted a progress report on the AHCA Quality Initiative, which was launched in February 2012.

Snoezelen, not snoozing, at 100

Snoezelen, not snoozing, at 100

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It's noteworthy that the Taylor Care Center in Jacksonville, FL, recently marked the 100th birthday of two residents by inviting an Elvis impersonator to perform. More remarkable: The event celebrated 42 residents who are at least 90.

Nursing home residents with dementia can be taken off antipsychotics without behavioral consequences, researchers say

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Nursing homes using antipsychotic drugs for dementia care can and should take most residents off these medications, according to recently published research.

Nursing homes expected to miss 15% antipsychotic reduction goal, but officials focus on progress

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Skilled nursing facilities are making progress in reducing the off-label use of antipsychotics but are expected to fall far short of an overall 15% reduction goal.

Sorting out the antipsychotic quality measures

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While antipsychotic measurements can vary, providers must carefully and thoroughly examine all antipsychotic medication use in their facility.

Old wine, new bottles: Increased scrutiny for antipsychotic drug use

Old wine, new bottles: Increased scrutiny for antipsychotic drug use

The landmark legislation known as "OBRA '87" (the Omnibus Budget Reconciliation Act of 1987) significantly limited the inappropriate use of antipsychotic drug use in long-term care facilities. Indeed, among OBRA '87's goals was the elimination of chemical restraints, typically associated with antipsychotic drugs. A quarter of a century after the passage of OBRA '87, the Centers for Medicare & Medicaid Services (CMS) and numerous professional organizations are redoubling their efforts to further reduce the use of antipsychotic drugs in long term care.

Public-private group issues recommendations to HHS on long-term care performance measures

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Federal performance measures for nursing homes should reflect the quality of care provided in these facilities and should not be driven only by the goal of aligning performance measures among different care settings, according to a recent report from the National Quality Forum.

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