Antipsychotic Drug Reduction
Assisted living quality initiatives will focus on increasing satisfaction while reducing turnover, re-admissions and antipsychotics use, the National Center for Assisted Living announced on Tuesday.
Two CMS tags —F-Tag 329, which addresses unnecessarily using antipsychotic drugs, and F-Tag 309, which addresses taking steps to reduce antipsychotic drug use — are used by nursing home surveyors to identify specific federal nursing home regulations in order to evaluate whether a nursing home is meeting quality of care, quality of life, safety, among other standards.
Despite progress reducing off-label use of antipsychotics among nursing home residents, providers remained worried about a rebasing of the Centers for Medicare & Medicaid Services system to rank nursing homes.
Industry leaders were pleasantly surprised to learn that nursing home operators had exceeded goals for lowering unnecessary antipsychotics use. The level dropped by nearly 20% over a three-year span.
The government recognizes the progress made in nursing homes with reduction of antipsychotics for residents with dementia, but also notes many who live in assisted living are receiving the drugs. It's part of a continuing narrative where the government is not super interested in paying for inappropriate medications that can harm seniors.
Government investigators are calling for greater scrutiny of antipsychotics use among dementia patients in post-acute settings beyond nursing homes.
There was up to a 50% reduction in the use of psychotropic drugs when seniors in a continuing care retirement community received personalized technology services, according to research from It's Never 2 Late and Western Home Communities.
Leaders at the American Health Care Association said Monday they plan to keep the momentum going and further curb antipsychotic use in nursing homes after learning that a nearly 20% three-year decline exceeded their own expectations.
Reducing rehospitalizations and antipsychotics top-of-mind for long-term care providers at AHCA/NCAL conventionOctober 07, 2014
Developing effective relationships with hospitals begins by joining, initiating or hosting a cross continuum team at a long-term care provider's campus, an expert in senior care said Monday.
While conducting a training session last week in Montana, I was lucky enough to have a group of more than 100 staff members from various long-term care departments share some excellent suggestions on how to engage residents with dementia. They're too good to pass up.
It is true that I began speaking out about the misuse of antipsychotics drugs long before they came to national attention. But as I applaud the efforts of our providers and regulators around this important initiative, I would like to make two cautionary points.
Long-term care providers are being asked to reduce the use of antipsychotic medications among residents by 25% by the end of 2015, and 30% by the end of 2016. Providers have already achieved a 17.1% reduction since 2011.
The emerging literature on "nonpharmacological interventions" has not succeeded in providing long-term solutions for many people, such that expressions of need continue to recur on a regular basis.