Category: Antipsychotic Medications

Dementia Care & Antipsychotic Medication Resources

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Dementia care and antipsychotic medication resources, tools, and data reports are now housed on the CMS Quality Improvement Organizations website. Helpful information is also available on the CMS National Partnership website. Below are direct links to this information.

CMS National Partnership to Improve Dementia Care in Nursing Homes Website: https://www.cms.gov/medicare/health-safety-standards/quality-safety-oversight-general-information/national-partnership-improve-dementia-care-nursing-homes

CMS Quality Improvement Organizations Website: https://qioprogram.org/landing-page – Search with the keywords ‘dementia’ and ‘antipsychotic’

Antipsychotic Medication Use Data Report: https://qioprogram.org/tools-resources/antipsychotic-medication-use-data-report

Antipsychotic Use by State: https://qioprogram.org/tools-resources/antipsychotic-use-state

If you have additional questions, please let us know. Specific questions related to the data reports can be directed to CMSQINQIOProgram@cms.hhs.gov.

WHITE PAPER: Antipsychotic Use in the Long-Term Care Setting

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The Missouri Nursing Home Advisory Council and the Health Quality Innovation Network (HQIN) are pleased to share this white paper, which provides background on the use of antipsychotics in long-term care and recent trends in antipsychotic use.

Download this white paper for strategies and valuable resources to improve dementia care for your residents and reduce the use of antipsychotics.

Please contact HQI if you have questions

TMF QIN Webinar on Antipsychotic Medication Reduction

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April 16, 2019: Antipsychotic Medication Reduction: A Psychiatrist’s Pearls for Progress, Challenges and Continued Improvement
Presenter: Ellen Fan, MD, Geriatric psychiatrist

Join this physician-directed webinar to learn more about assessing and evaluating appropriate anti psychotic medication use in nursing home residents, as well as applying strategies toward behavior management and anti psychotic medication reduction.  *Attendees will have the opportunity to earn 1.0 continuing education credit.*

New QIPMO Newsletter – February 2019

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The Quality Improvement Program for Missouri (QIPMO) has published MDS Tips and Clinical Pearls – Volume 6, Issue 2.

In this issue:

  • Fond Farewell
  • Section M: Skin Conditions
  • CMS Phase 3
  • Antipsychotics
  • Drug and Food Interactions
  • ABN, SNFABN, NOMNC, DENC

Please visit QIPMO’s website here for this and other previous newsletters.

MC5 Restorative Sleep Vitality Program (RSVP)

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January 9, 2019: Making a Night and Day Difference: Creating a Culture of Restorative Sleep
Location: Holiday Inn St. Louis-Route 66, St. Louis

January 10, 2019: Making a Night and Day Difference: Creating a Culture of Restorative Sleep
Location: White Oak Living Center, Independence

Part 3 – Making a Night and Day Difference: Creating a Culture of Restorative Sleep

Empira, a consortium of Aging Service providers in Minnesota, will share the findings from their Restorative Sleep program that has made a night and day difference for the residents they serve. This program was developed after identifying sleep fragmentation as a primary contributor to falls, behavioral expression, pain, incontinence, skin breakdown, unnecessary use of anti-psychotics, and decline in function.

Empira will share successful strategies for creating a culture of sleep with consideration of all 24 hours in a day. This is Part 3 of a three part series. Join the presentation even if you missed Parts 1 and/or 2.

CMS Launches Nationwide Effort to Improve Quality of Care in Nursing Homes

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Nationwide Effort to Improve Quality of Care in Nursing Homes

As part of its continued commitment to the nation’s most vulnerable populations, the Centers for Medicare & Medicaid Services (CMS) has launched the Civil Money Penalty Reinvestment Program (CMPRP), a three-year effort to reduce adverse events, improve staffing quality and improve dementia care in nursing homes. This effort is funded by the Federal portion of CMPs to conduct activities that support and protect nursing home residents.

Through this program, CMS and its contractor will develop and implement evidence-based interventions, activities tools, and resources help to improve dementia care, reduce adverse events, and improve staffing quality. Staffing quality includes areas such as reducing turnover, improving tenure, and enhancing general staff performance. Additionally, the CMPRP will support projects for resident and family councils, develop and maintain the ability to provide temporary management of a nursing home, and support activities to protect residents during facility closures. Lastly, this program will support efforts to administer, monitor, and evaluate the effectiveness of CMP projects implemented throughout the country.

For more information, visit:
www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/LTC-CMP-Reinvestment.html.
www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/CMPRP-Civil-Money-Penalty-Reinvestment-Program.html.

TMF QIN Spotlight

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Reducing Antipsychotic Medication Use

Engaging residents in their care and providing treatment alternatives assists in reducing the unnecessary use of antipsychotics. Click on the following links to learn more about reducing the use of antipsychotic medications.

Reducing Antipsychotic Drug Use in Long-Term Care Settings (Video)
Create Connect: Creative Activity Workbook

TMF QIN Nursing Home Quality Improvement Spotlight on….

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Reducing Antipsychotic Medication Use 

Engaging residents in their care and providing treatment alternatives assists in reducing the unnecessary use of antipsychotics. Click on the following links to learn more about reducing the use of antipsychotic medications.

Reducing Antipsychotic Drug Use in Long-Term Care Settings (Video)
Create Connect: Creative Activity Workbook
QAPI: Mood/Behavior Symptom Log (Microsoft Word)

TMF QIN Nursing Home Quality Improvement Spotlight on….

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Reducing Inappropriate Use of Antipsychotic Medications – Communication

Understanding dementia residents who are unable to communicate on the same level as others can aid in the reduction of inappropriate antipsychotic use. However, meeting their needs can become challenging if their behaviors are not understood. Click on the following links to learn more.

Do You KNOW Your Residents? (video)

Managing Personality and Behavior Changes

Communication and Alzheimer’s

Nursing Home Quality Improvement Spotlight On…

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Reducing Antipsychotic Medication Use – Additional Resources

Multiple resources are available to educate staff about reducing antipsychotic medication use. Click on the following links for more information:

Nursing Home Quality Improvement Spotlight On…

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Reducing Inappropriate Use of Antipsychotic Medications – Full Assessment

To address the ongoing challenge of reducing inappropriate antipsychotic medications, staff on all shifts should fully assess and learn as much as possible about a resident, including interviewing the resident, family and friends. These steps assist staff in understanding the different behaviors a resident may exhibit. To learn more about assessing a resident’s goals and needs, click on the following links.

New Fact Sheets on Revised Federal Nursing Home Regulations

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New Fact Sheets on Revised Federal Nursing Home Regulations

Consumer Voice, along with Justice in Aging and Center for Medicare Advocacy, have released new issue briefs in our series on the revised federal nursing facility regulations. The fact sheets can help residents, family members and advocates better understand the regulations. New fact sheets cover:

Nursing Home Quality Improvement Spotlight On…

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Reducing Inappropriate Use of Antipsychotic Medications – Communication

Understanding dementia residents who are unable to communicate on the same level as others can aid in the reduction of inappropriate antipsychotic use. However, meeting their needs can become challenging if their behaviors are not understood. Click on the following links to learn more.

Nursing Home Quality Improvement Spotlight On…

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Reducing Antipsychotic Medication Use 

Engaging residents in their care and providing treatment alternatives assists in reducing the unnecessary use of antipsychotics. Click on the following links to learn more about reducing the use of antipsychotic medications.

Nursing Home Quality Improvement Webinar

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Nursing Home Quality Improvement Webinar

  • February 2, 2017:  It Takes a Team: Reducing Antipsychotic Use
  • Presenter:  Elizabeth McManamy, RPh, CADDCT, CDP

Please join this webinar to learn strategies, including documentation and communication, for a team-based approach toward reducing antipsychotic medications.

 

Please see the event page here for registration.

Region 2 – 2015 Annual Long-Term Care Provider Meeting

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Sponsored by the Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation

November 3, 2015:  Region 2
Location: Cape Girardeau, MO

As requested, SLCR will be hosting separate meetings for ICF/SNF and RCF/ALF care providers this year.  Advance registration is not required.

Please see the agenda and handouts for this specific location attached.  These handouts attached will not be provided at the meeting so please print them and bring them with you.

2015 Provider Meeting Agenda- Region 2
Antipsychotic Reduction in Dementia
Money Follows the Person
Social Media in Long-Term Care
Culture Change in Residential Care and Assisted Living
Path to Safety, Minimal Assistance, More than Minimal Assistance

Readmissions, Medication Safety, and Behavioral Health Open Forum

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October 14, 2015:  Readmissions & Medication Safety Open Forum

Attend this free WebEx event to meet with TMF QIN-QIO Readmissions, Medication Safety and Behavioral Health quality improvement consultants who will be available to answer questions and provide technical assistance.  During this monthly Open Forum, your team can network with other providers and TMF QIN-QIO staff, ask questions and problem-solve on topics such as Care Transitions, Readmissions Reduction, Medication Safety, Adverse Drug Events, Behavioral Health, or other issues your project may have.

Please see the TMF QIN-QIO registration page for this event here.

Nursing Home Quality Improvement Collaborative Learning Session II

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October 1, 2015:  Collaborative Learning Session II:  Activities for Daily Living, Incontinence and Antipsychotic Medications

Join this webinar to learn more about key interventions, strategies for improving activities of daily living, incontinence and antipsychotic medication quality measures through experiences shared by nursing home peers.

Please visit the event page here to register for this webinar.

Nursing Home Quality Improvement Spotlight On…

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Reducing Inappropriate Use of Antipsychotic Medications – Communication
Understanding dementia residents who are unable to communicate on the same level as others can aid in the reduction of inappropriate antipsychotics. However, meeting their needs can become very challenging if their behaviors are not understood.  Click on the links below to learn more.

 

CDI Prevention
It is important to understand Clostridium difficile infections and guidelines for preventing infections.  Click on the links below to learn more.

Nursing Home Quality Improvement Webinar

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September 3, 2015:  Reducing the Inappropriate Use of Antipsychotic Medications (12:00 Noon-1:00 p.m. CT)

Join this webinar to learn more about key interventions, strategies and the importance of reducing antipsychotic medications.

For more information, please visit the TMF website here and sign in.  You may also register on the event page here.

Guidelines for Antipsychotics in Dementia

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Dr. Al Powers explores guidelines for prescribing antipsychotics to persons living with dementia.  In this 2 part blog series, he shares his understanding and some resources to implement an antipsychotic-free environment.

Guidelines for Antipsychotic Drugs in Dementia-Part 1
Guidelines for Antipsychotic Drugs in Dementia-Part 2

National Partnership Announces New Goal

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The National Partnership to Improve Dementia Care announced a new national goal of reducing the use of antipsychotic medications in long-stay nursing home residents by 25 percent by the end of 2015, and 30 percent by the end of 2016 through a media press call.  Below you will find links to a Press Release and Fact Sheet released in conjunction with this announcement.