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5 Whys Tool for Antipsychotic Medications
Use this tool with the antipsychotic medications example to help you set up your measures for reporting your quality improvement project. This document is a draft of suggestions and must be modified by the facility team to ensure they reflect their QI work.
Adobe PDF    Date Added: 01/19/2023    Date Last Modified: Jan 26 2023 9:23AM  
Activity Checklist: Helping Residents with Dementia Improve Nighttime Sleep
Nursing home activity directors can use this document to review steps that could help residents with dementia improve nighttime sleep.
Adobe PDF    Date Added: 01/15/2014    Date Last Modified: Jan 15 2014 12:00AM  
American Geriatrics Society's Beers Criteria Updated for 2023
The American Geriatrics Society (AGS) has released an updated AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults. This article details the methodology and modifications.
Web link    Date Added: 06/21/2023    Date Last Modified: Jun 21 2023 4:58PM  
Antipsychotic Alternatives
This tool, developed by TMF Health Quality Institute, suggests ideas to help reduce the use of antipsychotic drugs.
Adobe PDF    Date Added: 05/28/2013    Date Last Modified: Oct 6 2021 4:06PM  
Antipsychotic Drug Use and Dementia
An informational resource, prepared by TMF Health Quality Institute, on the effects of antipsychotic drug use on dementia residents/patients.
Adobe PDF    Date Added: 09/06/2012    Date Last Modified: Oct 6 2021 4:07PM  
Antipsychotic Medication Reduction: A Psychiatrist’s Pearls for Progress, Challenges and Continued Improvement
The purpose of this education activity is to enhance the knowledge and understanding of participating physicians and health care providers on the reduction of antipsychotic medication use in long-term care and mitigation strategies for challenges faced by the prescribing physician. Duration: 29:45
Video    Date Added: 05/20/2020    Date Last Modified: Oct 6 2021 4:08PM  
Antipsychotic Medication Reference
Providing information about antipsychotic medication indications, appropriate age groups, off-label uses, side effects, adverse effects and black box warnings, this medication reference guide is a useful reference in prescribing and monitoring antipsychotic medication.
Adobe PDF    Date Added: 04/07/2021    Date Last Modified: Oct 6 2021 4:08PM  
Antipsychotic Medication Tracking Form
Use this Excel workbook to track your residents, their prescriptions for antipsychotics, and your facility’s efforts to appropriately reduce the use of antipsychotics with alternative interventions. The first sheet in this workbook provides a sample of the type of information to list in each column. The second sheet in the workbook is for your use.
Microsoft Excel    Date Added: 08/30/2015    Date Last Modified: Oct 10 2022 12:37PM  
Behavior and Person Centered Care Video
This brief video will give you an opportunity to explore how well you know your residents and what you might use to help them be happy in your facility.
Video    Date Added: 09/09/2016    Date Last Modified: Jun 3 2020 4:56PM  
Certification: Certified Dementia Practitioner (CDP)
Are you interested in becoming a Certified Dementia Practitioner? This website provides information on how to obtain certification.
Web link    Date Added: 10/20/2013    Date Last Modified: Oct 20 2013 12:00AM  
CMS Adverse Drug Event Trigger Tool
This tool from the Centers for Medicare & Medicaid Services (CMS) is intended to assist facilities in identifying risk factors for adverse drug events and implementing programs to minimize such risks.
Adobe PDF    Date Added: 09/01/2021    Date Last Modified: Mar 16 2022 4:56PM  
CMS Hand in Hand: A Training Series for Nursing Homes Toolkit
This toolkit, developed by the Centers for Medicare & Medicaid Services (CMS), focuses on providing nurse aides quality training on abuse prevention and person-centered care of residents with dementia, but may be beneficial to nursing home caregivers, administrative staff and surveyors also. The training materials consist of six one-hour training videos, orientation guide and instructor guide. Please note that contact information is required to access the downloadable materials.
Web link    Date Added: 06/11/2013    Date Last Modified: Apr 12 2023 11:17AM  
CMS MDS Training Video Resources Available for Section N
Minimum Data Set (MDS) training is available in Section N, Medications – Drug Regimen Review. Scroll down the page to locate the Section N materials.
Web link    Date Added: 02/05/2024    Date Last Modified: Jan 25 2024 1:02PM  
Fishbone Diagram for Antipsychotic Medications
This document is a draft of suggestions and must be modified by the facility team to ensure they reflect their QI work.
Adobe PDF    Date Added: 01/19/2023    Date Last Modified: Jan 25 2024 3:06PM  
Joint Summary Statement: Diagnosing Schizophrenia in Skilled Nursing Centers
This joint summary statement addresses appropriate strategies for diagnosing schizophrenia in skilled nursing centers and is supported by associations including the American Association for Geriatric Psychiatry, the American Association of Nurse Practitioners, the American Psychiatric Association and more.
Adobe PDF    Date Added: 07/25/2018    Date Last Modified: Oct 6 2021 6:11PM  
LTC Connect: Taking a New Approach to Dementia Care and Reducing Inappropriate Antipsychotics
This Oct. 19 recording features Dr. Angela Norman, author of the “Well-being Model for Dementia Care in the Long-term Care Setting,” discussing antipsychotic medications and why it is important to reduce the use of these medications. She also explores alternative avenues for treating residents with dementia.
Video    Date Added: 10/25/2023    Date Last Modified: Nov 16 2023 9:48AM  
Managing Personality and Behavior Changes
This resource provides tips for Alzheimer's Caregivers that may help them understand and cope with changes in personality and behavior.
Adobe PDF    Date Added: 08/26/2012    Date Last Modified: Oct 6 2021 6:12PM  
Medication Safety Clinical Teach-Back Cards
Now available with two new drug groups: COPD medications and antipsychotics. Clinicians in hospitals, skilled nursing facilities, home health agencies, pharmacies and physician offices will find this tool useful for teaching their Medicare and elderly patients about their medications. Included in the tool are a cover reminder card, and eleven medication cards, including: Angiotensin Converting Enzyme (ACE) -inhibitors, Angiotensin II Receptor Blockers (ARBs), beta blockers, antiarrhythmic agents, aldosterone blockers, diuretics, nitrates (vasodilators), potassium, blood thinners (anticoagulants), antidiabetic agents, opioid medications, COPD medications and antipsychotics. Each medication card includes: 1) How the class of drug works, 2) What problems to report to the clinician, and 3) The brand or generic drug names by class.
Adobe PDF    Date Added: 06/20/2017    Date Last Modified: Mar 24 2022 9:48AM  
Medication Safety Mini-Toolkit
This mini-toolkit includes resources geared toward improving medication safety.
Adobe PDF    Date Added: 03/07/2022    Date Last Modified: Mar 7 2022 10:06AM  
Miami Shores - Success Story Video on Antipsychotic Medication
View this video to see how this facility used team work, education to achieve great results for their residents through person-centered care.
Video    Date Added: 10/01/2015    Date Last Modified: Oct 6 2021 4:13PM  
New National Partnership to Improve Dementia Care Website
View this new website from the Centers for Medicare & Medicaid Services, which provides resources and more information on the National Partnership initiative to improve comprehensive dementia care and help reduce the use of antipsychotic medications in nursing homes.
Web link    Date Added: 03/26/2015    Date Last Modified: Mar 26 2015 12:00AM  
Promoting Positive Behavioral Health: A Non-pharmacologic Toolkit for Senior Living Communities
This toolkit, prepared for the Commonwealth Fund in collaboration with the Hartford Foundation, provides information on non-pharmacological approaches that are effective in reducing the behavioral and psychological symptoms of dementia exhibited by persons residing in nursing homes.
Web link    Date Added: 12/18/2013    Date Last Modified: Feb 21 2023 6:31PM  
Psychoactive and Opioid Drug Reference Sheet for Minimum Data Set (MDS)
Download this list of medications for reference. Note, this list does not supersede obtaining consent where required.
Adobe PDF    Date Added: 02/24/2020    Date Last Modified: Oct 6 2021 6:20PM  
QAPI: Mood/Behavior Symptom Log
Use this log to identify the day a mood or behavior symptom was reported in order to discern a pattern for certain symptoms and a reduction in symptoms as staff works to address and resolve the care routine.
Microsoft Word    Date Added: 08/09/2016    Date Last Modified: Oct 6 2021 6:21PM  
QI Plan for Antipsychotic Medications
Use this tool with the antipsychotic medications example to help you set up your measures for reporting your quality improvement project. This document is a draft of suggestions and must be modified by the facility team to ensure they reflect their QI work.
Adobe PDF    Date Added: 01/19/2023    Date Last Modified: Jan 26 2023 9:25AM  
Quality Measure Tip Sheet: Antipsychotic Medications – Long Stay and Short Stay
This quality measure tip sheet provides an overview of the long- and short-stay antipsychotic medications measure, MDS coding requirements and additional tips and assessment considerations.
Adobe PDF    Date Added: 11/14/2022    Date Last Modified: Nov 14 2022 1:16PM  
Quality Measure Tip Sheet: Prevalence of Antianxiety or Hypnotic Use (Long Stay)
"This quality measure tip sheet provides an overview of the percentage of long-stay residents who are receiving antianxiety medications or hypnotics, MDS coding requirements and additional tips and assessment considerations."
Adobe PDF    Date Added: 12/06/2022    Date Last Modified: Dec 6 2022 6:52PM  
Researchers Wake Up to Residents' Sleep Problems
This article focuses on abnormal sleep patterns and sleep problems that are common in nursing homes, including insomnia, daytime sleepiness, abnormal sleep-wake patterns and circadian rhythms.
Web link    Date Added: 01/14/2014    Date Last Modified: Oct 6 2021 6:22PM  
Texas HHS Consent for Antipsychotic or Neuroleptic Medication Treatment - Form 3713P
This form, as required by the Texas Health and Human Services Commission meets the Texas policy requirements for a resident or a resident’s legally authorized representative to provide consent to the prescription of an antipsychotic or neuroleptic medication. Note: The Firefox web browser maybe required to open this file.
Adobe PDF    Date Added: 06/20/2022    Date Last Modified: Jun 20 2022 3:37PM  
The Villages of Southern Hills, a Champion for Change
This video is from a nursing home that has begun working with residents to reduce antipsychotic medications. The story is told from the resident's point of view and how the reduction in the antipsychotic drug has affected his life.
Web link    Date Added: 04/02/2014    Date Last Modified: Oct 6 2021 6:23PM  
Trigger Tool for Measuring Adverse Drug Events
This tool from the Institute for Healthcare Improvement provides instructions for conducting a retrospective review of patient records using triggers to identify possible adverse drug events. Log-in may be required to access information.
Web link    Date Added: 09/16/2021    Date Last Modified: Mar 28 2023 9:54AM  
Video: Reducing Antipsychotics: A Story of Hope
Learn how one nursing home reduced its antipsychotic usage rate from 54 to 13 percent. Watch this brief video (7 minutes and 48 seconds) to learn about the different methods this nursing home implemented to achieve this reduction, including virtual dementia training for staff.
Web link    Date Added: 07/14/2015    Date Last Modified: Oct 6 2021 6:24PM  
QAPI: Mood/Behavior Symptom Log (Spanish)
Use this log to identify the day a mood or behavior symptom was reported in order to discern a pattern for certain symptoms and a reduction in symptoms as staff works to address and resolve the care routine. This resource is in Spanish suitable for a Puerto Rican audience.
Microsoft Word    Date Added: 08/09/2016    Date Last Modified: Oct 6 2021 6:21PM