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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  
Checklist for prescribing opioids for chronic pain
Download this one-page checklist from the Centers for Disease Control and Prevention (CDC), which lists what to consider and assess if prescribing opioids for chronic pain conditions.
Adobe PDF    Date Added: 06/28/2016    Date Last Modified: May 18 2022 8:18AM  
Checklist of Nonverbal Indicators of Chronic Pain in Elderly Residents
Based on a pain recognition study conducted by the authors of the article, "Assessing Pain and Falls Risk in Residents With Cognitive Impairment: Associated Problems With Overlooked Assessments," they developed a checklist that health care providers can use to identify nonverbal cues of chronic pain in elderly residents. The use of such an instrument may serve to better identify those cognitively impaired persons who may benefit from a pain management plan.
Adobe PDF    Date Added: 01/14/2015    Date Last Modified: Jan 14 2015 12:00AM  
Chronic Pain Management in Older Adults
Chronic pain is not a normal part of aging. Use this tool for ideas and techniques to manage chronic pain in older adults.
Adobe PDF    Date Added: 04/07/2021    Date Last Modified: Apr 7 2021 3:18PM  
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 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  
Comfort Menu
Health care providers can give patients this menu of ways to take the edge off pain without using medications.
Adobe PDF    Date Added: 08/15/2023    Date Last Modified: Aug 24 2023 2:58PM  
FDA Updates Prescribing Information for All Opioid Pain Medicines
The U.S. Food and Drug Administration (FDA) has updated prescribing information for all opioid pain medicines to provide additional guidance for safe use and to help reduce unnecessary prescribing.
Web link    Date Added: 04/24/2023    Date Last Modified: Apr 24 2023 8:17AM  
Feb. 16 LTC Connect: Adverse Drug Events
This presentation is from the Feb. 16, 2023, LTC Connect webinar, "Adverse Drug Events."
Adobe PDF    Date Added: 02/09/2023    Date Last Modified: Feb 9 2023 4:06PM  
LTC Connect: Adverse Drug Events
This Feb. 16, 2023, LTC Connect recording focuses on the three commonly prescribed medications that can cause adverse drug events (ADEs) in nursing home residents. TMF Quality Innovation Network-Quality Improvement Organization specialists reviewed information on anticoagulant, diabetic and opioid medications, BEERS criteria and how ADEs can affect readmission and hospitalization rates.
Video    Date Added: 02/22/2023    Date Last Modified: Feb 22 2023 8:45AM  
Medication Access and Training Expansion Act Requirements
In compliance with the federal Medication Access and Training Expansion (MATE) Act, health care practitioners who are registered with the U.S. Drug Enforcement Administration to prescribe controlled substances must complete eight hours of training on the diagnosis, treatment, and management of patients with opioid or other substance-use disorders. More information is available on the American Medical Association website.
Web link    Date Added: 02/07/2024    Date Last Modified: Jan 25 2024 2:44PM  
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  
Minnesota Drug Diversion Prevention Pathway
This website provides best practices and resources to assist nursing facilities with identifying and mitigating controlled substance diversion in a standardized and accelerated fashion. It includes downloadable documents as well as a webinar series.
Web link    Date Added: 07/18/2023    Date Last Modified: Jul 18 2023 5:13PM  
Nursing Home Connect: Opioid Overload: Rescue or Relief?
This Jan. 18 webinar recording features Vicki Lepant of Rural Health Development and TMF's Behavioral Health Medical Director Clifford Moy, MD, discussing a naloxone rescue in a nursing home and how opioid adverse drug events are contributing to hospital readmissions.
Video    Date Added: 01/19/2024    Date Last Modified: Jan 21 2024 8:47AM  
Nursing Home Naloxone Policy and Procedure Toolkit
This naloxone nursing home toolkit is intended to provide easy-to-adapt policies and procedures for nursing homes that need to implement or improve their emergency response to opioid overdose, which includes naloxone administration.
Web link    Date Added: 06/21/2023    Date Last Modified: Jul 10 2023 10:22AM  
Nursing Home Naloxone Policy and Procedure Toolkit - YouTube
This webinar will walk you through a toolkit and the steps to create comprehensive naloxone policies and procedures for your nursing home.
Video    Date Added: 07/07/2023    Date Last Modified: Jul 10 2023 10:33AM  
Opioid Prevention for Aging and Longevity
The University of Arkansas for Medical Sciences Donald W. Reynolds Institute on Aging’s Education and Awareness Program includes a variety of webpages that include information about opioid pain medications, non-opioid pain medications and integrative medicine therapies.
Web link    Date Added: 07/18/2023    Date Last Modified: Jul 18 2023 5:22PM  
Opioid Risks for Older Adults
Use this resource to understand the effects of opioids on the brain, body and everyday activities; and learn how to lower the risks of adverse effects if you have to take opioids.
Adobe PDF    Date Added: 10/08/2020    Date Last Modified: May 11 2022 1:43PM  
Pain as the 5th Vital Sign Toolkit
This toolkit has been prepared as a resource manual for use by Veterans Health Administration (VHA) managers and staff in implementing the VHA National Pain Management Strategy. It offers guidelines for the completion of comprehensive pain assessments.
Adobe PDF    Date Added: 01/13/2015    Date Last Modified: Jan 13 2015 12:00AM  
Podcast: Multimodial Pain Intervention
Listen to this podcast with Clifford Moy, MD, the behavioral health medical director at TMF Health Quality Institute and Dr. Paul Milligan, a clinical pharmacist, as they discuss multimodal pain management.
Podcast    Date Added: 08/26/2020    Date Last Modified: Mar 24 2022 5:42PM  
Podcast: Opioid Induced Respiratory Depression
Listen to this podcast with Clifford Moy, MD, the behavioral health medical director at TMF Health Quality Institute and Dr. Paul Milligan, a clinical pharmacist, as they discuss opioid-induced respiratory depression.
Podcast    Date Added: 08/26/2020    Date Last Modified: Mar 24 2022 10:00PM  
Podcast: Opioid Safety in Nursing Home Residents
Listen to this podcast with Clifford Moy, MD, the behavioral health medical director at TMF Health Quality Institute and Dr. Paul Milligan, a clinical pharmacist, as they discuss discuss opioid safety in nursing home residents.
Podcast    Date Added: 08/26/2020    Date Last Modified: Mar 24 2022 10:01PM  
Preventing Medication Diversions in Nursing Homes
Watch this scenario on how the team identifies and addresses process gaps related to medication diversion concerns in their nursing home.
Video    Date Added: 11/15/2021    Date Last Modified: Nov 17 2021 2:13PM  
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  
Quality Improvement and Care Coordination: Implementing the CDC Guideline for Prescribing Opioids for Chronic Pain
In this resource, the Centers for Disease Control and Prevention (CDC) summarizes the CDC Guideline for Prescribing Opioids for Chronic Pain (CDC Guideline) and offers a quality improvement framework that allows health care systems and practice leaders to pick interventions best suited to the unique conditions in their practice and patient population.
Adobe PDF    Date Added: 05/23/2019    Date Last Modified: May 18 2022 8:07AM  
Quality Measure Tip Sheet: Percent of Residents Who Used Antianxiety or Hypnotic Medication (Long Stay)
This quality measure tip sheet provides an overview of long-stay antianxiety or hypnotic medication use, MDS coding requirements and additional tips and assessment considerations.
Adobe PDF    Date Added: 11/09/2022    Date Last Modified: Dec 6 2022 2:19PM  
Regulatory Update: Fentanyl Patch Disposal
Bring your team up to speed with Regulatory Updates on Fentanyl Patch Disposal for Nursing Homes from Pharmerica, a handy resource focused on the standard for safely disposing of fentanyl patches.
Web link    Date Added: 11/08/2022    Date Last Modified: Nov 8 2022 8:31AM  
Safety Tips for Fentanyl Patches
This printable tool from the Institute for Safe Medication Practices offers fast facts, guidance and tips for the safe handling and use of Fentanyl Patches.
Web link    Date Added: 08/24/2023    Date Last Modified: Aug 24 2023 3:10PM  
SAMHSA Opioid Overdose Toolkit
This toolkit contains resources for opioid use disorder facts, five essential steps for first responders, information for prescribers, safety advice for patients and family members, and recovering from opioid overdose.
Web link    Date Added: 07/18/2023    Date Last Modified: Jul 18 2023 5:05PM  
Steps for Evaluating Chronic Pain Tip Sheet
Use the Managing Chronic Pain in Older Adults: A Long-term Care Perspective article with this tip sheet published by the American Association for Long Term Care Nursing.
Adobe PDF    Date Added: 12/20/2019    Date Last Modified: Sep 11 2023 5:22PM  
The Center of Excellence for Behavioral Health in Nursing Facilities (COE-NF)
The COE-NF serves as a centralized hub and national model for expanding capacity in nursing facilities to care for residents with a variety of behavioral health needs. Training, technical assistance and workforce development will be provided for staff in nursing facilities.
Web link    Date Added: 05/08/2024    Date Last Modified: May 8 2024 1:49PM  
The Treatment Improvement Protocol (TIP) 63: Medications for Opioid Use Disorder
The Substance Abuse and Mental Health Services Administration (SAMHSA) published this guidance to help broaden healthcare professionals’ understanding of medications that can be used to treat Americans with opioid use disorder (OUD).
Web link    Date Added: 03/19/2018    Date Last Modified: Jul 14 2023 6:05PM  
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