Antipsychotic Medication - Long Stay

Identifying Attributes

Care Settings
Dementia Care
Country
United States of America
Publishing Organisation
National Partnership to Improve Dementia Care in Nursing Homes (later incorporated into CMS Nursing Home Quality Measures)
Type of Quality Indicator
Process
IOM Quality Dimension
Safety
Domain
Interventions to Promote Cognition, Independence and Wellbeing

Defining Attributes

Definition

The percentage of long-stay residents who are receiving antipsychotic drugs in the target period

Numerator

Number of Residents Who Received an Antipsychotic Medication

Denominator

Number of long-stay residents

Exclusions

Residents with Schizophrenia, Tourette's syndrome, Huntington's disease

Use of Risk Adjustment
No
Risk Adjustments

None

Stratifications

Collection and Reporting Attributes

Type of Data Collection
Administrative data
Data Collection Methods

Data collected as part of Minimum Data Set (MDS) which is the federally mandated process for clinical assessment of all residents in Medicare and Medicaid certified nursing homes. This process provides a comprehensive assessment of each resident's functional capabilities and helps nursing home staff identify health problems. MDS assessments are completed for all residents in certified nursing homes, regardless of source of payment for the individual resident. MDS assessments are required for residents on admission to the nursing facility, periodically, and on discharge. All assessments are completed within specific guidelines and time-frames. In most cases, participants in the assessment process are licensed health care professionals employed by the nursing home. MDS information is transmitted electronically by nursing homes to the national MDS database at CMS.

Frequency of Data Collection
Continuous
Frequency of Data Collection in Days
1
Reporting Methods

Online at Medicare's compare sites, www.medicare.gov/care-compare/?providerType=NursingHome,

Reporting Frequency
Annually
Reporting Frequency in Days
365
Indicator Has Recommended Targets
No

Source and Reference Attributes

Evidence Source

www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/nursinghomequalityinits/nhqiqualitymeasures Gerlach, L. B., Fashaw, S., Strominger, J., Ogarek, J., Zullo, A. R., Daiello, L. A., . . . Bynum, J. P. W. (2021). Trends in antipsychotic prescribing among long-term care residents receiving hospice care. Journal of the American Geriatrics Society, 69(8), 2152-2162.

Technical Specifications
Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
No
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
02 December 2025