Antipsychotic Medication - Long Stay
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
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
Risk Adjustments
None
Stratifications
Collection and Reporting Attributes
Type of Data Collection
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
Frequency of Data Collection in Days
Reporting Methods
Online at Medicare's compare sites, www.medicare.gov/care-compare/?providerType=NursingHome,
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
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.