Mood Stabiliser Prescribing

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

Percentage of long-stay residents with at least one day of mood stabiliser supply

Numerator

Number of long-stay residents who had at least one day of mood stabiliser supply

Denominator

Number of long-stay residents

Exclusions

Schizophrenia, Tourette's syndrome, and Huntington's disease

Use of Risk Adjustment
No
Risk Adjustments
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
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
No

Source and Reference Attributes

Evidence Source

Gerlach, L. B., Kales, H. C., Kim, H. M., Bynum, J. P. W., Chiang, C., Strominger, J., & Maust, D. T. (2020). Trends in Antipsychotic and Mood Stabilizer Prescribing in Long-Term Care in the U.S.: 2011-2014. Journal of the American Medical Directors Association, 21(11), 1629-1635

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