Percent of Residents Who Received an Antipsychotic Medication

Identifying Attributes

Care Settings
Dementia Care
Country
United States of America
Publishing Organisation
Centers for Medicare & Medicaid Services (CMS): Nursing Home Minimum Data Set (MDS) Resident Assessment Instrument Based Quality Measures
Type of Quality Indicator
Process
IOM Quality Dimension
Safety
Domain
Interventions to Promote Cognition, Independence and Wellbeing

Defining Attributes

Definition

This measure reports the percentage of long-stay residents who are receiving antipsychotic drugs in the target period.

Numerator

Long-stay residents with a selected target assessment where the following condition is true: antipsychotic medications received.

Denominator

Long-stay nursing home residents with a selected target assessment except those with exclusions

Exclusions

Residents with the following conditions: schizophrenia, Tourette's syndrome, and Huntington's disease

Use of Risk Adjustment
No
Risk Adjustments

None

Stratifications

Collection and Reporting Attributes

Type of Data Collection
Standardised clinical data
Data Collection Methods

Nursing Home Minimum Data Set (MDS) Resident Assessment Instrument

Frequency of Data Collection
Quarterly
Frequency of Data Collection in Days
91
Reporting Methods

Public report, available from www.medicare.gov/care-compare/

Reporting Frequency
Quarterly. Internet Quality Improvement and Evaluation System (iQIES) Quality Measure Reports. National, state, facility and resident level (providers only). Nursing Home Care Compare. Publicly reported on CMS website of all Medicare and Medicaid US nursing homes. Reports the average adjusted QM values for most recent three quarters. Five Star Quality Rating System (includes 9 QIs). Publicly available online.
Reporting Frequency in Days
91
Indicator Has Recommended Targets
No

Source and Reference Attributes

Evidence Source

www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/nursinghomequalityinits/nhqiqualitymeasures Rivera-Hernandez, M., Kumar, A., Roy, I., Fashaw-Walters, S., & Baldwin, J. A. (2022). Quality of Care and Outcomes Among a Diverse Group of Long-Term Care Residents With Alzheimer's Disease and Related Dementias. Journal of aging and health, 34(2), 283-296.

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