Presence of Inappropriate Antipsychotic Use
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
Inappropriate antipsychotic use was identified according to a previously published definition which excludes individuals with FDA approved indications for antipsychotics as well as those meeting the Resource Utilisation Group (RUGs-III) definition of severe behavioural symptoms (Lucas et al. 2014).
Numerator
Number of residents with inappropriate antipsychotic use
Denominator
Number of residents
Exclusions
Use of Risk Adjustment
No
Risk Adjustments
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
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
No
Source and Reference Attributes
Evidence Source
Joyce, N. R., McGuire, T. G., Bartels, S. J., Mitchell, S. L., & Grabowski, D. C. (2018). The Impact of Dementia Special Care Units on Quality of Care: An Instrumental Variables Analysis. Health Services Research, 53(5), 3657-3679.
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
Contents
Actions
Date Modified 02 December 2025