How are antipsychotic drugs used in nursing homes?
How are antipsychotic drugs used in nursing homes?
Since OBRA was enacted, overall use of antipsychotic drugs in nursing home residents has declined by nearly one third, 10 and prescriptions for antidepressants have increased 8 (by almost 85 percent in one study 10 ).
What did OBRA-87 do for nursing homes?
Intervention: OBRA-87 enhanced the regulation of nursing homes and included new requirements on quality of care, resident assessment, care planning, and the use of neuroleptic drugs and physical restraints.
What are the guidelines for drug use in nursing homes?
According to the HCFA guidelines, 4 “residents must be free of unnecessary drugs,” which are defined as those that are duplicative, excessive in dose or duration, or used in the presence of adverse effects or without adequate monitoring or indication.
Are there Medicare regulations for antipsychotic drugging?
The Centers for Medicare and Medicaid Services (CMS) has recently begun a campaign to address problems of antipsychotic drugging in nursing homes.
Since OBRA was enacted, overall use of antipsychotic drugs in nursing home residents has declined by nearly one third, 10 and prescriptions for antidepressants have increased 8 (by almost 85 percent in one study 10 ).
When did CMS update guidelines for antipsychotic drugs?
The update and training video are meant to support the Partnership to Improve Dementia Care in Nursing Homes initiative, CMS said. The initiative, announced in March 2012, embraced the American Health Care Association’s call to reduce antipsychotic prescribing in nursing homes 15% by the end of 2012.
What are the OBRA regulations governing nursing homes?
OBRA Regulations Governing Nursing Homes. What is OBRA? The Omnibus Budget Reconciliation Act (OBRA), also known as the Nursing Home Reform Act of 1987, has dramatically improved the quality of care in the nursing home over the last twenty years by setting forth federal standards of how care should be provided to residents.
According to the HCFA guidelines, 4 “residents must be free of unnecessary drugs,” which are defined as those that are duplicative, excessive in dose or duration, or used in the presence of adverse effects or without adequate monitoring or indication.