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Improving IV Insulin Administration in a Community Hospital

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Published on: June 11, 2012

Partnership to decrease antipsychotic medication use in nursing homes: impact at the state level.

Jane R Mort, Ryan Sailor, Lori Hintz

South Dakota Medicine : the Journal of the South Dakota State Medical Association

|March 15, 2014

Summary

Nursing homes reduced antipsychotic prescriptions by 12% through a Centers for Medicare & Medicaid Services (CMS) partnership. This initiative focused on non-pharmacologic approaches and education to improve dementia care safety.

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Last Updated: May 2, 2026

Improving IV Insulin Administration in a Community Hospital

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Published on: June 11, 2012

Area of Science:

Geriatric Medicine
Pharmacology
Public Health Policy

Background:

Nursing home residents often receive antipsychotic agents, raising concerns about off-label use, costs, and dementia patient toxicity.
The Centers for Medicare & Medicaid Services (CMS) initiated a partnership to reduce antipsychotic prescribing by 15%.

Purpose of the Study:

To evaluate the effectiveness of a CMS-led initiative aimed at decreasing antipsychotic agent use in nursing home residents.
To assess the impact of focused interventions on medication prescribing patterns in geriatric care.

Main Methods:

The study tracked the percentage of nursing home residents prescribed antipsychotic agents before and after the initiative's implementation.
Interventions included clinician training on non-pharmacologic approaches, education on antipsychotic risks, and data sharing.

Main Results:

South Dakota achieved a 12% relative reduction in antipsychotic prescriptions among nursing home residents between Q2 2012 and Q2 2013.
The percentage of residents on antipsychotics decreased from 21.3% to 18.7%.

Conclusions:

The CMS partnership effectively reduced antipsychotic use in South Dakota nursing homes, demonstrating the value of targeted quality improvement efforts.
Future initiatives, like the Nursing Home Quality Care Collaborative and the South Dakota Dementia Coalition, aim to sustain and expand these improvements in geriatric care.