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The Use of Antipsychotic Medication In Long Term Care Gary Epstein-Lubow, MD, and Andrew Rosenzweig, MD, MPH recommends Gradual Dose Reduction (GDR) of all antipsychotic medications in Medicaid Services. The F-Tags set guidelines for prescribing clinicians, pharmacists, nurs-
The regulations encourage implementation of gradual dose reduction of these medications and applying non- Implemented a gradual dose reduction and behavioral interventions for each resident receiving antipsychotic medication unless clinically contraindicated.
Updates to the State Operations Manual (SOM) and Implications for Medication Management in Nursing Homes Nicole Brandt, PharmD, CGP, BCPP, FASCP •Tapering/Gradual dose reduction •Prevention, identification, and response to “This guidance is not intended to imply that all
Medicare & Medicaid Services (CMS) released revised nursing facility regulations. These regulations govern most aspects of nursing facility operations, and apply nationwide to any nursing facility that accepts Medicare and/or Medicaid reimbursement. Regulations regarding unnecessary drugs and antipsychotic drugs were moved from
Long Term Care Psychiatric Services. Monitor and coordinate compliance with CMS guidelines for required dose reduction schedule for all psychotropics; Meet CMS guidelines for reduction of polypharmacy, gradual dose reduction (GDR), and documentation requirements.
§GRADUAL DOSE REDUCTION (GDR) Step-wise tapering of a dose to determine whether or not symptoms, conditions, or risks can be managed by a lower dose or whether or not the dose or medication can be discontinued. §CMS incorporated the capture of alarm use in Section P §Section title changed to Restraints AND Alarms Our mission is to make nursing homes better places to live, work and visit by advancing quality and performance improvement in nursing homes.
According to CMS guidelines, it is appropriate to consider the use of an antipsychotic to treat delusions, hallucinatio
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