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Reducing Antipsychotics

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One in four nursing home residents receive at least one antipsychotic medication. Many of those residents have dementia.

Antipsychotic drugs have a number of serious side effects. An analyses by the Centers for Medicare and Medicaid Services (CMS) revealed that in many cases, these medications are used inappropriately, for too long and at too high a dose, while alternative, non-pharmacological approaches have not been widely adopted.

In response, CMS created The Partnership to Improve Dementia Care in Nursing Homes to improve behavioral health and safety for nursing home residents.

atom Alliance helps local nursing homes lower antipsychotic drug use by sharing relevant resources and attainable steps to reduce antipsychotic medication rates. Through the collaborative, we are discovering new ways to implement practices that enhance the quality of life for people with dementia, protecting them from substandard care and promoting person-centered care for every resident.

Get Started.

atom Alliance has been working diligently with nursing homes to help them reduce antipsychotic drug use in dementia patients. Join our free collaborative to get started today.

Featured Resources

CMS Equity Plan
CMS Equity Plan

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433.40 KB | Last Updated: January 26, 2016

Person-Centered Care Webinars and Resources from the Missouri LANE
Person-Centered Care Webinars and Resources from the Missouri LANE

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5.06 MB | Last Updated: January 14, 2016

ADE Trigger Tool
ADE Trigger Tool

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216.37 KB | Last Updated: August 20, 2015

Use the tabs to the right to search for specific tools and resources related to this page.

You can also search our comprehensive library of online resources, where you can sort by atom Alliance state, initiative, patient or provider focus or simply type in a keyword for quick access to the tools and resources you need.

Five-Star Quality Rating System Technical Users’ Guide, July 2012
Provides a comprehensive description of the design for the Nursing Home Compare Five-Star Rating System
CDC Toolkit for Long-Term Care Employers: Seasonal Flu
Provides resources to help long-term care facility, agency or corporation owners and administrators provide access to influenza vaccination for their workforce and to help any employer of workers in long-term care understand the importance of influenza vaccination for their employees
Nursing Home Survey on Patient Safety Culture: 2014 User Comparative Database Report
The second edition of the AHRQ Nursing Home Survey on Patient Safety Culture User Comparative Database Report presents data from 18,968 staff within 263 U.S. nursing homes.
National Plan to Address Alzheimer’s Disease: 2014 Update
Activities outlined in the plan vary in scope and impact to include: (1) immediate actions that the Federal Government will take; (2) actions toward the goals that can be initiated by the Federal Government or its public and private partners in the near term; and (3) longer-range activities that will require numerous actions to achieve.
Fact sheets: Data show National Partnership to Improve Dementia Care exceeds goal
The National Consumer Voice
INTERACT 3.0
Minnesota Department of Health: Root Cause Analysis Toolkit
TeamSTEPPS for Long Term Care
IHI Model for Quality Improvement
Institute for Safe Medication Practices
University of Iowa: Geriatric Education Center
Medline University: Antipsychotic Drug Reduction – The Role of the Nursing Assistant
Promoting Positive Behavioral Health: A Non-pharmacologic Toolkit for Senior Living Communities
Vanderbilt-Reynolds Geriatrics Education Center
How to Use the CMS Hand in Hand Training for Dementia Care
The Center for Excellence in Assisted Living
Tennessee Advancing Excellence Coalition
Partnership to Improve Dementia Care in Nursing Homes
Advancing Excellence in America’s Nursing Homes
Person-Centered Care Webinars and Resources from the Missouri LANE
Person-Centered Care Webinars and Resources from the Missouri LANE

Preview: Person-Centered Care Webinars and Resources from the Missouri LANE
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5.06 MB | Last Updated: January 14, 2016

ADE Trigger Tool
ADE Trigger Tool

Preview: ADE Trigger Tool
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216.37 KB | Last Updated: August 20, 2015

Change Package Strategy 1: Lead with a Sense of Purpose
Change Package Strategy 1: Lead with a Sense of Purpose

Preview: Change Package Strategy 1: Lead with a Sense of Purpose
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733.37 KB | Last Updated: July 15, 2015

Change Package Strategy 2: Recruiting and Retaining Quality Staff
Change Package Strategy 2: Recruiting and Retaining Quality Staff

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934.02 KB | Last Updated: July 15, 2015

Change Package Strategy 3: Connect with Residents
Change Package Strategy 3: Connect with Residents

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1.02 MB | Last Updated: July 15, 2015

Change Package Strategy 4: Nourish Teamwork and Communication
Change Package Strategy 4: Nourish Teamwork and Communication

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225.46 KB | Last Updated: July 15, 2015

Change Package Strategy 5: Be a Continuous Learning Organization
Change Package Strategy 5: Be a Continuous Learning Organization

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432.53 KB | Last Updated: July 15, 2015

Change Package Strategy 6: Provide Exceptional Compassionate Care That Treats the Whole Person
Change Package Strategy 6: Provide Exceptional Compassionate Care That Treats the Whole Person
Change Package Strategy 7: Construct Solid Business Practices
Change Package Strategy 7: Construct Solid Business Practices

Preview: Change Package Strategy 7: Construct Solid Business Practices
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230.32 KB | Last Updated: July 15, 2015

HAC Recruitment Packet - Composite Measure FAQs
HAC Recruitment Packet - Composite Measure FAQs

Preview: HAC Recruitment Packet - Composite Measure FAQs
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101.75 KB | Last Updated: February 5, 2015

National Quality Strategy Toolkit
National Quality Strategy Toolkit

Preview: National Quality Strategy Toolkit
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1.95 MB | Last Updated: February 5, 2015

National Quality Strategy Lever Fact Sheet
National Quality Strategy Lever Fact Sheet

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304.38 KB | Last Updated: August 21, 2015

National Quality Strategy Fact Sheet
National Quality Strategy Fact Sheet

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343.86 KB | Last Updated: February 5, 2015

Recruitment Kit - AL
Recruitment Kit - AL

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6.83 MB | Last Updated: February 5, 2015

FAQs About the National Nursing Home Composite Score Measure
FAQs About the National Nursing Home Composite Score Measure

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101.75 KB | Last Updated: January 29, 2016

Facility Exceeds National AP Reduction Goal - AL Success Story
Facility Exceeds National AP Reduction Goal - AL Success Story

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722.63 KB | Last Updated: February 6, 2015

How to Use the CMS Hand in Hand Tool for Dementia Care
How to Use the CMS Hand in Hand Tool for Dementia Care

Preview: How to Use the CMS Hand in Hand Tool for Dementia Care
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1.49 MB | Last Updated: February 6, 2015

Rapid Estimate of Adult Literacy in Medicine - Short Form (REALM-SF)
Rapid Estimate of Adult Literacy in Medicine - Short Form (REALM-SF)

Preview: Rapid Estimate of Adult Literacy in Medicine - Short Form (REALM-SF)
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25.28 KB | Last Updated: February 6, 2015

Short Assessment of Health Literacy for Spanish Adults (SAHLSA-50)
Short Assessment of Health Literacy for Spanish Adults (SAHLSA-50)

Preview: Short Assessment of Health Literacy for Spanish Adults (SAHLSA-50)
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131.77 KB | Last Updated: February 6, 2015

Universities & Geriatric Education Centers in the South
Universities & Geriatric Education Centers in the South

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1.36 MB | Last Updated: February 6, 2015

CMS Nursing Homes Best Practices—July 2014
CMS Nursing Homes Best Practices—July 2014

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0.00 KB | Last Updated: February 6, 2015

Abt Star Rating Report
Abt Star Rating Report

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2.35 MB | Last Updated: February 6, 2015

Thomas Hamilton Survey Letter
Thomas Hamilton Survey Letter

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153.89 KB | Last Updated: February 6, 2015

Understanding the New MDS 3.0 Quality Measures
Understanding the New MDS 3.0 Quality Measures

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503.63 KB | Last Updated: February 6, 2015

Five Things Physicians and Patients Should Ask
Five Things Physicians and Patients Should Ask

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143.61 KB | Last Updated: February 6, 2015

Antipsychotic Alternatives
Antipsychotic Alternatives

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366.74 KB | Last Updated: February 6, 2015

White Paper: Partnering to Reduce Antipsychotics
White Paper: Partnering to Reduce Antipsychotics

Preview: White Paper: Partnering to Reduce Antipsychotics
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374.36 KB | Last Updated: February 6, 2015

Vanderbilt Dementia and Antipsychotic Presentation
Vanderbilt Dementia and Antipsychotic Presentation

Preview: Vanderbilt Dementia and Antipsychotic Presentation
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5.26 MB | Last Updated: August 21, 2015

atom Alliance Pinterest Board: Nursing Home Care
QIO Program Progress Infographic 2011-2014
QIO Program Progress Infographic 2011-2014

Preview: QIO Program Progress Infographic 2011-2014
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1.68 MB | Last Updated: February 5, 2015

Antipsychotic Success Graphic
Antipsychotic Success Graphic

Preview: Antipsychotic Success Graphic
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478.58 KB | Last Updated: February 6, 2015

CMS Equity Plan
CMS Equity Plan

Preview: CMS Equity Plan
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433.40 KB | Last Updated: January 26, 2016

RCA Five Whys
RCA Five Whys

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135.85 KB | Last Updated: February 5, 2015

Fishbone Diagram
Fishbone Diagram

Preview: Fishbone Diagram
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213.81 KB | Last Updated: February 6, 2015

Logic Models
The QIO Program helps you embrace data in your healthcare setting
Failure Modes & Effects Analysis (FMEA)
The QIO Program shares 5 steps in the Failure Modes and Effects Analysis (FMEA) to anticipate potential problems before they occur
Root Cause Analysis (RCA)
The QIO Program demonstrates how to identify the root cause of a problem using The 5 Whys
An Illustrated Look at QI in Healthcare
QIO Documentary
Learn about the history of the QIO Program, from 1966 through today.
IHI Whiteboard: Model for Improvement, Clip 1
IHI Whiteboard: Model for Improvement, Clip 2
IHI Whiteboard: PDSA Cycles, Part 1
IHI Whiteboard: PDSA Cycles, Part 2
IHI Whiteboard: Cause & Effect Diagrams
INTERACT 3.0
Video: Domestic Lean Goddess PDSA
Creating a Strong Team
Creating a Strong Team

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291.77 KB | Last Updated: February 6, 2015

Interactive PDSA Worksheet
Interactive PDSA Worksheet

Preview: Interactive PDSA Worksheet
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223.14 KB | Last Updated: February 6, 2015

Using PDSA for Quality Improvement
Using PDSA for Quality Improvement

Preview: Using PDSA for Quality Improvement
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54.30 KB | Last Updated: February 6, 2015

Developing an Aim Statement
Developing an Aim Statement

Preview: Developing an Aim Statement
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451.91 KB | Last Updated: February 10, 2015

Developing Vision and Mission Statements
Developing Vision and Mission Statements

Preview: Developing Vision and Mission Statements
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575.33 KB | Last Updated: February 10, 2015

Interactive Team Worksheet
Interactive Team Worksheet

Preview: Interactive Team Worksheet
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120.56 KB | Last Updated: February 6, 2015

PDSA Examples
PDSA Examples

Preview: PDSA Examples
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800.96 KB | Last Updated: February 6, 2015

Reducing Antipsychotics Blog

Blog Archive

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Embracing QAPI

The QAPI process is key to helping your nursing home establish, maintain and sustain high-quality care for residents. Put it to work today.

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Improving Mobility

Improving resident mobility is not only about safety, it’s also about dignity and independence. Discover what you can do.

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Collaborative

Make sure that every resident gets the highest quality of care. Join our collaborative to learn from and work with others dedicated to this goal.

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