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Phase II: Let’s Bust a Move - Transforming Medication Approaches in California Nursing Homes

Learn about the progress, challenges, and goals in reducing antipsychotic medication use in California nursing homes. Explore steps taken and future plans for better enforcement and care approaches. Together, we can combat elder abuse and improve resident well-being.

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Phase II: Let’s Bust a Move - Transforming Medication Approaches in California Nursing Homes

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  1. Phase II – Let’s Bust a Move Bringing the Least Medicating Approach to Every California Nursing Home Anthony Chicotel Staff Attorney California Advocates for Nursing Home Reform tony@canhr.org

  2. Phase I Re-Cap • Lots of good talk • Little collaborative action since • Goal Setting: • 15% AP reduction by Jan. 1, 2013 • 30% AP reduction by July 1, 2013

  3. How’d We Do? Overall AP use: • 4th Q 2011: 25.26% • 4th Q 2012: 23.99% (5.03% reduction) • 2nd Q 2013: 23.20% (8.16% reduction)

  4. The Good, Bad, and Ugly • Good: 10-year low; steady progress, lower than nat’l avg.; Ventura County • Bad: reduction rate lags the nation; we failed on the goal; • Ugly: 29 nursing homes with >90% AP use (more than 48 states combined); 94 homes with > 50% use

  5. CANHR’s Take • Appreciative of the gains and momentum • Concerned that we’re not maximizing our moment • Outraged by continued use of chemical restraint

  6. AP Use is Often Elder Abuse • Malpractice • Battery • Suffering • Death We should NOT tolerate this!

  7. Next Steps Demand Real Enforcement • DPH / DHCS Collaborative – success?: • 54.2% AP use in visited facilities in 2009 • 48.4% AP use 2Q 2013 (down 12.6%) • 8 of the 20 facilities have not met state average in AP reduction • Citations • 4 citations citing 72528 since 2004 • 0 citations for 72018 since 1999

  8. Other Steps • Target California’s disproportionately high number of high volume druggers • Dementia Care Listerv • Dementia Care Summit

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