Why OIG Did This Review. Nursing home residents and their families rely on nursing homes to provide quality care in a safe environment, and nursing homes are statutorily required to protect residents’ rights in this regard. OIG work in 2011 raised quality and safety concerns about the high use of one category of psychotropic drug – antipsychotics - by nursing home residents. CMS began monitoring nursing home residents’ use of antipsychotics in 2012, and in May 2021 OIG published a report that determined that CMS's existing methods for monitoring antipsychotic use by nursing home residents did not always provide complete information. Additionally, congressional stakeholders continue to raise concerns that nursing home residents may be inappropriately prescribed other types of psychotropic drugs and that potentially inappropriate use of those drugs may be going undetected. How OIG Did This Review. We used Minimum Data Set (MDS) assessment data from calendar years 2011 through 2019 to identify long-stay nursing home residents aged 65 and older and reviewed Medicare Part D psychotropic drug claims data for these residents. From these data, we identified the number of residents who received a prescription for any of these drugs. We then searched for patterns and characteristics in these data correlated with a higher use of psychotropic drugs in nursing homes. Our review did not assess the administration of or medical necessity of psychotropic drugs for nursing home residents.
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