{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T15:42:58Z","timestamp":1792078978663,"version":"4.4.0"},"reference-count":29,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2022,8,19]],"date-time":"2022-08-19T00:00:00Z","timestamp":1660867200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["K08 AG071856"],"award-info":[{"award-number":["K08 AG071856"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["P01 AG027296"],"award-info":[{"award-number":["P01 AG027296"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The Centers for Medicare &amp; Medicaid Services implemented the National Partnership to Improve Dementia Care in Nursing Homes (the Partnership) to decrease antipsychotic use and improve care for nursing home (NH) residents with dementia. We determined whether the extent of antipsychotic and other psychotropic medication prescribing in AL residents with dementia mirrored that of long\u2010stay NH (LSNH) residents after the Partnership.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using a 20% sample of fee\u2010for\u2010service Medicare beneficiaries with Part D, we conducted a retrospective cohort study including AL and LSNH residents with dementia. The monthly prevalence of psychotropic medication prescribing (antipsychotics, antidepressants, anxiolytics\/sedative\u2010hypnotics, anticonvulsants\/mood stabilizers, benzodiazepines, and antidementia medications) was examined. We used an interrupted time\u2010series analysis to compare medication prescribing before (July 1, 2010\u2013March 31, 2012) and after (April 1, 2012\u2013December 31, 2017) the Partnership in both settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We identified 107,931 beneficiaries with \u22651\u00a0month as an AL resident and 323,766 beneficiaries with \u22651\u00a0month as a LSNH resident with dementia, including 1,923,867 person\u2010months and 4,984,405 person\u2010months, respectively. Antipsychotic prescribing declined over the study period in both settings. After the launch of the Partnership, the rate of decline in antipsychotic prescribing slowed in AL residents with dementia (slope change\u00a0=\u00a00.03 [95% CLs: 0.02, 0.04]) while the rate of decline in antipsychotic prescribing increased in LSNH residents with dementia (slope change\u00a0=\u00a0\u22120.12 [95% CLs: \u22120.16, \u22120.08]). Antidepressants were the most prevalent medication prescribed, anticonvulsant\/mood stabilizer prescribing increased, and anxiolytic\/sedative\u2010hypnotic and antidementia medication prescribing declined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The federal Partnership to reduce antipsychotic prescribing in NH residents did not appear to affect antipsychotic prescribing in AL residents with dementia. Given the increase in the prescribing of mood stabilizers\/anticonvulsants that occurred after the launch of the Partnership, monitoring may be warranted for all psychotropic medications in AL and NH settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.18004","type":"journal-article","created":{"date-parts":[[2022,8,19]],"date-time":"2022-08-19T08:19:42Z","timestamp":1660897182000},"page":"3513-3525","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Psychotropic medication prescribing in assisted living and nursing home residents with dementia after the National Partnership"],"prefix":"10.1111","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5723-0443","authenticated-orcid":false,"given":"Antoinette B.","family":"Coe","sequence":"first","affiliation":[{"name":"Department of Clinical Pharmacy College of Pharmacy, University of Michigan  Ann Arbor Michigan USA"},{"name":"Institute for Healthcare Policy and Innovation University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tingting","family":"Zhang","sequence":"additional","affiliation":[{"name":"Center for Gerontology and Healthcare Research Brown University School of Public Health  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1673-4570","authenticated-orcid":false,"given":"Andrew R.","family":"Zullo","sequence":"additional","affiliation":[{"name":"Center for Gerontology and Healthcare Research Brown University School of Public Health  Providence Rhode Island USA"},{"name":"Department of Health Services, Policy, and Practice Brown University School of Public Health  Providence Rhode Island USA"},{"name":"Department of Epidemiology Brown University School of Public Health  Providence Rhode Island USA"},{"name":"Center of Innovation in Long\u2010Term Services and Supports Providence Veterans Affairs Medical Center  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1943-0150","authenticated-orcid":false,"given":"Lauren B.","family":"Gerlach","sequence":"additional","affiliation":[{"name":"Institute for Healthcare Policy and Innovation University of Michigan  Ann Arbor Michigan USA"},{"name":"Department of Psychiatry University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kali S.","family":"Thomas","sequence":"additional","affiliation":[{"name":"Center for Gerontology and Healthcare Research Brown University School of Public Health  Providence Rhode Island USA"},{"name":"Department of Health Services, Policy, and Practice Brown University School of Public Health  Providence Rhode Island USA"},{"name":"Center of Innovation in Long\u2010Term Services and Supports Providence Veterans Affairs Medical Center  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lori A.","family":"Daiello","sequence":"additional","affiliation":[{"name":"Center for Gerontology and Healthcare Research Brown University School of Public Health  Providence Rhode Island USA"},{"name":"Department of Neurology The Warren Alpert Medical School of Brown University  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiren","family":"Varma","sequence":"additional","affiliation":[{"name":"Center for Gerontology and Healthcare Research Brown University School of Public Health  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Derrick","family":"Lo","sequence":"additional","affiliation":[{"name":"Center for Gerontology and Healthcare Research Brown University School of Public Health  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richa","family":"Joshi","sequence":"additional","affiliation":[{"name":"Center for Gerontology and Healthcare Research Brown University School of Public Health  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theresa I.","family":"Shireman","sequence":"additional","affiliation":[{"name":"Center for Gerontology and Healthcare Research Brown University School of Public Health  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie P. W.","family":"Bynum","sequence":"additional","affiliation":[{"name":"Institute for Healthcare Policy and Innovation University of Michigan  Ann Arbor Michigan USA"},{"name":"Department of Internal Medicine University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,8,19]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"CMS announces partnership to improve dementia care in nursing homes.Centers for Medicare and Medicaid Services.https:\/\/www.cms.gov\/newsroom\/press-releases\/cms-announces-partnership-improve-dementia-care-nursing-homes. 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Centers for Medicare and Medicaid Services.https:\/\/www.cms.gov\/Medicare\/Quality\u2010Initiatives\u2010Patient\u2010Assessment\u2010Instruments\/NursingHomeQualityInits\/downloads\/MDS202005AppendixE.pdf. Accessed November 17 2021."},{"key":"e_1_2_10_20_1","unstructured":"Ref: S&C:13\u201035\u2010NH Advanced Copy: Dementia Care in Nursing Homes: Clarification to Appendix P State Operations Manual (SOM) and Appendix PP in the SOM for F309 \u2013 Quality of Care and F329 \u2013 Unnecessary Drugs. Centers for Medicare and Medicaid Services.https:\/\/www.cms.gov\/medicare\/provider\u2010enrollment\u2010and\u2010certification\/surveycertificationgeninfo\/downloads\/survey\u2010and\u2010cert\u2010letter\u201013\u201035.pdf. Accessed November 17 2021."},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2021.1195"},{"key":"e_1_2_10_22_1","unstructured":"USP Medicare Model Guidelines V8.0 with Example Part D Drugs. Updated February 1 2020.United States Pharmacopeia.https:\/\/www.usp.org\/health\u2010quality\u2010safety\/usp\u2010medicare\u2010model\u2010guidelines. Accessed November 17 2021."},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.21060591"},{"key":"e_1_2_10_24_1","unstructured":"2010 Census regions and divisions of the United States. US Census Bureau.https:\/\/www2.census.gov\/geo\/pdfs\/maps-data\/maps\/reference\/us_regdiv.pdf. 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