The Centers for Medicare & Medicaid Services (CMS) have shared the revised survey tools used in their dementia care survey pilot in 2014, that focused on the process for prescribing antipsychotic medications, and its expansion in 2015. The move comes after feedback from stakeholders and partners of the national Partnership to Improve Dementia Care in Nursing Homes. The intent is that facilities would use these tools to assess their own practices in providing resident care.
CMS completed a pilot project in 2014 to examine the process for prescribing antipsychotic medications and assess compliance with other federal requirements related to dementia care practices in nursing homes. Additionally, it was initiated to gain new insights about surveyor knowledge and skills and ways that the current survey process may be streamlined to more efficiently and accurately identify and cite deficient practice. Of those that volunteered, five States (California, Illinois, Louisiana, Minnesota and New York) participated in the pilot. Between the months of July and September of 2014, each State completed four focused surveys and an observation visit. A subject matter expert accompanied each survey team on their first survey/visit.
In 2015, the expansion project involved a more intensive, targeted effort to cite poor dementia care and the overutilization of antipsychotic medications, and broaden the opportunities for quality improvement among providers.