Page 73 - Culture Change is QAPI Slides.pptx

Pharmacy services §483.45 (Phase 1 &2)
• Drug Regimen Review.
• Policies/procedures for monthly drug regimen review.
• New: review of medical record (Phase 2).
• Requires pharmacist to document any irregularities and inform attending physician, medical director, DON.
• Requires attending physician document review of irregularities and what, if any, action taken including no change and why.
• Adds a definition of “irregularities” = “unnecessary drugs.”
• Revises “antipsychotic” drugs to “psychotropic” drugs.
• Defines “psychotropic drug” as any drug that affects brain activities associated with mental processes and behavior; antipsychotic, anti-depressant, anti-anxiety, and hypnotics.
• Requires that residents who have not used psychotropic drugs not be given these drugs unless medically necessary. (Sect. *Phase 2)
• Requires gradual dose reductions and behavioral interventions, unless clinically contraindicated, in an effort to d/c.
• PRNordersforpsychotropicdrugsarelimitedto14days and can only be continued with primary care provider review prior to renewal of the order, and documents rationale.
• Relocates here unnecessary drugs, antipsychotic drugs, medication errors, and influenza and pneumococcal immunizations into this section.