|
*TS: Benchmark: St. Bernards Medical Center Improves Performance with Staff Education[®] [REF: MDx, StEd] The Source, November 2014, Vol 12, #11, Pg 16 JCs14111_B4 “30%-50% of inpatients treated with an antipsychotic medication concurrently received two or more antipsychotics.” HBIPS-5 requires justification whenever a patient is discharged on multiple antipsychotic medication. In the experience of St. Bernards Medical Center, the most common justification, ‘failed multiple trials of mono therapy; lacked sufficient supporting documentation in the record’. Apparently, for St. Bernards, some of that failure was due to a lack of knowledge about/familiarity with the importance of the core measure and consequently inadequate motivation to fully comply. Their solution was a selective program of physician education; based on indications in monitored discharge paperwork, that a particular physician might have that need. |
| RTN Quick Jump•• Top•• RecRd•• Page 1•• Page 2•• Page 3•• Bottom••JcE••JcP••JcS |
One response to “RTN1411_B4_Staff Education to Improve HBIPS-5”
Key Definition: Appropriate Justifications for Multiple Antipsychotic Medications include:
— 1 The medical record contains documentation of a history of a minimum of three failed multiple trials of monotherapy.
— 2 The medical record contains documentation of a recommended plan to taper to monotherapy due to previous use of multiple antipsychotic medications OR documentation of a cross-taper in progress at the time of discharge. harm
— 3 The medical record contains documentation of augmentation of Clozapine.
— 4 The medical record contains documentation of a justification other than those listed in Allowable Values 1-3.
— 5 The medical record does not contain documentation supporting the reason for being discharged on two or more antipsychotic medications OR unable to determine from medical record documentation.
See Also:
Specifications Manual for Joint Commission National Quality Measures (v2013A1)