Delaware success stories

DE Success StoriesQuality improvement endeavors can often feel overwhelming, but chances are, you can learn from the experiences that another physician, hospital or nursing home has had in a similar situation. Coupled with support from Quality Insights Quality Innovation Network, learning what has worked for others — and what didn't — is a valuable strategic planning component. 

We encourage you to read the success stories, contact us for more information, and also let us know if you have a Quality Insights' success story to share.

Westminster Village Recognized for Reducing Antipsychotic Drug Use

On Monday, February 8, 2016, U.S. Senator Tom Carper, along with Rita Landgraf, State Secretary of Health and Human Services, visited Westminster Village in Dover, DE to learn more about how the healthcare center had successfully reduced the use of antipsychotic drugs among residents receiving care for dementia and other cognitive deficiencies.
photoAlso attending the meeting were Sally Jennings, Quality Insights Lead Coordinator for the Reducing Healthcare-Acquired Conditions in Nursing Homes initiative in Delaware, and Jan Lennon, Quality Insights Program Director in Delaware. Quality Insights has supported Westminster Village’s efforts to reduce antipsychotic drug use over the last few years by sharing best practices, resources and educational training sessions.
The most recent data from the Centers for Medicare & Medicaid Services (CMS) shows that the average prevalence of antipsychotic use by long-term nursing home residents in Delaware is 13.5 percent; while the national average is 17.43 percent. Westminster Village recently reported antipsychotic drug usage rates well below the state and national average as determined by CMS, with none of its long-term stay residents receiving antipsychotic drugs.
Director of Nursing, Elsie Josiah, MSN, BSN, RN discussed how the center used a multi-dimensional approach to reduce potentially improperly prescribed medications through behavioral monitoring tools, standardized reporting and tracking, enhanced staff training and regular examination of quality measures. She explained that her philosophy was to engage each resident and offer activities of interest.
Two LPNs and a CNA at Westminster Village were also present for the meeting and gave firsthand accounts of patients that "came to life" once they stopped taking antipsychotic drugs. The staff was able to interact with the residents and learn what was important to them. Residents began to share about their past and began participating in activities that they were unable to participate in when they were medicated.
As a result, the entire staff became advocates for reducing antipsychotic use. When talking with clinicians who tried to prescribe these types of drugs to Westminster residents, the nursing home staff explained that antipsychotics were not used in their facility.
In addition to staff, a resident's daughter was present for the meeting with Senator Carper and Secretary Landgraf and she spoke about her advocacy for requesting that her mother be taken off of antipsychotics. She reported positive changes in her mother after this medication was stopped.
“We owe our seniors access to the highest quality of personalized care possible,” said Senator Tom Carper. “The proactive approach this community has taken to significantly reduce the use of antipsychotic medication for those with dementia has had a profound effect on the quality of life for these Delaware residents.”