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EH/CAH eCQMs
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Resolution: Unresolved
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Minor
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Use of Antipsychotics in Older Adults in the Inpatient Hospital Setting EHR Measure
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Katie Thomas
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215-955-9740
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Thomas Jefferson University Hospital
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Use of Antipsychotics in Older Adults in the Inpatient Hospital Setting
There are unintended consequences of this measure. The use of antipsychotics in palliative care and EOL care and to assist with management of delirium. These are three accepted indications of use that do not fall into the descriptions.
The age range should not be expanded to include all adults.
Patients with delirium or being used for palliative or EOL care should be removed from the denominator.
Haldol is the medication used most commonly in palliative and EOL care. Although other antipsychotics are often uses – the exclusions should be more based on reason for use rather than drug.