QI indicators

Don't misinterpret this QI as a red flag to your facility.

Psychotropic drug usage in LTCFs are not necessarily used for psychotic disorders (e.g., Schizo 295.00 - 295.9, Paranoid states 297.00 - 297.9, Nonorganic psychoses 298.0 - 298.9, Tourette's 307.23, Huntington's 333.4).

If you use Haldol/Risperdal mainly for residents w/ Dementia and Behavior disturbance (312.9) and/or Delusions (290.42) your QI will always indicate a high prevalence because these diagnoses are not of psychotic origin.

If there is however a psychiatric illness, it should be reflected in Section AB#9 on initial admission or an ICD9 of psychotic origin entered in Section I#3.

A facility w/ long-term psych population will have a low psychotrophic drug use indicator.

not in LTC at moment....forgot about that monster of a ??? that you bring up.........
the reg's they are a stickler for that dx aren't they....
get clarification with dr......if it doesn't automatically pop up.........dr. can specifically clarify this med for this dx....
but you knew that, Tex.........
keep it in the short grass
lol,
micro