title: The Effects of Antipsychotic Quality Reporting on Antipsychotic and Psychoactive Medication Use.
abstract: OBJECTIVE
  The objective of this study is to examine how nursing homes changed their use of antipsychotic and other psychoactive medications in response to Nursing Home Compare's initiation of publicly reporting antipsychotic use in July 2012.
  
  
  METHODS
  The study includes all state recertification surveys (n = 40,415) for facilities six quarters prior and post the initiation of public reporting. Using a difference-in-difference framework, the change in use of antipsychotics and other psychoactive medications is compared for facilities subject to public reporting and facilities not subject to reporting.
  
  
  RESULTS
  The percentage of residents using antipsychotics, hypnotics, or any psychoactive medication is found to decline after public reporting. Facilities subject to reporting experienced an additional decline in antipsychotic use (-1.94 vs. -1.40 percentage points) but did not decline as much for hypnotics (-0.60 vs. -1.21 percentage points). Any psychoactive use did not vary with reporting status, and the use of antidepressants and anxiolytics did not change.
  
  
  CONCLUSIONS
  Public reporting of an antipsychotic quality measure can be an effective policy tool for reducing the use of antipsychotic medications--though the effect many only exist in the short run.
authors.affiliation: Department of Economics and Scripps Gerontology Center, Miami University, Oxford, OH.
authors.forename: John R
authors.initials: JR
authors.lastname: Bowblis
authors.affiliation: Caroline D. Schwartz College of Nursing, Seton Hall University, South Orange, NJ.
authors.forename: Judith A
authors.initials: JA
authors.lastname: Lucas
authors.affiliation: Department of Finance and Economics, Georgia Southern University, Statesboro, GA.
authors.forename: Christopher S
authors.initials: CS
authors.lastname: Brunt
mesh_terms: D014150:Antipsychotic Agents / Q000627:therapeutic use; D004363:Drug Utilization / Q000706:statistics & numerical data*; D006707:Homes for the Aged / Q000706:statistics & numerical data*; D006801:Humans; D006993:Hypnotics and Sedatives / Q000008:administration & dosage / Q000627:therapeutic use*; D009735:Nursing Homes / Q000706:statistics & numerical data*; D010818:Practice Patterns, Physicians'; D011619:Psychotropic Drugs / Q000008:administration & dosage / Q000627:therapeutic use*; D011787:Quality of Health Care
chemical_list: D014150:Antipsychotic Agents; D006993:Hypnotics and Sedatives; D011619:Psychotropic Drugs
keywords: Nursing home compare; antipsychotics; psychoactive medications; public reporting; quality