National Partnership to Improve Dementia Care in Nursing Homes

In 2012, CMS launched a National Partnership with the mission to improve quality of care for nursing home residents living with dementia. This Partnership, that includes federal and state agencies, nursing homes, other providers, advocacy groups and caregivers, continues to focus on the delivery of health care that is person-centered, comprehensive and interdisciplinary, in addition to protecting residents from being prescribed antipsychotic medications unless there is a valid, clinical indication and a systematic process to evaluate each individual. Utilizing a multidimensional strategy, the Partnership promotes rethinking approaches that are utilized in dementia care, reconnecting with people using person-centered care approaches and restoring good health and quality of life in nursing homes.

The National Nursing Home Quality Improvement Campaign has offered to make available a variety of resources and clinical tools to assist nursing homes achieve the goals of this partnership. Stakeholders are encouraged to review the resources and tools and select those that will be most useful. This site will be updated regularly as new tools become available.

Background Resources and Footnotes
Fact Sheets - Data show National Partnership to Improve Dementia Care exceeds goals to reduce unnecessary antipsychotic medications in nursing homes (2017)
A fact sheet, including figures and tables, summarizing 2011Q2 to 2017Q1 data about antipsychotic medication use in nursing homes.
Centers for Medicare and Medicaid Services
Fact Sheets - Data show National Partnership to Improve Dementia Care exceeds goals to reduce unnecessary antipsychotic medications in nursing homes (2014)
A fact sheet, including figures and tables, summarizing 2011Q2 to 2014Q1 data about antipsychotic medication use in nursing homes.
Centers for Medicare and Medicaid Services
CMS Press Release - National Partnership to Improve Dementia Care announces new goal (2014)
The National Partnership to Improve Dementia Care, a public-private coalition, today established a new national goal of reducing the use of antipsychotic medications in long-stay nursing home residents by 25 percent by the end of 2015, and 30 percent by the end of 2016. The coalition includes the Centers for Medicare & Medicaid Services (CMS), consumers, advocacy organizations, providers and professional associations. Organization: Centers for Medicare and Medicaid Services
CMS Press Release - New Data Show Antipsychotic Drug Use Is Down in Nursing Homes Nationwide (2013)
The national prevalence of antipsychotic use in long stay nursing home residents has been reduced by 9.1 percent by the first quarter of 2013, compared to the last quarter of 2011.
Initiative to Improve Behavioral Health and Reduce the Use of Antipsychotic Medications in Nursing Homes Residents. (2012)
Video (50 minutes) that describes the national initiative to reduce the use of antipsychotic drug usage by 15% by December 312012.
Centers for Medicare and Medicaid Services
MLN Connects™ National Provider Call Recordings 
National Partnership to Improve Dementia Care and QAPI Call Recording (2019)
This MLN Connects® National Provider Call provided insight on the Dementia Care & Psychotropic Medication Tracking Tool, a free, publicly available electronic tool that facilitates a structured approach to tracking preference-based care and psychotropic medication use among residents living with dementia. Also, learn about a recently released Nursing Home Staff Competency Assessment toolkit. Additionally, CMS provides updates on the Phase 3 Requirements for Participation from the Reform of Requirements for Long-Term Care Facilities final rule and the progress of the National Partnership to Improve Dementia Care in Nursing Homes.
National Partnership to Improve Dementia Care and QAPI Call Recording (2018)
This MLN Connects® National Provider Call provided insight on opioid use in the post-acute and long-term care setting. Also, learn about the impact of opioid use on persons living with dementia. Additionally, CMS shares updates on the progress of the National Partnership to Improve Dementia Care in Nursing Homes.
National Partnership to Improve Dementia Care and QAPI Call Recording (2018)
This MLN Connects® National Provider Call provided insight on the phase two changes for person-centered care planning and discharge planning. Also, learn about the new Alzheimer’s Association Dementia Care Practice Recommendations. Additionally, CMS experts share updates on the progress of the National Partnership to Improve Dementia Care in Nursing Homes.
National Partnership to Improve Dementia Care and QAPI Call Recording (2018)
This MLN Connects® National Provider Call focused on how to work with physicians to ensure compliance with the new psychotropic medication prescribing requirements for long-term care facilities. Also, find out how nursing homes are putting the new Quality Assurance Performance Improvement (QAPI) requirements into practice. Additionally, CMS experts share updates on the progress of the National Partnership to Improve Dementia Care in Nursing Homes and Quality Assurance and Performance Improvement (QAPI).
National Partnership to Improve Dementia Care and QAPI Call Recording (2017)
This MLN Connects® National Provider Call focused on the appropriate assessment and evaluation for the accurate diagnosis of schizophrenia and other mental disorders. Also, find out about the work of the Quality Innovation Network-Quality Improvement Organizations (QIN-QIOs) and how their efforts align with the National Partnership and Quality Assurance and Performance Improvement (QAPI). Additionally, CMS experts share updates on the progress of the National Partnership to Improve Dementia Care in Nursing Homes and Quality Assurance and Performance Improvement (QAPI).
National Partnership to Improve Dementia Care and QAPI Call Recording (2017)
This MLN Connects® National Provider Call focused on the Creating a Culture of Person-Directed Dementia Care project grant award. The Lake Superior Quality Innovation Network will share information about the new QAPI Written Plan How-To Guide that can assist long-term care providers with performance improvement efforts. Additionally, CMS experts share updates on the progress of the National Partnership to Improve Dementia Care in Nursing Homes and Quality Assurance and Performance Improvement (QAPI).
National Partnership to Improve Dementia Care and QAPI Call Recording (2016)
This MLN Connects® National Provider Call focused on the reform requirements for long-term care facilities, highlighting the Behavioral Health Services & Pharmacy Services sections. A Tennessee nursing home will also discuss innovative approaches that they implemented to dramatically reduce the use of antipsychotic medications. Additionally, CMS subject matter experts share updates on the progress of the National Partnership to Improve Dementia Care in Nursing Homes and Quality Assurance and Performance Improvement (QAPI).
National Partnership to Improve Dementia Care and QAPI Call Recording (2016)
This MLN Connects® National Provider Call focused on effective care transitions between long-term and acute care settings, highlighting transitions that involve residents with dementia. This is critical for residents with dementia, as care transitions can cause heightened anxiety and aggression. Communication should be optimized, as care transitions are high-risk periods for nursing home residents. Additionally, CMS subject matter experts share updates on the progress of the National Partnership to Improve Dementia Care in Nursing Homes and Quality Assurance and Performance Improvement (QAPI).
National Partnership to Improve Dementia Care and QAPI Call Recording (2016)
This MLN Connects® National Provider Call focused on infection control, highlighting Antibiotic Stewardship and community-wide efforts, including a presentation from a nursing home administrator. Common concerns related to the clash between individualized, person-centered care and the medical model of controlling infections was also addressed.
National Partnership to Improve Dementia Care and QAPI Call Recording (2015)
This MLN Connects® National Provider Call focused on nursing home providers, as well as transitions of care between acute and long-term settings. A physician shares approaches to effectively manage high-risk medications, and a pharmacist discusses the importance of drug regimen reviews and medication reconciliation.
National Partnership to Improve Dementia Care and QAPI Call Recording (2015)
During this MLN Connects® National Provider Call, two nursing homes share how they successfully implemented person-centered care approaches and overcame the barriers of cost and staff. Additionally, CMS subject matter experts update you on the progress of the National Partnership and Quality Assurance and Performance Improvement (QAPI).
MLN Connects™ National Provider Call Recording and Transcript (2015)
This MLN Connects® National Provider Call provides an overview of the proposed rule to reform the requirements for long-term care facilities.
National Partnership to Improve Dementia Care in Nursing Homes: Provider Call Recording (2015)
During this MLN Connects® National Provider Call, a nursing home will discuss steps taken to achieve antipsychotic medication reduction in their facility, and Indiana University will present information about evidence-based dementia care training.
National Partnership to Improve Dementia Care in Nursing Homes: Provider Call Recording (2015)
During this MLN Connects™ National Provider Call subject matter experts provide an overview of Quality Assurance and Performance Improvement (QAPI), as well as a presentation on Adverse Events in nursing homes. Additionally, Advancing Excellence discuss their campaign for quality in America’s nursing homes.
National Partnership to Improve Dementia Care in Nursing Homes: Provider Call Recording (2014)
During this MLN Connects™ National Provider Call, speakers discuss innovative efforts from State-based Alzheimer’s Association Chapters related to train-the-trainer programs, as well as the implementation of the Comfort First Approach in nursing homes.
National Partnership to Improve Dementia Care in Nursing Homes: Provider Call Recording (2014)
During this MLN Connects™ National Provider Call, speakers discuss the role of physician leadership in working with hospitalists to improve care transitions and the importance of open communication between physicians and nurse practitioners across care settings.
National Partnership to Improve Dementia Care in Nursing Homes: Provider Call Recording (2014)
During this MLN Connects™ National Provider Call, speakers present on the critical role that activity professionals play in the mission to improve dementia care and the reduction of antipsychotic medications through person-centered, nonpharmacologic care approaches.
National Partnership to Improve Dementia Care in Nursing Homes: Provider Call Recording (2014)
During this MLN Connects™ National Provider Call, a subject matter expert discusses the critical role of both state and federal surveyors in the implementation of the partnership. Additional speakers present on the importance of leadership, as well as the strong correlation that exists between proper pain assessment and antipsychotic medication use.
National Partnership to Improve Dementia Care in Nursing Homes: Provider Call Recording (2014)
During this MLN Connects™ National Provider Call, speakers present on the CMS Hand in Hand training series.
National Partnership to Improve Dementia Care in Nursing Homes: Provider Call Recording (2013)
During this MLN Connects™ National Provider Call, speakers share personal success stories from the field.
National Partnership to Improve Dementia Care in Nursing Homes: Provider Call Recording (2013)
During this MLN Connects™ National Provider Call, subject matter experts discuss the mission of the national partnership, its goals, quality measures, and ongoing outreach efforts.