Unlike Dick the Butcher

34 potentially inappropriate medications/classes to avoid in older adults independent of diagnoses or conditions.

• 34 potentially inappropriate medications/classes to avoid in older adults independent of diagnoses or conditions.
• Notable mentions:
• Sliding Scale Insulin
• Antipsychotics for Behavioral Health issues associated with dementia
• Non benzodiazepine Hypnotics
• Megestrol

Older adults often under-represented in drug trials potentially underestimating medication related problems/evidence grading.

• Older adults often under-represented in drug trials potentially underestimating medication related problems/evidence grading.

• Does not comprehensively address the needs of palliative and hospice care patients

• Does not address other types of potential potentially inappropriate medications

• e.g.:
• dosing of primarily renally eliminated medications,
• drug-drug- interactions

This is just one tool that can be utilized to optimize medication management in older adults.

• This is just one tool that can be utilized to optimize medication management in older adults.

• Need to make sure the Beers list is used in a patient centered manner

For the Health Professional

• For the Health Professional

• Downloadable pocket card

• Evidence tables with links to supporting references

• Beers app – AGS iGeriatrics

• For the Layperson

• Summary in lay language

• Q & A on what to do if one of your drugs is on the Beers list

• Medication diary & tips for safe use of meds

Quality prescribing includes:

• Quality prescribing includes:

• Correct drug for correct diagnosis

• Appropriate dose (label; dose adjustments for co-morbidity, drug-drug interactions)

• Avoiding underuse of potentially important medications (e.g., bisphosphonates for osteoporosis)

• Avoiding overuse (e.g., antibiotics)

• Avoiding potentially inappropriate drugs

• Avoiding withdrawal effects with discontinuation

• Consideration of cost

Quality Metrics

• Quality Metrics

• HEDIS: http://www.ncqa.org/HEDISQualityMeasurement/HEDISMeasures/HEDIS2013/HEDIS2013FinalNDCLists.aspx

• Improved patient care

• Decrease liability

Medication Management & Monitoring takes a team!

• Medication Management & Monitoring takes a team!

• It needs to be patient centered.

• Most importantly, monitoring needs to be evaluated on an ongoing basis.