Innovation Spotlight: New York Hospitals Are Improving Health, Enhancing Quality, and Reducing Costs.

Coler-Goldwater's Innovative Strategy Reduces Medication Use

Coler-Goldwater Specialty Hospital and Nursing Facility in New York City adapted an innovative strategy to decrease the use of antipsychotic medications in caring for residents with dementia. These medications can result in many complications, are expensive, and can often be replaced with patient-centered care management strategies.

Coler-Goldwater's patient-centered care management strategies include staff education on dementia-related behaviors and the limits of antipsychotic medications, managing caregiver stress, and implementing creative behavioral interventions. In addition, by implementing objective criteria for medication use and a monthly collaborative review by the psychiatrists and pharmacy, antipsychotic medication use rates decreased from 38% in 2011 to 11.6% currently, well below the current national and New York State averages of 21.8% and 19.4%.