Unlike Dick the Butcher

Methods to Look at Inappropriate Prescribing e.g.:

• Methods to Look at Inappropriate Prescribing e.g.:

• American Geriatrics Society 2012 Beer’s Criteria
• STOPP (Screening Tool of Older Persons’ potentially inappropriate Prescriptions)
• START (Screening Tool to Alert doctors to the Right Treatment)
• Clinical Judgment

Original 1991 – Nursing home pts

• Original 1991 – Nursing home pts

• Updates

• 1997: All elderly; adopted by CMS in 1999 for nursing home regulation
• 2003: Era of generalization to Med D, then NCQA, HEDIS
• 2012: Further adoption into quality measures

Specific aim – update 2003 Beers Criteria using a comprehensive, systematic review and grading of evidence

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