Medication Management in the Elderly (DAE/DDE)

Potentially Harmful Drug-Disease Interactions in the Elderly: Assesses adults 65 and older who have a specific disease or condition (chronic renal failure, dementia, history of falls) and were dispensed a prescription for a medication that could exacerbate it.

Use of High-Risk Medications in the Elderly: Assesses adults 65 and older who had at least one dispensing event for a high-risk medication or who had at least 2 dispensing events for the same high-risk medication.

Why It Matters

Prescription drug use by the elderly can often result in adverse drug events that contribute to hospitalization, increased duration of illness, nursing home placement, falls and fractures. Despite widely accepted medical consensus that certain drugs increase the risk of harm to the elderly, these drugs continue to be prescribed.

Because older adults are more likely to take multiple medications for multiple conditions, they are also at higher risk of potentially harmful drug-disease interactions. Avoiding the use of high-risk drugs is an important, simple and effective strategy to reduce medication-related problems and adverse drug events in older adults.

Results

POTENTIALLY INAPPROPRIATE MEDICATIONS FOR PATIENTS WITH CHRONIC RENAL FAILURE
Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2017 __ __ __ 10.9 7.9

POTENTIALLY INAPPROPRIATE MEDICATIONS FOR PATIENTS WITH DEMENTIA
Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2017 __ __ __ 46.7 45.8

POTENTIALLY INAPPROPRIATE MEDICATIONS FOR PATIENTS WITH FALLS
Commercial Medicaid Medicare
HMO PPO HMO HMO PPO
2017 __ __ __ 48.1 48.4

OVERALL RATE
Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2017 __ __ __ 41.3 41.2

AT LEAST ONE HIGH-RISK MEDICATION
Commercial Medicaid Medicare
HMO PPO HMO HMO PPO
2017 __ __ __ 15.1 14.3

AT LEAST TWO HIGH-RISK MEDICATIONS
Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2017 __ __ __ 10.0 9.5

References

  1. Fick, D.M., et al. 2003. “Updating the Beers criteria for potentially inappropriate medication use in older adults.” Arch Intern Med 163:2716–24.
  2. Radcliff, S., J. Yue, G. Rocco, S.E. Aiello, E. Ickowicz, Z. Hurd, M.J. Samuel, M.J., and M.H. Beers. 2015. “American Geriatrics Society 2015 updated beers criteria for potentially inappropriate medication use in older adults.” Journal of the American Geriatrics Society 63(11): 2227–46.

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