1. (a) Each service setting will have in place policies and procedures that address standards monitoring and related procedures for quality management of provision of psychoactive medication related services.
2. (b) At a minimum, psychoactive medication utilization in each service setting must be reviewed and evaluated at least semiannually and strategies for improvement identified using accepted guidelines.

3. (c) Required areas of review include:

   1. (1) appropriateness of prescribing (including choice of medication, dose, and route);
   2. (2) documentation;
   3. (3) polypharmacy;
   4. (4) emergency use of psychoactive medication;
   5. (5) PRN use;
   6. (6) medication errors;
   7. (7) adverse drug reactions; and
   8. (8) frequency of medication monitoring.
4. (d) Medication utilization will be reviewed by the medical staff and necessary strategies for improvement approved by the medical staff for implementation.

Source Note:The provisions of this §320.221 adopted to be effective August 31, 2004, 29 TexReg 8325; transferred effective December 31, 2024, as published in the December 13, 2024, issue of the Texas Register, 49 TexReg 10121.