This implementation guide was developed by a task force convened by the Peter Lamy Center on Drug Therapy and Aging at the University of Maryland School of Pharmacy with assistance from the US Deprescribing Research Network.

Content as well as resources were solicited from task force members as well as reviewed by outside experts and professional societies over a one week timeframe. Final approval of the guide was provided by general assent of task force members during the final conference call. Scientific literature was reviewed where possible but systematic review of relevant literature was not performed. Recommendations were thus derived mostly from expert opinion.

A note on terminology: In this guide we refer to people receiving care as “residents,” reflecting common terminology in post-acute and long-term care settings. This is intended to be synonymous with the term “patients,” which may be used in other settings. Similarly, we use the term “care partners” to refer to resident allies; this is generally synonymous with the term “caregivers.” We also occasionally reference brand names. This is to aid use by clinicians and does not constitute endorsement of a specific brand-name formulation.

Task Force Members

NameTitle and AffiliationsDisclosures
Nicole Brandt, PharmD, MBA, BCGP, BCPP, FASCP (Co-chair) Executive Director, The Peter Lamy Center on Drug Therapy and Aging
Professor, Pharmacy Practice and Science
University of Maryland School of Pharmacy
Dr. Brandt is a member of the American Geriatrics Society Beers Criteria, an Institute for Healthcare Improvement Age-Friendly Health Systems Consultant and receives funding from NIH including for the US Deprescribing Research Network.
Michael Steinman, MD (Co-chair) Professor of Medicine (Geriatrics), University of California San Francisco and the San Francisco VA Medical Center
Co-principal investigator, US Deprescribing Research Network
Dr. Steinman is co-chair of the American Geriatrics Society Beers Criteria, co-authors a chapter in UpToDate on deprescribing, received an honorarium from Johns Hopkins University for service on the Society of General Internal Medicine Improving Wisely Collaborative, and receives funding from NIH including for the US Deprescribing Research Network.
Alice Bonner, PhD, RN, FAAN Adjunct Faculty, Johns Hopkins University School of Nursing
Senior Advisor for Aging, Institute for Healthcare Improvement
No disclosures
Cynthia M. Boyd, MD, MPH Johns Hopkins University School of Medicine
Co-principal investigator, US Deprescribing Research Network
Dr. Boyd co-authors a chapter for UpToDate on multimorbidity.
Donna Marie Fick, RN, GCNS-BC, PhD, FAAN Penn State College of Nursing
Director, Center of Geriatric Nursing Excellence
Dr. Fick is a board member for the American Geriatrics Society and member of the AGS Beers Criteria Faculty, Institute for Healthcare Improvement Age-Friendly Health Systems Consultant, Precision Health Economics.
Jennifer L. Hardesty, PharmD, FASCP Remedi SeniorCare
Chief Clinical Officer & Corporate Compliance Officer
No disclosures
Christopher E. Laxton, CAE Executive Director, AMDA - The Society for Post-Acute and Long-Term Care Medicine No disclosures
Lona Mody, MD, MSc Amanda Sanford Hickey Professor of Internal Medicine, University of Michigan and VA Ann Arbor Healthcare System Dr. Mody receives funding from NIH, VA, AHRQ, and various non-profit foundations.
Fatima A. Naqvi, MD, CMD, MMMT, FAAFP Adjunct Faculty
George Washington University and University of Maryland
No disclosures
Jonathan Norton, BS Johns Hopkins University School of Medicine No disclosures
Catherine Sarkisian MD, MSHS David Geffen School of Medicine at University of California Los Angeles, Department of Medicine, Division of Geriatrics
Veterans Administration Greater Los Angeles Healthcare System, Geriatric Research Education & Clinical Center
No disclosures
Fatima Sheikh, MD, MPH Chief Medical Officer, FutureCare Health & Management
Assistant Professor, Division of Geriatrics, Johns Hopkins School of Medicine
No disclosures
Jennifer Tjia, MD, MSc, FAAHPM Associate Professor of Population and Quantitative Health Sciences
University of Massachusetts Medical School
Dr. Tjia is an expert consultant to CVS Omnicare.
William Vaughan BSN, RN Vice President, Education and Clinical Affairs
Remedi SeniorCare
No disclosures
Chad Worz, PharmD, BCGP The American Society of Consultant Pharmacists No disclosures
Barbara J. Zarowitz, PharmD, FCCP, BCPS, BCGP, FASCP Senior Advisor, Peter Lamy Center on Drug Therapy and Aging
Affiliate Professor, University of Maryland School of Pharmacy
Dr. Zarowitz received consulting fees from Think Research, Inc.

External Reviewers and Advisors

We thank the following people who provided suggestions, advice, and review that informed development of this guide, as well as additional comments received from representatives and members of the American Geriatrics Society (AGS), the Society for Post-Acute and Long-Term Care Medicine (AMDA), and the American Society of Consultant Pharmacists (ASCP).

  • S. Orion Courtin, MD, MHS
  • Barbara Farrell, BScPhm, PharmD, ACPR, FCSHP
  • Frank Federico, RPh
  • Erin M. Foti, PharmD, BCGP
  • Elizabeth Galik, PhD, CRNP, FAAN, FAANP
  • Steven M. Handler MD, PhD, CMD
  • Daniel Haimowitz, MD
  • Peter Hollmann, MD
  • Holly Holmes, MD, MS
  • Michelle Laughman
  • Cathleen Lawrence, RN, MA
  • Sunny Linnebur, PharmD
  • Nancy Lundebjerg, MPA
  • Jay Luxenberg, MD
  • Cora Martin, RDN, CSG, LD
  • Lynn McPherson, PharmD, MA, MDE, BCPS, CPE
  • Amanda Mixon, MD, MSPH
  • Joseph Ouslander, MD
  • Joshua Pevnick, MD, MSHS
  • Barbara Resnick, PhD, RN, CRNP, FAAN, FAANP
  • Todd Semla, MS, PharmD, BCGP, FCCP, AGSF
  • Belinda Setters, MD
  • Sandra Simmons, PhD, MA
  • Justin Turner, BPharm, MClinPharm, PhD
  • Erin Vigne, MA, RN
  • Michi Yukawa, MD, MPH
  • Jane Ziegler, DCN, RDN, LDN

Appreciation

We thank Malissa Carroll, MA; Malena Spar, MPH; and Lee Bearson for their outstanding assistance in preparing this guide.