Ineffective treatments continue to be given to nursing home residents with dementia, and many more treatments are started than stopped. The Track and Trigger Treatment (T3) Protocol, developed by Dr. Kovach, assists nurses to track responses to new treatments and get ineffective treatments stopped or altered. Use of the T3Protocol in this study was associated with significantly more treatments being stopped.


Treatments were most commonly stopped because of ineffectiveness (33%), followed by the problem being resolved (29%), side effects (18%), and a change in goals of care (20%). The protocol developed by Dr. Kovach is a novel and innovative tool that improved care and decreased costs.