Average Annual Change in Facility BZD Prescribing and Facility Strategies to Reduce Prescribing
Facilities | Facilities | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Low Performing | High Performing | |||||||||||||||
A | B | C | D | E | F | Q | R | S | T | U | V | W | X | Y | Z | |
Facility-level annual change (mg/d) | –0.19 | –0.21 | –0.23 | –0.23 | –0.24 | –0.26 | –0.38 | –0.39 | –0.39 | –0.40 | –0.40 | –0.41 | –0.42 | –0.46 | –0.58 | –0.59 |
Facility sizea | med | small | med | large | small | large | large | largeb | medb | smallb | small | medb | large | small | largeb | med |
Census region | south | NE | west | NE | south | MW | south | west | west | MW | MW | south | south | west | south | west |
Strategies | ||||||||||||||||
Passive | ||||||||||||||||
Identify hot spots | X | X | X | X | X | X | X | X | X | X | X | |||||
Patient- and provider-facing education | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X |
Provide services and tools | X | X | X | X | X | X | X | X | X | X | X | |||||
Active | ||||||||||||||||
Provide guidance | X | X | X | X | X | X | X | X | X | X | X | |||||
Barriers to prescribing | X | X | X | X | X | X | X | X | X | |||||||
Performance measures | X | X | X | X | X | |||||||||||
Personal authority | X | X | X | X |
BZD = benzodiazepine; MW = Midwest; NE = Northeast.
↵a Facilities were placed into size tertiles based on the number of unique individuals aged ≥55 years with health care encounters during the first quarter of phase 2 (small facilities served 7,175-21,228 patients; medium, 21,734-31,296; large, 31,545-84,981).
↵b Nonpriority sites.