Table 3.

Average Annual Change in Facility BZD Prescribing and Facility Strategies to Reduce Prescribing

 FacilitiesFacilities
Low PerformingHigh Performing
ABCDEFQRSTUVWXYZ
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 sizeamedsmallmedlargesmalllargelargelargebmedbsmallbsmallmedblargesmalllargebmed
Census regionsouthNEwestNEsouthMWsouthwestwestMWMWsouthsouthwestsouthwest
Strategies
Passive
  Identify hot spotsX X X XX XXXX XX
  Patient- and provider-facing educationXXXXXXXXXXXXXXXX
  Provide services and tools  XX  XXXX XXXXX
Active
  Provide guidance  XXX XX X XXXXX
  Barriers to prescribing  X X XXXX  X XX
  Performance measures    X XX   X  X 
  Personal authority       X   X XX 
  • 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.