Rural Health
Resources by Topic: Pharmacy and prescription drugs
Antibiotic Prescription Fill Rates Declining in the U.S.
Examines antibiotic prescriptions filled as a result of an outpatient visit by commercially insured members of Blue Cross Blue Shield from 2010 to 2016. Includes statistics on antibiotic prescription fill rates in urban and rural counties by antibiotic type.
Date: 08/2017
Type: Document
Sponsoring organization: Blue Cross Blue Shield
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Examines antibiotic prescriptions filled as a result of an outpatient visit by commercially insured members of Blue Cross Blue Shield from 2010 to 2016. Includes statistics on antibiotic prescription fill rates in urban and rural counties by antibiotic type.
Date: 08/2017
Type: Document
Sponsoring organization: Blue Cross Blue Shield
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SLV N.E.E.D. (Naloxone - Education - Empowerment - Distribution)
Video featuring the San Luis Valley N.E.E.D. (Naloxone - Education - Empowerment - Distribution) program, which provides opioid-related education to healthcare providers and the community, as well as a naloxone distribution program and naloxone training for first responders in six rural Colorado counties.
Date: 07/2017
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Video featuring the San Luis Valley N.E.E.D. (Naloxone - Education - Empowerment - Distribution) program, which provides opioid-related education to healthcare providers and the community, as well as a naloxone distribution program and naloxone training for first responders in six rural Colorado counties.
Date: 07/2017
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Drug Discount Program: Update on Agency Efforts to Improve 340B Program Oversight
Testimony before the Subcommittee on Oversight and Investigations, Committee on Energy and Commerce, U.S. House of Representatives, describing the Health Resources and Services Administration's (HRSA) actions and plans for improving 340B program oversight. Also provides an update on the Government Accountability Office's work regarding the 340B program and HRSA oversight. Includes information on 340B program participants, background, structure, audit frequency, and more.
Additional links: Examining HRSA's Oversight of the 340B Drug Pricing Program, Full Report
Date: 07/2017
Type: Document
Sponsoring organization: Government Accountability Office
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Testimony before the Subcommittee on Oversight and Investigations, Committee on Energy and Commerce, U.S. House of Representatives, describing the Health Resources and Services Administration's (HRSA) actions and plans for improving 340B program oversight. Also provides an update on the Government Accountability Office's work regarding the 340B program and HRSA oversight. Includes information on 340B program participants, background, structure, audit frequency, and more.
Additional links: Examining HRSA's Oversight of the 340B Drug Pricing Program, Full Report
Date: 07/2017
Type: Document
Sponsoring organization: Government Accountability Office
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Barriers Rural Physicians Face Prescribing Buprenorphine for Opioid Use Disorder
Examines the barriers rural physicians who hold Drug Enforcement Agency (DEA) waivers to prescribe buprenorphine face. Seeks to explain why some rural physicians who hold a DEA waiver choose not to prescribe buprenorphine or treat a fewer number of patients than their waiver allows. Data was collected through a 2016 survey of all physicians with DEA waivers in rural areas.
Author(s): C. Holly A. Andrilla, Cynthia Coulthard, Eric H. Larson
Citation: Annals of Family Medicine, 15(4), 359-362
Date: 07/2017
Type: Document
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Examines the barriers rural physicians who hold Drug Enforcement Agency (DEA) waivers to prescribe buprenorphine face. Seeks to explain why some rural physicians who hold a DEA waiver choose not to prescribe buprenorphine or treat a fewer number of patients than their waiver allows. Data was collected through a 2016 survey of all physicians with DEA waivers in rural areas.
Author(s): C. Holly A. Andrilla, Cynthia Coulthard, Eric H. Larson
Citation: Annals of Family Medicine, 15(4), 359-362
Date: 07/2017
Type: Document
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Vital Signs: Changes in Opioid Prescribing in the United States, 2006-2015
Reports on opioid prescribing in the United States from 2006 to 2015. Includes data for metropolitan, micropolitan, and noncore (rural) counties. Also offers maps showing county-level prescriptions per capita in 2015 and changes in prescriptions per capita from 2010 to 2015.
Author(s): Gery P. Guy Jr., Kun Zhang, Michele K. Bohm, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 66(26), 697-704
Date: 07/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on opioid prescribing in the United States from 2006 to 2015. Includes data for metropolitan, micropolitan, and noncore (rural) counties. Also offers maps showing county-level prescriptions per capita in 2015 and changes in prescriptions per capita from 2010 to 2015.
Author(s): Gery P. Guy Jr., Kun Zhang, Michele K. Bohm, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 66(26), 697-704
Date: 07/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Potentially Preventable Medication-Related Hospitalizations: A Clinical Pharmacist Approach to Assessment, Categorization, and Quality Improvement
Examines pharmacist-led quality improvement practices, implemented across rural and urban counties in Hawaii, to identify and categorize potentially preventable medication-related hospital admissions. Describes how data collected during the investigation is used to improve pharmacist interventions focused on reducing medication-related readmissions.
Author(s): Karen L. Pellegrin, Elizabeth Lee, Reece Uyeno, Chris Ayson, Roy Goo
Citation: Journal of the American Pharmacies Association, 57(6), 711-716
Date: 06/2017
Type: Document
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Examines pharmacist-led quality improvement practices, implemented across rural and urban counties in Hawaii, to identify and categorize potentially preventable medication-related hospital admissions. Describes how data collected during the investigation is used to improve pharmacist interventions focused on reducing medication-related readmissions.
Author(s): Karen L. Pellegrin, Elizabeth Lee, Reece Uyeno, Chris Ayson, Roy Goo
Citation: Journal of the American Pharmacies Association, 57(6), 711-716
Date: 06/2017
Type: Document
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A Project to Promote Adherence to Blood Pressure Medication Among People Who Use Community Pharmacies in Rural Montana, 2014–2016
Results of a project conducted by the Montana Department of Public Health and Human Services to evaluate interventions by community pharmacies to promote blood pressure medication adherence. Includes optional activity through which clinicians can earn continuing medical education credit.
Author(s): Carrie S. Oser, Crystelle C. Fogle, James A. Bennett
Citation: Preventing Chronic Disease, 14
Date: 06/2017
Type: Document
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Results of a project conducted by the Montana Department of Public Health and Human Services to evaluate interventions by community pharmacies to promote blood pressure medication adherence. Includes optional activity through which clinicians can earn continuing medical education credit.
Author(s): Carrie S. Oser, Crystelle C. Fogle, James A. Bennett
Citation: Preventing Chronic Disease, 14
Date: 06/2017
Type: Document
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2017
Includes chapters on implementing a unified payment system for post-acute care, Part B drug payment policies, the redesign of the Merit-Based Incentive Payment System (MIPS) and other alternative payment models, drug and device manufacturer payments to physicians and teaching hospitals, stand-alone emergency departments, and skilled nursing facility use. Rural hospitals and rural patient populations are discussed throughout the report.
Date: 06/2017
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Includes chapters on implementing a unified payment system for post-acute care, Part B drug payment policies, the redesign of the Merit-Based Incentive Payment System (MIPS) and other alternative payment models, drug and device manufacturer payments to physicians and teaching hospitals, stand-alone emergency departments, and skilled nursing facility use. Rural hospitals and rural patient populations are discussed throughout the report.
Date: 06/2017
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Rural Promising Practice Issue Brief: IMPROVE: Integrated Management and Polypharmacy Review of Vulnerable Elders
Highlights a model for delivering integrated care management for older rural veterans with co-occurring chronic diseases. Presents methods for rural providers to help patients manage their prescriptions and avoid polypharmacy.
Additional links: Overview
Date: 05/2017
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Highlights a model for delivering integrated care management for older rural veterans with co-occurring chronic diseases. Presents methods for rural providers to help patients manage their prescriptions and avoid polypharmacy.
Additional links: Overview
Date: 05/2017
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Identifying Adverse Drug Events in Rural Hospitals: An Eight-State Study
Analyzes adverse drug events (ADEs), or events involving patient injury resulting from medication use, and identifies ways to improve medication safety in rural hospitals. Uses 2013 data from 8 states with significant rural populations, and examines ADE rates based on hospital characteristics and across 4 main categories: steroids, antibiotics, opiates/narcotics, and anticoagulants. Companion brief lists resources that can be used to reduce and prevent ADEs in rural hospitals, including rural prospective payment system (PPS) hospitals and Critical Access Hospitals (CAHs).
Additional links: Resources to Reduce Adverse Drug Events in Rural Hospitals
Author(s): Michelle Casey, Peiyin Hung, Emma Distel, Shailendra Prasad
Date: 05/2017
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Analyzes adverse drug events (ADEs), or events involving patient injury resulting from medication use, and identifies ways to improve medication safety in rural hospitals. Uses 2013 data from 8 states with significant rural populations, and examines ADE rates based on hospital characteristics and across 4 main categories: steroids, antibiotics, opiates/narcotics, and anticoagulants. Companion brief lists resources that can be used to reduce and prevent ADEs in rural hospitals, including rural prospective payment system (PPS) hospitals and Critical Access Hospitals (CAHs).
Additional links: Resources to Reduce Adverse Drug Events in Rural Hospitals
Author(s): Michelle Casey, Peiyin Hung, Emma Distel, Shailendra Prasad
Date: 05/2017
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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