Grassroots group’s goal to support rural hospitals

From the Record-Delta:

St. Joseph’s Hospital is exploring the formation of a grassroots advocacy team of local citizens that can push for issues to help rural hospitals.

Skip Gjolberg, administrator at St. Joseph’s Hospital, saw the grassroots advocacy work in Chippewa Falls, Wisconsin.

“It was pretty successful,” he said.

Grassroots advocacy is political activity with the goal of creating change and can be successful at federal, state and local level, according to Gjolberg.

Minnesota Doctors Face Opioid Prescribing Limits

From US News:

A Minnesota task force has set new limits on opioid prescriptions by doctors who participate in the state’s Medicaid program.

The rule was adopted by the state’s Opioid Prescribing Work Group on Thursday but won’t take effect until they’re approved by the state human services commissioner, the Star Tribune reported .

Nonsurgical physicians and dentists can have no more than half of their opioid prescriptions exceed 100 morphine milligram equivalents, which is equivalent to about 20 Vicodin or Percocet pills at the typical 5 milligram strength. Surgeons will have a limit of 200 morphine milligram equivalents per outpatient prescription.

Inappropriate Dosing in Elderly Emergency Department Patients

From the Pharmacy Times:

ED providers often prescribe high-risk medications at supertherapeutic doses to older patients. Indeed, these medications are inherent to the treatment of common reasons for an ED visit, but dose sensitivity increases with advanced age. The addition of a pharmacist into the ED or the incorporation of high-priority ED medicine verification may avoid the administration of inappropriately high doses. Future prescriber education, such as pharmacist-led in-services, should focus on the importance of dose moderation in younger elderly patients.