{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:20:38Z","timestamp":1787772038529,"version":"build-2784847793"},"reference-count":37,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,3,18]],"date-time":"2025-03-18T00:00:00Z","timestamp":1742256000000},"content-version":"vor","delay-in-days":76,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["K08HS029038"],"award-info":[{"award-number":["K08HS029038"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000058","name":"Substance Abuse and Mental Health Services Administration","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000058","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Rural Health"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Medications for opioid use disorder (MOUD) programs in Emergency Departments (EDs) are feasible and effective, but uptake lags despite rising overdose deaths. NM Bridge partners with hospitals across highly rural New Mexico to guide implementation for ED\u2010based MOUD using a Dissemination &amp; Implementation (D&amp;I) approach. This manuscript describes NM Bridge's outcomes in its first three years (2020\u20132023).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>NM Bridge offers partner hospitals a D&amp;I intervention called implementation facilitation (IF) to guide their implementation of ED\u2010based MOUD. The IF intervention has three mechanisms: (1) trainings, (2) a guiding blueprint (implementation plan), and (3) biweekly meetings. Each hospital receives tailored trainings, builds a team of champions who lead the work in the blueprint and are supported in biweekly meetings by the NM Bridge team. Successful implementation is defined as hospitals completing trainings, prescribing buprenorphine from the ED, and providing a warm hand\u2010off to outpatient treatment. Primary outcomes include buprenorphine prescriptions written, clinicians trained, and peer support workers (PSW) hired.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      From 10\/2020 to 12\/2023, NM Bridge recruited 34 hospitals, engaged 12, with six fully participating. In engaged hospitals (8 rural, 4 urban), 100% recognized MOUD as a vital practice, but all reported barriers of locums staffing, &lt;25%\n                      <jats:italic>x<\/jats:italic>\n                      \u2010waivered clinicians, and stigma. The six participating hospitals (4 rural, 2 urban) achieved 100% of IF mechanisms, variable blueprint (implementation plan) achievement, and 100% successfully implemented MOUD. This resulted in a 52.3% increase in buprenorphine prescriptions [728 patients (592 rural, 136 urban)], 144 clinicians trained, and 50% of EDs hiring a PSW.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Implementation facilitation of ED\u2010based MOUD programs was successful across six diverse hospitals, in a highly rural state.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jrh.70011","type":"journal-article","created":{"date-parts":[[2025,3,19]],"date-time":"2025-03-19T01:20:02Z","timestamp":1742347202000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Statewide implementation for medications for opioid use disorder (MOUD) in urban and rural emergency departments"],"prefix":"10.1111","volume":"41","author":[{"given":"Margaret","family":"Greenwood\u2010Ericksen","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine University of New Mexico, School of Medicine  Albuquerque New Mexico USA"},{"name":"New Mexico Bridge Program  Albuquerque New Mexico USA"},{"name":"University of New Mexico Health Sciences Center, School of Medicine  Albuquerque New Mexico USA"},{"name":"Department of Psychiatry University of New Mexico, School of Medicine  Albuquerque New Mexico USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3072-8401","authenticated-orcid":false,"given":"Mary","family":"Blasi","sequence":"additional","affiliation":[{"name":"University of New Mexico Health Sciences Center, School of Medicine  Albuquerque New Mexico USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brandon J.","family":"Warrick","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine University of New Mexico, School of Medicine  Albuquerque New Mexico USA"},{"name":"New Mexico Bridge Program  Albuquerque New Mexico USA"},{"name":"University of New Mexico Health Sciences Center, School of Medicine  Albuquerque New Mexico USA"},{"name":"Department of Psychiatry University of New Mexico, School of Medicine  Albuquerque New Mexico USA"},{"name":"University of New Mexico College of Pharmacy  Albuquerque New Mexico USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Cotton","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine University of New Mexico, School of Medicine  Albuquerque New Mexico USA"},{"name":"New Mexico Bridge Program  Albuquerque New Mexico USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Ketcham","sequence":"additional","affiliation":[{"name":"New Mexico Bridge Program  Albuquerque New Mexico USA"},{"name":"Emergency Medicine &amp; Addiction Medicine Presbyterian Espanola Hospital, Presbyterian Healthcare System  Espanola New Mexico USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cindy","family":"Ketcham","sequence":"additional","affiliation":[{"name":"New Mexico Bridge Program  Albuquerque New Mexico USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sally","family":"Wait","sequence":"additional","affiliation":[{"name":"New Mexico Bridge Program  Albuquerque New Mexico USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Abeyta","sequence":"additional","affiliation":[{"name":"New Mexico Bridge Program  Albuquerque New Mexico USA"},{"name":"University of New Mexico Health Sciences Center, School of Medicine  Albuquerque New Mexico USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglas","family":"Ziedonis","sequence":"additional","affiliation":[{"name":"University of New Mexico Health Sciences Center, School of Medicine  Albuquerque New Mexico USA"},{"name":"Department of Psychiatry University of New Mexico, School of Medicine  Albuquerque New Mexico USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie G.","family":"Salvador","sequence":"additional","affiliation":[{"name":"New Mexico Bridge Program  Albuquerque New Mexico USA"},{"name":"University of New Mexico Health Sciences Center, School of Medicine  Albuquerque New Mexico USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,3,18]]},"reference":[{"key":"e_1_2_8_2_1","article-title":"Drug overdose deaths in the U.S. Top 100,000 annually","author":"Ahmad FB","year":"2023","journal-title":"National Center for Health Statistics"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/10826084.2022.2046098"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2022.108837"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2015.3474"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/acem.13921"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.6369"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2019.04.020"},{"key":"e_1_2_8_9_1","article-title":"Drug overdose mortality by state","author":"Ahmad FB","year":"2023","journal-title":"National Center for Health Statistics"},{"key":"e_1_2_8_10_1","unstructured":"Opioid Safety & Overdose Prevention.New Mexico Department of Health. 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