ED Bridge
With the addition of the ED Bridge program, KYSOS now addresses the full continuum of care for Kentucky patients, treatment of pain and treating those with opioid use disorder (OUD). The newest initiative within KYSOS is the launch of the Emergency Department (ED) Bridge Program. The main objective of the ED Bridge Program is to ensure patients with OUD receive 24/7 access to care. EDs have an incredible opportunity to make OUD treatment accessible to all.
The state has ED Bridge Programs in place, making a difference in the lives of patients and their communities. However, the KYSOS team will continue to expand the ED Bridge Programs into acute care hospital EDs across the state. The KYSOS ED Bridge Program goal is to increase access to treatment and assist patients on their road to recovery, thus saving lives in Kentucky communities.
For more information about the ED Bridge program, contact Emily Henderson and Mary Beth Ecken.
- Provide Low-barrier Treatment
- Ensure buprenorphine is on hospital formulary and readily available for rapid, same-day treatment.
- Assess and remove unnecessary barriers to treatment.
- Connect Patients to Ongoing Care in Community
- Link patients to a Peer Support Specialist (PSS) that will provide support and follow-up.
- Establish connections with at least one clinic or outpatient setting in the community.
- Nurture a Culture of Harm Reduction in ED Department
- Identify a Clinical Champion who will be a key player in program.
- Educate staff on medications for addiction treatment (MAT), treatment protocols, and referrals to community.
- Provide naloxone to all patients upon discharge with history of overdose (OD), risk for OD, or opioid use disorder (OUD) diagnosis
- Collect Data to Measure Success
- Track and report data through KY Quality Counts.
- Generate support to sustain program.
*Adapted from California Bridge*
ED Bridge Resources
Title | Summary | Categories | Tags | File Type | Link | Date | hf:doc_categories | hf:doc_tags | hf:file_type |
---|---|---|---|---|---|---|---|---|---|
KYSOS Webinar: Medication for Addiction Treatment (MAT): The Standard of Care for Opioid Use Disorder (OUD) |
| ED Bridge, Outpatient, Provider Resources, Uncategorized | Webinar | www | December 4, 2024 | ed-bridge outpatient provider-resources uncategorized | webinar | www | |
ED Bridge Encyclopedia of Measures | Treatment Services for Opioid Use Disorder (OUD) | ED Bridge | September 18, 2024 | ed-bridge | |||||
Measuring Peer Recovery Outcomes Toolkit: Showing the Impact of Peers in Meaningful Ways | In partnership with OMNI Institute, the Peer Recovery Center of Excellence published this toolkit to help guide your program or organization through a values-driven process, resulting in an evaluation plan highlighting the most important aspects of peer recovery support. Information, worksheets, and resources are provided for each phase of the process, which includes identifying program values and related outcomes, choosing evaluation tools, plan implementation, and sustainability strategies. | ED Bridge | Tools | www | September 3, 2024 | ed-bridge | tools | www | |
Naloxone Distribution Guide for Emergency Department (ED) Bridge Programs | Please refer to this guide when requesting Naloxone as of July 1, 2024. | ED Bridge, Naloxone | June 26, 2024 | ed-bridge naloxone | |||||
Naloxone Distribution in Emergency Department (ED) Bridge Programs | ED Bridge, Naloxone | Webinar | www | June 25, 2024 | ed-bridge naloxone | webinar | www | ||
Important Information About Your Opioid Prescription One-Pager | This information is to help you better understand the risks and benefits of taking an opioid medication that is prescribed to you. It may also help you communicate better with your doctor or healthcare provider when discussing your pain management. | ED Bridge, Inpatient, Outpatient, Patient Resources | June 13, 2024 | ed-bridge inpatient outpatient patient-resources | |||||
Naloxone Administration and Rescue Breathing Reference Cards | Find Naloxone Now KY | ED Bridge, Naloxone | June 5, 2024 | ed-bridge naloxone | |||||
KYSOS Webinar: Substance Use Disorder Nursing Education: Addressing Misconceptions | ED Bridge, Opioid Use Stigma | Webinar | www | May 14, 2024 | ed-bridge opioid-use-stigma | webinar | www | ||
KYSOS Webinar: Maximizing the Role of Peer Support Specialists in the ED | ED Bridge | Webinar | www | April 17, 2024 | ed-bridge | webinar | www | ||
NIDA Initiating BUP Resources for Prescribers | Includes examples and cases for motivating patients (National Institute on Drug Abuse) | ED Bridge, Inpatient, Outpatient, Provider Resources | www | April 9, 2024 | ed-bridge inpatient outpatient provider-resources | www | |||
Addictionary | If we want addiction destigmatized, we need a language that’s unified. The words we use matter. Caution needs to be taken, especially when the disorders concerned are heavily stigmatized as substance use disorders are. | ED Bridge, Inpatient, Outpatient, Provider Resources | Tools | www | April 9, 2024 | ed-bridge inpatient outpatient provider-resources | tools | www | |
KYSOS Webinar: Impact of OUD Stigma | ED Bridge, Inpatient, Opioid Use Stigma, Outpatient | Webinar | www | March 28, 2024 | ed-bridge inpatient opioid-use-stigma outpatient | webinar | www | ||
Find Naloxone Now KY | The Kentucky Department for Public Health Harm Reduction Program is excited to announce the launch of Find Naloxone Now KY, a statewide naloxone access portal and locator map that connects Kentuckians to 136 locations where naloxone is available locally and free of charge. | ED Bridge, Naloxone | Website | aspx | March 18, 2024 | ed-bridge naloxone | website | aspx | |
Find Recovery Housing Now KY | Kentucky Recovery Housing Network | ED Bridge | Website | www | March 7, 2024 | ed-bridge | website | www | |
MAT as the Standard of Care for OUD | ED Bridge | Webinar | www | February 29, 2024 | ed-bridge | webinar | www | ||
Opioid Overdose Recognition and Response: A Guide for Communities and Bystanders | Naloxone educational how-to and informational guide from the Department of Public Health | ED Bridge, Inpatient, Naloxone, Outpatient | February 2, 2024 | ed-bridge inpatient naloxone outpatient | |||||
Opioid Overdose Recognition | Kentucky Public Health | ED Bridge | February 1, 2024 | ed-bridge | |||||
Opioid Overdose Risk Reduction | Kentucky Public Health | ED Bridge | February 1, 2024 | ed-bridge | |||||
Talking About Naloxone with Patients Prescribed Opioids | This guide offers tips to help clinicians communicate the benefits of naloxone to patients, family members, and caregivers. (CDC) | Naloxone, Outpatient, Provider Resources | February 1, 2024 | naloxone outpatient provider-resources ed-bridge | |||||
When to Offer Naloxone to Patients | Only 1 naloxone prescription is dispensed for every 70 high-dose opioid prescriptions. As a healthcare professional, you play a critical role in ensuring patients receive naloxone. (CDC) | Naloxone, Outpatient, Provider Resources | Guidelines | February 1, 2024 | naloxone outpatient provider-resources ed-bridge | guidelines | |||
Initiating Buprenorphine Treatment in the Emergency Department | National Institute on Drug Abuse | ED Bridge | Tools | www | January 31, 2024 | ed-bridge | tools | www | |
Naloxone Training Video | ED Bridge, Naloxone | www | January 31, 2024 | ed-bridge naloxone | www | ||||
Findhelpnowky.org | Enables patients and family members to find information about available substance use disorder treatment options in the Commonwealth of Kentucky. | ED Bridge, Inpatient, Outpatient, Patient Resources | Website | www | January 31, 2024 | ed-bridge inpatient outpatient patient-resources | website | www | |
Emergency Department-Initiated Buprenorphine for Opioid Use Disorder | Assess OUD, opioid withdrawal, and treatment readiness for ED-initiated buprenorphine | ED Bridge | Website | www | January 31, 2024 | ed-bridge | website | www | |
Clinical Opiate Withdrawal Scale (COWS) | Quantifies severity of opiate withdrawal | ED Bridge | Website | www | January 31, 2024 | ed-bridge | website | www | |
ED-Initiated Buprenorphine | Yale School of Medicine | ED Bridge | Website | www | January 31, 2024 | ed-bridge | website | www | |
Emergency Department Buprenorphine Treatment: A Toolkit for North Carolina Hospitals | North Carolina Healthcare Association | ED Bridge | Tools, Website | www | January 31, 2024 | ed-bridge | tools website | www | |
California Bridge: Bridge to Treatment | Transforming Addiction Treatment Through 24/7 Access in Emergency Departments | ED Bridge | Website | www | January 31, 2024 | ed-bridge | website | www | |
Kentucky Harm Reduction Coalition | The Kentucky Harm Reduction Coalition improves the public health of Kentuckians by reducing overdoses, overdose deaths, and the transmission of blood-borne diseases such as HIV and HCV. | ED Bridge | Website | www | January 31, 2024 | ed-bridge | website | www | |
SAMHSA Help and Treatment Resources | Find help and treatment | ED Bridge, Patient Resources | Website | www | January 31, 2024 | ed-bridge patient-resources | website | www | |
UNSHAME Kentucky | UNSHAME Kentucky is a public health campaign aimed to reduce the addiction-related stigma held by Kentuckians across the state. | ED Bridge, Opioid Use Stigma | Website | www | January 31, 2024 | ed-bridge opioid-use-stigma | website | www | |
Kentucky Opioid Response Effort (KORE) | Cabinet for Health and Family Services | ED Bridge | Website | aspx | January 31, 2024 | ed-bridge | website | aspx | |
Naloxone and Syringe Exchange Locations | Team Kentucky | ED Bridge, Harm Reduction, Patient Resources | Website | aspx | January 31, 2024 | ed-bridge harm-reduction patient-resources | website | aspx | |
Prescription Drug Disposal Locations | Find a Prescription Drug Disposal Location | ED Bridge, Harm Reduction, Patient Resources | Website | aspx | January 31, 2024 | ed-bridge harm-reduction patient-resources | website | aspx | |
Hiring a Peer Support Specialist in Your Emergency Department | The Peer Support Specialist (PSS) plays an integral role in the ED Bridge Program. The success of the program will be dependent upon the PSS as well as the other members of the multi-disciplinary team. | ED Bridge, Peer Support Specialist | January 31, 2024 | ed-bridge peer-support-specialist | |||||
We Have Liftoff: Introducing Bridge, Fighting Stigma, Promoting Buy-In, and Tips to Success / Implementation of Programs to Initiate Buprenorphine in the ED | ED Bridge | Webinar | www | January 30, 2024 | ed-bridge | webinar | www | ||
Naloxone: Tips for Prescribers and Pharmacists | Recommendations, Key Points of Patient Education, Naloxone Products for Bystander Use, Pharmacist-Initiated Dispensing of Naloxone, Talking About Naloxone | ED Bridge, Naloxone | Guidelines | January 9, 2024 | ed-bridge naloxone | guidelines | |||
Kentucky Naloxone Copay Program Card | KORE | ED Bridge, Naloxone | January 9, 2024 | ed-bridge naloxone | |||||
Kentucky Naloxone Copay Program Flyer | Guide for Prescribers and Pharmacists | ED Bridge, Naloxone | Promotional Materials | January 9, 2024 | ed-bridge naloxone | promotional-materials | |||
The Utility of Treating Opioid Use Disorder with Buprenorphine-Naloxone in the Intensive Care Setting | Inpatient, Naloxone | Webinar | www | December 12, 2023 | inpatient naloxone ed-bridge | webinar | www | ||
Incorporating Peer Support Into Substance Use Disorder Treatment Services | SAMSHA TIP 64 | ED Bridge, Peer Support Specialist | Guidelines | October 26, 2023 | ed-bridge peer-support-specialist | guidelines | |||
Medications for Opioid Use Disorder Linkage and Retention Recovery Coach Training Manual | HEALing Communities Study KY and Voices of Hope Lexington | ED Bridge, Peer Support Specialist | Reports | October 1, 2023 | ed-bridge peer-support-specialist | reports | |||
2023 Naloxone Update | Inpatient, Naloxone, Outpatient | Webinar | www | September 26, 2023 | inpatient naloxone outpatient ed-bridge | webinar | www | ||
KAR PSS Regulations | 908 KAR 2:220. Adult peer support specialist. | ED Bridge, Peer Support Specialist | Regulations | May 2, 2023 | ed-bridge peer-support-specialist | regulations | |||
Kentucky Board of Pharmacy: 201 KAR 2:360 Naloxone dispensing | Proposed Amendment | ED Bridge, Naloxone | September 14, 2022 | ed-bridge naloxone | |||||
GPRA 2023 (6 month follow up) | Government Performance and Results Act (GPRA): Client Outcome Measures for Discretionary Programs | ED Bridge, Peer Support Specialist | Forms | August 1, 2022 | ed-bridge peer-support-specialist | forms | |||
GPRA 2023 Intake Form | Government Performance and Results Act (GPRA): Client Outcome Measures for Discretionary Programs | ED Bridge, Peer Support Specialist | Forms | August 1, 2022 | ed-bridge peer-support-specialist | forms | |||
Peer Support Services in Crisis Care (SAMSHA Advisory) | Substance Abuse and Mental Health Services Administration | ED Bridge, Peer Support Specialist | June 1, 2022 | ed-bridge peer-support-specialist |