Inpatient
The Kentucky Hospital Association (KHA) in conjunction with the Cabinet for Health and Family Services launched the first comprehensive statewide opioid stewardship program in the country with a focus on prevention and education of best practices.
Since the inception of the KYSOS program in 2018, the intent and collective work to date has been on inpatient opioid stewardship efforts. The KYSOS program goals are to reduce opioid overprescribing, while improving safe opioid usage when opioids are warranted. Peer to peer learning and sharing of best practices between facilities is the hallmark for success with KYSOS. Monthly webinars, electronic newsletters and other resources are offered at no charge to KYSOS participating facilities.
For more information about the inpatient KYSOS program, contact Emily Henderson.
- Safe opioid prescribing is an organizational priority.
- Prescribers of opioids within the organization are aware of best practices and legal ramifications surrounding safe opioid use.
- The organization uses evidence-based non-opioid analgesic regimens in the emergency department (e.g. ALTO).
- The organization uses evidence-based opioid-sparing analgesic regimens for select procedures (e.g. ERAS).
- The organization offers compassionate care to patients with opioid use disorder (OUD).
- The organization provides non-pharmacologic analgesia.
- The organization promotes safe opioid use by patients.
- The organization collaborates with community partners (e.g. clinics, home-based care, pharmacies, law enforcement, religious organizations, and government agencies) to promote appropriate use of opioids within the community.
Opioid Stewardship Ready Hospitals
The KYSOS Inpatient program is making great strides and efforts across the state in Opioid Stewardship. Each hospital completed a survey to highlight their opioid stewardship program.
Tier 1
Opioid
Stewardship
Prepared
Hospital has fundamental components of an opioid stewardship program.
ARH Our Lady of the Way Hospital
AdventHealth Manchester
Baptist Health Corbin
Baptist Health Deaconess Madisonville
Baptist Health Hardin
Baptist Health La Grange
Baptist Health Lexington
Baptist Health Louisville
Baptist Health Paducah
Baptist Health Richmond
Barbourville ARH Hospital
Bluegrass Community Hospital
Bourbon Community Hospital
Breckinridge Memorial Hospital
Caldwell Medical Center
Carroll County Memorial Hospital
Casey County Hospital
CHI Saint Joseph Health – Flaget Memorial Hospital
CHI Saint Joseph Health – Saint Joseph Berea
CHI Saint Joseph Health – Saint Joseph East
CHI Saint Joseph Health – Saint Joseph Hospital
CHI Saint Joseph Health – Saint Joseph London
CHI Saint Joseph Health – Saint Joseph Mount Sterling
Clark Regional Medical Center
Commonwealth Regional Specialty Hospital
Crittenden Community Hospital
Deaconess Henderson Hospital
Deaconess Union County Hospital
Ephraim McDowell Fort Logan Hospital
Ephraim McDowell James B Haggin Hospital
Ephraim McDowell Regional Medical Center
Fleming County Hospital
Frankfort Regional Medical Center
Georgetown Community Hospital
Harlan ARH Hospital
Harrison Memorial Hospital
Hazard ARH Regional Medical Center
Highlands ARH Regional Medical Center
Jackson Purchase Medical Center
Jane Todd Crawford Hospital
Jennie Stuart Medical Center
Kentucky River Medical Center
Livingston Hospital and Healthcare Services
Mary Breckinridge ARH Hospital
McDowell ARH Hospital
Meadowview Regional Medical Center
Mercy Health – Lourdes Hospital
Mercy Health-Marcum & Wallace Hospital
Middlesboro ARH Hospital
Monroe County Medical Center
Morgan County ARH Hospital
Murray-Calloway County Hospital
Norton Audubon Hospital
Norton Brownsboro Hospital
Norton Children’s Hospital
Norton Hospital
Norton Women’s & Children’s Hospital
Ohio County Hospital
Owensboro Health Muhlenberg Community Hospital
Owensboro Health Regional Hospital
Owensboro Health Twin Lakes Medical Center
Paintsville ARH Hospital
Pikeville Medical Center
Pineville Community Health Center
Robley Rex VA Medical Center
Rockcastle Regional Hospital and Respiratory Center
Russell County Hospital
Spring View Hospital
St Elizabeth Edgewood
St Elizabeth Florence
St Elizabeth Fort Thomas
St Elizabeth Grant
T. J. Health Columbia
T. J. Samson Community Hospital
Taylor Regional Hospital
The Medical Center at Albany
The Medical Center at Bowling Green
The Medical Center at Caverna
The Medical Center at Franklin
The Medical Center at Russellville
The Medical Center at Scottsville
Three Rivers Medical Center
TriStar Greenview Regional Hospital
Tug Valley ARH Regional Medical Center
UK Albert B. Chandler Hospital
UK HealthCare Good Samaritan Hospital
UK King’s Daughters Medical Center
UK St. Claire
UofL Health – UofL Hospital
UofL Health – Jewish Hospital
UofL Health – Mary & Elizabeth Hospital
UofL Health – Shelbyville Hospital
Wayne County Hospital
Whitesburg ARH Hospital
Tier 2
Opioid
Stewardship
Ready
Hospitals in Tier 2 have Tier 1 components in addition to harm reduction education, provider feedback on prescribing trends, along with other opioid monitoring.
ARH Our Lady of the Way Hospital
Baptist Health Corbin
Baptist Health Hardin
Baptist Health La Grange
Baptist Health Lexington
Baptist Health Louisville
Baptist Health Paducah
Baptist Health Richmond
Barbourville ARH Hospital
Bourbon Community Hospital
CHI Saint Joseph Health – Flaget Memorial Hospital
CHI Saint Joseph Health – Saint Joseph East
CHI Saint Joseph Health – Saint Joseph Hospital
Clark Regional Medical Center
Frankfort Regional Medical Center
Harlan ARH Hospital
Hazard ARH Regional Medical Center
Highlands ARH Regional Medical Center
Mary Breckinridge ARH Hospital
McDowell ARH Hospital
Mercy Health – Lourdes Hospital
Mercy Health – Marcum & Wallace Hospital
Middlesboro ARH Hospital
Morgan County ARH Hospital
Owensboro Health Muhlenberg Community Hospital
Paintsville ARH Hospital
Robley Rex VA Medical Center
Tug Valley ARH Regional Medical Center
UK King’s Daughters Medical Center
UK St. Claire
Whitesburg ARH Hospital
Tier 3
All
Systems
Go!
Hospitals in Tier 3 have Tier 1 and Tier 2 components, plus utilize IT for order sets along with providing naloxone product or prescriptions at discharge.
ARH Our Lady of the Way Hospital
Baptist Health Corbin
Baptist Health Hardin
Baptist Health Lexington
Baptist Health Louisville
Baptist Health Paducah
Baptist Health Richmond
Barbourville ARH Hospital
CHI Saint Joseph Health – Saint Joseph East
CHI Saint Joseph Health – Saint Joseph Hospital
Frankfort Regional Medical Center
Harlan ARH Hospital
Hazard ARH Regional Medical Center
Highlands ARH Regional Medical Center
Mary Breckinridge ARH Hospital
McDowell ARH Hospital
Mercy Health – Lourdes Hospital
Mercy Health – Marcum & Wallace Hospital
Middlesboro ARH Hospital
Morgan County ARH Hospital
Owensboro Health Muhlenberg Community Hospital
Paintsville ARH Hospital
Robley Rex VA Medical Center
Tug Valley ARH Regional Medical Center
UK King’s Daughters Medical Center
Whitesburg ARH Hospital
Inpatient Resources
Title | Summary | Categories | Tags | File Type | Link | Date | hf:doc_categories | hf:doc_tags | hf:file_type |
---|---|---|---|---|---|---|---|---|---|
Inpatient Encyclopedia of Measures | Safe opioid prescribing is an organizational priority… | Inpatient | August 13, 2024 | inpatient | |||||
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 | |||||
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 | ||
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 | |||||
National Quality Forum Opioid Stewardship Playbook | The National Quality Partners™ (NQP) Opioid Stewardship Action Team brought together experts and recognized leaders from the private and public sectors committed to addressing the nation’s escalating opioid epidemic. | Inpatient, Outpatient, Provider Resources | aspx | February 1, 2024 | inpatient outpatient provider-resources | aspx | |||
Michigan OPEN: Opioid Prescribing | OPEN takes a preventative approach to the opioid epidemic by focusing on appropriate opioid prescribing and pain management best practices in acute care settings (surgery, dentistry, emergency medicine, obstetrics, pediatrics). | Inpatient, Outpatient, Provider Resources | Guidelines | www | February 1, 2024 | inpatient outpatient provider-resources | guidelines | www | |
Kentucky Poison Control Information for Healthcare Professionals | Acetaminophen Overdose Faxable Guidelines, Recommendations RE Cetylev, Antidote Stocking Guide, Ethanol Dosing for Toxic Alcohol Ingestion, Synthetic Cannabinoids | Inpatient, Outpatient, Provider Resources | Guidelines | www | January 31, 2024 | inpatient outpatient provider-resources | guidelines | www | |
Pain Assessment and Management Standards | The Joint Commission | Inpatient, Provider Resources | Reports | www | January 31, 2024 | inpatient provider-resources | reports | www | |
Comfort Menu | Alliant Quality | Inpatient, Outpatient, Provider Resources | January 31, 2024 | inpatient outpatient provider-resources | |||||
Colorado ALTO Project | Colorado Hospital Association | Inpatient, Provider Resources | Website | www | January 31, 2024 | inpatient provider-resources | website | www | |
How to Control Pain Safely | American College of Surgeons Patient Education | Inpatient, Provider Resources | www | January 31, 2024 | inpatient provider-resources | www | |||
Kentucky Small Business Toolkit for Hiring Employees in Recovery | Kentucky Injury Prevention & Research Center | Employer Resources, Inpatient | Tools | www | January 31, 2024 | employer-resources inpatient | tools | www | |
Operation Unite | Operation UNITE provides a toll-free Treatment Referral Line for anyone seeking assistance with a substance use disorder. 1-833-859-4357 | Inpatient, Outpatient, Patient Resources | www | January 31, 2024 | inpatient outpatient patient-resources | www | |||
Kentucky Naloxone Copay Program | Kentucky Pharmacists Association | Inpatient, Outpatient, Patient Resources | Website | www | January 31, 2024 | inpatient outpatient patient-resources | website | www | |
Never Use Alone | Toll-free national overdose prevention, detection, life-saving crisis response and medical intervention services for people who use drugs while alone. Never Use Alone’s peer operators are available 24-hours a day, 7 days a week, 365 days a year. Call Never Use Alone 877-696-1996, your Overdose Prevention Lifeline. | Inpatient, Outpatient, Patient Resources | Website | www | January 31, 2024 | inpatient outpatient patient-resources | website | www | |
Find Recovery Housing Now | The purpose of FindRecoveryHousingNowKY.org (FRHNKY) is to link individuals in recovery to safe, quality, and available recovery housing in Kentucky. | Inpatient, Outpatient, Patient Resources | Website | www | January 31, 2024 | inpatient outpatient patient-resources | website | www | |
988 Suicide and Crisis Lifeline | When people call, text, or chat 988, they will be connected to trained counselors that are part of the existing Lifeline network. These trained counselors will listen, understand how their problems are affecting them, provide support, and connect them to resources if necessary. | Inpatient, Outpatient, Patient Resources | Website | www | January 31, 2024 | inpatient outpatient patient-resources | website | www | |
Hope and Health KY | Individuals seeking treatment for themselves or others – as well as family members who have questions or are in need of support – can call 1-833-8KY-HELP (1-833-859-4357) toll-free or text HOPE to 96714 and speak with a specialist about available treatment services most relevant to their needs. All calls are confidential. | Inpatient, Outpatient, Patient Resources | Website | www | January 31, 2024 | inpatient outpatient patient-resources | website | 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 | |
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 | ||
Any Positive Change: Harm Reduction is Public Health | Inpatient, Outpatient | Webinar | www | November 9, 2023 | inpatient outpatient | webinar | www | ||
Hospital PR Toolkit | Includes Statewide Press Release, Hospital Press Release Template, Guidelines, Logo (JPG or PNG), Facebook Post, and Twitter Post | Inpatient | Promotional Materials | November 6, 2023 | inpatient | promotional-materials | |||
2023 Naloxone Update | Inpatient, Naloxone, Outpatient | Webinar | www | September 26, 2023 | inpatient naloxone outpatient ed-bridge | webinar | www | ||
Integrating MAT/MOUD in Primary Care | Inpatient, Outpatient | Webinar | www | September 12, 2023 | inpatient outpatient | webinar | www | ||
Starting from Strength: How the Trait-Based Model of Recovery is Changing Addiction Treatment | Inpatient, Outpatient | Webinar | www | August 16, 2023 | inpatient outpatient | webinar | www | ||
Treating Mental Health and Substance Use Disorder | Inpatient, Outpatient | Webinar | www | July 26, 2023 | inpatient outpatient | webinar | www | ||
Treating Concomitant Acute Pain & Opioid Use Disorder in the Hospital | Inpatient | Webinar | www | May 11, 2023 | inpatient | webinar | www | ||
Cesarean Section ERAS: Baptist Health System Kentucky and Indiana | Inpatient | Webinar | www | April 13, 2023 | inpatient | webinar | www | ||
CDC Clinical Practice Guideline at a Glance | Applying the 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain | Inpatient, Outpatient, Provider Resources | Guidelines | www | March 16, 2023 | inpatient outpatient provider-resources | guidelines | www | |
Pain Management and Prescribing to the Postpartum Patient | Inpatient | Webinar | www | February 21, 2023 | inpatient | webinar | www | ||
Preventing Opioid Use Disorder | CDC | Inpatient, Provider Resources | Website | html | February 1, 2023 | inpatient provider-resources | website | html | |
Addiction Medicine Toolkit | CDC | Inpatient, Outpatient, Provider Resources | Tools | html | January 31, 2023 | inpatient outpatient provider-resources | tools | html | |
Pain Management of an Ankle Sprain | Inpatient, Outpatient | Webinar | www | January 18, 2023 | inpatient outpatient | webinar | www | ||
Clinical Practice Guideline for Prescribing Opioids for Pain | This guideline provides recommendations for clinicians providing pain care, including those prescribing opioids, for outpatients aged ≥18 years. (CDC) | Inpatient, Outpatient, Provider Resources | Guidelines | htm | November 4, 2022 | inpatient outpatient provider-resources | guidelines | htm | |
Empathy: Talking to Patients About Substance Use Disorder | As a clinician, you have an important role in screening patients for a substance use disorder and connecting them to treatment resources. You may also be actively involved in their treatment. (CDC) | Inpatient, Outpatient, Provider Resources | July 7, 2022 | inpatient outpatient provider-resources | |||||
BRAVO Opioid Tapering Protocol | Oregon Pain Guidance | Inpatient, Outpatient, Provider Resources | www | February 1, 2022 | inpatient outpatient provider-resources | www | |||
Linking People with Opioid Use Disorder to Medication Treatment | A Resource for Action of Policy, Programs, and Practices (CDC) | Inpatient, Outpatient, Provider Resources | January 1, 2022 | inpatient outpatient provider-resources | |||||
Safe Opioid Disposal – Remove the Risk Outreach Toolkit | FDA outreach toolkit to help education patients on safe, proper disposal of opioids | Inpatient, Outpatient, Provider Resources | Promotional Materials, Tools | www | March 19, 2021 | inpatient outpatient provider-resources | promotional-materials tools | www | |
Medication Risk Alert: Opioids & Benzodiazepines | Alliant Quality | Inpatient, Outpatient, Provider Resources | February 3, 2021 | inpatient outpatient provider-resources | |||||
Words Matter: Terms to Use and Avoid When Talking About Addiction | This handout offers background information and tips for providers to keep in mind while using person-first language, as well as terms to avoid to reduce stigma and negative bias when discussing addiction. | Inpatient, Outpatient, Provider Resources | Guidelines | January 13, 2021 | inpatient outpatient provider-resources | guidelines | |||
Kratom Drug Fact Sheet | DOJ/DEA | Inpatient, Outpatient, Provider Resources | April 1, 2020 | inpatient outpatient provider-resources | |||||
New Jersey Alternatives to Opioids (ALTO) Project | St. Joseph’s Health | Inpatient, Provider Resources | Guidelines | August 29, 2019 | inpatient provider-resources | guidelines | |||
Medication-Assisted Treatment (MAT) for Opioid Use Disorder Printable Guide | A Printable Pocket Guide, created in partnership with AHCCCS and the ASU Medical Advisory Board | Inpatient, Outpatient, Provider Resources | Guidelines | July 3, 2019 | inpatient outpatient provider-resources | guidelines | |||
HHS Pain Management Best Practices | Updates, Gaps, Inconsistencies, and Recommendations | Inpatient, Outpatient, Provider Resources | May 9, 2019 | inpatient outpatient provider-resources | |||||
Kratom Drug Facts | NIH National Institute on Drug Abuse | Inpatient, Outpatient, Provider Resources | April 1, 2019 | inpatient outpatient provider-resources | |||||
What’s Trending? Kratom | CADCA | Inpatient, Outpatient, Provider Resources | January 1, 2018 | inpatient outpatient provider-resources | |||||
Beyond Opioids: How Physical Therapy Can Transform Pain Management and Improve Health | APTA White Paper | Inpatient, Outpatient, Provider Resources | January 1, 2018 | inpatient outpatient provider-resources | |||||
Prescribing and Administering Opioid Doses Based Solely on Pain Intensity | American Society for Pain Management Nursing Position Statement | Inpatient, Outpatient, Provider Resources | June 1, 2016 | inpatient outpatient provider-resources | |||||
ED Management of Headache Algorithm | Cleveland Clinic | Inpatient, Provider Resources | Tools | September 2, 2015 | inpatient provider-resources | tools |