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 Stacy Allen.

Health care worker with patient
  1. Safe opioid prescribing is an organizational priority.
  2. Prescribers of opioids within the organization are aware of best practices and legal ramifications surrounding safe opioid use.
  3. The organization uses evidence-based non-opioid analgesic regimens in the emergency department (e.g. ALTO).
  4. The organization uses evidence-based opioid-sparing analgesic regimens for select procedures (e.g. ERAS).
  5. The organization offers compassionate care to patients with opioid use disorder (OUD).
  6. The organization provides non-pharmacologic analgesia.
  7. The organization promotes safe opioid use by patients.
  8. 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.

Map of Kentucky Inpatient Program Sites

January 2024

Encyclopedia of Measures (Inpatient)

October 2023
Metrics for safe opioid prescribing.

Inpatient Resources

TitleSummaryCategoriesTagsFile TypeLinkDatehf:doc_categorieshf:doc_tagshf:file_type
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.

, , , pdfJune 13, 2024ed-bridge inpatient outpatient patient-resourcespdf
NIDA Initiating BUP Resources for Prescribers

Includes examples and cases for motivating patients (National Institute on Drug Abuse)

, , , wwwApril 9, 2024ed-bridge inpatient outpatient provider-resourceswww

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.

, , , wwwApril 9, 2024ed-bridge inpatient outpatient provider-resourcestoolswww
KYSOS Webinar: Impact of OUD Stigma

, , , wwwMarch 28, 2024ed-bridge inpatient opioid-use-stigma outpatientwebinarwww
Opioid Overdose Recognition and Response: A Guide for Communities and Bystanders

Naloxone educational how-to and informational guide from the Department of Public Health

, , , pdfFebruary 2, 2024ed-bridge inpatient naloxone outpatientpdf
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.

, , aspxFebruary 1, 2024inpatient outpatient provider-resourcesaspx
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).

, , wwwFebruary 1, 2024inpatient outpatient provider-resourcesguidelineswww
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

, , wwwJanuary 31, 2024inpatient outpatient provider-resourcesguidelineswww
Pain Assessment and Management Standards

The Joint Commission

, wwwJanuary 31, 2024inpatient provider-resourcesreportswww
Comfort Menu

Alliant Quality

, , pdfJanuary 31, 2024inpatient outpatient provider-resourcespdf
Colorado ALTO Project

Colorado Hospital Association

, wwwJanuary 31, 2024inpatient provider-resourceswebsitewww
How to Control Pain Safely

American College of Surgeons Patient Education

, wwwJanuary 31, 2024inpatient provider-resourceswww
Kentucky Small Business Toolkit for Hiring Employees in Recovery

Kentucky Injury Prevention & Research Center

, wwwJanuary 31, 2024employer-resources inpatienttoolswww
Operation Unite

Operation UNITE provides a toll-free Treatment Referral Line for anyone seeking assistance with a substance use disorder. 1-833-859-4357

, , wwwJanuary 31, 2024inpatient outpatient patient-resourceswww
Kentucky Naloxone Copay Program

Kentucky Pharmacists Association

, , wwwJanuary 31, 2024inpatient outpatient patient-resourceswebsitewww
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.

, , wwwJanuary 31, 2024inpatient outpatient patient-resourceswebsitewww
Find Recovery Housing Now

The purpose of (FRHNKY) is to link individuals in recovery to safe, quality, and available recovery housing in Kentucky.

, , wwwJanuary 31, 2024inpatient outpatient patient-resourceswebsitewww
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.

, , wwwJanuary 31, 2024inpatient outpatient patient-resourceswebsitewww
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.

, , wwwJanuary 31, 2024inpatient outpatient patient-resourceswebsitewww

Enables patients and family members to find information about available substance use disorder treatment options in the Commonwealth of Kentucky.

, , , wwwJanuary 31, 2024ed-bridge inpatient outpatient patient-resourceswebsitewww
The Utility of Treating Opioid Use Disorder with Buprenorphine-Naloxone in the Intensive Care Setting

, wwwDecember 12, 2023inpatient naloxone ed-bridgewebinarwww
Any Positive Change: Harm Reduction is Public Health

, wwwNovember 9, 2023inpatient outpatientwebinarwww
Hospital PR Toolkit

Includes Statewide Press Release, Hospital Press Release Template, Guidelines, Logo (JPG or PNG), Facebook Post, and Twitter Post

November 6, 2023inpatientpromotional-materials
Inpatient Encyclopedia of Measures

Safe opioid prescribing is an organizational priority…

pdfOctober 1, 2023inpatientpdf
2023 Naloxone Update

, , wwwSeptember 26, 2023inpatient naloxone outpatient ed-bridgewebinarwww
Integrating MAT/MOUD in Primary Care

, wwwSeptember 12, 2023inpatient outpatientwebinarwww
Starting from Strength: How the Trait-Based Model of Recovery is Changing Addiction Treatment

, wwwAugust 16, 2023inpatient outpatientwebinarwww
Treating Mental Health and Substance Use Disorder

, wwwJuly 26, 2023inpatient outpatientwebinarwww
Treating Concomitant Acute Pain & Opioid Use Disorder in the Hospital

wwwMay 11, 2023inpatientwebinarwww
Cesarean Section ERAS: Baptist Health System Kentucky and Indiana

wwwApril 13, 2023inpatientwebinarwww
CDC Clinical Practice Guideline at a Glance

Applying the 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain

, , htmlMarch 16, 2023inpatient outpatient provider-resourcesguidelineshtml
Pain Management and Prescribing to the Postpartum Patient

wwwFebruary 21, 2023inpatientwebinarwww
Opioid Use Disorder: Preventing and Treating


, htmlFebruary 1, 2023inpatient provider-resourceswebsitehtml
Addiction Medicine Toolkit


, , htmlJanuary 31, 2023inpatient outpatient provider-resourcestoolshtml
Pain Management of an Ankle Sprain

, wwwJanuary 18, 2023inpatient outpatientwebinarwww
Clinical Practice Guideline for Prescribing Opioids for Pain


, , htmNovember 4, 2022inpatient outpatient provider-resourcesguidelineshtm
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)

, , htmlJuly 7, 2022inpatient outpatient provider-resourceshtml
BRAVO Opioid Tapering Protocol

Oregon Pain Guidance

, , wwwFebruary 1, 2022inpatient outpatient provider-resourceswww
Linking People with Opioid Use Disorder to Medication Treatment

A Resource for Action of Policy, Programs, and Practices (CDC)

, , January 1, 2022inpatient outpatient provider-resources
Safe Opioid Disposal – Remove the Risk Outreach Toolkit

FDA outreach toolkit to help education patients on safe, proper disposal of opioids

, , , wwwMarch 19, 2021inpatient outpatient provider-resourcespromotional-materials toolswww
Medication Risk Alert: Opioids & Benzodiazepines

Alliant Quality

, , pdfFebruary 3, 2021inpatient outpatient provider-resourcespdf
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.

, , pdfJanuary 13, 2021inpatient outpatient provider-resourcesguidelinespdf
Kratom Drug Fact Sheet


, , pdfApril 1, 2020inpatient outpatient provider-resourcespdf
New Jersey Alternatives to Opioids (ALTO) Project

St. Joseph’s Health

, pdfAugust 29, 2019inpatient provider-resourcesguidelinespdf
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

, , pdfJuly 3, 2019inpatient outpatient provider-resourcesguidelinespdf
HHS Pain Management Best Practices

Updates, Gaps, Inconsistencies, and Recommendations

, , pdfMay 9, 2019inpatient outpatient provider-resourcespdf
Kratom Drug Facts

NIH National Institute on Drug Abuse

, , pdfApril 1, 2019inpatient outpatient provider-resourcespdf
What’s Trending? Kratom


, , pdfJanuary 1, 2018inpatient outpatient provider-resourcespdf
Beyond Opioids: How Physical Therapy Can Transform Pain Management and Improve Health

APTA White Paper

, , pdfJanuary 1, 2018inpatient outpatient provider-resourcespdf
Prescribing and Administering Opioid Doses Based Solely on Pain Intensity

American Society for Pain Management Nursing Position Statement

, , pdfJune 1, 2016inpatient outpatient provider-resourcespdf
ED Management of Headache Algorithm

Cleveland Clinic

, pdfSeptember 2, 2015inpatient provider-resourcestoolspdf