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.

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

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. 

Opioid Stewardship Tiers

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
Breckinridge Memorial Hospital
Caldwell Medical Center
Carroll County Memorial Hospital
Casey County Hospital
Centerpoint Health – Georgetown
Centerpoint Health – Paris
Centerpoint Health – Versailles
Centerpoint Health – Winchester
CommonSpirit – Saint Joseph Hospital – Bardstown
CommonSpirit – Saint Joseph Hospital – Berea
CommonSpirit – Saint Joseph Hospital – Lexington
CommonSpirit – Saint Joseph Hospital – London
CommonSpirit – Saint Joseph Hospital – Mount Sterling
CommonSpirit – Saint Joseph Medical Center – East Lexington
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
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
Centerpoint Health – Paris
Centerpoint Health – Winchester
CommonSpirit – Saint Joseph Hospital – Bardstown
CommonSpirit – Saint Joseph Hospital – Lexington
CommonSpirit – Saint Joseph Medical Center – East Lexington
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
Owensboro Health Regional 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
CommonSpirit – Saint Joseph Hospital – Lexington
CommonSpirit – Saint Joseph Medical Center – East Lexington
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
Owensboro Health Regional Hospital
Paintsville ARH Hospital
Robley Rex VA Medical Center
Tug Valley ARH Regional Medical Center
UK King’s Daughters Medical Center
Whitesburg ARH Hospital

Opioid Stewardship Tiers
AdventHealth Manchester
Opioid Stewardship Prepared
ARH Our Lady of the Way Hospital
All Systems GO! for Opioid Stewardship
Baptist Health Corbin
All Systems GO! for Opioid Stewardship
Baptist Health Deaconess Madisonville
Opioid Stewardship Prepared
Baptist Health Hardin
All Systems GO! for Opioid Stewardship
Baptist Health La Grange
Opioid Stewardship Ready
Baptist Health Lexington
All Systems GO! for Opioid Stewardship
Baptist Health Louisville
All Systems GO! for Opioid Stewardship
Baptist Health Paducah
All Systems GO! for Opioid Stewardship
Baptist Health Richmond
All Systems GO! for Opioid Stewardship
Barbourville ARH Hospital
All Systems GO! for Opioid Stewardship
Breckinridge Memorial Hospital
Opioid Stewardship Prepared
Caldwell Medical Center
Opioid Stewardship Prepared
Carroll County Memorial Hospital
Opioid Stewardship Prepared
Casey County Hospital
Opioid Stewardship Prepared
Centerpoint Health – Georgetown
Opioid Stewardship Prepared
Centerpoint Health – Paris
Opioid Stewardship Prepared
Centerpoint Health – Versailles
Opioid Stewardship Prepared
Centerpoint Health – Winchester
Opioid Stewardship Ready
CommonSpirit - Saint Joseph Hospital - Bardstown
Opioid Stewardship Ready
CommonSpirit - Saint Joseph Hospital - Berea
Opioid Stewardship Prepared
CommonSpirit - Saint Joseph Hospital - Lexington
All Systems GO! for Opioid Stewardship
CommonSpirit - Saint Joseph Hospital - London
Opioid Stewardship Prepared
CommonSpirit - Saint Joseph Hospital - Mount Sterling
Opioid Stewardship Prepared
CommonSpirit - Saint Joseph Medical Center - East Lexington
All Systems GO! for Opioid Stewardship
Crittenden Community Hospital
Opioid Stewardship Prepared
Deaconess Henderson Hospital
Opioid Stewardship Prepared
Deaconess Union County Hospital
Opioid Stewardship Prepared
Ephraim McDowell Fort Logan Hospital
Opioid Stewardship Prepared
Ephraim McDowell James B Haggin Hospital
Opioid Stewardship Prepared
Ephraim McDowell Regional Medical Center
Opioid Stewardship Prepared
Fleming County Hospital
Opioid Stewardship Prepared
Frankfort Regional Medical Center
All Systems GO! for Opioid Stewardship
Harlan ARH Hospital
All Systems GO! for Opioid Stewardship
Harrison Memorial Hospital
Opioid Stewardship Prepared
Hazard ARH Regional Medical Center
All Systems GO! for Opioid Stewardship
Highlands ARH Regional Medical Center
All Systems GO! for Opioid Stewardship
Jackson Purchase Medical Center
Opioid Stewardship Prepared
Jane Todd Crawford Hospital
Opioid Stewardship Prepared
Jennie Stuart Medical Center
Opioid Stewardship Prepared
Kentucky River Medical Center
Opioid Stewardship Prepared
Livingston Hospital and Healthcare Services
Opioid Stewardship Prepared
Mary Breckinridge ARH Hospital
All Systems GO! for Opioid Stewardship
McDowell ARH Hospital
All Systems GO! for Opioid Stewardship
Meadowview Regional Medical Center
Opioid Stewardship Prepared
Mercy Health – Lourdes Hospital
All Systems GO! for Opioid Stewardship
Mercy Health – Marcum & Wallace Hospital
All Systems GO! for Opioid Stewardship
Middlesboro ARH Hospital
All Systems GO! for Opioid Stewardship
Monroe County Medical Center
Opioid Stewardship Prepared
Morgan County ARH Hospital
All Systems GO! for Opioid Stewardship
Murray-Calloway County Hospital
Opioid Stewardship Prepared
Norton Audubon Hospital
Opioid Stewardship Prepared
Norton Brownsboro Hospital
Opioid Stewardship Prepared
Norton Children’s Hospital
Opioid Stewardship Prepared
Norton Hospital
Opioid Stewardship Prepared
Norton Women’s & Children’s Hospital
Opioid Stewardship Prepared
Ohio County Hospital
Opioid Stewardship Prepared
Owensboro Health Muhlenberg Community Hospital
All Systems GO! for Opioid Stewardship
Owensboro Health Regional Hospital
All Systems GO! for Opioid Stewardship
Owensboro Health Twin Lakes Medical Center
Opioid Stewardship Prepared
Paintsville ARH Hospital
All Systems GO! for Opioid Stewardship
Pikeville Medical Center
Opioid Stewardship Prepared
Pineville Community Health Center
Opioid Stewardship Prepared
Robley Rex VA Medical Center
All Systems GO! for Opioid Stewardship
Rockcastle Regional Hospital and Respiratory Center
Opioid Stewardship Prepared
Russell County Hospital
Opioid Stewardship Prepared
Spring View Hospital
Opioid Stewardship Prepared
St Elizabeth Edgewood
Opioid Stewardship Prepared
St Elizabeth Florence
Opioid Stewardship Prepared
St Elizabeth Fort Thomas
Opioid Stewardship Prepared
St Elizabeth Grant
Opioid Stewardship Prepared
T. J. Health Columbia
Opioid Stewardship Prepared
T. J. Samson Community Hospital
Opioid Stewardship Prepared
Taylor Regional Hospital
Opioid Stewardship Prepared
The Medical Center at Albany
Opioid Stewardship Prepared
The Medical Center at Bowling Green
Opioid Stewardship Prepared
The Medical Center at Caverna
Opioid Stewardship Prepared
The Medical Center at Franklin
Opioid Stewardship Prepared
The Medical Center at Russellville
Opioid Stewardship Prepared
The Medical Center at Scottsville
Opioid Stewardship Prepared
Three Rivers Medical Center
Opioid Stewardship Prepared
TriStar Greenview Regional Hospital
Opioid Stewardship Prepared
Tug Valley ARH Regional Medical Center
All Systems GO! for Opioid Stewardship
UK Albert B. Chandler Hospital
Opioid Stewardship Prepared
UK HealthCare Good Samaritan Hospital
Opioid Stewardship Prepared
UK King's Daughters Medical Center
All Systems GO! for Opioid Stewardship
UK St. Claire
Opioid Stewardship Ready
UofL Health - UofL Hospital
Opioid Stewardship Prepared
UofL Health - Jewish Hospital
Opioid Stewardship Prepared
UofL Health - Mary & Elizabeth Hospital
Opioid Stewardship Prepared
UofL Health - Shelbyville Hospital
Opioid Stewardship Prepared
Wayne County Hospital
Opioid Stewardship Prepared
Whitesburg ARH Hospital
All Systems GO! for Opioid Stewardship

Encyclopedia of Measures (Inpatient)

January 2026

Metrics for safe opioid prescribing.
KYSOS Logo

Inpatient Resources