[{"_1":2,"_87":-5,"_88":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,75],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":46,"_47":48,"_49":50,"_51":52,"_53":54,"_55":56,"_57":58,"_59":60,"_61":62,"_63":64,"_65":66,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},"mediaId",6550935,"mediaKeyId","5365568-c95852693c337ab4a2ecbf523be44396","parentId",5365568,"title","Goldfinch Health pitches \"Billion Pill Pledge\" to reduce opioid prescriptions after surgery","audioSeconds",1199,"startMs",1997155,"endMs",3196270,"viewUrl","/Search/View?dp=1&key=5365568-c95852693c337ab4a2ecbf523be44396&start=1997&end=3196","thumbnailUrl","https://assets.pipeline.soar.com/5365568-c95852693c337ab4a2ecbf523be44396/thumbnail_1997155.jpg","articleUrl","/articles/6550935/Lexington-City/Fayette-County/Kentucky/Goldfinch-Health-pitches-Billion-Pill-Pledge-to-reduce-opioid-prescriptions-after-surgery","mediaUrl","https://secure.pipeline.soar.com/6550935-d35c5592bf00e089664a23ad2bda059c/orig.mp4?Expires=1771148151&Signature=kDLcYEEjqtV3wCdT8jM6jezwX6v-WriuvpKXzqz6tFFIUjrZyMq4ClaO6Nml7go5rxlGUqFSrJAThd5dej5drQD~tHiAaC-L~oNc7cI8me2US2AIlCuetkAfmr5SzWLdhSDMcdshoOFBZnqf1lV6RmoI8ETiXbSJuOFEI-vRtVFJMx-K4KcSo90Q59UKHxH7ExJqzTR1Sn6Xxa28eo0AVBkzQCR8CuhB9O~XXqzPrgY0WUE0MMtYDXqRmuXXKFmv3-U12PNB8kgqgpRLHIj7najOx4dPbALHe~87koaxc6Lng9x7GRsGeA-8ddRDzCF4TAb3sjHi5Lrxo7p7FESAHQ__&Key-Pair-Id=KUT5TJCACFTXG","author","Lexington","date","2025-07-11T00:00:00Z","article","Michael Doty, director of provider success at Goldfinch Health, described the Billion Pill Pledge program to the commission as a hospital-centered primary-prevention effort aimed at reducing leftover opioid pills after surgery.

\"My name is Michael Doty. I'm the director of provider success for an organization called Goldfinch Health,\" he said. Doty said the program partners with hospitals to implement evidence-based practices including Enhanced Recovery After Surgery (ERAS) protocols, multimodal pain management, prehabilitation, nurse navigator follow-up and prepared-for-surgery toolkits that include drug-deactivation pouches.

Doty presented national and local dispensing figures and research citations. He told the commission that Fayette County dispenses \"just over 100 prescriptions per 100 people\" and cited a 2023 metric that about 1,400 residents were starting opioid prescriptions lasting more than 30 days. He described peer-reviewed results from Goldfinch partnerships showing roughly a 47 percent reduction in opioid prescribing after joint replacements in a multi-hospital study and said the program typically seeks a 50 to 60 percent reduction in pill counts among participating hospitals.

Doty emphasized clinical elements that reduce postoperative opioid need: allowing clear-carbohydrate beverages close to surgery, implementing multimodal analgesia (alternating non-opioid medications such as ibuprofen and acetaminophen) and assigning nurse navigators to support patients during the two-week postoperative window. He said Goldfinch reports a 60 percent reduction in average opioid prescription counts and a 92 percent reduction in refill rate among participating sites, and that fewer than 2 percent of enrolled patients were readmitted to the index hospital.

Commissioners asked about provider buy-in and incentive structures. Doty said the program uses data reports and academic detailing to persuade surgeons, and that in Tennessee the program was free to participating hospitals because it was funded through state opioid-abatement funds. Commissioner Margaret Pizzicano suggested contingency management for patients returning unused pills; Doty said Goldfinch had explored incentives for hospitals and emphasized the logistical challenge of collecting drugs from patients and the value of deactivation pouches.

Doty closed by offering peer-reviewed validation of the approach (a recent publication through a partnership with Rothman Institute) and invited follow-up questions and discussions about hospital adoption and funding mechanisms.","mediaType","Video","parentTitle","Lexington - Opioid Abatement Commission - Jul 11, 2025","oneSentenceSummary","Goldfinch Health described a hospital-focused program that implements Enhanced Recovery After Surgery (ERAS) protocols, nurse navigators and toolkits to cut postoperative opioid prescribing and reduce leftover pills in communities.","taxTitle","Lexington City, Fayette County, Kentucky","taxId",5707,"location","headline","","shortSummary",{"_33":76,"_35":36,"_37":38,"_39":77,"_41":78,"_43":79,"_45":80,"_47":81,"_49":82,"_51":83,"_53":84,"_55":56,"_57":58,"_59":85,"_61":62,"_63":64,"_65":86,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6550940,"University of Kentucky—27s I Champion Health outlines community-centered youth substance-use prevention for Fayette County",929,780345,1709670,"/Search/View?dp=1&key=5365568-c95852693c337ab4a2ecbf523be44396&start=780&end=1709","https://assets.pipeline.soar.com/5365568-c95852693c337ab4a2ecbf523be44396/thumbnail_780345.jpg","/articles/6550940/Lexington-City/Fayette-County/Kentucky/University-of-Kentucky27s-I-Champion-Health-outlines-community-centered-youth-substance-use-prevention-for-Fayette-County","https://secure.pipeline.soar.com/6550940-2c66e66c9426c3f9e7739a3be207b5a1/orig.mp4?Expires=1771148151&Signature=Q1-Oeghho7qN8F8klkWvYl4zPG7ghQZBFUCPfe8sJKUNF6xR6pjfz8jBdGTzlv7~sZpTGuwjnOQ4mWBDiYkYXlCIk2ahtDYYQnpyyUiO4Vh6Mu614J4-G1PkjZi4MLcp-LSi~dgErTUhYSIPzYdNOqncjPl99-DiYaUy8cQKXzUds94~SSTrF1rA~JHiBphE-UwsxQX0vNuwNv37dCRc-vrX7KSlL0uT98hZ07UUp2qvwO4u1F7LSsBqmaHgBch~8RVjTrujaBAtxm0aCcSRm~NRyYKtSbVIJkjyT9K8iTX12mqSMshEj~wbVeOQLk2DxXXAg4rvmiSSwQjkzM8v0A__&Key-Pair-Id=KUT5TJCACFTXG","Mindy Ickes, a health-promotion professor and associate dean of research at the University of Kentucky College of Education, told the commission that I Champion Health is a two-year, community-centered initiative focused on youth and family substance-use prevention in Fayette County.

Ickes said the program grew out of state Office of Health Equity funding that originally supported COVID-19 vaccine work and has shifted toward prevention based on community feedback. \"I'm Mindy Ickes. I'm a health promotion professor in the College of Education at the University of Kentucky,\" she said.

The program has three principal elements: community listening and engagement through local \"community health champions,\" youth lessons aligned with national and Kentucky health-education standards, and capacity building for local partners. Ickes said the initiative has gathered more than 900 community responses, reached about 2,200 people at events, recruited over 30 community health champions and delivered lessons to more than 260 youth in its first year.

The lessons I Champion Health described were designed for upper elementary grades (fourth through sixth) as primary-prevention content that teaches decision-making, identifying supportive relationships, recognizing peer and social influences, goal setting and healthy coping strategies. Ickes said the curriculum addresses substance misuse through age-appropriate scenarios (for example, an athlete offered pain pills) and is intended to be developmentally sequenced so students receive multiple touchpoints across elementary, middle and high school.

Ickes said current funding comes from the Kentucky Opioid Abatement Advisory Commission and a small UK Healthcare Healthy Kentucky grant, but \"our funding will be ending in December,\" and the group is seeking sustainable implementation strategies such as a shared resource hub, professional development for school personnel and expanded cohorts of community champions.

Commissioners asked about whether the lessons include direct drug-education material. Ickes said they do: \"Our curriculum is infused with real life scenarios where we talk about substance misuse,\" including exercises that let students practice refusal and decision-making responses. Commissioners and staff generally praised the approach and asked for the slides and materials to be shared; Ickes said slides were included in the meeting packet and offered to share additional information.

Ickes and program coordinator Jacob Hester emphasized the community-vetted nature of the lessons and said teachers reported continued classroom benefits such as students practicing gratitude and reporting the lessons carried on after the team left the classroom.

The presentation closed with Ickes asking for coordination across agencies and schools to avoid duplicative programs and to create infrastructure for universal access.

Looking ahead, I Champion Health sought support to adapt lessons for broader age ranges, build a sustainable dissemination hub, and continue funding community champions to maintain engagement and reach across Fayette County.","I Champion Health, a University of Kentucky initiative, described a community-engaged youth and family prevention program for Fayette County, highlighted school lessons aligned with state standards, and said current funding will end in December.","actionData","errors"]

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Goldfinch Health pitches "Billion Pill Pledge" to reduce opioid prescriptions after surgery

University of Kentucky—27s I Champion Health outlines community-centered youth substance-use prevention for Fayette County