Norton Healthcare serves the Louisville and Southern Indiana market. Its 373-bed Norton Women’s & Children’s Hospital includes a maternal-fetal medicine program and Level III neonatal intensive care unit. Recognizing that the country was in the grips of an opioid epidemic, the health system launched the Norton Maternal Opiate and Substance Treatment (MOST) Program in 2015. The program aims to provide specially designed treatment to pregnant woman with substance use disorder (SUD). At the time, these patients often felt neglected by health care systems and obstetricians (OBs), and other specialists were reluctant to treat a pregnant woman with SUD. “The patient was stuck in a vicious cycle,” said Jonathan W. Weeks, M.D., maternal-fetal medicine specialist and medical director of the Norton MOST Program. “And these patients have decreased capacity to endure frustration.” The Norton MOST Program employs a single point of care approach so patients can easily access addiction and OB services simultaneously. Patients are first assessed in the office or emergency department to see if they meet the program’s criteria (e.g., pregnant, willing to enter treatment and will experience/is experiencing withdrawal symptoms) and determine if a hospital admission is needed. Eligible patients are admitted to the hospital for an average of two to three days. The admission enables patients to receive care from an addiction medicine specialist at a single location and removes the hassle to travel to alternate sites of care. This single point-of-care approach improved Norton Healthcare’s ability to screen patients, stabilize them with medication-assisted treatment and perform obstetrical evaluations.
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