The Oregon POLST Task Force Education Committee has finalized the Nursing Facility presentation. Posted here is the PDF Version - if you or your facility is interested in using these with patients, please contact the POLST office (firstname.lastname@example.org) for the PowerPoint Version, including faculty notes.
The Oregon POLST Task Force Education Committee is working to create a set of standardized presentations to be used to educate about POLST with specific audiences. The first set to be finalized is intended to be used with a lay audience. Posted here is a PDF version- if you or your facility is interested in using these with patients, please contact the POLST office (email@example.com) for the PowerPoint Version, including faculty notes.
In response to feedback from health care facilities across the state, the Center for Ethics in Health Care at OHSU and the Oregon POLST Task Force Education Committee released a new educational video for health care professionals titled, "POLST: Doing it Better". This video reviews who the intended audience is for POLST and it also reviews some common misconceptions about POLST. Watch the video here:
The Center's for Medicare and Medicaid have submitted a proposal to congress to begin reimbursing doctors for end-of-life conversations had with patients. This change could take effect as soon as January 2016. NPR recently interviewed a social worker from Oregon who described the importance of POLST when it comes to end-of-life conversations. Read the article here:
The purpose of these Administrator Alerts is to ensure that POLST is being used appropriately in Nursing Facilities, Community Based Care Facilities, and Adult Foster Homes. POLST forms are always voluntary, POLST forms should never be mandatory, patients should never be handed a blank POLST form to complete without a health care professional present. Read the full alerts below:
In response to the push by Medicare to reimburse health care professionals for end-of-life care conversations, OPB interviews Dr. Tolle from the Center for Ethics in Health Care at OHSU about her practice with patients nearing the end of life. Read the full article here.
OHSU recently launched an electronic POLST program in collaboration with Vynca, a tech start-up from Silicon Valley. This system allows health care professionals to complete POLST forms with patients electronically in OHSU EPIC, loads the POLST form to the patient header and submits the form directly to the Oregon POLST Registry (unless the patient opts out). Oregon POLST Task Force Consultant and National POLST Paradigm Executive Director, Amy Vandenbroucke created a business report outlining the process of implementing ePOLST at OHSU as well as the value of the technology. Read the report here.
In collaboration with Vynca, a Silicon Valley start-up, OHSU launched a new electronic system for completing POLST forms with patients. Since the press release last week, ePOLST at OHSU has received national media attention. Below are some of the articles published, highlighting this groundbreaking new technology!
Dr. Tolle submitted a post about the Oregon POLST program, outlining which patients are appropriate for POLST and which are not. The blog post summarizes how POLST is more than just a pink form- it includes multiple conversations with loved ones and health care professionals about your end of life wishes.
On March 18, 2015 the Patient-Centered Primary Care Homes (PCPCHs) facilitated a webinar about POLST where presenters Susan Tolle, MD and Lyle J. Fagnan, MD discussed POLST, recent data about the efficacy of POLST, and how primary care practices can work toward the routine implementation of POLST. Listen to the webinar here:
Dr. Susan Tolle was interviewed by Paula Span from the New York Times on the benefits and limitations of Advance Directives and when it is time to turn Advance Directives into action with POLST orders.. Read the article here.
The Oregon POLST Program has released a Spanish version of the educational video for patients and families, "Understanding POLST". Watch "Cómo comprender el POLST" here:
The Institute of Medicine (IOM) published a new report titles "Dying in America: Improving Quality and Honoring Individual Preferences Near the End of Life". The report highlights POLST and includes it in one of the committee's recommendations (recommendation #4, below). You can read the full IOM report here.
Recommendation 4 (Policies & Payments): encourage states to develop and implement a Physician Orders for Life-Sustaining Treatment (POLST) paradigm program in accordance with nationally standardized core requirements.
October 1, 2014: Every 2-3 years the Oregon POLST Task Force revises the POLST Form based on feedback from stakeholders. The newest version (the eleventh!) has been released and is available to order on our website. All previous versions of the POLST Form will remain valid, but we encourage health care professionals to replace older versions with the new one. More information can be found on the Press Release created by the Oregon POLST Task Force.
The Oregon POLST Program has released a new video intended for patients and families. The 5 minute video, titled "Understanding POLST" explains what POLST is and who should have one. You can watch the video below:
Director of the Center for Ethics in Health Care at OHSU and member of the Oregon POLST Task Force, Dr. Susan Tolle was interviewed by Oregon Public Broadcasting's Think Out Loud on June 11, 2014. Dr. Tolle discussed the landmark study published in JAGS with Erik Fromme and colleagues about POLST in Oregon. The study showed patient's end-of-life wishes are being honored, demonstrated by the location of death and how it related to what selections were made on their POLST form. Listen to the interview here.