Comment

Oregon has better cardiac arrest survival and lower rates of CPR in Nursing Homes

In addition to an outstanding statewide EMS system, the POLST Program likely contributes to the 50% better survival rates of out of hospital arrest with CPR in Oregon vs national data (15.4% vs 10.6%) and with better cognitive outcomes.  For those nearing the end of their lives who do not want CPR (often with low odds of survival if we tried), the POLST Program makes it possible for them to refuse CPR (removing people with a poorer prognosis from these statistics likely contributes to Oregon’s improved resuscitation rates).  Note the low rate of attempted resuscitation in Oregon Nursing homes (6.2% vs 10.6%).  In 2015, only 120 attempted resuscitations were done in Oregon skilled nursing facilities (and some/most may have wanted CPR or not planned ahead to avoid it).  Being able to find POLST orders in a crisis via the Registry also helps assure that patient preferences are honored.  Click here to view the Cardiac Arrest Registry to Enhance Survival (CARES) 2015 report.

   

Comment

Comment

New Educational Tool for POLST Educators

The Oregon POLST Task Force Education Committee has finalized the Hospice presentation. Posted here is the PDF Version - if you or your facility is interested in using these with patients, please contact the Oregon POLST Program Office (polst@ohsu.edu) for the PowerPoint version, including faculty notes. 

Comment

Comment

New Educational Tool for POLST Educators

The Oregon POLST Task Force Education Committee has finalized the Primary Care presentation. Posted here is the PDF Version - if you or your facility is interested in using these with patients, please contact the Oregon POLST Program Office (polst@ohsu.edu) for the PowerPoint version, including faculty notes. 

Comment

Comment

New Educational Tool for POLST Educators

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 (polst@ohsu.edu) for the PowerPoint Version, including faculty notes. 

Comment

New Educational Tool for POLST Educators

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 (polst@ohsu.edu) for the PowerPoint Version, including faculty notes. 

New POLST Educational Video Released

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: 

Proposal introduced for Medicare to pay doctor's for end-of-life discussion

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: 

Oregon POLST Task Force Creates Administrator Alerts for Nursing Facilities

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:

ePOLST Implementation Report

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.

New electronic POLST system at OHSU receives national media coverage

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!

Miami Herald                                  Portland Business Journal                                    Life Matters Media

Washington Times               Bend Bulletin                The Kansas City Star                      Time-POST 


New electronic POLST system at OHSU

ePOLST: End of life goals are being documented electronically in a new innovation at OHSU, in collaboration with a Silicon Valley startup, Vynca. Read an article about it in the Oregonian here.