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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.

   

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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. 

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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. 

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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. 

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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: