Designed to improve the quality of care people receive near the end-of-life, the Oregon POLST™ Program is based on effective communication of patient wishes, documentation of portable orders for life-sustaining treatments and promise by a health care professional to honor these wishes.
A new study in the Journal of Palliative Medicine compared POLST use, the timing of POLST completion, and treatment orders in two Oregon POLST Registry decedent cohorts. The findings indicate that the "surprise question" may not be appropriate for patients with Alzheimer’s and Parkinson’s who often complete POLST forms earlier in their disease than during their final year of life. (J Palliat Med. 2018 Nov 21, https://www.liebertpub.com/doi/10.1089/jpm.2018.0446)
“Oregonians more likely to specify end-of-life wishes, study finds,” The Oregonian, 12/1.
“What we can learn from POLST data,” McKnight’s Long-Term Care News, 11/30.
“More Oregonians sharing end-of-life wishes with POLST,” OHSU News, 11/28.
POLST Coalition Announcements
2019 Oregon POLST Form Approved
On October 4, the Oregon POLST Coalition approved changes to the 2018 version of the Oregon POLST Form. The 2019 Oregon POLST Form (version 13) will be effective on January 2, 2019, and the Coalition asks that all health systems implement the use of the 2019 form by April 8, 2019. Like all previous versions, the 2019 form is a result of changes and updates suggested by POLST stakeholders, quality data from the Oregon POLST Registry, and published research. The summary of the changes can be found here and in the Oregon POLST Professional Resource Library.
Policy Recommendation for Oregon specific EHR One-Click Access
While the Oregon POLST Coalition has endorsed a one-click access to POLST forms in Electronic Health Records (EHRs) since 2015, the Coalition approved a formal policy recommendation on October 4, 2018. Visit the Oregon POLST Policies and Standards page to stay up-to-date on approved recommendations.
New POLST Video Now Available
"POLST: When is the Right Time?" This 3-minute video illustrates changes in Betty's life, showing completing an advance directive when healthy and a POLST when she becomes seriously ill. All POLST videos are available our Resource Library pages and on the Oregon POLST YouTube Channel.