Policies and Standards – Guidance to Clinicians & Health Systems
The following have been approved and enacted by the Oregon POLST Coalition:
Maintaining Quality – Completion of a POLST form should not be counted as a quality measure.
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A video explaining why not to count POLST forms as outlined in an editorial by Susan Tolle, MD in The Journal of the American Geriatrics Society, Aligning POLST Orders with Wishes: Time to Put Evidence into Practice.
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Tolle SW. Aligning POLST Orders with Wishes: Time to Put Evidence into Practice. Journal of the American Geriatrics Society. 2021 April 7. https://doi.org/10.1111/jgs.17150.
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Do Not Count POLST Forms as an Advance Care Planning Quality Measure – June 2018
Oregon DHS Alerts for Long-Term Care Facilities and Group Homes Regarding POLST
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Office of Developmental Disabilities Services (ODDS) Fact Sheet on Oregon POLST – Aug 2020
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Policy Transmittal Developmental Disabilities Services – Feb 2020
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Adult Foster Home Provider Alert – Feb 2019
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Community Based Care Provider Alert: Assisted Living, Residential Care, Memory Care Facilities – April 2020
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Nursing Facility Provider Alert – Feb 2019
Recommendation on Standards for Hospital Transfer/Discharge Forms
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Short version – May 2017
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Long version (includes supplemental cases) – May 2017
Recommendations for Locating Existing POLST Forms
Essential POLST Form Elements & Summary of Historical Changes to Form Elements
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Oregon Does Not Endorse the 2019 “Uniform POLST Form”: Six Essential POLST Form Element Recommendations – Sept 2019
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Removal of Section about Artificially Administered Nutrition – Jan 2019
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“Time to Remove Feeding Tubes from POLST” – GeriPal Podcast, 2/15/19
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Tolle SW, Jimenez VM, Eckstrom E. It is Time to Remove Feeding Tubes From POLST Forms. J Am Geriatr Soc. 2019 Mar;67(3):626-628. doi: 10.1111/jgs.15775. Epub 2019 Jan 31.
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Tolle SW, Jimenez VM, Eckstrom E. Reply to Artificial Nutrition Belongs on POLST J Am Geriatr Soc. 2019 Sept;67(9):1987-1989. https://doi.org/10.1111/jgs.16090. Epub 2019 Aug 14.
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Oregon Academy of Family Physicians Endorses Removal of Artificially Administered Nutrition Section – Jan 2020
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Oregon American College of Emergency Physicians Endorses Removal of Tube Feeding Section – Sept 2019
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Oregon Hospice & Palliative Care Association Endorses Removal of Artificially Administered Nutrition Section – Jan 2020
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Oregon Geriatrics Society Endorses Removal of Artificially Administered Nutrition Section – Nov 2019
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Oregon POLST Coalition’s Reaffirms Endorsement of PAs Ability to Sign POLST Forms – Oct 2019
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Summary of Recommendations for POLST Form Elements Changes: 1993 through June 2018