New POLST brochure that connects better with the public

The Oregon POLST Task Force approved a new POLST brochure for lay audiences. Earlier this year, we received feedback on the need for a greater patient voice in educational material. The Community Insight Committee was convened and tasked with advising us as we expand the use of stories to educate the public about the role and relationship of POLST and advance directives. Click here to view the printable version. 

Oregon POLST Task Force approves standard language for hospital transfer forms

The Oregon POLST Task Force has extensively reviewed the misperception by some that POLST orders were required in long-term care. The Task Force focused on two issues:

  • Facilities need to record code status
  • We do not want healthy patients transferred from acute care hospital to long-term care facilities being required to complete POLST forms to address the need of code status

The outcome was to create language that hospitals could integrate into hospital to facility transfer order sets. Click here to view the OPTF recommendation.

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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: