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The Oncology Specialist’s Role in POLST Form Completion
The American Journal of Hospice & Palliative Medicine reports that the majority of 6,145 patients dying of cancer with POLST forms in the Oregon POLST Registry had forms signed by Primary Care (53.7%), Oncologist signed 14.9% and Hospice and Palliative Medicine 15.3%. View the study at http://journals.sagepub.com/doi/abs/10.1177/1049909117702873?journalCode=ajhb.
- OHSU study published in the Journal of Palliative Medicine found that in Oregon, nurse practitioners completed nearly 25,000, or 11 percent, of Physician Orders for Life-Sustaining Treatment (POLST) forms, in the past six years
- 3 of 19 states with established POLST programs don’t permit nurse practitioners to execute forms, making access inconsistent
Read the newly published article: Implementation of a Novel Electronic Health Record-Embedded Physician Orders for Life-Sustaining Treatment System at https://link.springer.com/article/10.1007/s10916-016-0605-3.
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.
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.
"Dr. Tolle spoke with Life Matters Media about her efforts, the state of the POLST movement and addressed some criticism." http://www.lifemattersmedia.org/2016/06/polst-paradigm-update-conversation-pioneer-susan-tolle/