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POLST Newsletter

Click here to read our recent newsletter, which highlights the Oregon POLST Registry and the Health Affairs Blog post titled "Counting POLST Form Completion Can Hinder Quality." 

 
 

Study finds a majority of POLST forms are signed by Primary Care

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

Figure 1. Final Physician Orders for Life-Sustaining Treatment (POLST) forms (n = 6145) by signer specialty  Lammers A, Zive DM, Tolle SW, Fromme EK. The Oncology Specialist’s Role in POLST Form Completion.  American Journal of Hospice and Palliative Medicine.  First published online. doi:10.1177/1049909117702873

Figure 1. Final Physician Orders for Life-Sustaining Treatment (POLST) forms (n = 6145) by signer specialty

Lammers A, Zive DM, Tolle SW, Fromme EK. The Oncology Specialist’s Role in POLST Form Completion. American Journal of Hospice and Palliative Medicine. First published online. doi:10.1177/1049909117702873

Nurse practitioners fill gap by providing timely help in recording end-of-life treatment wishes

  • 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

Click here to view the study published in the Journal of Palliative Medicine today. A video featuring lead author Sophia Hayes is also available by clicking here

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.