The National POLST Paradigm Task Force (NPPTF) first formally convened in 2004 to establish quality standards for POLST Paradigm Programs and to assist states in developing their programs. In establishing its criteria for endorsement, the NPPTF used consensus building to determine what the POLST Paradigm should be based on their own experiences in implementing POLST Paradigm Programs. Periodically, the NPPTF updates endorsement criteria based on research evidence regarding the POLST Paradigm, POLST Paradigm Forms and quality assurance information. Only programs that have proven to the NPPTF their POLST Paradigm Program and POLST Paradigm Form meet NPPTF standards can be endorsed. Once endorsed, states may work towards being recognized as a “mature” POLST Paradigm Program.
- Quarterly regional conference calls to update states near you about your program’s progress as well as to hear other program updates;
- Invitation to attend National POLST Leadership Conferences;
- Information on upcoming webinars or other education sessions of interest to POLST Paradigm Programs;
- Notices of grant funding available through the POLST Paradigm;
- Information about national legislation or media of interest to POLST Paradigm Programs;
- Ability to receive guidance for implementing quality POLST Paradigm Programs through the NPPTF Developing State Assistance Committee
- Opportunity to participate in shared resources (such as the online forum);
- Invitation to participate on other NPPTF Committees;
- Contact information listed on the POLST Paradigm website so people in your state can easily locate your program; and
- (for endorsed programs only) permission to use the POLST Paradigm trademarks.
When state coalitions are exploring the development of a POLST Paradigm Program they should complete the Developing POLST Coalition Contact Information form to formally connect with the NPPTF. Programs will be recognized by the NPPTF as “developing” when they have both: (1) submitted the Developing Status Application and (2) presented their state’s POLST Paradigm Form and POLST Paradigm Program to the NPPTF Developing State Assistance Committee.
Developing POLST Programs may be at various stages of development, ranging from the initial design to active usage of a POLST Paradigm Form and ranging from a small pilot program to a statewide roll out. The expectation is that all developing POLST Paradigm Programs are working towards their goal of implementing the POLST Paradigm Program statewide in keeping with the POLST Paradigm tenets. In general, programs at this step are starting to contemplate addressing all Seven Core Elements of Sustainability.
The NPPTF endorses POLST Programs when they have developed and implemented a POLST Paradigm Program and POLST Paradigm Form meeting the NPPTF standards. Endorsed programs are POLST Paradigm Programs that have become standard components of advance care planning in their location and are moving toward statewide implementation (if not already there). These programs have addressed legal and regulatory issues associated with POLST Paradigm Forms and processes, and have developed strategies for ongoing implementation and quality assurance.
A program with Developing Status seeking to become an Endorsed POLST Program must complete the Endorsed Status Application, have received a recommendation for endorsement by the NPPTF Developing State Assistance and Consultation Committees, and be approved by the NPPTF.
Mature status is the highest level of endorsement by the NPPTF and is reserved solely for states with POLST Paradigm Programs that are the standard preferred method of advance care planning for persons with serious illness or frailty throughout the state. Mature POLST Paradigm Programs are used by 50% or more of hospitals, nursing homes, and hospices in each region (as defined by established criteria such as EMS, Department of Health, or the Dartmouth Atlas) of the state. These programs are actively gathering data for quality assurance programs, have financial stability, and have considered centralized POLST Paradigm databases.
An Endorsed Program seeking to be recognized as a Mature POLST Paradigm Program must complete the Mature Status Application, have received a recommendation for Mature Status from the NPPTF Consultation Committee, and be approved by the NPPTF.