The goal of this consensus project is to conduct diligence on what is currently being done in our POLST Programs, to invite vendors to share their solutions, and to work with experts in a number of fields—technology, security/privacy, electronic medical records (EMRs), health information exchanges (HIEs), registries, legal, patient communications— to identify best practices and provide guidance to help POLST Programs effectively harness the promise of technology.
This entire project aims to accomplish several things:
- Develop a thorough and helpful best practices guide for POLST Programs to use to encourage effective and appropriate technology to support the POLST Paradigm.
- Identify technology-related priorities that the National POLST Paradigm should be advocating for on a national level, potentially giving us a concrete strategy for national policy or legislation.
- Help align product development that supports the POLST Paradigm and our fundamental values, better helping ensure a robust POLST process, elimination of invalid POLST forms, and immediate access to POLST forms everywhere.
This is not a single event but over a year-long project:
Webinars (May-October 2018)
30-minute webinars, recorded and available (at this web page) for everyone to watch. These will present background information for conference attendees and cover what is currently being done with state registries, EMR (Electronic Medical Record) integration, HIE (Health Information Exchange) integration, patient access and other items. Everyone is welcome and encouraged to attend the webinars. The webinars will also be recorded and made available online at this web page soon after they are presented.
|Date||Webinar Topic and Presenter||Registration (or Recording, if past)|
|May 22, 2018||Overview of the POLST Paradigm
Presenter: Amy Vandenbroucke, JD
|June 12, 2018||Approaches to State POLST Registries
Presenter: Dana Zive, MPH
|September 27, 2018||HIE-POLST Integration
Presenter: Allen Abshire and Ryan Van Wert
|TBD||Advanced EHR Integration||TBD|
Presenter: Kelley Queale
Conference (October 2018)
A 1.5 day invitation-only conference that will be spent in conversations. We have four tracks of conversations with identified leaders; those leaders are responsible for developing the agenda in coordination with the National POLST Paradigm to focus on technology-related questions and issues relative to the POLST Paradigm. Topic areas include: legal, compliance, security, privacy, user needs (emergency personnel, health care professionals, and patients), and technology design. Leaders will be staying an extra day to develop an outline and next steps for writing a white page summary of these topics, including best practices, guidance, and advice for all POLST Programs and POLST product vendors. The conference will have limited attendees since this a working conference to write a paper, not a conference with presentations. Therefore, there is not an opportunity to participate remotely. All attendees will be selected because of their experience and expertise in the identified areas of technology and expertise we need.
White Paper (2019)
Post-conference, we will be working on final white paper and presenting it via webinar. Everyone will have access to the white paper.
Why are we doing this?
Technology supports the future of the POLST Paradigm. The POLST form is a portable medical order designed to support patients throughout the healthcare continuum as they transition between health care settings (i.e., acute care, sub-acute care, home care, etc)—or those outside those health care settings—by communicating patient treatment wishes. In the event of a medical emergency, when time is of the essence for medical decision-making, the POLST form serves as an immediately available and recognizable order set in a standardized format. This aids emergency personnel and other health care professionals in implementing patient treatment wishes as communicated to—and documented by—the patient’s health care professional. Yet, with our paper-based system, we are placing an obligation to manage this medical order on a vulnerable population.
We’ve seen in Oregon that electronic completion can eliminate human errors and save administrative time. In California, we’ve heard about how POLST form orders can be integrated within an EMR in such a useful and deep extent that reminders pop up when health care professionals write orders conflicting with a POLST form in a hospital. Many POLST Programs are interested in building registries and connecting with existing resources (i.e., their health information exchanges, or HIEs) and asking for best practices and guidance. We don’t have that…yet. This project is a step towards that goal.
The National POLST Paradigm is grateful to our sponsors for their support:
|Vynca offers a comprehensive SaaS based Advance Care Planning Solution, which enables high quality, accurate documentation of members’ end of life wishes. With our solution, ACOs can provide ACP tools and services, and capture care preferences across the care continuum, ensuring end of life wishes are honored for every member. Our EHR integrated solution provides one central location to upload, electronically document, and access all ACP documents across the care continuum. Streamlining the ACP process results in a reduction in unnecessary admissions, ICU utilization, and medical errors related to end of life care preferences.|
|California Health Care Foundation|
|The Dave and Lura Lovell Foundation|
If interested in sponsoring this project, please contact firstname.lastname@example.org.
Please contact email@example.com with any questions.