Levels of Recognition

The POLST Paradigm exists at some level in 50 states and Washington DC: Existing is a spectrum from just having legislation passed, to implementing the POLST Paradigm with regional pilots, to having implemented the POLST Paradigm so it is standard of care within that state. While we have come a long way since the first POLST form use in 1994, we still have a long way to go before the POLST Paradigm is standard of care and available across the country.

Read more about National POLST Paradigm’s levels of recognition for POLST Programs

Names of POLST Programs

In 2017, National POLST started defining the term “POLST” as a “portable medical order” primarily because what the acronym stood for, physician orders for life-sustaining treatment, no longer supported the POLST concept:

• many have thought the term “life-sustaining treatment” is value-laden language;
• National POLST promotes a team focused approach to the POLST process (see #6) and using the term “physician” is too narrow and ignores the other providers involved in the POLST process; and
• More than just “physicians” can sign a POLST form (see signature document).

State Programs choose their own names and the full list includes:

• POLST (Physician Orders for Life-Sustaining Treatment)
• POST (Physician Orders for Scope of Treatment)
• MOLST (Medical Orders for Life-Sustaining Treatment)
• MOST (Medical Orders for Scope of Treatment)
• TPOPP (Transportable Physician Orders for Patient Preference)
• COLST (Clinician Order for Life Sustaining Treatment)
• DMOST (Delaware Medical Orders for Scope of Treatment)
• IPOST (Iowa Physician Orders for Scope of Treatment)
• TOPP (Transportable Orders for Patient Preferences)
• AzPOLST (Arizona Provider Orders for Life-Sustaining Treatment
• LaPOST (Louisiana Physician Orders for Scope of Treatment)
• OkPOLST (Oklahoma Physician Orders for Life-Sustaining Treatment)
• PAPOLST (Pennsylvania Orders for Life-Sustaining Treatment)
• WyoPOLST (Wyoming Providers Orders for Life-Sustaining Treatment)
• SAPO (State Authorized Portable Orders)
• SMOST (Summary of Physician Orders for Scope of Treatment)

For simplicity, “POLST” is commonly used when referring to POLST forms or Programs in general.