polst registries: why, when and how terri schmidt md, ms professor, department of emergency medicine...
TRANSCRIPT
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POLST Registries: Why, When and How
Terri Schmidt MD, MSProfessor, Department of Emergency
MedicineDirector, Oregon POLST Registry
February 16, 2012
POLST MOLST MOST POST POLST MOLST MOST POST POLST MOLST MOST POST
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Why?
Frequently (up to 25% of EMS calls) the form cannot initially be foundPeople do not always want their form visible for all to see
Schmidt TA, Hickman SE, Tolle SW, Brooks HS: The Physician Orders for Life Sustaining Treatment (POLST) Program: Oregon emergency medical technicians’ practical experiences and attitudes JAGS 2004; 52:1430-34.
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When?
• Early in POLST implementation?• Once well established?
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How?
• Know your state strengths and weaknesses• Mandate submission?• Education, education, education• Call in number?• Web-based?• Proprietary product?• Who owns the Registry?
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The Oregon POLST Registry• Secure electronic registry of
POLST orders.
• Located at the Emergency Communication Center at OHSU
• Allows EMS, emergency departments and acute care units access to POLST orders 24/7
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States developing Registies
• Oregon• West Virginia• New York• Montana• Utah• Others…
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How did it happen in Oregon?
• Piloted the concept at the county level• Created and funded by the Oregon legislature
in July 2009• Division of duties– State- funds the registry– Center for Ethics – responsible for education and
forms
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Keys to Success
• Submission mandate• Education• Responding to the unexpected– ICU access– High ED use
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• Questions?
Thank you to Oregon POLST Registry staff