Honoring the wishes of patients regarding medical treatment is an important part of end-of-life care. POLST (Physician Orders for Life-Sustaining Treatment), originally piloted in Oregon and California, is a national model for advance-care planning that supports shared, informed medical decision-making, portability of advance directives across health-care settings, and continuity of care. In New York State, it is known as MOLST (Medical Orders for Life-Sustaining Treatment).
In this webinar, Dr. Diane Kane, Chief Medical Officer at St. Ann’s Community in Rochester, New York, will share with us how the program was successfully implemented in Rochester in 2005. It quickly evolved into the only authorized mechanism in New York State to honor non-hospital DNR and DNI orders. Dr. Kane will also discuss the successful conversion from a paper-based MOLST to an electronic form at St. Ann’s Community, and the importance of end-of-life conversations with patients and their families.
- Summarize how POLST/MOLST programs improve quality of care by translating goals of care and preference for life-sustaining treatment into actionable medical orders
- Examine how converting from a paper MOLST form to an electronic MOLST (eMOLST) prevents incompatible orders, addresses incomplete or incorrectly completed MOLST documents and ensures that the clinical, ethical and legal process for making end-of-life decision is consistently followed
- Differentiate between an advance directive, living will, healthcare proxy and surrogate for healthcare decisions.
- Explain the difference between DNR and DNI orders
- Strengthen providers' ability to discuss with patients and their families code status, intubation and medical ventilation, and artificial feeding and hydration
- Relate facts about CPR and the elderly
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About the Speaker
Diane Kane, MD
Chief Medical Officer & Director of St. Ann's Care Center
St. Ann's Community
Dr. Kane has been practicing in the field of senior care for 30 years. As Chief Medical Officer at St. Ann’s Community, one of the largest senior living communities in upstate New York, she has provided expert care to thousands of patients.
Dr. Kane is Board Certified in Internal Medicine, Geriatrics, and Hospice & Palliative Care. She earned her medical degree from the University of Massachusetts Medical School and did her internship and residency at Strong Memorial Hospital. She joined St. Ann’s Community in 1987 as a staff physician and also previously held the position of Medical Director. She serves as an instructor in Geriatrics for Internal Medicine residents at Rochester General Hospital.
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*This program is pending approval by the National Association of Long Term Care Administrator Boards. For additional information, contact NAB at 1444 I St., NW, Suite 700, Washington, DC 20005-2210, (202)712-9040, or http://www.nabweb.org*