Background: Introduction : A Medical Orders for Scope of Treatment (MOST) form, adopted by the state of Texas in 2014, is similar to Physician Orders for Life Sustaining Treatment (POLST/MOLST) form in other states. It translates patient preferences for CPR, critical care, assisted nutrition, and transfer between healthcare facilities into a physician order set. Previous [...]

Background: Portable Orders for Life-Sustaining Treatment (POLST) forms are an integral patient-centered care tool which facilitate conversation about and documentation of patients’ preferences for life-sustaining treatment. As the proportion of hospitalized patients with serious progressive illness increases over time, advanced care planning has become paramount. Within the adult acute care population, however, POLST form completion [...]

Background: During a pre-intervention baseline survey period, only 38% of internal medicine inpatients with a do-not-resuscitate (DNR) order at time of hospital discharge and absent or discordant Portable Orders for Life-Sustaining Treatment (POLST) form at time of admission were discharged with a concordant POLST form. Purpose: To improve documentation of end-of-life preferences in hospitalized adults [...]