1. 2011 POLST Form

2. California POLST Education Program © March 2011 Coalition for Compassionate Care of California Materials made possible by a grant from the California HealthCare Foundation 2 Background  Component of POLST Quality Improvement Process – review comments/ suggestions every 2 years  POLST Documentation Committee  POLST Task Force  EMSA Commission

3. California POLST Education Program © March 2011 Coalition for Compassionate Care of California Materials made possible by a grant from the California HealthCare Foundation 3 Key Messages  The POLST form is voluntary  Previous POLST forms are still valid  Ensure the Advance Directive and POLST form are consistent  Emphasize role of the Legally Recognized Decisionmaker

4. California POLST Education Program © March 2011 Coalition for Compassionate Care of California Materials made possible by a grant from the California HealthCare Foundation 4 Rollout Strategy  Educational Materials:  Summary of the changes with rationale  Minor modifications to POLST curriculum  Newsletter article  Translations –  Websites  CDPH – AFL and MDS Chinese, Spanish, Farsi, Korean, Russian, Tagalog, Vietnamese

5. California POLST Education Program © March 2011 Coalition for Compassionate Care of California Materials made possible by a grant from the California HealthCare Foundation 5 Guiding Principle  Changes must provide substantial and significant improvement or clarification to the form  In addition:  Maintain one page (two-sided) format  Kept all critical information on front of form

6. California POLST Education Program © March 2011 Coalition for Compassionate Care of California Materials made possible by a grant from the California HealthCare Foundation 6 General Changes  Ultra Pink 65# cardstock  Made by Mohawk  Available at FedEx/Kinko’s  Changed health care ‘professional’ to health care ‘provider’ – consistent with language in POLST law

7. 2011 POLST Form Original POLST Form

8. 2011 POLST Form Original POLST Form

10. 2011 POLST Form Original POLST Form

11. 2011 POLST Form

12. Original POLST Form

13. 2011 POLST Form Original POLST Form

17. California POLST Education Program © March 2011 Coalition for Compassionate Care of California Materials made possible by a grant from the California HealthCare Foundation 17 Things to Remember  Previous POLST forms remain valid  Best practice – start using new POLST form after 4/1/11  POLST on any color paper is valid  Copies/faxes are valid