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Electronic registries for the exchange of Physician Orders for Life-Sustaining Treatment (POLST) orders are currently operational in at least five California communities, each operating under different technology platforms and led by different organizations.  Other California communities stand at the threshold of developing their own POLST eRegistries, and a variety of related information-sharing technologies and services are being developed in this rapidly evolving market.
While these advances and new technologies are exciting, we cannot lose sight of the meaning and importance of POLST as a patient-centered tool for communicating medical orders.  Quality implementation of POLST in California is the responsibility of California Emergency Medical Services Authority (EMSA), which serves as the regulatory home of the California POLST form, and the Coalition for Compassionate Care of California (CCCC), which serves as the operational home of the POLST program. 

With financial support from the California Health Care Foundation (CHCF), CCCC and EMSA recently completed a project to pilot test a POLST eRegistry in two California communities.  In the next phase of this effort, CCCC and EMSA will be working with CHCF and key stakeholders over the next 16 months to:
  • Create and communicate a vision for POLST eRegistry expansion across California.
  • Explore the use case and funding opportunities for POLST eRegistry expansion in California.
  • Build on the work of the POLST eRegistry pilot and the National POLST Technology Summit and establish Recommended Practices for key areas of POLST Registry development, including electronic registries, interoperability, and electronic health records.
  • Develop guidelines for electronic POLST completion and information sharing.

Our goal is to establish a shared vision and provide a framework which will support POLST quality and encourage interoperability in all current and future POLST registry platforms and services.

Your responses to this brief survey will help us to better understand the current interest/engagement level in POLST eRegistry work and potential readiness for statewide expansion.

Completion of this survey by 5 pm (PST) on August 9 will enter you in a drawing for a complimentary registration for CCCC’s 2020 Palliative Care Summit, May 5-6 in Sacramento. (One entry per person.)
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