Past Present and Future March 22 2016 Welcome amp Introductions And some specific Thank Yous Advance Care Planning Life Cycle First Phase ID and document a ID: 690994
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Slide1
POLST Illinois Annual Leadership Meeting
Past, Present and FutureMarch 22, 2016Slide2
Welcome & IntroductionsSlide3
And some specific Thank You’s Slide4
Advance Care
Planning Life Cycle
First Phase
ID and document a
proxy
Consider wishes if faced
with catastrophic irreversible neurological injury
Next
Phase
Identify
goals of care
How/would goals change if condition worsened?Decisions may be specific to conditionDiscuss with proxy & provider
Last
PhaseReassess goals of careCode status & treatments in case ofother emergencies; artificial nutritionProxy may decide if pt not decisional
Document on Power of Attorney form
Document on POLST form Slide5
POLST – Practitioner Orders for Life-Sustaining TreatmentPOLST Paradigm –is the ideal approach to end-of-life planning. It is a process, not a form to check-offPOLST Programs – are how states are implementing the POLST Paradigm
POLST Form – the form used by a state to document a person’s wishes.
5
DefinitionsSlide6
Allows patients to choose all possible life-sustaining treatment, selected life-sustaining interventions, or comfort care only. Is intended for persons of any age for whom death within the next year would not be unexpected
This includes patients with advanced illness or frailtyPOLST is not intended for persons with chronic, stable disability, who should not be mistaken for being at the end of life.
6
The POLST Paradigm:Slide7
7POLST Program
Evolution through 2015
6Slide8
8POLST Use in the United States
The POLST Paradigm is now in the majority of states
6Slide9
Evolution of the DNR/POLST Form
2000
2005
2006
2013
2015
2016
Orange
“DNR” form
IDPH Uniform DNR
“Order Form”
IDPH Uniform DNR
“Advance Directive”
IDPH released a legislated version “
IDPH Uniform DNR Advance Directive”
Legislation improves form to include POLST (Practitioner Orders for Life-Sustaining Treatment) in the title, authorizes other practitioners to sign
First POLST Illinois Taskforce leadership meeting2012Legislation removes “DNR” from title of the form; form officially entitled “POLST”; changes pendingSlide10
Once updated, Illinois form will meet all critical National POLST Paradigm Taskforce form requirementsIllinois is currently considered a “developing state” by the National POLST organizationBecoming an “endorsed state” would require additional componentsFormal organizational homePlan for ongoing implementation/education and quality assurance
[addressing witness signature]10
Status of POLST in IllinoisSlide11
Worked with ISMS to pass legislation removing “DNR” from the title of the form, form revision from IDPH pendingWorked with EMS state educational committee representative to develop slide deck that will be available to all EMS regions once form revision completedTransitioned communication tools to Mail ChimpMaterials revised/added to polstil.org websiteSlide presentations (long and short), POLST Summary/Fact Sheet, FAQ’s, General Guidance for cliniciansNarrated 40-minute slide presentation on POLST IllinoisRepresented POLST Illinois with exhibits at Illinois Public Health Association and Leading Age annual meetings
Local co-host of first open national meeting of National POLST ParadigmISMS webinar with Rob?11
POLST Illinois Activities in past yearSlide12
The IL DNR/POLST Form version 2015 12Slide13
Questions?13Slide14
Where does POLST Illinois go from here?14Slide15
POLST Illinois Organizational Chart- Ideal StateSlide16
POLST Illinois Organizational Chart- Actual StateSlide17
17Re-establish Work Groups- Priorities? Education/Training – Healthcare and Community
Sustainability/FundingCommunicationsBenchmarks and Quality
Registry?Slide18
18Education/Training Education/Training – Healthcare and CommunityBring consistent messaging and training to different parts of the stateEducate consumers and professionals around
What POLST is and who it is forAppropriate use of POLST in various settingsGoals of Care conversationsFor professionals, new context: CMS payment for ACP conversationsSlide19
Education/Training- Ideal ChartSlide20
20Sustainability/FundingSustainability/FundingFind a statewide home for POLSTCollaborative, Sponsorship
fit with mission Maintains the energy of the coalition Potential for support re fiscal management, public relations, educational programming, research and publication resources, communications and social media supportMeaningful relationship with the National POLST Paradigm Task Force
Identify funding to support Illinois
POLSTSlide21
21CommunicationsIdentify personal success stories that will compel the media to cover POLST.Social mediaWebsite maintenanceMail chimp/communications with Taskforce and workgroups
CommunicationsSlide22
22Benchmarks and QualityBenchmarks and QualityConduct a baseline survey to determine awareness, use, and quality in different healthcare settings including EMS, nursing homes, hospitals etc.
Develop quality measuresSlide23
23RegistryRegistry – is it too soon to address this?Slide24
Hub Taskforces?Paid Administrator?24
Overall StructureSlide25
Who wants to do what?25Step Up!Slide26
Next Steps Slide27
Questions?Slide28
For additional information, please visit www.polstil.org28Slide29
Please forward any additional questions, or to volunteer to: polstillinois@gmail.com29Slide30
Thank you!!!30