Event Title
Michigan Physician Orders for Scope of Treatment (MI-POST): Development of a Nationally Recognized Program
Description
PURPOSE: Patients with comfort-oriented advance directives (AD) are hospitalized at similar rates when compared to patients with full treatment ADs. Portable medical orders are associated with care that is better aligned with patient preferences by preventing unwanted transitions of care and improving quality of life. Despite these benefits, portable medical orders are not utilized in Michigan. The purpose of this project is to design a toolkit aimed at developing a sustainable portable medical order program in the state of Michigan. PROCEDURES: A comprehensive literature review and in-depth policy analysis were conducted to guide program development. This project sought to engage stakeholders at the state level by identifying opportunities to advocate for portable medical order use in Michigan. To describe the program to appropriate stakeholders, educational materials were developed in the form of a policy brief and user guide for healthcare professionals. Interviews were conducted with content experts to further develop evidence-based strategies for fund development, quality monitoring, and development of an electronic form registry; these were specific barriers identified in the state of Michigan. OUTCOME: Findings were shared with the MI POST state coordinator at the conclusion of the project. The final toolkit offers a formal blueprint for stakeholders when it is time for statewide implementation. IMPACT: The evidence-based toolkit may be beneficial in developing a sustainable portable medical order program in the state of Michigan.
Michigan Physician Orders for Scope of Treatment (MI-POST): Development of a Nationally Recognized Program
PURPOSE: Patients with comfort-oriented advance directives (AD) are hospitalized at similar rates when compared to patients with full treatment ADs. Portable medical orders are associated with care that is better aligned with patient preferences by preventing unwanted transitions of care and improving quality of life. Despite these benefits, portable medical orders are not utilized in Michigan. The purpose of this project is to design a toolkit aimed at developing a sustainable portable medical order program in the state of Michigan. PROCEDURES: A comprehensive literature review and in-depth policy analysis were conducted to guide program development. This project sought to engage stakeholders at the state level by identifying opportunities to advocate for portable medical order use in Michigan. To describe the program to appropriate stakeholders, educational materials were developed in the form of a policy brief and user guide for healthcare professionals. Interviews were conducted with content experts to further develop evidence-based strategies for fund development, quality monitoring, and development of an electronic form registry; these were specific barriers identified in the state of Michigan. OUTCOME: Findings were shared with the MI POST state coordinator at the conclusion of the project. The final toolkit offers a formal blueprint for stakeholders when it is time for statewide implementation. IMPACT: The evidence-based toolkit may be beneficial in developing a sustainable portable medical order program in the state of Michigan.