For health care organizations with sophisticated patient information systems, the issue of transferring records may seem obvious. However, as the Breakthrough Series teams found, many organizations need to improve record transfers to ensure that DNR orders, advance care plans, and other vital information is transferred from one setting to another.
Some states have developed quick ways to make sure patients' wishes are known by all health care providers who are treating them, or who may treat them, such as EMS crews. Among the strategies being used are:
7.7.1 Case Study - Oregon's POLST - Physician Orders for Life-Sustaining Treatment
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This online version of the book Improving Care for the End of Life: A Sourcebook for Health Care Managers and Clinicians is provided with permission of Americans for Better Care of the Dying [ www.abcd-caring.org ] and Oxford University Press. All rights reserved.
For further information on quality improvement in end-of-life care visit The Palliative Care Policy Center [ www.medicaring.org ].