MOLST: Meeting the Challenge
Every one has the right to control how you will live, and to direct the care you want all through your life.
MOLST or Medical Orders for Life-Sustaining Treatment is a powerful consumer planning tool and a medical order for adults who are frail or diagnosed with a serious advancing illness. A "MOLST discussion" helps adults and their care providers talk about the adult's current medical condition, prognosis and treatment options. Adults choose treatment options that align with their values and priorities to live well with their illness, and record their life-sustaining treatments choices in the MOLST form.
What's Our Challenge?
Our challenge is to build a collaborative MOLST process that is responsive to an adult's changing health needs and care choices all through their serious illness journey. The MOLST process should assure every adult that your choices will be known and honored whether you are at home, on transfer to a facility, and in all care settings.
Your Serious Illness Journey
Honoring Choices has embarked on a year-long initiative to open up a dialogue with consumers and care providers about MOLST and getting the best possible person-directed care all through your journey.
Consumers: Who's on Your Health Care Team?
There are many care providers who can help walk with you on your journey, no matter where you live, receive care and gather. Talk with your clinicians to understand your medical condition, prognosis and the possible treatment options. Make a care plan that's right for you. Ask your clinicians to help bring together a care team. Your care team will know your choices and match the care and support you want- no more and no less- all through your serious illness journey.
Care Providers: Offer Effective Discussions and Care to Know and Honor Choices
Clinicians and care professionals on an adult's care team all have a valued role. Working together, the care team can offer effective discussions and care to help adults:
• Understand their diagnosis and prognosis, and discuss treatment options to make a person-directed care plan;
• Understand their life-sustaining treatment choices based on their current condition, and make choices on the MOLST form;
• Receive care and services that match an individual's changing health needs and values, priorities and choices;
• Experience a smooth journey with aligned protocols and procedures to provide the care a person wants- no more and no less.
Let's Do This Together!
Join the discussion! Here are upcoming workshops and up-to-date information, planning tools and discussion guides for both consumers and care providers. Check out our MOLST Challenge Timeline! We'll bring you new developments as they happen to build a more responsive process.
MOLST Workshops for Care Providers & Consumers
Let talk about what's working well and identify our challenges. We'll provide the latest information and tools. Together we'll generate "Next Steps'' to make positive change.
Information & Tools for Effective Discussions
• Who’s Your Agent? Tool Kits
• Serious Illness Conversation Guide
• Serious Illness Care "Community of Practice"
• The Conversation Project Kits
MOLST Challenge Timeline: What’s Happening!
We are putting your suggestions for change into action. Keep up-to-date on the new developments all year long. Let's work together for statewide and regional change.
Commonly Asked Questions
What makes the MOLST form valid?
At the April 24 MOLST Workshop, many care professionals expressed concerns that MOLST forms are not being honored consistently in hospital emergency departments or by Emergency Medical Services (EMS) personnel arriving at a residence and on transfer to a facility. The question arose- "What makes page 1 of the MOLST form valid?"
According to the MA MOLST website, in order for page 1 of the MOLST form to be considered valid, “Every part of Sections D and E must be filled in completely and legibly.” That means marking the circle to indicate who is signing Section D, and all 8 blank lines within the 2 sections must be completely filled out and must be legible and readable by the care professionals honoring the form. Otherwise page 1 of the MOLST form will not be considered valid. Read more at MA MOLST webpage