Massachusetts e-MOLST Web Portal
Tools & Resources to Use the Portal
Start Proactive Planning Conversations & Document Care Choices
The MA e-MOLST Web Portal offers health care providers and seriously ill, high risk and frail adults an effective communication approach to engage in proactive care planning conversations and document patient care choices in MA planning documents. The web portal provides easy access to Ariadne Labs Serious Illness Conversation Guides, an electronic MA MOLST form (Medical Orders for Life-Sustaining Treatment), and links to complete a multi-lingual MA Health Care Proxy. The MA e-MOLST Web Portal is a joint pilot project of the Massachusetts Coalition for Serious Illness Care, Ariadne Labs and Honoring Choices Massachusetts with support from Vynca, Inc.
Clinicians and their care teams can:
• Start a serious illness conversation and understand what matter's most
- Download Ariadne Labs Serious Illness Conversation Guides
• Document patient care choices in a MA MOLST form
- If the patient chooses, complete the e-MOLST form in the web portal (English only)
- Alternatively, download and complete a multi-lingual MOLST form, and upload to the web portal
• Help ensure adults have a Health Care Proxy. Simply ask: "Do you have a Health Care Agent?" -
- If yes, check that a valid, up to date Health Care Proxy is in the patient record
- If no, download and complete a multi-lingual Honoring Choices Health Care Proxy
New VIDEO. Introduction to MA e-MOLST Web Portal for Honoring Choices Partners. Share with your clinicians and care teams.
Here's how it works!
1. Who can use the web portal?
The web portal can be used by health care providers such as a Physician, Nurse Practitioner, and Physician Assistant, all authorized as signing clinicians on the MA MOLST form. The web portal also allows a signing clinician to authorize their care team members (nurses, social workers, care managers etc.) to initiate planning conversations with a patient, in alignment with their care facilities’ protocols and procedures. To use the e-MOLST web portal, a health care provider must pre-register to establish a web portal user account.
2. How do health care providers sign up for a user account?
It’s simple to establish a user account. Just send your full name, licensure/role, institution, work address, work email, and phone number to: firstname.lastname@example.org. You will receive an email invitation to create a password and log in within 2 business days.
3. How does the MA e-MOLST web portal work?
As a registered web portal user, a health care provider can start a care planning conversation with a patient, Health Care Agent and Guardian via telehealth or in-person as follows:
- Sign into the web portal and search for your patient, or create a new patient account;
- Health care providers can choose to do the following:
- Click on Serious Illness Conversation Guides (SICG) tab for a step-by-step communication approach to understand patient goals, values and choices, and then translate patient information to an e-MOLST form; OR,
- Click on the e-MOLST tab if you have already initiated a serious illness conversation with a patient/ legal advocate, and he/she chooses to complete a MOLST form (it’s voluntary);
- Ask your patient, "Do you have a Health Care Agent?". Offer to help update or complete a Health Care Proxy;
- The clinician and patient can complete and digitally sign the e-MOLST using their smartphone, tablet or computer or select the option to document witnessed verbal consent. Read more here;
- Download the competed MOLST form and send a copy to the patient/advocate; upload the completed e-MOLST to the EMR.
- Revisit conversations and revise e-MOLST form as needed on the web portal.
Here's some helpful resources to get started
- MA e-MOLST Web Portal FAQ- Things to Know Before You Start
- Slide deck to guide you through using the portal here
- Video of clinician completing a MOLST as a signing clinician
- Video of clinician signing a MOLST completed by another clinician on his care team
- Webinar: One Month In: Questions, Comments & Feedback
Use of the MA e-MOLST Web Portal
The web portal is intended for the purpose of providing health care providers and their care teams with a communication framework for serious illness conversations, and to document patient choices on a paper and electronic MOLST form. Health care providers can use the web portal at no cost with the authorization of their respective organizations and in accordance with their organization’s policies and procedures. While we make every effort to post accurate and reliable information, the web portal may contain inaccuracies, errors or omissions and we expressly exclude liability. The user or viewer’s use of any information or materials on the web portal is entirely at your own risk, for which we shall not be liable.
Serious Illness Conversation Guides
Ariadne Labs Serious Illness Guides & COVID-19 Serious Illness Guides
Conversations between patients and clinicians about what matters most lead to higher quality care and improved quality of life for patients and those who care for them. The following conversation guides are designed to help you and your patients reach an understanding about what might be ahead with their health and what matters most to them as you continue to make care decisions together. These conversations should occur before completing a MOLST. Physicians, nurses, social workers care managers and everyone on your care team can use these guides to engage competent adults, their Health Care Agents and Guardians, in planning conversations. In Massachusetts, only a Physician or DO, Nurse Practitioner, and Physician's Assistant can sign the MOLST form.
Download either of these two guides to start an effective conversation:
This guide helps you talk with your patients about what to expect with their illness and what’s most important to them as they think about the future care. Here's the LINK.
The guide helps you engage in conversations with high-risk patients about how they can best protect themselves and what matters most to them in the context of COVID-19. Here's the LINK.
Massachusetts Health Care Proxy
Honoring Choices Multi-lingual Documents in 10 languages
Choosing a Health Care Agent has never been more important. For high risk patients, it's vital to take a few minutes to inquire about a valid, up-to-date Health Care Proxy. You can use your organization's documents or the Honoring Choices documents below to help adults complete a Health Care Proxy.
Simply ask: "Do you have a Health Care Agent?" If the patient says:
- "Yes or I think so" - Ask ... "Do you have a copy?; Is it up to date with correct phone numbers?; Does your Agent have a copy?; Did your doctor place a copy in your medical record?"
- "No or I'm not sure" - Say ... "You can appoint a trusted person as your Agent in a Health Care Proxy. An Agent is your advocate and works closely with a clinician to make timely decisions to get you the best possible care, if you are not able to make decisions yourself." You can direct your patient to the free Honoring Choices multi-lingual documents, or offer to help to complete a Health Care Proxy.
Bi-lingual care providers can offer culturally sensitive conversations and use the translated documents. Click below to download.
Massachusetts MOLST Form
Multi-lingual Documents in 10 Languages
The MOLST form translates a patient’s values, goals, and treatment preferences into actionable medical orders. Complete a MOLST only after discussing prognosis, values and goals. The web portal has the e-MOLST ready to complete using eSignatures to sign the form.
Bi-lingual providers can start culturally sensitive conversations and use the multi-lingual MOLST brochures and documents below to review and confirm patient care choices. The patient's choices must be translated and documented on the MOLST form in English.