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Massachusetts Electronic MOLST Completion Web Portal

TOOLS & RESOURCES

Start Proactive Conversations & Document Choices

The MA Electronic MOLST Completion Web Portal offers care providers an effective approach to engage adults in proactive care planning conversations and document patient care choices. Clinicians and their care teams can use the following tools and resources to:

  •  Simply ask- Do you have a Health Care Agent?
    • download multi-lingual Honoring Choices Health Care Proxy
  •  Start a serious illness conversation and understand what matter's most
    • download Ariadne Labs Serious Illness Conversation Guides
  • Document patient care choices in an electronic MOLST form (Medical Orders for Life-Sustaining Treatment)
    • download multi-lingual MOLST forms

The web portal is currently in beta testing. It will be open to all clinicians and care teams shortly at no cost.

How To Start Effective Discussions

The MA Electronic MOLST Completion Web Portal is sponsored by the Massachusetts Coalition for Serious Illness Care in partnership with Ariadne Labs and Honoring Choices Massachusetts. We’ve partnered with Vynca to develop a best practices approach for Massachusetts clinicians and their care teams to reach a wide diversity of high risk patients across the Commonwealth. This is a 6 month pilot program.

Here's how it works.

Health care providers, via telehealth or in-person, can start a planning conversation with a patient, as follows-

  • Sign into the portal; create a patient profile
  • As you begin your conversation, ask your patient- "Do you have a Health Care Agent?"  (see multi-lingual documents)
  • Talk about what matters most using the Serious Illness Conversation Guides and the COVID-19 Serious Illness Conversation Guides
  • Document patient choices on the e- MOLST form; sign using eSignatures*
  • Give a copy of the completed MOLST form to the patient
  • Document patient choices in the EMR
  • Revisit and revise eMOLST form as needed

Important: The web portal is not an e-registry or electronic registry; it does not allow providers to store, manage, and retrieve MOLST forms across care settings.

*The State has allowed eSignatures for use in this web portal.

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, your Agent, and your doctor have a copy; is it up to date with correct phone numbers?"
  • "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 do-it yourself documents, or offer 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.

English

Español –  Spanish

Português –  Portuguese

Tiếng Việt –  Vietnamese

Kreyòl Ayisyen –  Haitian Creole

Русский –  Russian

繁體中文 –  Traditional Chinese

عربي –   Arabic

ភាសាខ្មែរ –  Khmer

Shqip -  Albanian

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:

Serious Illness Conversation Guide

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.

Serious Illness Care Program’s COVID-19 Response Toolkit

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 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.