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South Nassau Communities Hospital Improves Quality of Care

Medical Orders for Life-Sustaining Treatment (MOLST) is about honoring the end-of-life preferences of patients with chronic life-limiting illnesses who have a life expectancy of one year or less. In an effort to raise awareness of MOLST, the Geriatric and Palliative Care team at South Nassau Communities Hospital sponsored a continuing education program in 2015.

Medical and allied health staff members from the hospital and local nursing homes were invited to attend the day-long training led by Patricia Bomba, MD, Chairwoman of the MOLST Statewide Implementation Team and eMOLST Program Director. The group learned the value of MOLST in today’s care environment and received one-on-one instruction on how to properly complete the MOLST form.

Clinical staff members are increasingly collaborating with the Geriatric/Palliative Care team to help advance initial consultations, of which there have been more than 900 during 2015. Plus, nearly 750 goal-of-care meetings were conducted in the first three quarters of 2016, where the team explains the similarities and differences of advance directives; explains the importance of identifying a healthcare agent or surrogate; and clarifies “Do Not Resuscitate” (DNR) orders and MOLST forms with patients and their loved ones.