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POLST (Physician Orders for Life-Sustaining Treatment)

CHCD helps lead a regional coalition to ensure that a new POLST process for clarifying seriously ill patients' treatment decisions becomes recognized and commonly used throughout the region. The POLST form complements an advance directive by turning a patient's wishes into actionable medical orders.

Sacramento Area POLST Coalition

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Convened by Eskaton, the Coalition is a multi-disciplinary, multi-organizational group of physician leaders and representatives from emergency medical services, hospitals, skilled nursing facilities and other healthcare and community organizations.

During 2011 and 2012 the Coalition will be working to:

  • heighten the visibility of POLST and end-of-life issues to the public through its speakers' bureau
  • provide educational opportunities for health professionals and staff from acute care, skilled nursing, EMS, home health and hospice settings
  • help ensure that high quality POLST conversations are the standard of practice throughout the region

Coalition leadership:

LEAD AGENCY: ESKATON - Teri Tift, MSN, DHA, RN-C
CHAIR - Chris Evans, RN, MSN, Mercy Sacramento/Catholic Healthcare West
SPEAKERS' BUREAU - Kathy Glasmire, Center for Healthcare Decisions

Coalition membership:

  • Parag Agnihotri, MD, Mercy Medical Group
  • Jose Arevalo, MD, Sutter Independent Physicians
  • Deon Batchelder, Community Member
  • MJ Bergstrand, RN, Mercy San Juan Hospital
  • Melissa Borelli, Community Member
  • Lhia Casazza, MSW, Marshall Medical Center
  • Karen Crain, RN, Sierra Sacramento Valley EMS
  • Kathy Edwards, MSN, Kaiser Permanente North Valley
  • Margot Fermer, RN, Kaiser Permanente South Sacrmento
  • Margaret Grayden, JD, CT, Yolo Hospice
  • Michael GuntherMaher, MD, FACP, Kaiser Permanente North Valley
  • Jay Henderson, VITAS Hospice
  • Judy Fong Heary, Asian Community Center
  • Jeanne Hinds, RN, BS, CHPN, Marshall Medical Center
  • Anne Israel-Connolly, Area 4 Agency on Aging
  • Paul Janke, DMin, Community Member
  • William Kennedy, MD, Community Member
  • Charity Kenyon, Kenyon Yeates LLP
  • Candice Kodama, RN, MSN, BA, Mercy Hospice
  • Nancy Madrick, RN, Eskaton Senior Connection
  • Catherine McGregor, MSN, RN, FNS-C, CCCC/PREPARED Project
  • James McGregor, MD, Sutter VNA and Hospice
  • Eric Moore, RN, MBA, UC Davis Medical Center
  • David Naliboff, MD, Kaiser Permanente South Sacramento
  • Nancy Neill, SW, Sutter Oaks Midtown
  • Janice Noort, NP, UC Davis Medical Center
  • Cindy Rice, RN, Partners in Care, Placerville
  • Mark Robinson, MSW, UC Davis Center for Healthy Aging
  • David Swetman, Sierra Nevada Memorial Hospital
  • Jan Van der Mei, RN, Sutter Health
  • Bruce Wagner, Sacramento County EMS Agency
Statewide work

CHCD has worked with the Coalition for Compassionate Care of California in its promotion of POLST:

  • March 2011 - wrote an issue brief on a regional collaborative effort to improve advance care planning and end-of-life care in Sacramento area nursing homes.
  • March 2009 - produced a white paper highlighting the work of eight community POLST coalitions and presented results at CCCC annual conference.

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