[{"_1":2,"_100":-5,"_101":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,76,88],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":46,"_47":48,"_49":50,"_51":52,"_53":54,"_55":56,"_57":58,"_59":60,"_61":62,"_63":64,"_65":66,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},"mediaId",6143353,"mediaKeyId","5535761-006f267ad721f55790d374d78703f3bd","parentId",5535761,"title","Advisory council to revise MOLST website and continue exploring electronic registry; Connie system follow-up planned","audioSeconds",586,"startMs",950000,"endMs",1536000,"viewUrl","/Search/View?dp=1&key=5535761-006f267ad721f55790d374d78703f3bd&start=950&end=1536","thumbnailUrl","https://assets.pipeline.soar.com/5535761-006f267ad721f55790d374d78703f3bd/thumbnail_950000.jpg","articleUrl","/articles/6143353/Connecticut/Advisory-council-to-revise-MOLST-website-and-continue-exploring-electronic-registry-Connie-system-follow-up-planned","mediaUrl","https://secure.pipeline.soar.com/6143353-967e550b85b9f511cb50cc03ba505df6/orig.mp4?Expires=1773698757&Signature=EkWVkO0fZMw6g5PK2243H160B-okL292fPYl3JwBJUzUejeDIW75W-J9xkbcuxdkPRfydYkGLKgwCgkEMWyBo5B5urkgkj~C4T~B9XC-l~2FgFEpVmUGBqDoICSWJtLsyBHUY~Ki~dX-zdJaYbJF0VMHgNNuD2IcxKVTX22~dNI0bIg0NvlIZqw9eAqYLRJivD2XO2BTULzulz3MQnv-BextUM5zOcLMOSg0JkoKqcrh0Nm5KXphUFTt80dOEZRWXJynBrIUJtRQVY0f3cWOhRSMURrlQdYovVqSgkAJRqlDpw3YZQZqhQVVj11-Cuf4O4tjExEw0qFW3pqgUST00w__&Key-Pair-Id=KUT5TJCACFTXG","author","Department of Public Health","date","2025-08-05T17:05:49Z","article","Council members reviewed progress on a planned redesign of the MOLST website and asked that consumer-facing content and FAQs be reworked for clarity and currency. Barbara Cass, senior adviser to the commissioner of the Department of Public Health for long-term care, said the subgroup has begun reviewing the current web page and will use archival materials to add relevant history and pilot documentation.

\"We are looking at the current web page. And in October, there's going to be a redesign of the state platform, so it will look different,\" Cass said, and she asked committee members to share resources they use in current practice for possible inclusion in FAQs.

The subgroup separated FAQs by audience groups, and staff will circulate a compiled list of links for providers to flag whether resources remain relevant or should be updated or removed.

Members also raised the idea of posting a digital MOLST form on the website and developing a statewide registry. Jim (committee member) asked for an update on the \"Connie\" system, and Cass said the item remains on her follow-up list: \"It's on my pathway list,\" she said, adding that a DPH representative who sat on the Connie work group has left and the department is identifying a replacement to report back.

A clinician participating in the meeting described Connie as operational in at least one health system: \"it's operational, at least in the Yale New Haven Health System,\" that speaker said, noting usage is not yet universal. Council members called the registry aspirational because it would require funding and coordination across providers.

The website subgroup will circulate revised FAQs and a link inventory for review; staff will follow up with a Connie-system status update at the next meeting.

","mediaType","Video","parentTitle","MOLST Advisory Council, August 5, 2025","oneSentenceSummary","The council's website redesign subgroup will update FAQs and resources, restructure content for consumers and providers, and the group reiterated that a statewide digital MOLST registry remains aspirational and would require funding; staff will follow up on the Connie system status for electronic records.","taxTitle","Department of Public Health, Departments and Agencies, Organizations, Executive, Connecticut","taxId",15791,"location","Connecticut","headline","","shortSummary",{"_33":77,"_35":36,"_37":38,"_39":78,"_41":79,"_43":80,"_45":81,"_47":82,"_49":83,"_51":84,"_53":85,"_55":56,"_57":58,"_59":86,"_61":62,"_63":64,"_65":87,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6143358,"MOLST training modules near completion; EMS slide deck to include quiz",96,789000,885000,"/Search/View?dp=1&key=5535761-006f267ad721f55790d374d78703f3bd&start=789&end=885","https://assets.pipeline.soar.com/5535761-006f267ad721f55790d374d78703f3bd/thumbnail_789000.jpg","/articles/6143358/Connecticut/MOLST-training-modules-near-completion-EMS-slide-deck-to-include-quiz","https://secure.pipeline.soar.com/6143358-b0924a5fcb237e2a7e284d6d5ced5852/orig.mp4?Expires=1773698757&Signature=Nuj-4Ru9P7HsSovlLMCM3O8I0df7ciikOdAEHxefKRJs5bqtLDunT6X0nXH~E0pZJtDTgeTI2Pk9YODSLegsLSD0bFxWQiuKkhUJgXvjeiEm-cXi7r0ARb6fQpG~GM~kX3ZymxNuZVAgfb2LcPGmIY8~~6J7raKZtKXWsOMzxG5aVpKZKLCWEo3LuvSq-dzie4INOZGfG88MniGy4jSefNOAxgRaWB~3LNXg77P7nHP3c8S2UDUhupxznMDJDGq5zZODKLLdD3iLGR655UIdVIzGvtIZAmMtk6jwX~c9WvjCD~vV~LF~FsGX~Baz8OQd-RcS053SFJlw-Xhr2I~vqQ__&Key-Pair-Id=KUT5TJCACFTXG","Members of the MOLST Advisory Council said training materials for providers, EMS, and consumers are ready to move into production following internal review. Barbara Cass, senior adviser to the commissioner of the Department of Public Health for long-term care, said the council has finalized consumer overview content and the eligible-provider training.

\"The EMS training, slide deck is also done ... there is a quiz,\" Cass said, summarizing decisions about the EMS module. Cass and other presenters said the training will include short narrated segments and that the council will schedule brief calls for participants to provide narration.

A staff member involved in production said slide content and any statutory references are undergoing legal review before being uploaded to the department's training platform. \"I've been doing a little testing on the platform that we use to upload it into train. It's called, Articulate. So I recorded some test videos and tried to see how we'd paste the videos in, and so far, all is running pretty smoothly,\" the staff member said.

Council members discussed logistics: assigned narration roles, circulation of the final EMS module to the training subcommittee, and a short live session to record narration. Some presenters noted that they had assigned slides and asked colleagues to swap if needed.

No formal vote occurred; staff will proceed with internal legal clearance of slides and scheduling narration and production once the slides are approved.

","Advisory council members reported that consumer-facing content and eligible-provider training are complete, the EMS slide deck is finished and will include a quiz, and slide decks and narrated modules are under internal legal review before production in the department's Articulate platform.",{"_33":89,"_35":36,"_37":38,"_39":90,"_41":91,"_43":92,"_45":93,"_47":94,"_49":95,"_51":96,"_53":97,"_55":56,"_57":58,"_59":98,"_61":62,"_63":64,"_65":99,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6143364,"MOLST advisory council to clarify revocation language after discussion on in-the-moment treatment changes",565,86000,651000,"/Search/View?dp=1&key=5535761-006f267ad721f55790d374d78703f3bd&start=86&end=651","https://assets.pipeline.soar.com/5535761-006f267ad721f55790d374d78703f3bd/thumbnail_86000.jpg","/articles/6143364/Connecticut/MOLST-advisory-council-to-clarify-revocation-language-after-discussion-on-in-the-moment-treatment-changes","https://secure.pipeline.soar.com/6143364-bd7d3616dec9400d393540c458096a1c/orig.mp4?Expires=1773698757&Signature=W7DRB4zpY7uoA5MH5IWp677L2eVHgD4v9tHcJgJ1CH0mEgENkL3TzlMcl4PAnxKqaBnAtbrLcGCX7tbqRgNkiZ3SMhFVgJdvm9MSIvZKd9OCM6TUF2gnp6VigcGrsQ9daZpuaaHytUPcZR8XeYXGMr8qgaKNTsOxMDmjZlkOCVjhQM2Axk6BsBm5iTi0uUeJcgvfaJBlVQAmf5h82qTCBs292W5lJN-HvrhrdiEjQAKuK7yUYnZlUyLXBvS2hq9rcSJnMEhV3DO-D4Ak5cNYVoQoBjzUBYvZuK8zLPpVu0qZp3XjkSPaX8GVwCKTKeyDCcaD8e92lYeB8fjXAIdj1Q__&Key-Pair-Id=KUT5TJCACFTXG","At an August meeting of the MOLST Advisory Council, members discussed whether the council's policies clearly distinguish between formally revoking a Medical Orders for Life-Sustaining Treatment form and a patient, while having capacity, requesting a different treatment at the time care is delivered. Barbara Cass, senior adviser to the commissioner of the Department of Public Health for long-term care, led the discussion about revising revocation language in the policies and procedures.

The difference, council members said, is procedural. Dante (staff member) described the current practice: \"if you want to revoke a valid MOLST, you go back to an eligible provider ... that's how you can effectuate your revocation of a MOLST you have.\" He added that a patient in the moment can request different treatment even if the MOLST form indicates otherwise.

Kathy (committee member) asked whether a patient could override a medical order by declining to accept it, comparing the choice to not filling a prescription. \"If I order a patient something in the hospital and the nurse goes to give it and they say, 'no. I'm not taking that,' I mean, that's the answer right there,\" said Dr. Sussman (clinician), underscoring that a patient with decision-making capacity may request different treatment.

Council members noted a separate question about whether a health care representative may, in the moment, change treatment goals or revoke a MOLST when the patient lacks capacity. Participants said the prevailing practice in other states is that a health care representative generally cannot effectuate an immediate revocation without documentation verifying their authority.

To address the ambiguity, staff recommended revising the revocation section of the policies and procedures and adding an FAQ and training content that explain the distinction between an in-the-moment patient choice and formal revocation. \"I'll make sure that, you know, we respond to that concern by clarifying some of the language in the revocation section of the policies and procedures,\" Cass said. The revised language will be reviewed by DPH attorneys before finalization.

Council members also discussed operational steps for when a patient receives a treatment that differs from their MOLST: the group recommended a documented conversation in the clinical record and a follow-up clarification discussion before discharge, ideally within 24 hours, to confirm and, if needed, update the MOLST.

No formal motion or vote was taken on policy language changes during the meeting; members described this as staff direction to redraft the revocation wording and to circulate a clean version for review.

The council deferred approval of prior meeting minutes because a quorum was not present at the session, and the group adjourned after routine business.

","Members of the state Department of Public Health's MOLST Advisory Council discussed clarifying policy language about how a patient can revoke or temporarily override a Medical Orders for Life-Sustaining Treatment (MOLST) form, and recommended documenting any in-the-moment changes in the clinical record and following up with a clinical discussion.","actionData","errors"]

Article not found

Advisory council to revise MOLST website and continue exploring electronic registry; Connie system follow-up planned

MOLST training modules near completion; EMS slide deck to include quiz

MOLST advisory council to clarify revocation language after discussion on in-the-moment treatment changes