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Experts urge Connecticut to prioritize electronic POLST registry, citing Oregon lessons
Summary
The Connecticut MOLST advisory group heard a detailed presentation from Dr. Abby Dodson on features, costs and pitfalls of statewide POLST registries, emphasizing electronic submission, mandatory provider reporting or opt-out rules, and the need for dedicated operations and outreach.
Dr. Abby Dodson, director of the Oregon POLST Registry and executive director of the National POLST Collaborative, urged Connecticut’s MOLST advisory group to plan for an electronic, operational registry and build funding, governance and provider outreach into any launch.
A registry should be more than a repository, Dodson said: it must distinguish valid from invalid forms, store discrete data for research and quality reporting, and provide reliable access for emergency and clinical users. “A registry can be a single source of truth,” Dodson said, adding that registries reduce the time clinicians spend reconciling multiple scanned forms and improve the quality of POLST data.
The presentation addressed why states should prefer electronic submissions ("ePulse") over paper, how to handle rural connectivity, and the staffing and budget implications of running a registry. Dodson described Oregon’s experience: the state’s registry processes many paper forms and retains a manual data-entry team; annual operating costs for Oregon’s model run about…
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