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Oregon POLST registry director briefs panel on digital-first approach, signatures, photocopy validity and funding
Summary
Dr. Abby Dodson, director of the Oregon POLST Registry at Oregon Health & Science University, briefed the Department of Public Health advisory group on a digital-first approach to POLST forms and the longer-term work of building a registry.
Department of Public Health meeting — February
Dr. Abby Dodson, who leads the Oregon POLST (Pulse) Registry at Oregon Health & Science University, told the advisory group the registry and form program are shifting toward a digital-first approach while preserving paper options for areas with limited connectivity.
In her presentation, Dodson said roughly 65% of submitted forms remain handwritten in some jurisdictions and that early registries were designed before modern electronic health-record connections were available. “When we started this registry… there were no ePULSes,” she said, noting the original registry began in February 2009 and was rebuilt in 2020 to modernize infrastructure and support research use.
Key points from the presentation and Q&A
- Digital-first strategy and tools: Dodson said states developing registries now commonly start with electronic-only forms, but Oregon will preserve printable forms for patients who want a hard copy. She described a standalone portal and a SMART-on-FHIR style app being developed for Epic systems under a…
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