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DPH outlines digital-first MOLST approach, training subcommittee; workforce bill to include hospice
Summary
Department of Public Health staff reported plans to remove the MOLST witness requirement, propose a digital-first MOLST, create targeted training modules, and target policies for release in early-to-mid summer. Council members also heard that a workforce safety bill including hospice was scheduled for a Monday hearing.
Barbara, a Department of Public Health staff member, told the council the department is proposing several changes to the Medical Orders for Life-Sustaining Treatment (MOLST) process, including eliminating the witness signature and adopting a "digital first" approach to the form and its distribution.
"We are proposing a digital first approach to MOLST," Barb said, and added that the department plans to update training to reflect the change in form practices, including separate modules for consumers, first responders and eligible providers. She said the department is aiming for a policies-and-procedures release "early to mid summer," with June as a target but cautioned that timing can slip.
Barb described an active training subcommittee that is working to shorten training length and develop separate content for different audiences; the worst-case training length discussed was about one hour but the subcommittee is trying to reduce that burden.
Separately, Tracy reported work on a workforce safety bill for home and community-based services that, as released the prior week, included hospice in its intake data collection, reporting and training requirements. Tracy said the bill was scheduled for a hearing on Monday.
Council members discussed outreach and stakeholder engagement tied to the MOLST changes and training, and asked about pediatric-specific MOLST training; Dr. Moss (Council pediatric representative) recommended embedding pediatric slides within the eligible-provider module so adult providers learn about pediatric practice differences.
Barbara said legislative appointments the council has requested remain pending because of a heavy legislative calendar and that staff are exploring alternatives with the commissioner's office.
No formal votes were taken on these items during the meeting.
