At a Sept. 30 virtual meeting, members of the Connecticut MOLST advisory subgroup reviewed the current state of the MOLST website and agreed on a plan to reorganize content, vet resources and FAQs, and prepare for a digital-first rollout of forms and training.

The subgroup said the site should front-load a concise “What is MOLST” summary and move longer historical background and origin details to a separate resource or a linked subpage. Subgroup members agreed to research and confirm the length and dates of the original pilot and the 2014 special act that led to the current program so that the website history can be accurately sequenced.

Discussion: members identified several content and navigation priorities. They recommended: (1) shortening the homepage text so casual visitors see a short explanation of MOLST up front and find expanded history, background and POLST origins via links; (2) reorganizing the resources so training, legislation/policies and FAQs are in clear, separate buckets for eligible providers, EMS and the public; (3) removing or relabeling outdated items such as references to the “lime green form” and checking the provenance of documents labeled “IOM” or other undated items; and (4) consolidating provider-facing conversation guides and sample questions in a provider resources area, while keeping simpler consumer-facing language on the public side of the site.

Vetting and authorship: the subgroup agreed clinical review will be required for materials intended to guide conversations about life-sustaining treatments. Members said they want clinician endorsement or co‑authorship (the transcript names clinicians referenced informally) and suggested giving documents a recent “revised” date so users see the materials are current.

Forms and training: the group confirmed a move toward digital-first MOLST forms. Connecticut Department of Public Health staff will draft language about how hospitals can incorporate MOLST training into their learning management systems and will coordinate on where videos and EMS training materials should live (on the website or the state's training portal). The subgroup will also identify which resources are still current and which links should be removed or updated.

Assignments and timeline: subgroup members agreed to split tasks. DPH staff (identified in the meeting) and subgroup participants will search Suzanne's (archival) boxes for original pilot documents and confirm dates; the web support person will prepare layout changes and make the site visuals "snappier" in October; and subgroup editors will extract and copy-edit the "What is MOLST" content and draft separate FAQ sets for providers, EMS and consumers. The group planned a follow-up meeting in two to three weeks (options the week of the 11th and the 18th were discussed) and will circulate draft FAQs and a resource list for broader review by the full advisory council.

Distinguishing discussion and direction: much of the session was editorial and planning discussion rather than a formal vote. The group reached consensus on next steps and assigned follow-up tasks to staff and subgroup members; no formal motions or votes were recorded.

Context and background: participants reiterated that MOLST is a written medical order concerning life-sustaining treatment options and is distinct from a health care representative form or general advanced directive. The subgroup discussed providing simple examples on the site (for instance, whether a patient wishes to receive cardiopulmonary resuscitation if their heart has stopped) and agreed that any clinical examples should be reviewed by clinicians before publication.

Next steps and public-facing items: the subgroup will circulate: the edited "What is MOLST" copy broken into headings, three draft FAQ sets (providers, EMS, consumers), a prioritized resource list for verification, and suggested site navigation changes. DPH staff will draft language for hospital LMS integration and confirm which training materials will be hosted on the department's training portal versus embedded on the public site. The subgroup will reconvene for progress updates and to finalize items for publication.