POLST: What’s New and How Can We Do Better?

Webinar Date: 
Wednesday, March 18, 2015 - 8:00am to 9:00am

Patient-Centered Primary Care Homes (PCPCHs) aim to care for patients over the course of their lives. Join this webinar to learn why the Physician Orders for Life Sustaining Treatment (POLST) and Advanced Directives are an essential part of comprehensive, patient-centered care.

We will hear from national POLST expert Dr. Susan Tolle who will provide data on how POLST works and the variation in use of the POLST registry. Guest presenters who use POLST in their primary care practice will discuss their workflow and staff training. Finally, all presenters will discuss how primary care practices might partner with community organizations to implement routine use of POLST and make appropriate referrals.

Registrants are strongly encouraged to watch the brief Understanding POLST video prior to the webinar. It takes under five minutes and will provide registrants with a framework from which to build on during the presentation.

Following this webinar, participants will:

  • Understand the role of POLST in patient-centered, continuous care
  • Have access POLST resources, including training materials for staff
  • Learn where variation exists in POLST use in Oregon
  • Know how other practices have implemented POLST in their primary care practice

Presented By:

Susan Tolle, MD
Professor of Medicine - Division of General Internal Medicine and Geriatrics 
Oregon Health & Science University

Susan W. Tolle, M.D. is the Director of the Center for Ethics in Health Care at the Oregon Health & Science University (OHSU), a practicing Internist, a Professor in the School of Medicine, and an Adjunct Professor in the Schools of Nursing and Dentistry. Susan was born at Tillamook General Hospital and received her MD from OHSU. With an initial gift from Madeline Nelson and grants from the Pew Charitable Trusts, the Henry J. Kaiser Family Foundation and Meyer Memorial Trust, she established the Center for Ethics in Health Care at OHSU in 1989. As the Center Director, she has achieved both local and national recognition as an innovative teacher, champion for compassionate patient care and for her ability to bring together individuals and institutions' representatives with diverse opinions and policies in order to improve care giving, especially at end of life.


Lyle J. (LJ) Fagnan, MD
Professor of Family Medicine
Oregon Health & Science University

Prior to joining OHSU, LJ was a general medical officer in the Indian Health Service in Bethel, Alaska and a family physician in rural Oregon. His practice in Reedsport, Oregon, founded in 1977, was one of the 13 model rural practices funded by the Robert Wood Johnson Foundation’s Rural Practice Project. In 2002, Dr. Fagnan was selected to start a practice-based research network at OHSU, the Oregon Rural Practice-based Research Network (ORPRN). Network membership includes 170 primary care clinicians and 51 primary care practices which care for over 250,000 patients and are located in 40 Oregon communities. During the past decade, ORPRN has conducted over 20 projects studying elements of the medical home. These projects have used a team approach to effectively use health information technology and data to improve quality of care, including the patient experience of care.



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