Review and Renew

The physician or nurse practitioner or physician assistant (as of June 17, 2020) must review the MOLST form at least every 90 days and:

• If the patient moves from one location to another to receive care; or
• If the patient has a major change in health status (for better or worse); or
• If the patient or other decision-maker changes his or her mind about treatment

Only the physician can review and renew MOLST orders for a patient with I/DD.

COVID-19

Preferences may change as the patient’s health status, prognosis and goals for care change over time.

The same may be true during the COVID-19 crisis.  It is important to make time to review and renew MOLST now. The discussion must be patient-centered, honest and compassionate, considering the patient’s medical condition, health status, prognosis and goals for care.

Effective communication skills are essential. Read more about how to have this crucial conversation.