The DC MOST Form is also made publicly available on our website where it may be downloaded and printed. It is advised that, the form should be kept in your medical records by your Physician or Advanced Practice Nurse and the patient should keep a copy. All copies of the original MOST Form serve as a legal document. The healthcare provider must keep an original or copy in the patient medical record. The patient must have a copy on their person or in the immediate visible vicinity for it to be honored.
Now that the electronic registry is available from the officially designated Healthcare Information Exchange for the District of Columbia (CRISP DC), DC Health recommends that healthcare providers and patients use the new cloud based platform outlined above.
What if I already have a completed and signed paper version of a MOST form in my medical records?
Patients with a current paper MOST forms can upload their forms and other advance care plans directly into the AD Vault’s My Directive portal by creating a free account (advaultinc.com/how-we-help/mydirectives/) and it will be accessible to Crisp DC. Any CRISP DC HIE user, including DC healthcare facilities and providers and Emergency Medical Services first responders, will be able to search and view their patient’s most current thinking on future, urgent, and end-of-life care planning goals and objectives
If your eMOST form is not on the cloud based platform and accessible to all CRISP HIE users, a copy of the patient’s MOST form should follow the patient in any setting and must be honored. This includes, but is not limited to hospitals, long-term care facilities, clinics, hospice, private medical practices, and the patient’s home. The portability of the form provides continuity and assurance that if the patient is incapacitated and transferred to a new health care setting, the patient’s End-of-Life wishes will be easily recognized and respected. It is required that, within seventy-two (72) hours of the patient’s transfer to a healthcare setting, that the MOST form be reviewed by an authorized DC-licensed healthcare provider.
Revocation of MOST
The MOST form may be revoked at any time by the patient or patient’s authorized representative. To cancel the form, write the words “VOID” across the form and put a line through “Medical Orders for Scope of Treatment” at the top of the page. Revocation can also occur verbally to EMS responders or an authorized DC-licensed healthcare provider. Following the revocation, the patient’s medical record should be updated accordingly.
- The National POLST Paradigm is an approach to end-of-life planning that emphasizes patients’ wishes about the medical treatments they receive.