eMOLST

Electronic Medical Orders for Life-Sustaining Treatment in New York State

The long term vision of this project is to build a New York State eMOLST registry that will serve as
a model for the nation.

Overview

eMOLST is a web-based version of the current paper-based New York State Department of Health-5003 MOLST form and is made available through the Rochester RHIO's Health Information Exchange.  By moving the MOLST form to a readily accessible electronic format, health care providers, including EMS, can have access to MOLST forms at all sites of care including hospitals, nursing homes and the community.

For more information, please refer to eMOLST Program Description, view the presentation [pps] or  listen to the recorded webinar.

Tutorials

Watch the video tutorials below to learn about the eMOLST application.  For first-time users, it is highly recommended that you begin with the Overview.

Overview  Coming Soon!

Completing the eMOLST form

• Section 1:  Discussion (03:23)
• Section 2:  Resuscitation Instructions (00:52)
• Section 3:  Life-Sustaining Treatment  (03:08)
• Section 4:  Patient Consent  (01:26)
• Section 5:  Signature  (01:27) 
• Section 6:  Print (01:00)   

Review and Renewal  Coming Soon!

MOLST Use Cases

Watch the videos to learn more about how MOLST is completed and the process is documented, depending on who makes the decision and where the decision is made.

Scenario One:  Coming Soon!

• Adult patient
• Has medical decision-making capacity
• Has a Health Care Proxy
• Seen in the physician's office

Use Legal Requirements Checklist #1 for Adult Patient (View PDF)
Completed MOLST form (View PDF)
Completed MOLST Chart Documentation Form (View PDF)

Scenario Two:  Coming Soon!

• Adult patient
• Has medical decision-making capacity
• Has a Health Care Proxy
• Seen in the hospital 9 months after her original MOLST form was completed

Use Legal Requirements Checklist #1 for Adult Patient (View PDF)
Completed MOLST form (View PDF)
Completed MOLST Chart Documentation Form (View PDF)

Scenario Three A:  Coming Soon!

• Adult patient
• Has medical decision-making capacity
• Has a Health Care Proxy
• Seen post-hospitalization, in the physician's office

Use Legal Requirements Checklist #1 for Adult Patient (View PDF)
Completed MOLST form (View PDF)
Completed MOLST Chart Documentation Form (View PDF)

Scenario Three B:  Coming Soon! 

• Adult patient
• Lacks medical decision-making capacity
• Has a Health Care Proxy
• 24 hour hospital stay, seen post-discharge and transferred to a nursing home

Use Legal Requirements Checklist #2 for Adult Patient (View PDF)
Completed MOLST form (View PDF)
Completed MOLST Chart Documentation Form (View PDF)

Additional scenarios will be developed to reflect completion of a MOLST by a surrogate, under Family Health Care Decisions Act, as well as for special populations (minor patients, patients with developmental disabilities who lack medical decision-making capacity and patients with mental illness in or admitted from a mental hygiene facility).