Medical Orders for Life-Sustaining Treatment - Professionals

Implementation Resources

Health care facilities who have led MOLST implementation efforts have generously shared their policies and procedures.  Sample education and work plans have been developed in an effort to assist facilities in successfully implementing the MOLST Program.

For more information on facility and community implementation of the MOLST Program, view the video “Honoring Patient Preferences: The Role of MOLST in New York State”.

Hospital Sample Policies and Procedures

• St. Joseph's Hospital & Health Center - 2011
• North Shore - LIJ Health System, Inc. - 2008
  • Do Not Resuscitate (DNR) Form 
• Jamaica Hospital - 2008
• Via Health Updated (now known as Rochester General Health System)  - 2006
• Via Health (now known as Rochester General Health System) - 2004  
• Highland Hospital - 2003

Long-term Care Sample Policies and Procedures

• St. Ann's Community Updated - 2006
• St. Ann's Community -2003
• Jewish Home of Rochester -2004

Sample Implementation Process

• Hospital
• Long-term Care
• EMS
• Community 

Sample Educational Work Plans

• Hospital
• Long-term Care
• EMS

Please view, Free Educational Resources