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Wednesday, December 04, 2013

Ind. Law - The Indiana POST Program: Physician orders for scope of treatment

HEA 1182 passed this year and took effect July 1, 2013. The ILB just learned of it yesterday via this column in the Fort Wayne Journal Gazette by Abraham Schwab, a medical ethicist and associate professor of philosophy at IPFW. A quote from the column:

As of July 1, there’s a new kind of medical order in Indiana .... Specifically, it’s for three types of seriously ill patients: those with advanced chronic progressive illness, with advanced chronic progressive frailty, or with terminal conditions. The POST (Physician Order for Scope of Treatment) form is a new kind of medical order that identifies the patient’s preferences for the scope of their medical care and gives it the weight of a medical order.

There are a few key facts you should know about the POST form. First, no one can force a patient to have a POST form – to be valid, it must be signed by the patient (or their legally appointed decision-maker). Second, it’s only for certain patients (see above). Third, it has to be signed by a physician. Both signatures should be preceded by a discussion of the patient’s medical condition and the likely outcomes of various levels or types of intervention. There is far more to know about POST – visit www.indianapost.org to find out.

The POST website contains a video, the form, and much more information. The introduction:
The Indiana POST Program is a new advance care planning tool that helps ensure treatment preferences are honored. It is designed for patients with serious illness. Preferences for life sustaining treatments including resuscitation, medical interventions (e.g., comfort care, hospitalization, intubation, mechanical ventilation), antibiotics, and artificial nutrition are documented as medical orders on the POST form. It must be reviewed and signed by a physician to be activated. This form transfers throughout the health care system and the orders are valid in all settings.

Posted by Marcia Oddi on December 4, 2013 10:09 AM
Posted to Indiana Law