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Massachusetts Medical Orders for Life-Sustaining Treatment

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MOLST Implementation Tools

MOLST Implementation Tool Kit TOOLS and Resources

1-1   Step 1 – Preparation Task Checklist

1-2   MOLST Stories: A Way to Make Choices (13-minute video)

1-3   MOLST Clinical Champion Role Description

1-4   Clinical Champion Orientation Materials

1-5   Institutional Readiness Meetings

1-6   Key Membership for MOLST Task Force

2-1   Step 2 – Development Task Checklist

2-2   Glossary of Terms Related to Planning for Advanced Illness 

2-3   Considerations for MOLST Implementation

2-4   MOLST Implementation Sample Work Plan

2-5   Recommendations for MOLST Policy Development

2-6   Sample MOLST Policy for Acute Care Hospitals

2-7   Sample MOLST Policy for Skilled Nursing Facilities

2-7A Sample MOLST Policy for Home Health Care or Hospice

2-8   MOLST Training Resources

2-9   MOLST Training Plan Template

2-10 Sample Training & Outreach Log

2-11 Checklist for Clinician Signers of MOLST

3-1   Step 3 – Launch Checklist

3-2   Examples of Baseline Data

3-3   Get the Massachusetts MOLST Form

3-4   Questions to Consider Before Launch

3-5   Sample Notification of MOLST Launch

3-6   Patient and Family Education Resources

3-7   Small Ways to Help MOLST Work

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