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POST (DNR) Progam

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Idaho POST (DNR) Program

Effective July 1, 2007

HISTORY

A Better Way Coalition Advance Care Planning Committee began studying Idaho “code status issues” in 2005. Committee members identified “lack of portability of the DNR in Idaho” as a significant problem due to the negative effects on people nearing the end of life. Searching for a solution to this problem the “POLST” (Physician’s Orders for Lift Sustaining Treatment) and the “POST” (Physician’s Orders for Scope of Treatment) programs were reviewed for suitability in Idaho. Both were deemed a good fit and the Idaho Health Care Association (Coalition member) presented a joint resolution to the 2006 legislature. It passed and a POST Task Force in the Office of the Idaho Attorney General developed the statute that passed the 2007 legislature. It was signed into law by the Governor on March 27, 2007.

 

RS 16757 “POST” STATEMENT OF PURPOSE

Last year [2006], the legislature adopted House Concurrent Resolution 40 ("HCR4O"), which directed the Department of Health and Welfare and the Attorney General to develop a form that could replace "do not resuscitate" ("DNR") orders used at hospitals and other health care institutions within the State of Idaho. HCR4O also directed the Department of Health and Welfare and the Attorney General to suggest necessary statutory changes to allow for the adoption of such a form. This legislation is in response to HCR4O. The physician orders for scope of treatment ("POST") form envisioned by this legislation would be recognized by all medical care providers and health institutions within the State of Idaho. The POST form provides greater flexibility over the old DNR forms and, more importantly, provides a high degree of portability. In other words, the POST form stays with the patient, rather than staying with the institution. Another advantage to the POST form is that it is signed by both the doctor and the patient or the patient’s health care agent. Both the doctor and the patient are involved in the process that results in the issuance of the POST.

The POST form does not replace a living will, although it does replace the statutes on DNR orders. While health care institutions may continue to utilize their own DNR orders within the confines of the institution, the POST form proposed by this legislation is intended to be portable. It is hoped that the POST form will become the standard DNR form. Full Bill:

 

Idaho DNR and Comfort One orders created before July 1, 2007 will remain in effect and will not need to be modified unless so desired.

 

CONTACT

Bill von Tagen, Deputy Attorney General, 208-334-4140

Wayne Denny, Emergency Medical Services (EMS) Standards & Compliance Section Manager, 208-334-4000

 

 

 
 

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