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Enhancing End-of-Life Care with a Proposed Electronic Registry

The Need for a Dependable End-of-Life Care Registry

For those facing chronic or terminal illnesses, clearly communicating end-of-life wishes is crucial. While many have these discussions and document their preferences on a POLST (Provider Orders for Life-Sustaining Treatment) form, challenges remain in ensuring these directives are accessible and respected when most needed. Instances where emergency responders cannot access a patient’s POLST form, especially if the patient is away from home, highlight a significant gap in our healthcare system.

Minnesota’s Legislative Push for an Electronic POLST Registry

To bridge this gap, Minnesota legislators are advocating for the creation of an electronic registry to allow immediate access to POLST forms for healthcare providers statewide. This initiative, supported by the Minnesota Medical Association (MMA), aims to maintain the integrity of a patient’s end-of-life decisions during emergencies by making these directives instantly available to emergency medical technicians (EMTs) and other medical personnel. The proposed electronic system would be managed by the Minnesota Health Department, ensuring that crucial healthcare preferences are both secure and retrievable.

The Importance of POLST Awareness and Accessibility

The push for electronic POLSTs underscores the importance of enhancing awareness among both patients and healthcare professionals about the options for end-of-life care. Dr. Victor Sandler, a specialist in geriatric and palliative care, emphasizes the need for ongoing education on the significance of POLST forms in respecting patients’ wishes regarding aggressive medical interventions. Transitioning to an electronic registry would not only safeguard patient autonomy but also improve the effectiveness of medical care in critical moments.


By establishing a reliable and easily accessible electronic registry, Minnesota seeks to ensure that all individuals can have their end-of-life care preferences honored accurately and consistently, preventing any unwanted or unnecessary medical interventions. This legislative effort is a pivotal step towards respecting patient autonomy and enhancing the quality of end-of-life care across the state.