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Click here to contact your state Senator in Ohio!

Contact Your Senator TODAY on the Importance of MOLST

Ohio State House

 

The Senate introduced Medical Orders for Life-Sustaining Treatment (MOLST, SB165), on Monday, May 18th. The bill is sponsored by State Senator Peggy Lehner and co-sponsored by Senator Jones and Seitz. The legislation would replace the current DNRCC and DNRCCA protocol with a new tool that will encourage and facilitate more communication between the patient and medical staff about end-of-life decisions, allowing the patient and health care professionals more flexibility to make these considerations as a patient's medical conditions change and assures continuity of care. The bill has not been assigned to a committee yet but should be shortly.

Providers should begin educating the Senate now about the importance of the MOLST and its ability to improve communications and help an individual's wishes be met at end of life.

 

Contact your state Senator today and educate them on the MOLST!

 

MOLST Talking Points

The MOLST will:

  • Create a uniform MOLST form to be utilized for medical orders statewide that apply to patients who are frail or have progressing terminal conditions. When the use of a MOLST becomes appropriate, where death is likely within 12 to 24 months, it is intended to help make the patient’s wishes known, and honor those wishes throughout the continuum of care.
  • Be a medical order issued by a physician after communication with and approval by the patient or by his/her representative. It is not an advanced directive and does not alter current law in Ohio concerning advanced directives.
  • Be patient-centered and patient-driven. The uniform MOLST form will allow the patient to better understand and drive his or her own choices and decisions regarding the administration of life-sustaining treatment.
  • Make clear that no one is required to complete a MOLST form. This statement will be included on the form itself. The MOLST form is a way to uniformly document and transfer end-of-life medical orders. Just like any medical order, a patient or decision-maker should discuss and understand the options carefully with his or her medical practitioner. Further, nothing in the legislation, or on the MOLST form, will create a bias in favor of more aggressive or less aggressive forms of treatment.
  • Assure that the MOLST form is transferrable across settings of care. A MOLST form will be transferable across all settings, including emergency settings. A copy of a MOLST form is equally valid as an original, and medical professionals will be required to notify other medical professionals if they know a patient or decision-maker has completed a MOLST form.
  • Provide immunity to all health care workers who honor the medical orders outlined in a MOLST form, if acting under their scope of practice. Like current DNR law, new MOLST law will protect health care personnel from civil and criminal liability who follow end of life medical orders outlined in a patient’s MOLST form.
  • Require the form to be housed on Ohio Department of Health’s (ODH) website.
  • Permit a MOLST to be executed by a physician, nurse practitioner, or physician assistant, consistent with state law.
  • At all times, the issuance of a MOLST form shall be guided by prudent medical practice and standards that are consistent with statutory provisions.
  • Permit a MOLST to be revoked by the patient, or if they are incapacitated, their representative acting in the patient's best interest.
  • Require a task force, after five years of MOLST implementation, to report to the General Assembly any suggestions or changes to the form or legislation.

 

Legislation currently in place which will not be changed by this legislation:

  • Ohio law allows an individual to make informed decisions about his/her medical care including refusing any and all treatment which aims to prolong life. (ORC § 2133)
  • Ohio law allows an individual to name an agent (attorney in fact) who would make informed medical decisions for the individual at his/her direction. (ORC §1337.11-1337.17)
  • Ohio law limits when an agent can authorize medical personnel to withdraw artificially or technologically supplied nutrition and hydration. (ORC § 2133)
  • When an individual has not named an agent for health care decision making, Ohio law contains a priority list of who can make informed medical decisions when he/she is unable to make such decisions (ORC § 2133.08(B) & § 1337.16 D1bi)

 

Contact your State Senator today!

 

If you need additional information or support in responding to your state Senator contact Anne Shelley, Interim President of Midwest Care Alliance at anne.shelley@midwestcarealliance.org or the Honoring Wishes Task Force Chair, Jeff Lycan at jlycan@ohioshospice.org.

 

 

Hospice Wage Index Proposed Rule


**** Take Action NOW!****

 

On April 29th, CMS posted the FY 2014 Hospice Wage Index Proposed Rule. In this proposed rule there are many changes related to quality reporting and coding changes, hospice wage index and payment rates and updates on hospice payment reform.  MCA talked to industry experts and developed a webinar to share these changes and seek comments from our members.

CMS needs to hear comments from hospice providers to let them know how all these changes will impact the care you provide!

Click here to access MCA’s comments to CMS.   Feel free to cut and paste from the comments provided or add your own comments and testimonials. 

In addition to the Hospice Wage Index Proposed Rule, CMS is also suggesting major changes to the hospice cost reporting process that would place undue burden on hospice programs. There are two separate areas to submit your comments.  Both are detailed below.

PLEASE take the time to comment to CMS today!  CMS considers all comments received in making final decisions related to these changes.  Deadline to submit comments is Friday, June 28th!  We must have a say in our future!
 
Thank you!

MCA Staff

How to submit your comments to CMS

You can submit your comments to CMS electronically or by regular mail.

 

Comments regarding Hospice Wage Index Rule

Electronically: Click here to submit your comments regarding the Hospice Wage Index Proposed Rule.

Regular Mail:
Marilyn Tavenner, Administrator
Centers for Medicare & Medicaid Services
Department of Health and Human Services
Attention: CMS–1449–P
P.O. Box 8010
Baltimore, MD 21244–8010



Comments regarding Hospice Cost Reporting Process


Electronically: Click here to submit your comments to CMS regarding the hospice cost reporting.

Regular Mail:
CMS, Office of Strategic Operations and Regulatory Affairs
Division of Regulations Development
Attention: Document Identifier/OMB Control Number 0938-0758
Room C4–26–05
7500 Security Boulevard
Baltimore, Maryland 21244–1850
- See more at: http://associationdatabase.com/aws/MCA/pt/sd/news_article/77691/_PARENT/layout_details/false#sthash.1tpXH3Bj.dpuf

**** Take Action NOW!****

 

On April 29th, CMS posted the FY 2014 Hospice Wage Index Proposed Rule. In this proposed rule there are many changes related to quality reporting and coding changes, hospice wage index and payment rates and updates on hospice payment reform.  MCA talked to industry experts and developed a webinar to share these changes and seek comments from our members.

CMS needs to hear comments from hospice providers to let them know how all these changes will impact the care you provide!

Click here to access MCA’s comments to CMS.   Feel free to cut and paste from the comments provided or add your own comments and testimonials. 

In addition to the Hospice Wage Index Proposed Rule, CMS is also suggesting major changes to the hospice cost reporting process that would place undue burden on hospice programs. There are two separate areas to submit your comments.  Both are detailed below.

PLEASE take the time to comment to CMS today!  CMS considers all comments received in making final decisions related to these changes.  Deadline to submit comments is Friday, June 28th!  We must have a say in our future!
 
Thank you!

MCA Staff

How to submit your comments to CMS

You can submit your comments to CMS electronically or by regular mail.

 

Comments regarding Hospice Wage Index Rule

Electronically: Click here to submit your comments regarding the Hospice Wage Index Proposed Rule.

Regular Mail:
Marilyn Tavenner, Administrator
Centers for Medicare & Medicaid Services
Department of Health and Human Services
Attention: CMS–1449–P
P.O. Box 8010
Baltimore, MD 21244–8010



Comments regarding Hospice Cost Reporting Process


Electronically: Click here to submit your comments to CMS regarding the hospice cost reporting.

Regular Mail:
CMS, Office of Strategic Operations and Regulatory Affairs
Division of Regulations Development
Attention: Document Identifier/OMB Control Number 0938-0758
Room C4–26–05
7500 Security Boulevard
Baltimore, Maryland 21244–1850
- See more at: http://www.midwestcarealliance.org/aws/MCA/pt/sd/news_article/77691/_PARENT/layout_details/false#sthash.KBbkCZQ9.dpuf

**** Take Action NOW!****

 

On April 29th, CMS posted the FY 2014 Hospice Wage Index Proposed Rule. In this proposed rule there are many changes related to quality reporting and coding changes, hospice wage index and payment rates and updates on hospice payment reform.  MCA talked to industry experts and developed a webinar to share these changes and seek comments from our members.

CMS needs to hear comments from hospice providers to let them know how all these changes will impact the care you provide!

Click here to access MCA’s comments to CMS.   Feel free to cut and paste from the comments provided or add your own comments and testimonials. 

In addition to the Hospice Wage Index Proposed Rule, CMS is also suggesting major changes to the hospice cost reporting process that would place undue burden on hospice programs. There are two separate areas to submit your comments.  Both are detailed below.

PLEASE take the time to comment to CMS today!  CMS considers all comments received in making final decisions related to these changes.  Deadline to submit comments is Friday, June 28th!  We must have a say in our future!
 
Thank you!

MCA Staff

How to submit your comments to CMS

You can submit your comments to CMS electronically or by regular mail.

 

Comments regarding Hospice Wage Index Rule

Electronically: Click here to submit your comments regarding the Hospice Wage Index Proposed Rule.

Regular Mail:
Marilyn Tavenner, Administrator
Centers for Medicare & Medicaid Services
Department of Health and Human Services
Attention: CMS–1449–P
P.O. Box 8010
Baltimore, MD 21244–8010



Comments regarding Hospice Cost Reporting Process


Electronically: Click here to submit your comments to CMS regarding the hospice cost reporting.

Regular Mail:
CMS, Office of Strategic Operations and Regulatory Affairs
Division of Regulations Development
Attention: Document Identifier/OMB Control Number 0938-0758
Room C4–26–05
7500 Security Boulevard
Baltimore, Maryland 21244–1850
- See more at: http://www.midwestcarealliance.org/aws/MCA/pt/sd/news_article/77691/_PARENT/layout_details/false#sthash.KBbkCZQ9.dpuf

Hospice Wage Index Proposed Rule


**** Take Action NOW!****

 

On April 29th, CMS posted the FY 2014 Hospice Wage Index Proposed Rule. In this proposed rule there are many changes related to quality reporting and coding changes, hospice wage index and payment rates and updates on hospice payment reform.  MCA talked to industry experts and developed a webinar to share these changes and seek comments from our members.

CMS needs to hear comments from hospice providers to let them know how all these changes will impact the care you provide!

Click here to access MCA’s comments to CMS.   Feel free to cut and paste from the comments provided or add your own comments and testimonials. 

In addition to the Hospice Wage Index Proposed Rule, CMS is also suggesting major changes to the hospice cost reporting process that would place undue burden on hospice programs. There are two separate areas to submit your comments.  Both are detailed below.

PLEASE take the time to comment to CMS today!  CMS considers all comments received in making final decisions related to these changes.  Deadline to submit comments is Friday, June 28th!  We must have a say in our future!
 
Thank you!

MCA Staff

How to submit your comments to CMS

You can submit your comments to CMS electronically or by regular mail.

 

Comments regarding Hospice Wage Index Rule

Electronically: Click here to submit your comments regarding the Hospice Wage Index Proposed Rule.

Regular Mail:
Marilyn Tavenner, Administrator
Centers for Medicare & Medicaid Services
Department of Health and Human Services
Attention: CMS–1449–P
P.O. Box 8010
Baltimore, MD 21244–8010



Comments regarding Hospice Cost Reporting Process


Electronically: Click here to submit your comments to CMS regarding the hospice cost reporting.

Regular Mail:
CMS, Office of Strategic Operations and Regulatory Affairs
Division of Regulations Development
Attention: Document Identifier/OMB Control Number 0938-0758
Room C4–26–05
7500 Security Boulevard
Baltimore, Maryland 21244–1850
- See more at: http://associationdatabase.com/aws/MCA/pt/sd/news_article/77691/_PARENT/layout_details/false#sthash.1tpXH3Bj.dpuf