MOLST to POLST Transition Survey
The Massachusetts Coalition for Serious Illness Care's MOLST to POLST Advisory Group is interested in hearing your ideas on how Massachusetts can successfully transition from the current paper-based MOLST Program to the improved POLST form and statewide electronic registry. Please share your thoughts, ideas, and insights! http://maseriouscare.org/molst-to-polst

Sign in to Google to save your progress. Learn more
In your opinion, what are the biggest challenges with the current MOLST program that you’d like to see improved during this transition from MOLST to POLST?
What are your biggest concerns about transitioning to the POLST form?
What concerns do you have about the planned statewide electronic registry?
What would be most helpful in making the transition to POLST successful for your work, teams, and care settings?
How would you prefer to receive information on the MOLST to POLST process?
Please share any additional comments, suggestions, or questions you have about the MOLST to POLST transition process.
What is your first and last name?
What is your email address?
What is the name of your organization?
Thank you for sharing your thoughts with the Massachusetts Coalition for Serious Illness Care!
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy