Medical Orders for Life-Sustaining Treatment (MOLST)
Effective January 21, 2011: The Office for People with Developmental Disabilities (OPWDD) has approved the use of the newly revised MOLST form for the individuals served in the OPWDD system. However, the MOLST form must be accompanied by the MOLST Legal Requirements Checklist for Individuals with Developmental Disabilities. This means that the MOLST form may only be completed after the Health Care Decisions Act (HCDA) process has been completed for an individual. Use of the Checklist ensures that the appropriate statutory standards have been met prior to use of the MOLST process. Please note that use of the MOLST form is optional.
The most significant change resulting from approval of the MOLST form is with respect to non-hospital Do Not Resuscitate (DNR) orders. Previously, such DNR orders were required to be on the DOH form 3474 . Now a non-hospital DNR order can be written on either the DOH form 3474 or the MOLST form (DOH-5003). The advantage of the MOLST form is that it is transferable to other (non-hospital) settings. Accordingly, a DNR issued on a MOLST form is effective in hospitals, nursing homes and community settings.