2023 # HCPR16 Physicians Orders for Life-Sustaining Treatment (POLST) 

Measure Title: Physician’s Orders for Life-Sustaining Treatment (POLST) Form

Measure Description: Percentage of Patients Greater Than or Equal to 65 Years of Age with Physician’s Orders for Life-Sustaining Treatment (POLST) Forms Completed

Denominator: Adult patients greater than or equal to 65 years of age evaluated by the Eligible Professional

Numerator: Patients with a completed Physician’s Orders for Life-Sustaining Treatment (POLST) form

Denominator Exclusions: None

Denominator Exceptions: None

NQF ID Number: N/A

NQS Domain: Effective Clinical Care

High Priority Measure: Yes

Measure Type: Process

Includes Teleheatlh: Yes

Inverse Measure: No

Proportional Measure: Yes

Continuous Variable Measure: No

Ratio Measure: No

Number of performance rates to be calculated and submitted: 1

Risk-Adjusted Status: No

Care Setting: Emergency Department and Services; Hospital; Hospital Inpatient; Post-Acute Care

Submission Pathway: Traditional MIPS