Every interaction will be experienced as a sacred encounter.
Our Value of Dignity calls for us to respect each person as an inherently
valuable member of the human community and as a unique expression of life.
We strive to do this by being mindful of the impact we can have on others
with every action we take.
Every day throughout SJH, our employees, caregivers and volunteers create
these sacred encounters with one another and with those who come to us for care.
The following resources are provided to assist our caregivers in having
meaningful conversations with our patients living with serious illness.
The POLST Conversation:
Physician Orders for Life-Sustaining Treatment (POLST) is a physician order
that outlines a plan of care reflecting a patient’s wishes concerning
care at life’s end. The POLST form is voluntary and is intended to:
- Help you and your patient discuss and develop plans to reflect his or her wishes
- Assist physicians, nurses, healthcare facilities, and emergency personnel
in honoring a person’s wishes for life-sustaining treatment
For more information, please visit
POLST for health care providers.
Have the POLST Conversation
Having a conversation with your seriously-ill patient about care at the
end of their life is an important and necessary part of good medical care.
For some providers, initiating the POLST conversation can be challenging.
Daniel J. Kim, M.D. (link to his profile), at St Jude Medical Center (link)
has shared a video with us that may assist clinicians in having these
Advance care planning discussions are not a one-time event. These talks
can occur several times over the course of treatment or several times
during the aging process. POLST is making a difference. Studies have shown
that among patients with POLST forms treatment preferences were respected
98% of the time, and no one received unwanted CPR, intubations, intensive
care or feeding tubes (Coalition for Compassionate Care of California).
Resources to Assist with Billing CMS for Advance Care Planning
Make a Referral to the Center for Advance Care Planning & Advocacy
Free In Home Advance Care Planning Service for Your Patients
The Center for Advance Care Planning and Advocacy offers free home consultation
to your patients to assist with advance care planning and the completion
of an advance directive. These services are provided in both English and
Spanish. The Center staff will upload the advance directive document directly
to the patient's Touch Works Electronic Medical Record or the Provider
Portal for your convenience.
You can refer a patient to the CACPA program through Touch Works, the Provider
Portal or by calling 714-712-7050. There is no charge for our services.
By partnering with the Center, you can help ensure that your patients plan
ahead and receive the right care at the right time.