POLST, ACP and COVID-19: What LTC Facilities Should Be Doing and How (5/13/2020)

1.0 CME / 1.0 CMD Management / 1.0 MOC

This webinar will cover what POLST is, where it fits within the advance care planning (ACP) spectrum, how to use POLST in long-term care facilities during the COVID-19 pandemic, and identify resources that are available to help.

Learning Objectives:

  • Explain how to offer POLST to appropriate residents in light of the COVID-19 pandemic
  • Review ways to reach out to residents about their POLST (confirming it is accurate)
  • Demonstrate ways to determine the decision-making capacity of residents
  • Practice strategies for having a conversation about POLST with surrogates
  • Describe practical steps to manage verbal orders /verbal consents /electronic signatures relative to POLST forms


Amy Vandenbroucke, JD, has served as the executive director of National POLST since 2013 and is an assistant professor at Oregon Health & Science University. National POLST is a collaborative of 43 states that creates national standards and policies concerning the POLST form (a portable medical order) and process through consensus. Previously she was OHSU legal counsel for 6 years and an associate director of the OHSU Center for Ethics for 4 years. She is a 2015 practice change leader for Aging and Health, a year-long program jointly supported by the Atlantic Philanthropies and the John A. Hartford Foundation, and a Hartford Change AGEnt through the Hartford Change AGEnts Initiative.

Karl Steinberg, MD, CMD, HMDC, is chief medical officer for Mariner Health Care and medical director for two skilled nursing facilities (Life Care Center of Vista and Carlsbad by the Sea Care Center) and for Hospice by the Sea, in the San Diego area. He serves as the editor-in-chief of Caring for the Ages and an Associate Editor of JAMDA, and chairs the Society’s Public Policy Committee. He has been a nursing home and hospice medical director, attending physician and educator in San Diego for over 20 years and has served on AMDA's Board of Directors, multiple committees, and a variety of Clinical Practice Guidelines and other Society publications and products.

Credit Information

Released 5/2020

Credits Available Until 5/2023

CME: AMDA – The Society for Post-Acute and Long-Term Care Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing education for physicians. The Society designates this self study activity for a maximum of 1.0 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

CMD: This self-study activity has been pre-approved by the American Board of Post-Acute and Long-Term Care Medicine (ABPLM) for a total of 1.0 management hours toward certification or recertification as a Certified Medical Director (CMD) in post-acute and long-term care medicine. The CMD program is administered by the ABPLM. Each physician should claim only those hours of credit actually spent on the activity.

Maintenance of Certification (MOC): Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.0 MOC points and patient safety credit in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Disclosure Information: 

Speakers are required to provide verbal disclosure prior to each talk. If the learner perceives any bias toward a commercial product or service, please report this to the Society’s staff. According to the Society and ACCME policy, all those in a position to control content are required to disclose any relevant financial relationships.

The following AMDA Education Committee members have financial relationships to report: John Loome – Genesis HealthCare: Full-Time Employee; Diane Sanders-Cepeda, DO, CMD – UHG-Optum: Full-Time Employee; all others have no financial relationships to disclose.

Online Education Subcommittees have no financial relationships to disclose.

The speakers have no financial relationships to disclose. 

AMDA staff have no financial relationships to disclose.