MOST Program Overview
The Medical Orders for Scope of Treatment (MOST) form is a 1-page, 2-sided document that consolidates and summarizes patient preferences for key life-sustaining treatments including: CPR, general scope of treatment, antibiotics, artificial nutrition, and hydration. The program was established by legislation (C.R.S. 18.7) in Colorado in 2010.
- It is primarily intended to be used by the chronically or seriously ill person in frequent contact with health care providers or already residing in a nursing facility.
- The MOST form is completed by the patient or authorized health care agent in conversation with a health care professional, then signed by the patient/agent and a physician, advanced practice nurse (APN), or physician’s assistant (PA).
- The physician/APN/PA signature translates patient preferences into medical orders.
- The MOST form “travels” with the patient and must be honored in any setting: hospital, clinic, day surgery, long-term care facility, hospice, or at home. The original is often brightly colored for easy identification, but photocopies, faxes, and electronic scans are also valid.
- The MOST form is a variant of the Physician’s Orders for Life-Sustaining Treatment (“POLST”), pioneered in Oregon in the late 1990s. Many states endorse similar programs and others have programs in development (see the national POLST website for details and program contacts).
The MOST program was previously hosted by the Colorado Advanced Directives Consortium (CADC). To read the host change announcement, click here.