§ 35-22-504 — POLST forms; department of health duties

(a) The department of health shall promulgate rules
implementing this act and prescribing a standardized POLST form,
subject to the following:
(i) The rules shall contain protocols for the
implementation of a standardized POLST form, which shall be
available in electronic format on the department website for
downloading by patients and providers;
(ii) The department in formulating rules and forms
shall consult with health care professional licensing groups,
provider advocacy groups, patient advocacy groups, medical
ethicists and other appropriate stakeholders;
(iii) To the extent possible, the standardized POLST
form and protocols shall be consistent with use across all
health care settings, shall reflect nationally recognized
standards for end-of-life care and shall include:
(A) The patient's directive concerning the
administration of life sustaining treatment;
(B) The dated signature of the patient or, if
applicable, the patient's agent, guardian or surrogate;
(C) The name, address and telephone number of
the patient's primary health care provider;
(D) The dated signature of the primary health
care provider entering medical orders on the POLST form, who
certifies that the signing provider discussed the patient's care
goals and preferences with the patient or the patient's agent,
guardian or surrogate.
(b) The department in implementing this article shall:
(i) Recommend a uniform method of identifying persons
who have executed a POLST form and providing health care
providers with contact information of the person's primary
health care provider;
(ii) Oversee the education of health care providers
regarding the POLST program under the department's licensing
authority;
(iii) Develop a process for collecting provider
feedback to enable periodic redesign of the POLST form in
accordance with current health care practice;
(iv) Adopt a plan to convert the cardiopulmonary
resuscitation directive program under W.S. 35-22-203 to a POLST
program by January 1, 2016.