POLST / MOLST

Vynca supports the completion of POLST and MOLST electronically.

Accessing a Current Form

There are two ways of accessing the current POLST form for the patient from the dashboard.

  1. Click on the POLST summary to directly access the POLST.

    POLST Summary

  2. Click on the current POLST thumbnail under All Documents.

    POLST Thumbnail

This will bring you into the document preview window.

Document Viewer

Accessing a Prior or Voided Form

To access a Prior or Voided form, click on the action menu on the POLST thumbnail located in the dashboard and select "Show History"

Show History

This will expand all the collapsed forms.

Show History

Now click on the prior form thumbnail to access the Prior or Voided form

Creating or Resuming a Form

Users with preparer, signer permission will be able to create new forms.

To create or resume a new form

  1. Goto the patient Dashboard

    Dashboard

  2. If there is no incomplete form, click the following button to create new POLST.

    Start a NEW POLST

  3. If there is an incomplete form, click the following button to resume POLST.

    Resume POLST or Resume POLST

This will take you into the following screen to start or resume POLST.

New POLST

On the left hand side you will find the current progress of the form.

Progress

And also all the sections of the form.

Sections

You can skip to any sections at any time. You do not need to complete the form in a linear order.

Completed sections are indicated by a green checkmark.

Completed Sections

Sections which are disabled are indicated by a greyed out circle. This section might be disabled because the form is incomplete or you do not have the proper permission to access this section.

Disabled Sections

To save changes made on the section, please click the Accept and Continue button.

Accept and Continue

If you made changes to a section but haven't yet saved prior to leaving the page, you will be presented with a warning.

Unsaved Changes

Validation of Form Logic

Vynca performs form logic validation for POLST / MOLST, ensuring that the document is actionable and is free from errors such as conflicting wishes.

There are two ways Vynca performs validation:

  1. Choices are disabled

    Disabled Choices

  2. Alert box notifies user of ramifications and reminders for selecting that option

    Reminders

Informational Videos

To help explain difficult concepts to your patient, Vynca has including short informative video for some of the sections.

Due to restrictions from Epic, videos cannot be viewed directly within the browser.
However, you can play the video in an external web browser. To access the vide

  1. Play the media on external web browser

    Within the POLST / MOLST section, click on the Media button. Media Tab

    The URL for the media is displayed, or you can have the URL be sent as an email or SMS to a mobile phone.

    Media Player

  2. Play the media on the mobile device
    a. Ensure that the mobile device is linked to the session.
    b. The media will automatically show on the mobile device. Mobile Media Viewer

Address Helpers

To help ensure that the address entered is accurate, Vynca provides two helpers:

  1. Select Nursing Home Facility to auto-populate Address

    Nursing Home Address

  2. Use Address Auto-complete

    a. Start typing the Address

    Address Autocomplete

    b. Select the Correct Address

    c. Enter the Apartment / Suite Number

Signing a Form

Depending on your state, there might be a requirement to capture a provider's signature and the patient's signature.

Vynca allows for two methods to digitally sign the form.

  1. Signature using Mobile Device as Signature pad

    a. Goto a section that requires a signature.

    b. Link mobile device if not yet linked.

    c. Sign using a finger or a stylus on the mobile device.

    Signature Section

    d. Signature will automatically show up on the desktop.

    Signature Section

  2. Digitally Sign using eSignature

    This option is only available to users with signer permission. Vynca allows signers to electronically sign the document by selecting their name from a drop-down menu. The electronic signature records the user that was logged in to the Vynca system, and where it was accessed from, to help identify the user in case of an audit.

    Electronic Signature

Completing and Submitting Form to Registry

A user would need the signer permission to complete a POLST form and to then submit it to the registry if the patient did not opt-out.

Once all the required sections are completed, a signer can progress to the last step to complete the POLST. The signer will be presented with the following screen to review the completed POLST.

Require Signer to Complete

  • If "Opt-Out to Registry" was not selected, the form will automatically be submitted to the registry.

  • If "Opt-Out to Registry" was selected, the form will only be available to any user associated with your current site.

If the user does not have signing permission, the user will be presented with the following dialog box.

Require Signer to Complete

By completing the POLST form, it will mark the previous Current form as Prior.

Multi-Lingual Functionality

Vynca supports all the official POLST translations to help facilitate the conversation between the user and the patient whose primary language might not be English. The POLST completion will present the options in both English and the selected language.

Multi-Lingual Interface

There is also the option to print the completed POLST in the patient's primary language, however that POLST form will not be legally actionable. To select between the different languages for the completed POLST form, select the language from the following menu. Note, this option is only available to digitally completed forms using Vynca.

Multi-Lingual Completed POLST PDF

Printing a Form

To print a form, first open the document in the document preview mode. Then select Print.

Print POLST

Printing form in a Foreign Language

To print a form in a different language, select the language and then press Print.

This option is only available for forms that were digitally completed on Vynca.

Multi-Lingual Completed POLST PDF

Report Errors Associated with POLST

If a document was incorrectly labeled as a POLST, or that the POLST is not associated with this patient, the user can report an error to Vynca to resolve this issue.

Report Error

Clicking on "Report Error" button will bring up the following dialog box.

Report Error Dialog

Voiding a Form

If a patient or the surrogate changes their mind and now the active POLST form does not reflect their wishes, you can Void a form. This will result in the patient receiving the default treatment which is CPR + Full Treatment.

There will be no current form for this patient.

Only users with signing permission have the ability to Void a form.

Under the document preview window, click "Report a Problem" and then select "Patient has changed their wishes (void this document)"

Void POLST

Removing a Form

If a form was uploaded incorrectly to the wrong patient, a user with the uploader permission can remove the document from that patient list.

To remove a document, under the document preview window, click "Report a Problem" and then select "Document does not belong to patient".

Delete POLST

Uploading a Form

Users with the uploader permission have the ability to upload scanned POLST and related documents into Vynca.

  1. Under the dashboard, either drag and drop a file into the following box, or click "Browse" to select a file from your desktop to upload.

    Upload File

  2. The next step is to verify that the document is indeed a POLST form. Select POLST from the drop-down menu.

    Select POLST File

  3. Verify that the name on the document matches the name of the patient.

    Verify Name on File

  4. Confirm whether the patient wishes to opt-out of submission to state registry.

    Enter Signed Date

  5. Enter the signed date on the document.

    Enter Signed Date

  6. The upload is complete.

    Enter Signed Date