The Massachusetts eHealth Institute (MeHI)

MeHI, the Massachusetts eHealth Institute at the Massachusetts Technology Collaborative, is the state’s entity for healthcare innovation, technology, and competitiveness and is responsible for advancing the use of health information technology throughout Massachusetts. In this role, MeHI helps Commonwealth providers harness the benefits of electronic health records and the Mass HIway, the statewide health information exchange. MeHI is also the lead agency on the public-private Massachusetts Digital Health Initiative and works closely with the Massachusetts Executive Office of Elder Affairs to support the Commonwealth’s campaign to promote healthy aging, including research into the ways technology can assist family caregivers in Massachusetts.

As part of its Aging and Caregiving Initiative, MeHI is working in collaboration with the Massachusetts Coalition for Serious Illness Care, the Massachusetts Executive Office of Elder Affairs (MA EOEA), the Massachusetts Department of Public Health (MA DPH), healthcare providers, and various other stakeholders to facilitate the electronic sharing of advance care planning (ACP) documents in the Commonwealth and to help advance the Coalition members’ goals of ensuring that patients’ wishes, preferences, and goals of care are documented and made accessible regardless of place of care.

Together, this group is exploring electronic infrastructure options to improve the documentation, storage, and access of ACP documents. Preliminary recommendations suggest that Massachusetts begin with the most clinically impactful process – the Medical Orders for Life Sustaining Treatment (MOLST) forms – and establish an eMOLST pilot program in conjunction with the MA DPH rollout of a new, POLST paradigm-complying paper-based MOLST form. In this manner, we hope to facilitate a cultural shift in the way MOLST forms and a patient’s end-of-life wishes are documented, accessed, and honored in Massachusetts. Learn more about the group’s activities on the e-Sharing of ACP documents webpage.

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