Provider Orders for Life Sustaining Treatment (POLST)

Provider Orders for Life Sustaining Treatment (POLST) is a system for portable medical orders for patients who their doctor or nurse practitioner think might die within the next twelve months. It is a voluntary program for patients and providers. A key objective is to improve the understanding and communication of a patient’s medical care choices when patients move among different care settings (e.g. nursing home to hospital, hospital to hospice, etc.) Better care transitions and reducing preventable hospital re-admissions is a key Foundation priority through the NH Partnership for Patients.

The development of POLST in New Hampshire is being guided by the NH Healthcare Decisions Coalition, a multi-disciplinary statewide group that continuously seeks to improve health decision making processes.  Resources to assist POLST development include:


*Attention Medical Providers - the Provider Orders for Life Sustaining Treatment (POLST) form was recently updated (August 2017) with important changes that closer align the POLST language with the New Hampshire statute regarding the Portable DNRas well as national standards.  To order new POLST forms for your patients, please contact us at (603) 225-0900.


New Hampshire was selected by the National POLST Paradigm Program as one of five states for a grant to support implementation efforts in 2012-2013.  In addition, the Foundation received a grant from the NH Department of Health and Human Services Civil Money Penalty Fund to support POLST implementation in long-term care facilities.