2025 HCPR25 Physician’s Orders for Life-Sustaining Treatment (POLST) Form

Measure Title: Physician’s Orders for Life-Sustaining Treatment (POLST) Form

Measure Description: Percentage of Patients Greater Than or Equal to 65 Years of Age with Physician’s Orders for Life-Sustaining Treatment (POLST) Forms Completed

Denominator: All patients evaluated by the Eligible Professional in Emergency Services, Inpatient, or Post-Acute Care setting (E/M Codes 99221-99223, 99231-99233, 99234-99236, 99238-99239, 99291-99292, 99304-99310, 99315, 99316 AND Place of Service indicators 02, 10, 19, 21, 22, 23, 31 or 32 OR equivalent in standardized code sets) AND
• Diagnosis of Advanced Illness
• NOTE: This measure is to be submitted a minimum of once per hospitalization for patients seen during the performance period.

Numerator: Patients with a completed Physician’s Orders for Life-Sustaining Treatment (POLST) form

Denominator Exclusions: None

Denominator Exceptions: None

NQF ID Number: N/A

NQS Domain: Efficiency and Cost Reduction

High Priority Measure: Yes

Measure Type: Process

Includes Teleheatlh: Yes

Inverse Measure: No

Proportional Measure: Yes

Continuous Variable Measure: No

Ratio Measure: No

Number of performance rates to be calculated and submitted: 1

Risk-Adjusted Status: No

Care Setting: Emergency Department and Services; Hospital; Hospital Inpatient; Post-Acute Care

Submission Pathway: Traditional MIPS