Transportable Physician Orders for Patient Preferences
TPOPP is based on the belief that individuals have the right to make their own health care decisions. The Transportable Physician Orders for Patient Preferences (TPOPP) initiative is designed to improve the quality of care people receive at the end-of-life by translating patient goals and preferences into medical orders, whether the person is in a hospital setting, skilled nursing facility or living independently in their own community.
TPOPP is modeled on the Physician Orders for Life Sustaining Treatment (POLST) paradigm, one of more than 45 such efforts currently underway nationally to address these important issues. For more information about national efforts, please see www.POLST.org. TPOPP aims to improve the communication of a person’s preferences regarding life-sustaining treatments and, thereby, generate high quality medical care. In order to accomplish this aim, TPOPP was designed to:
• Elicit and document a person’s preferences regarding CPR and the use of mechanical intervention for breathing/ventilation along with other life-sustaining treatment such as tube feedings, etc.
• Translate those preferences into a set of actionable physician orders;
• Communicate the person’s care preferences across health settings by transporting these physician orders;
• Reduce redundant documentation while complying with state laws and the Federal Patient Self-Determination Act.
Research has shown that successful implementation of a POLST-paradigm program like TPOPP is supported by community-level organization. Creating or joining an existing community task force is integral to ensuring that the TPOPP initiative incorporates the patient’s preferences into an actionable set of physician orders, regardless of the patient’s location.
A 2010 pilot study conducted in Topeka, Kansas confirmed the importance of the community organizing efforts in both Missouri and Kansas. More than two dozen community task forces have since formed and are now in various stages of planning and implementation.
For more information about TPOPP and community task forces, check out the TPOPP toolkit below or contact the center at 816-979-1366 or email TPOPP@practicalbioethics.org.
TPOPP FREE DOWNLOADS AND GUIDES
Select any of the resources below for download. Or click here to DOWNLOAD ALL (ZIP).
V. CONSUMER INFORMATION
A. Introduction to TPOPP – Plain Language
VI. COMMUNITY INSTITUTION PROFILE
If you are interested in working in your community to implement TPOPP, please email TPOPP@PracticalBioethics.org or call the Center at 816-979-1366.
VII. CARING CONVERSATIONS CONTINUED
Caring Conversations Continued is a small booklet that educates the public about TPOPP (includes a Durable Power of Attorney for Healthcare Decision forms and a TPOPP form (education version).
A. Order Caring Conversations Continued