The Delaware Medical Orders for Scope of Treatment (DMOST) program is designed to improve the quality of care people receive at the end of life by translating patient/resident goals and preferences into medical orders.
The DMOST form is based on communication between the patient/resident, Health Care Agent or other designated decision-maker and health care professionals that ensures informed medical decision-making.
Honoring patient preferences is a critical element in providing quality end-of-life care. To enable physicians and other health care providers to discuss and convey a patient’s wishes regarding cardiopulmonary resuscitation (CPR) and life-sustaining treatment, this coalition is working to implement and improve the statute and regulations that were developed to be used statewide by health care providers and facilities as the legal equivalent of an inpatient Do Not Resuscitate (DNR) form.
DMOST provides a single document that functions as an actionable medical order and transitions with a patient through all health care settings in order that their wishes for life-sustaining treatment and CPR will be clearly indicated.
The DMOST statute, House Bill 64, was passed on May 7, 2015 and signed into law by Governor Jack Markell later that month on May 28, 2015. To read more about HB 64, sponsored by Representative Michael Barbieri and co-sponsored by Senator Bethany Hall-Long, click the link below: