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    Delaware Medical Orders for Scope of Treatment (DMOST)

    Delaware Medical Orders for Scope of Treatment (DMOST)

    For those with a serious illness, doctors may recommend a Delaware Medical Orders for Scope of Treatment (DMOST) form as part of their Advance Directive. This medical order gives patients, or their designated authorized representative, more control over specific life-sustaining emergency treatment preferences such as CPR and other medical interventions. The DMOST form applies to any health care setting – at home, by first responders, in the hospital or in a skilled nursing facility.

    The process encourages shared, informed medical decision-making between the patient (or authorized representative if the patient is not able to make decisions on their own behalf), and their doctor or advance practice provider (Advance Practice Registered Nurse, APRN, or Physician’s Assistant, PA).

    In some states, the form is called POLST, or Physician Orders for Life Sustaining Treatment.

    Member NameRole
    Sarah Matthews, MDChair, Delaware Quality of Life Coalition
    Krishna Upadhya. MDDepartment of Health and Social Services
    Jamie RockeDelaware Health Information Network
    John Goodill, MDNational POLST Coalition
    Judith RamirezLong-Term Care Ombudsman
    Jerry BrennanDelaware Healthcare Association
    Brian FrazeeDelaware Healthcare Association
    Cheryl HeiksDelaware Health Care Facilities Association
    Catherine “Kylee” ReadElder Law Section, Delaware State Bar Association
    Pamela PriceHealth Insurance Provider
    Reverend Paula WaitePublic Member

    The DMOST Steering Committee typically meets on the third Thursday of the month at 3 p.m. The meetings are open to the public. Meeting information, including the agenda, location of the meeting, and virtual meeting details (if applicable), is posted on the Public Meeting Calendar.

    DATETIMELOCATION
    January 15, 20262:00 – 4:00 PMSee public meeting calendar for details
    February 19, 20262:00 – 4:00 PMSee public meeting calendar for details
    March 19, 20262:00 – 4:00 PMSee public meeting calendar for details
    April 23, 20262:00 – 4:00 PMSee public meeting calendar for details
    May 21, 20262:00 – 4:00 PMSee public meeting calendar for details
    June 18, 20262:00 – 4:00 PMSee public meeting calendar for details
    July 16, 20262:00 – 4:00 PMSee public meeting calendar for details
    August 20, 20262:00 – 4:00 PMSee public meeting calendar for details
    September 17, 20262:00 – 4:00 PMSee public meeting calendar for details
    October 15, 20262:00 – 4:00 PMSee public meeting calendar for details
    November 12, 20262:00 – 4:00 PMSee public meeting calendar for details
    December 10, 20262:00 – 4:00 PMSee public meeting calendar for details

    Committee Minutes and Agendas

    COMING SOON

    DMOST Steering Committee Meeting Presentations

    June 12, 2025

    May 15, 2025

    March 20, 2025

    Contact Information

    Delaware Health Care Commission
    Herman M. Holloway Sr. Health and Social Services Campus
    1901 N. Dupont Highway, Main Administration Building
    New Castle, DE 19720

    Phone, Fax, and Email
    (302) 255-4750
    Fax: (302) 255-4751
    Email: DHCC@delaware.gov