Abstract
Six MOLST - Meeting the Challenge workshops were held with key interdisciplinary stakeholders from across the state of Massachusetts to start a dialogue on the challenges encountered in the implementation of MOLST. Three hundred and fifty-eight key stakeholder, including nurses, nurse practitioners, physicians, physician assistants, social workers, clergy, lawyers, and EMS providers completed a survey at the completion of the workshop. The majority of respondents believe the following is needed: interdisciplinary training and education for all providers on healthcare planning using common language and tools (90%), the MOLST process needs to be clarified and the form easily accessible (89%), the MOLST form be redesigned (81%), an e-MOLST state registry be implemented (76%), and a MOLST outcome monitoring system be established (71%). These findings will help to craft a responsive MOLST process that honors the goals and preferences of persons living with serious illness in all Massachusetts health care settings.