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.
Steering Committee Members
| Member Name | Role |
|---|---|
| Sarah Matthews, MD | Chair, Delaware Quality of Life Coalition |
| Krishna Upadhya. MD | Department of Health and Social Services |
| Jamie Rocke | Delaware Health Information Network |
| John Goodill, MD | National POLST Coalition |
| Judith Ramirez | Long-Term Care Ombudsman |
| Jerry Brennan | Delaware Healthcare Association |
| Brian Frazee | Delaware Healthcare Association |
| Cheryl Heiks | Delaware Health Care Facilities Association |
| Catherine “Kylee” Read | Elder Law Section, Delaware State Bar Association |
| Pamela Price | Health Insurance Provider |
| Reverend Paula Waite | Public Member |
Archived Meeting Materials
2025
July 17, 2025
June 12, 2025
May 15, 2025
April 17, 2025
March 20, 2025
February 20, 2025
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
