D.C. Code § 21-2221.02: Creation of a MOST Form.

(a)

(1)

Within 9 months after February 27, 2016, DOH shall develop, and make available online, a MOST Form and instructions for health care institutions, health care professionals, and patients and authorized representatives completing and using the MOST Form.

(2)

DOH shall evaluate the design and use of a MOST Form, including compliance or non-compliance with a MOST Form by EMS personnel and health care professionals, at least every 3 years.

(b)

(1)

DOH shall require, and provide for, ongoing training of health care professionals and EMS personnel about best practices regarding the use of a MOST Form.

(2)

The training shall include, at a minimum:

(A)

The importance of talking to each patient or the patient's authorized representative about the patient's prognosis, the likely course of illness, and personal goals of care;

(B)

Methods for presenting choices for care that elicit information concerning each patient's preferences and respecting those preferences without directing patients toward a particular care option;

(C)

The importance of fully informing patients about the benefits and risks of an immediately effective MOST Form;

(D)

Awareness of factors that may affect the use of a MOST Form, including race, ethnicity, age, gender, socioeconomic position, immigrant status, sexual orientation, language disability, homelessness, mental illness, and geographic area of residence; and

(E)

Procedures for properly completing and effectuating a MOST Form.