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POLST eRegistryThe California HealthCare Foundation (CHCF) is releasing two (2) Requests for Proposals (RFP) over the next few weeks to identify communities and technology vendors with an interest in participating in the POLST eRegistry pilot project authorized under SB 19 (Wolk).

Passed in 2015, SB 19 requires the California Emergency Medical Services Authority (EMSA) to develop a POLST (Physician’s Order for Life-Sustaining Treatment) eRegistry Pilot Project, if non-state funding is available. EMSA has been working with CHCF and the Coalition for Compassionate Care of California (CCCC) to move this project forward.

CHCF is considering funding the pilot project. The RFPs will be used to inform CHCF about the costs associated with the POLST eRegistry over an approximate 3-year pilot period, through December 31, 2019.

Technology Platform

The first RFP, to be released in mid-March 2016, will identify a technology platform vendor that will create the prototype POLST eRegistry infrastructure. This vendor will provide the main components for POLST form input and quality processing, cloud-based central registry functionality, and a secure, web portal for POLST input and retrieval, to include:

  1. The ability to gather POLST forms electronically, and convert those forms into structured data that can be consumed by the POLST eRegistry, upon secure authentication. This would include web portal access for manual POLST entry purposes by authorized users.
  2. The ability to receive, identify, and match and process POLST forms and store that data within the registry for future on-demand retrieval.
  3. The capability for local systems to connect with the POLST eRegistry, authenticate access and render POLST forms within the retrieving system for the purposes of clinician viewing.

Pilot Community

The second RFP, planned for late May 2016, will be for POLST community site(s). One or more communities (either geographic area or health systems, or a combination of the two) will be selected. The primary role of these applicant communities will be to implement the POLST eRegistry within a community setting for input and retrieval of POLST information, and will include:

  1. The formation of a coalition of hospitals, EMS providers (utilizing the SAFR model), skilled nursing facilities, and hospice facilities, and physicians to send, receive, find, and use POLST information.
  2. Connectivity to the POLST eRegistry technology platform system.
  3. Development of plans and integration of the POLST eRegistry input and retrieval workflow into their local systems.

The information gathered from both RFPs will be used to select vendors and communities for implementation of a prototype POLST eRegistry system. An evaluation component will be required, and applicants will be active participants in the collection and gathering of data to demonstrate the effectiveness of this pilot project.

Tentative RFP Timeline

POLST eRegistry Technology Vendor Request for Proposal (RFP)

  • March 17, 2016: Technology RFP Released
  • March 23, 2016, at Noon (PST): Informational webinar for Tech RFP bidders. Webinar is free, but registration is required.
  • April 15, 2016, at 5 p.m. (PST): Tech RFP submission deadline
  • May 12, 2016: Tech Vendor notification

POLST eRegistry Pilot Site Request for Proposal (RFP)

  • March 23, 2016: Pilot Site RFP Released
  • March 31, 2016 at Noon (PST): Informational webinar for Pilot Site RFP bidders. Webinar is free, but registration is required. Click here to register for the webinar.
  • April 29, 2016 at 5 p.m. (PST): Pilot Site RFP submission deadline
  • May 13, 2016: Pilot site(s) notification

Watch for more information on the California HealthCare Foundation website at

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