Mich. Admin. Code R. 325.82 - General Rules

Rule 82.

(1) MI-POST is intended only for those adult patients with advanced illness or frailty for whom, based on his or her current medical condition, death would occur within 1 year. A healthcare professional's prognosis of life expectancy is not required.

(2) MI-POST cannot be required for admission to any healthcare or community facility setting.

(3) The standard form must be printed on pink 65-pound card stock, white card stock paper with a pink border, or paper of similar style and quality to make the form easily identifiable.

(4) The department must make available electronic blank copies.

(5) The original form in its most current version remains the property of the individual patient. Copies, including paper, facsimile, and all digital versions, are permissible and valid. Health care facilities and physician offices must retain the most current copy of the patient's MI-POST form in the patient's medical record.

(6) The MI-POST is binding in any health care facility other than acute care. Acute care settings shall utilize the MI-POST as evidence of the patient's healthcare decisions when evaluating the patient; however, treatments may differ according to the best clinical judgement of the healthcare professional currently treating the patient.

(7) The MI-POST directs the care provided by EMS. EMS must follow the protocol established by the department.

(8) Forms labeled "Michigan POST" or "MI-POST" are valid from 1 year of the most recent attending health professional signature date.

(9) MI-POST forms completed after June 30, 2023 must be completed on the MI-POST form created under the act.

(10) Orders indicated on a properly executed MI-POST are presumed to express the patient's current decisions over a previously executed advanced directive.

(11) If a MI-POST is validly executed after a do-not-resuscitate order is executed under the Michigan do-not-resuscitate procedure act, 1996 PA 193, MCL 333.1051 to 333.1067, the medical orders indicated on the MI-POST are presumed to express the patient's current wishes.

Notes

Mich. Admin. Code R. 325.82

2022 MR 11, Eff. 6/10/2022