About the South Carolina Coalition for the Care of the Seriously Ill
This statewide coalition brings key organizations, clinicians, and healthcare entities together to collaboratively redesign care, improve quality of life, and protect the ethical rights of the seriously, chronically, or terminally ill in South Carolina. The coalition is committed to improving the shared decision-making for this population by implementing strategies which help patients understand the typical trajectory of their condition and take an active role in their treatment, including decisions about their care. One such strategy is the development the Physicians Order for Scope of Treatment (POST) form and implementation of the POST pilot project. This group has taken the lead in implementing POST in South Carolina, beginning with a pilot study aimed at refining the form into one that best suits South Carolinians. The long-range plan is to propose changes, either statutory or regulatory, to institute the use of POST statewide once the pilot is completed.
The Coalition believes that for patients nearing end-of-life, a meaningful conversation between a healthcare professional and a patient (and/or surrogates) to discuss the current medical conditions, treatment options, and choices within the context of personal values and beliefs is a standard of care. The use of the POST form can facilitate this discussion and guide subsequent patient treatment across healthcare settings. One strategy of the CSI to encourage these meaningful conversations is the support of education that assists physicians and other healthcare providers in facilitating these discussions.
The Coalition is comprised of the following organizations: the South Carolina Medical Association, the South Carolina Hospital Association, the South Carolina Nurses Association, the South Carolina Healthcare Association, Leading Age South Carolina, South Carolina Citizens Concerned for Life, the South Carolina Department of Health and Environmental Control, the South Carolina Healthcare Ethics Network, the Carolinas Center for Hospice and End of Life Care, the SC Society of Chaplains, LifePoint, AARP, the South Carolina Office on Aging, and volunteers with expertise in specific areas such as law, social work, and legislation.