"MOST must be reviewed and signed by the patient's physician.
MOST must be reviewed and contain the original signature of the patient's physician to be valid. Be sure to document the basis in the progress notes of the medical record. Mode of communication (e.g., in person, by telephone, etc.) should also be documented.
The signature of the patient, surrogate, or a responsible party is required; however, if the patient's surrogate or a responsible party is not reasonably available to sign the original form, a copy of the completed form with the signature or electronic signature of the patient's surrogate or a responsible party must be signed by the patient's physician and placed in the medical record.
Copies of the original form are equally as valid as the original form.
There is no requirement that a patient have a MOST.";
"This MOST must be reviewed at least annually, at any time the patient or patient's representative requests, and when:
The patient is admitted and/or discharged from a health care facility;
There is a substantial change in the patient's health status; or
The patient's treatment preferences change.
If MOST is revised or becomes invalid, draw a line through Sections A-D and write "VOID" in large letters."; and
KRS 311.6225