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.
History: 2022 MR 11, Eff. June 10, 2022.
R 325.83 Completing the MI-POST.
Rule 83. (1) Prior to signing the MI-POST, the attending health professional must address the
following with the patient:
(a) The patient information sheet regarding the MI-POST must be reviewed, signed, and placed
in the patient’s permanent medical record.
(b) If the patient does not have a patient representative, the attending health professional shall
recommend to the patient that the patient consider designating an individual to serve as patient
advocate to make future medical decisions on behalf of the patient if the patient becomes unable
to do so.
(2) A valid MI-POST must be signed by both:
(a) The patient, or the patient representative.
(b) The attending health professional.
(3) Either verbal or telephone medical orders are acceptable per policy and scope of practice,
subject to all the following:
(a) The preparer shall complete the name, date, phone number, and, if applicable, name of
collaborating physician and that physicians’ phone number.
(b) On the signature line, the form preparer must insert “verbal order” or “telephone order”.