The lack of a formal POLST process has shown to greatly reduce the effectiveness of POLST programs. Providers intermittently identifying and addressing POLST with patients does not allow the program to reach its full potential. To have a successful POLST program, research supports including local emergency medical service (EMS) personnel, submitting POLST forms to the registry for easy access, and verifying medically actionable forms. The lack of training and appropriate resources in this clinic can also contribute to POLST inadequacy. Including social workers, religious entities, and program advocates are helpful measures to increase POLST program success.