TPOPP Transportable Physician Orders for Patient Preferences





TPOPP is based on the belief that individuals have the right to make their own health care decisions.  The Transportable Physician Orders for Patient Preferences (TPOPP) initiative is designed to improve the quality of care people receive at the end-of-life by translating patient/resident goals and preferences into medical orders whether the person is in a hospital setting, skilled nursing facility or living independently in their own community.

TPOPP is modeled on the Physician Orders for Life Sustaining Treatment (POLST)  paradigm, one of more than 30 such efforts currently underway nationally to address these important issues. For more information about national efforts please see
TPOPP aims to improve the communication of a person’s preferences regarding life-sustaining treatments and, thereby, generate high quality medical care.  In order to accomplish this aim TPOPP was designed to:

• Elicit and document  a person’s preferences regarding CPR and the use of mechanical intervention for breathing/ventilation along with other life-sustaining treatment such as tube feedings, etc.

• Translate those preferences into a set of actionable physician orders;

• Communicate the person’s care preferences across health settings by transporting these physician orders;

• Reduce redundant documentation while complying with state laws and the Federal Patient Self-Determination Act.


Research has shown that successful implementation of a POLST-paradigm program like TPOPP is supported by community-level organization. Creating or joining an existing community task force is integral to ensuring that the TPOPP initiative incorporates the patient’s preferences into an actionable set of physician orders, regardless of the patient’s location. Check out the TPOPP Toolkit below for more information about community task forces.

A 2010 pilot study conducted in Topeka, Kansas confirmed the importance of the community organizing efforts in both Missouri and Kansas. More than two dozen community task forces have since formed and are now in various stages of planning and implementation.

For more information about TPOPP and community task forces, check out the TPOPP toolkit below or contact the center at 816-979-1366 or email


Please download these free resources to help educate members of your community about TPOPP. We updated the TPOPP resources regularly, so please complete the short form below and each of the up-to-date resources will instantly be emailed for download.  


If you have questions or are interested in working in your community to implement TPOPP, please email or call the Center at 816-979-1366.