POLST eRegistry information

The planning and development work for the POLST eRegistry has been transitioned from the California Health and Human Services (CalHHS) Office of Technology & Solutions Integration (OTSI) to the Emergency Medical Services Authority (EMSA). This strategic shift will allow EMSA to maintain closer oversight of the project as it moves forward. 

EMSA was previously engaged in the state procurement process to secure a vendor to begin the system build. This reflects the department’s commitment to maintaining project momentum while ensuring the right partner is selected to bring the POLST eRegistry to life.

The EMSA Request For Offer (RFO) was awarded on 3/14/25 to ServiceNow for the POLST platform. The rationale being that it is an enterprise service platform that will be utilized by all EMSA programs. Also, an RFO was issued instead of an Request For Proposal (RFP) because the Department of General Services Software Licensing Program (SLP) has an existing Licensing Procurement Agreement (LPA) that lists approved vendors for ServiceNow. The initial POLST functionality is expected to be available Summer 2025.

As part of the department’s ongoing commitment to stakeholder engagement, EMSA will be launching a dedicated POLST Advisory Committee and sent out engagement letters in February of 2025 for this important initiative.

The first meeting is scheduled for May 21, 2025, and will be held virtually from EMSA Headquarters, in Rancho Cordova, California. The department welcomes participation in this workgroup as the POLST program aims to ensure that seriously ill patients can make their wishes known about life-sustaining treatment and have those wishes honored across all healthcare settings.

EMSA looks forward to collaborating with stakeholders as the project progresses through these next phases of development.

For any questions, please contact the Health Information Unit at Healthinformation@emsa.ca.gov.