MyDirectives

A theme we’re hearing across #HIMSS26 this week is “data exchange at the speed of trust.” That principle is critical when healthcare data moves across EHR systems and care settings. We’re proud to share that MyDirectives has renewed our HITRUST R2 Certification for 2026, continuing our HITRUST-certified cybersecurity program in place since 2019. MyDirectives operates the only nationwide advance care planning document registry that is HITRUST certified, supporting secure interoperability across healthcare systems and care settings. That level of trust is especially important as states build ACP ecosystem initiatives on shared infrastructure and EHR platforms embed ACP directly into clinical workflows. We’re discussing this all week at #HIMSS26 inside the MEDITECH Booth in the Interoperability+Smart Experience Pavilion. #HITRUST #Cybersecurity #Interoperability #HealthIT #AdvanceCarePlanning #MEDITECH

We’re onsite this week at #HIMSS26 in Las Vegas. Too often, advance care planning (ACP) documents exist — but they’re not accessible when and where care decisions are being made. They may be sitting in a file cabinet or safe-deposit box at home, scanned as a PDF in the patient chart, stored in a siloed document repository, or locked inside a single EHR that can’t be accessed across care settings. When preferences aren’t visible at the point of care, they’re difficult for clinicians and families to honor. That’s why digital ACP infrastructure must be directly integrated into the EHR — embedded within the clinical workflows clinicians already use to document, review, and make care decisions. When ACP is integrated into the EHR environment, patient preferences can be accessed whenever and wherever care is delivered — across emergency departments, hospitals, post-acute and community settings, and by EMS and emergency care teams in the field, including community paramedicine. This is what allows EHR platforms, health systems, and statewide ACP ecosystem initiatives to build modern ACP infrastructure on a nationwide registry. Clinicians can then access patient preferences directly inside the EHR environments they already use. At #HIMSS26, we’re demonstrating this approach inside the MEDITECH Booth in the Interoperability+Smart Experience Pavilion at the Venetian Convention & Expo Center. Our team onsite includes: Scott Brown – President & CEO Michael Munoz – Chief Product Officer Maria D. Moen – Strategic Advisor If you’re attending HIMSS, and working on EHR integration, interoperability strategy, or ACP infrastructure, let’s connect. 👉 Schedule time here mydirectives.com/himss26 #AdvanceCarePlanning #Interoperability #EHRIntegration #HIMSS26 #MEDITECH

Here's the conversation we’re bringing to #HIMSS26 next week. Advance care planning (ACP) is often treated like a document problem, but the real challenge is workflow. If ACP lives in a separate portal, a static document repository, or a disconnected registry, clinicians won’t see it when decisions are being made. And when preferences aren’t visible, care defaults to escalation. That’s why ACP infrastructure has to be embedded directly inside the EHR. When ACP is integrated natively within clinical workflows, documented preferences can be accessed whenever and wherever care is delivered — from EMS and ePCR systems to emergency departments, hospitals, and post-acute settings. When ACP operates this way, statewide ecosystems become possible. States can build infrastructure on a nationwide registry, while clinicians access ACP information directly inside the EHR environments they already use. We’ll be demonstrating this approach next week inside the MEDITECH Booth in the Interoperability+Smart Experience Pavilion at #HIMSS26. Our team onsite will include: Scott Brown – President & CEO Mike Munoz – Chief Product Officer Jessica Zan – VP, Clinical Implementations & Success Maria D. Moen – Strategic Advisor If you’re working on EHR integration, interoperability strategy, or statewide ACP infrastructure, let’s connect while we’re there. 👉 Schedule a meeting at mydirectives.com/himss26 #AdvanceCarePlanning #Interoperability #EHRIntegration #HIMSS26 #MEDITECH

The most consequential care decisions typically don't happen during scheduled healthcare visits. They happen when seconds matter and patient preferences must already be visible. Those moments occur in emergency departments and with EMS and emergency care teams delivering care in the field, including community paramedicine programs. They happen across transitions of care from home to ambulance, from ambulance to the ED, and from hospital to post-acute settings. Advance care planning (ACP) documents aren't just helpful. They're critical during emergency response and care transitions. When portable medical orders, like POLST and DNRs, and documented treatment preferences and goals of care aren't visible across those transitions, care can default to escalation. As accountability expands across settings and over time, the direction from the Centers for Medicare & Medicaid Services makes it clear that infrastructure must support visibility beyond a single encounter. Embedding digital ACP across hospital EHR environments like Epic, Oracle Health, MEDITECH, and PointClickCare, and integrating with EMS ePCR systems, ensures patient preferences follow the individual instead of remaining confined to a single facility. Don't wait for a care transition to expose the gap. See how digital ACP works across EHR and EMS workflows: mydirectives.com/schedule-demo #EMS #EmergencyCare #CommunityParamedicine #TransitionsOfCare #EHR #Interoperability #PatientGoals #ValueBasedCare #AdvanceCarePlanning

Rural healthcare systems are modernizing. Connectivity is expanding, and care coordination models are evolving. Yet in many states, advance care planning still does not function as interoperable infrastructure. Patient goals and portable medical orders often remain siloed within local systems or paper workflows, limiting accessibility during transitions of care. That's the structural gap. Regional Healthcare Transformation Program (RHTP) funding represents a golden opportunity to close it. When ACP is documented, structured, and accessible across EMS, community paramedicine, hospitals, and home-based care, coordination efforts align more closely with documented patient goals and medical orders. RHTP funds are finite. The opportunity to modernize ACP infrastructure is here right now. Read more in our latest blog by MyDirectives President & CEO Scott Brown: mydirectives.com/blog/rhtp-fund… #RHTP #AdvanceCarePlanning #RuralHealth #HealthInfrastructure #ValueBasedCare

Advance care planning is no longer just about honoring care preferences. In value-based models, it directly affects utilization, episode costs, and downstream performance. In models such as BPCI Advanced and ACO REACH successors, alignment with patient goals influences length of stay, avoidable utilization, post-acute intensity, and readmissions. That impact is financially material. CMS is elevating ACP because accountability now spans settings. Care transitions, utilization, and outcomes are measurable. Accountability is no longer siloed within a single organization or platform. The exposure is clear. Treating ACP as a local program or a single-system feature is no longer sufficient. The infrastructure layer determines whether alignment actually changes performance. Embedding structured ACP across platforms like Epic, Oracle Health, MEDITECH, and PointClickCare — and making it interoperable across care settings — is not a feature decision. It is infrastructure readiness. If ACP is not embedded inside the clinical record and available at the moment patients or residents are being treated, organizations are structurally exposed to the accountability CMS is signaling. See how structured ACP functions across and inside EHRs: mydirectives.com/schedule-demo #ClinicalQuality #ValueBasedCare #Interoperability #ACO #BPCIAdvanced

MyDirectives will be in Washington, DC this week for the Assistant Secretary for Technology Policy (ASTP) 2026 Annual Meeting, with Scott Brown, President & CEO, and Senior Advisors Maria D. Moen and Lisa Nelson. We’re looking forward to engaging with peers and federal leaders to learn more about how ASTP is supporting CMS’ broader goal of treating advance care planning (ACP) as critical healthcare infrastructure. This means more than documentation. It means reliable, interoperable information that is available across care settings and at the moment decisions are made. When patient preferences aren’t accessible during emergencies, serious illness, or care transitions, decisions default to the system rather than the person. Building durable, standards-based, interoperable ACP infrastructure is how patient-centered care becomes operational, not aspirational. Looking forward to the conversations ahead. #AdvanceCarePlanning #PatientCenteredCare #HealthIT #Interoperability #CMS #ASTP #DigitalHealth #HealthcareInnovation #Standards #CareTransitions

Advance care planning is not a document problem. It’s an availability problem at the moment care decisions are made. CMS is making it clear that ACP information must be available across care settings, not trapped in a single system. Care doesn’t happen in one setting, and ACP can’t live in one system. As patients move across hospitals, skilled nursing facilities, home health, and emergency care, their wishes have to move with them, reliably and without friction. When they don’t, gaps appear precisely at transitions of care, where risk, cost, and clinical consequences are highest. That reality creates different pressures across the ecosystem: → States need a true ACP ecosystem, not a collection of disconnected programs that will have to be unwound later. → EHRs need a foundational, embedded ACP capability, or risk someone else becoming the standard inside clinical workflows. → Health systems need both, because they are ultimately accountable when patient wishes aren’t available at the moment decisions are made. This is no longer aspirational. It’s quickly becoming table stakes for value-based care and care transitions. 👉 See what this looks like in practice: mydirectives.com/schedule-demo #CareTransitions #ContinuumOfCare #ValueBasedCare #CMSQuality

This month, CMS made something clear that many health systems are already experiencing firsthand: advance care planning (ACP) is no longer optional documentation. It’s clinical infrastructure. That means ACP needs to be embedded in the EHR, built into workflows, visible across care settings, and ready to be measured. In a new blog, MyDirectives SVP of Marketing & Business Development, Ron Wozny, breaks down what this signal from CMS means for health systems, EHR strategy, compliance, and reimbursement, and why disconnected forms, portals, and PDFs are quickly becoming a liability. CMS isn’t hinting at where this is going. They’re building the framework now. 👉 Read the full post: mydirectives.com/blog/acp-is-in… #AdvanceCarePlanning #HealthcareInfrastructure #CMS #EHR #ValueBasedCare #Interoperability #ClinicalWorkflows #MyDirectives

CMS is elevating advance care planning (ACP) because ACP directly affects utilization, outcomes, and cost in value-based care models. In models like BPCI Advanced and emerging ACO REACH successors, care alignment and reductions in avoidable utilization aren’t aspirational. They’re financially material. When MyDirectives is embedded in EHRs like Epic, Oracle Health, MEDITECH, PointClickCare, and others, structured ACP data is available during episodes of care—helping teams act in alignment with patient goals and meet the expectations CMS is beginning to test. Organizations without embedded, interoperable ACP risk missing the infrastructure readiness CMS is signaling, especially as accountability increases across settings and over time. Don’t wait for utilization or quality measures to expose the gap. See how digital ACP works in the EHR: mydirectives.com/schedule-demo #ClinicalQuality #ValueBasedCare #BPCIAdvanced #ACO #EHR #Interoperability #PatientGoals

CMS is making it clear: advance care planning (ACP) can’t live as a checked box or a scanned PDF. The proposed MUC2025-020 ACP measure reinforces what health systems are already running into operationally. ACP only works when healthcare goals and preferences are embedded directly into clinical workflows and accessible across encounters and settings. When ACP data is buried in scanned documents or siloed systems, it can’t support care decisions, population health reporting, or longitudinal accountability in ACO models. MyDirectives is already embedded in EHRs like Epic, Oracle Health, MEDITECH, and PointClickCare, with more on the way. When that happens, ACP becomes usable clinical infrastructure: • Structured, interoperable data • Visible in workflow • Available when healthcare decisions are actually made CMS isn’t just updating a measure. It’s setting expectations. If ACP isn’t embedded in your EHR, the gaps will show up in workflows, reporting, and performance. Ready to close the gap? See how digital ACP works in the EHR: mydirectives.com/schedule-demo #DigitalACP #EHRIntegration #Interoperability #PopulationHealth #ValueBasedCare

MLK Day is about remembrance and unfinished work. Dr. King pushed institutions beyond words and toward real, systemic change. CMS is now doing the same in healthcare. Digital advance care planning (ACP) is being treated as infrastructure. It is measured, reported, and tied to accountability. That means ACP increasingly needs to live inside EHR workflows and function across states and care settings. EHR vendors, health systems, and state programs building that capability now will lead. Those that do not will explain later why they fell behind. If ACP in your organization still lives primarily in paper folders or scanned PDFs, the gap is already there. See how EHR vendors, health systems, and state programs are already operationalizing digital ACP with MyDirectives. 👉 Schedule a demo at mydirectives.com/schedule-demo

CMS Signals: ACP Is Infrastructure — Not Optional The Centers for Medicare & Medicaid Services is signaling that advance care planning (ACP) must be operational infrastructure, not paperwork — a foundational capability that produces structured data driving care alignment, utilization decisions, and outcomes in value-based models like ACOs and bundled payments. Leading health systems aren’t waiting. Organizations on Epic, Oracle Health, MEDITECH, and PointClickCare with embedded MyDirectives for Clinicians already have interoperable ACP data at the point of care — today. If ACP in your system still lives as a checked box and a static PDF, you’re already behind the curve CMS is drawing. This is no longer a differentiator. Activate it — or explain later why you didn’t. Want to see MyDirectives for Clinicians in action? ➡️Schedule a demo: mydirectives.com/schedule-demo #AdvanceCarePlanning #ValueBasedCare #HealthIT #CMSReadiness #Interoperability

New blog: The Medicare MAP for Care Act is an important step toward treating advance care planning as essential to high-quality, coordinated care. We support this bipartisan Act, introduced by Senators Bill Cassidy (R-LA) and Chris Coons (D-DE), and the direction it sets for interoperability, access, and actionability across care settings. While this legislation looks forward, it reinforces work MyDirectives has been advancing for nearly 20 years to ensure advance care planning documents are available whenever and wherever they’re needed. Our CEO, Scott Brown, shares why this moment matters and what it signals for the future of digital ACP in his latest post. 👉 Read the blog here: mydirectives.com/blog/when-poli… #AdvanceCarePlanning #HealthcarePolicy #Interoperability #DigitalHealth #PersonCenteredCare

As the year gets underway, our focus is on turning intention into action. In the months ahead, we’re continuing to work with states, EHR partners, health systems, and care teams to strengthen how advance care planning is accessed, integrated, shared, and acted on across care settings. More to come.

As the year comes to a close, we’re grateful for the clinicians, partners, and organizations working every day to ensure people’s wishes are known and honored. Wishing you a peaceful close to the holidays and a thoughtful start to the year ahead.

We’re excited to share our contribution to The Coalition to Transform Advanced Care (C-TAC) blog: Mission: Possible — Building Statewide Advance Care Planning Ecosystems. Advance care planning (ACP) holds tremendous value for patients, families, clinicians, and payers — yet too often, ACP documents sit in silos and aren’t accessible where and when they’re needed most. A statewide ecosystem approach helps break down those barriers by aligning policy, technology, and stakeholders to ensure documents like advance directives and POLST move with the patient across care settings. In this piece, we break down why: • ACP matters more than ever as reimbursement models and quality measures evolve • States are uniquely positioned to lead ecosystem-wide solutions • Interoperability and collaboration — not isolated efforts — unlock the promise of ACP 📖 Read the full article to learn how statewide coalitions, HIEs, providers, policymakers, and community partners can work together to make ACP actionable and accessible: 👉 thectac.org/asset/blog/mis… #AdvanceCarePlanning #HealthcareEcosystem #Interoperability #HealthPolicy #MyDirectives #CTAC

Digital tools alone don’t guarantee better advance care planning. Guided digital tools? That’s where real transformation happens. We’re proud to share a new guest blog from Jim Kraft, Ph.D., Founder & CEO of Advance Care Associates, that gets to the heart of what makes ACP truly effective: ✅ Human facilitation ✅ Digital accessibility ✅ Clinically actionable documentation Jim breaks down why self-guided ACP, while effective, can fall short—and how combining trained facilitators with secure digital platforms like MyDirectives for Clinicians leads to clearer wishes, better care alignment, and greater peace of mind for patients, families, and care teams. Advance Care Associates is a valued strategic partner to @MyDirectives, and this piece reflects the shared belief that ACP should be human first—and digitally enabled at scale. 📖 Read the full blog here: mydirectives.com/blog/from-chec… If your organization is focused on delivering goal-concordant care, this one’s worth your time. #AdvanceCarePlanning #DigitalHealth #PersonCenteredCare #HealthIT #ValueBasedCare #MyDirectives #FiveWishes #HealthcareInnovation #PatientVoice #CareTransformation

Did you know December is Universal Human Rights Month? It’s a reminder that dignity, autonomy, and self-determination shouldn’t disappear when someone enters the healthcare system. Too often, people reach a critical moment of care and their preferences aren’t accessible. Not because they didn’t have a voice, but because the system couldn’t hear it. Advance care planning is a human rights issue. Patients deserve to be known. Clinicians deserve clarity. Families deserve peace. That’s why more states are choosing MyDirectives to power statewide ACP ecosystems—so a person’s goals and medical preferences are documented, actionable, and available when and where they matter across EHRs, EMS, and virtually all care settings. When information moves, dignity moves with it. If your organization is preparing for 2026 requirements or modernizing how you support patient choice, we’d love to show what’s possible. Schedule a demo today at mydirectives.com/schedule-demo #HumanRightsMonth #AdvanceCarePlanning #HealthIT #Interoperability #StateHealth #PatientAutonomy #ValueBasedCare