About
MyDirectives is a digital advance care planning (ACP) platform designed to make the creation, storage, and sharing of advance directives, POLST forms, and end-of-life care documents simple and accessible for all stakeholders. The platform serves a broad ecosystem—from individual consumers planning ahead to large healthcare systems, Medicare Advantage payers, home health and hospice agencies, skilled nursing facilities, and community organizations. At its core, the A|D Vault Exchange is a secure, cloud-based nationwide infrastructure processing over 5 million queries per week across all 50 U.S. states, enabling authorized providers to instantly locate and honor patient wishes at the point of care. MyDirectives for Clinicians™ equips care teams with tools to guide compassionate conversations and integrate patient preferences directly into clinical decision-making workflows. For payers, the platform delivers robust reporting and analytics to support CMS regulatory compliance, quality measure achievement, and Medicare Advantage Star Rating improvements. Individuals can create, upload, update, and share their advance care plan entirely for free through an intuitive web interface. MyDirectives also supports statewide ACP ecosystem development, helping health information exchanges, accountable care organizations, and community partners build coordinated, community-wide ACP initiatives. With a patient Net Promoter Score of 77, the platform is trusted by patients, families, clinicians, and enterprise health organizations alike.
Key Features
- Digital ACP Document Creation: Individuals can create advance directives, POLST forms, and other care planning documents online for free, or upload existing documents to manage and keep updated anytime.
- A|D Vault Exchange: A secure, nationwide digital exchange processing over 5 million queries per week, enabling authorized healthcare providers across all 50 U.S. states to instantly locate and honor patient wishes.
- MyDirectives for Clinicians™: Purpose-built clinical tools that help care teams navigate sensitive conversations and integrate patient treatment preferences into real-time clinical decision-making.
- Reports & Analytics: Data-driven insights for payers and providers to track ACP performance, achieve quality measures, and meet CMS regulatory compliance and reporting requirements.
- Statewide ACP Ecosystems: Infrastructure and tools to build coordinated, community-wide advance care planning initiatives across health systems, ACOs, HIEs, and state-level community partners.
Use Cases
- Individuals creating and securely storing advance directives and POLST forms for free, keeping wishes updated and shareable with family and care teams
- Healthcare providers accessing real-time patient ACP documents through the A|D Vault Exchange to guide clinical decisions at the point of care
- Medicare Advantage and D-SNP plans improving Star Ratings and achieving CMS quality measures through integrated ACP tracking, analytics, and member engagement
- Hospital systems and health networks building systemwide advance care planning programs with clinician-facing tools, workflows, and performance reporting
- Community organizations, advocacy groups, and health information exchanges offering digital, customizable ACP tools to their local populations as part of statewide ACP ecosystems
Pros
- Free for Individuals: Anyone can create an account and manage their full advance care plan at no cost, significantly lowering barriers to end-of-life planning.
- Nationwide Reach at Scale: Covers all 50 U.S. states with over 5 million secure A|D Vault Exchange queries processed per week, ensuring documents are accessible wherever care is delivered.
- High Patient Satisfaction: A patient Net Promoter Score of 77 reflects strong trust and satisfaction, well above typical healthcare software benchmarks.
- Multi-Stakeholder Solutions: Tailored tools for individuals, clinicians, payers, ACOs, hospices, and community organizations make it a true end-to-end ACP ecosystem.
Cons
- Healthcare-Specific Use Case: MyDirectives is purpose-built for advance care planning and is not suitable as a general-purpose document management or productivity tool.
- Enterprise Pricing Not Transparent: Pricing for healthcare organizations, payers, and enterprise users is not publicly listed and requires direct engagement with the sales team.
- U.S.-Focused Compliance Framework: The platform is designed around U.S. healthcare regulations, POLST forms, and CMS requirements, limiting applicability for international users or non-U.S. healthcare systems.
Frequently Asked Questions
Is MyDirectives free to use?
Yes, MyDirectives is completely free for individuals. Anyone can create a free account to create, upload, manage, and share their advance care planning documents at no cost.
What types of documents can I store on MyDirectives?
You can store advance directives, POLST (Physician Orders for Life-Sustaining Treatment) forms, living wills, healthcare proxies, and other end-of-life and chronic care planning documents.
How does the A|D Vault Exchange work?
The A|D Vault Exchange is a secure, cloud-based nationwide network that processes over 5 million queries per week. It allows authorized healthcare providers to query and retrieve a patient's ACP documents in real time, ensuring treatment preferences guide care wherever it is delivered.
Who can access my advance directives?
You control access to your documents. You can share them with loved ones and care teams directly. Authorized healthcare providers within the MyDirectives network can also query the A|D Vault Exchange to locate your documents when needed.
How does MyDirectives support Medicare Advantage plans?
MyDirectives provides payers with a comprehensive ACP solution that supports quality measure achievement, CMS regulatory compliance reporting, and Medicare Advantage Star Rating improvements by enabling systematic tracking and analysis of ACP engagement across their member populations.
