Documenting, Storing and Reporting. ADVault is the only company that truly supports all three.
Truth is, you can't reap the rewards of value-based care without an ACP program that can ensure your physicians, social workers, case managers, and community partners have the right tools to facilitate advance care planning discussions, upload existing ACP documents and portable medical orders, securely store and retrieve documents when needed, as well as report on ACP performance.
Healthcare delivery continues to evolve, and so must the tools to support it. ADVault MyDirectives for Clinicians and consumer-facing MyDirectives solutions can run on any device to conduct conversations and upload existing documents almost anywhere. In the field or from the office, face to face or via telehealth with no major integration.
It’s not enough to just conduct and document advance care planning (ACP) discussions. It has to be securely stored in an electronic database such as ADVault ExchangeTM where it’s always available to care teams when and where it matters most.
You’ll also need to query and retrieve advance directive information the EHR, which you can with MyDirectives Enterprise.
MyDirectives Reports & Analytics tools provide all the performance data you need to track your time and measure your ACP program’s performance and effectiveness. What's more, every ACP interaction is automatically logged so you can show regulators that you’re in compliance.
Momentum for advance care planning in value-based care models has been building since 2016 and is accelerating quickly with new CMMI and CMS mandates.
VBID Plans | Medicare Advantage Organizations | DSNPs and ISNPs
As part of CMMI’s Wellness and Health Planning (WHP) requirements, plans must offer and provide an evidenced based strategy as to how payers will
Further, Medicare Advantage Organizations (MAOs) MUST have policies and procedures in place and measurably advise members about their rights for treatment decisions and creating ACP documents like advance directives, as well as provide community education on the topic.
Medical Practice | Accountable Care Organizations
CMS consolidated its legacy quality programs for fee-for-service providers under the Merit-Based Incentive Payment System (MIPS). System components incorporate quality, cost, interoperability, and new improvement activity components.
MIPS Measure #047 Advance Care Plan allows eligible clinicians to submit performance data on the percentage of patients aged 65 years and older who have:
This measure may be employed in all healthcare settings including inpatient, nursing home, and ambulatory. Further, conversations conducted via telehealth are also eligible for inclusion in MIPS.
Patient and Member Quality
Healthcare Effectiveness Data and Information Set (HEDIS®) Care for Older Adults Measures requires reporting on the percentage of Medicare members who have had ACP discussions during the measurement year.
Broader strategies to comply with all the CMS healthcare payer and provider ACP requirements include infrastructure investments in digital platforms to support ACP. Importantly, technology investment may be eligible for inclusion in the healthcare payer Medical Loss Ratio (MLR).