ACP Conversations Made Simple, Accessible, and Measurable.

There’s no entity more well-positioned to put the patient voice at the center of care with advance care planning discussions than healthcare providers and payers. 

ACP conversations with patients and members not only uncover opportunities to avoid duplicate tests, unwanted or unnecessary treatments, and costly procedures, they can also provide vital insights to help innovative leaders better coordinate care and reduce costs across the entire healthcare ecosystem. 

Explore what's now possible with ADVault's entire suite of ACP solutions.

Medicare Advantage Plan Organizations
Home Health and Hospice Care Agencies
Skilled Nursing and Hospice Care Institutions
Chronic Care Management Companies
Accountable Care Organizations
Hospital and Healthcare Systems
Hospice and Palliatve Care
Medical Practices
Healthcare Patients and Members
Community Partners
Health Information Exchange

What are the 3 key advance care planning program components?

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.

1. Documenting

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

2. Storing

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.

3. Reporting

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.

The impact speaks for itself.

Just read what the experts are saying about our end-to-end advance care planning solution suite.

"Groundbreaking. Not only is ADVault leveraging Kno2’s technology to exchange ACP documents and POLST/MOLST forms across all points of care, but they are providing their MyDirectives for Clinicians™ tool to post-acute care providers using certified or Kno2 Connected EHRs for a fraction of the normal cost."

"ADVault's solutions build a bridge between hospital systems, home health and hospice agencies, skilled nursing facilities, and palliative and long-term care organizations allowing patient voices to be heard and placed at the forefront of healthcare decisions."

"ADVault has contributed significant thought-leadership for the development of standards that enable the exchange of advance directive information. Its longstanding commitment and clear leadership have accelerated the creation and use of standards that make interoperability possible for the critically important category of healthcare information known collectively as advance directives."

" and MyDirectives for Clinicians are the most consumer and provider friendly tools for creating and retrieving personalized healthcare directives."

Therasa Bell, Kno2 President and CTO
Mary Lynne Wright, President at Madison Hospital
Lisa R. Nelson, MS, MBA
Dr. Robert Fine, Director, Clinical Ethics and Palliative Care, Baylor Scott & White Health

Why is advance care planning important for healthcare payers and providers?

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.

Healthcare Payer Plans

What are the CMS advance care planning requirements for healthcare payers?

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

  1. Reach all members/enrollees and ensure a timely offering of ACP
  2. Track and measure strategy effectiveness
  3. Engage network providers in ACP 

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.

Healthcare Provider MIPS

What are the CMS advance care planning requirements for healthcare providers?

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:

  1. An advance care plan documented in their medical record, or
  2. Documented the designation of a surrogate decision-maker, or
  3. Noted in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision-maker or provide an advance care plan.

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.


Patients and Members

What is HEDIS® advance care planning requirement for healthcare payers and providers?

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).

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