Expansion adds advance care planning document insertion, broader clinician access, and EHR-integrated workflows to existing District infrastructure

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DC EXPANDS MYDIRECTIVES PARTNERSHIP TO ROLL OUT DISTRICT-WIDE ADVANCE CARE PLANNING ECOSYSTEM

Expansion adds advance care planning document insertion, broader clinician access, and EHR-integrated workflows to existing District infrastructure

MyDirectives, the nation’s leader in digital advance care planning (ACP) solutions, and CRISP DC, the District of Columbia’s designated Health Information Exchange and Health Data Utility, today announced an expanded partnership to deploy a comprehensive, district-wide ACP ecosystem.

For several years, CRISP DC has used the A|D Vault Exchange™ ACP Document Query and Retrieve API to give authorized healthcare professionals access to ACP documents stored in MyDirectives’ nationwide registry. CRISP DC has also made MyDirectives for Clinicians™ available through its provider portal, enabling credentialed clinicians to conduct guided ACP discussions and create documents for their patients.

The expanded partnership builds on that foundation by connecting additional capabilities needed to create, contribute, find, and use ACP documents across healthcare and community settings.

“People deserve to have their care preferences respected, regardless of where they receive care,” said Stephanie Brown, MPH, ML, President & Executive Director of CRISP DC. “By expanding our partnership with MyDirectives, we are making advance care planning information more accessible across the District and integrating it into the workflows healthcare professionals already use. This helps ensure critical decisions are informed by what matters most to each individual.”

The district-wide ecosystem will include:

• Continued secure, real-time query and retrieval of ACP documents through the A|D Vault Exchange.
• The ACP Document Insertion API, enabling authorized healthcare organizations to move documents out of siloed systems and make them available through the broader exchange.
• Continued access to MyDirectives for Clinicians through the CRISP DC provider portal and EHR embedded application

Together, these capabilities will support hospitals, physician practices, emergency medical services, skilled nursing and post-acute care organizations, hospice and palliative care providers, home health organizations, community health workers, and other participants across the District’s care continuum.

“CRISP DC recognizes that a successful ACP ecosystem requires more than access to a registry or a standalone application,” said Scott Brown, Chief Executive Officer of MyDirectives. “Healthcare professionals need to be able to create, upload, find, and use these documents in real time within their normal workflows. By bringing those elements together, CRISP DC is treating ACP as healthcare infrastructure, embedded into the District’s care delivery system rather than bolted on. That’s going to improve outcomes for patients seeking medical treatment in the District and reduce the costs associated with high-quality care.”

CRISP DC operates as an independent, District-governed organization with its own strategy, and operations, while leveraging technology and shared services provided by CRISP Shared Services as a trusted vendor partner. This model allows CRISP DC to maintain local control and accountability while benefiting from proven infrastructure, economies of scale, and implementation expertise. It also demonstrates how organizations can efficiently expand Advance Care Planning (ACP) capabilities by building on existing HIE technology investments without compromising local governance or organizational independence.

The expanded ecosystem is intended to make advance directives, portable medical orders, and other ACP documents more accessible across organizational and technology boundaries. That access can help care teams make informed decisions, support patient safety, reduce uncertainty for families and healthcare agents, and improve alignment between care delivery and each individual’s documented goals of care and treatment preferences.

Implementation of the expanded capabilities is expected to begin in November 2026.

About MyDirectives

MyDirectives is the premier provider of digital advance care planning (ACP) solutions and highly secure, cloud-based storage that makes ACP documents available across the healthcare continuum. Through its free platform at MyDirectives.care, individuals can create and update an advance directive, upload existing ACP documents, including POLST forms and mental health advance directives, and securely share them with family members and care teams. MyDirectives for Clinicians™ supports guided ACP discussions and document creation within clinical workflows, while the A|D Vault Exchange™ registry enables the secure query, retrieval, and insertion of ACP documents nationwide. MyDirectives processes more than 5 million secure ACP document queries each week, reaches more than 90% of the U.S. healthcare ecosystem, and is HITRUST R2 and SOC 2 Type II certified. To learn more, follow MyDirectives on LinkedIn, X, and Facebook, or visit www.mydirectives.com.

About CRISP DC

CRISP DC serves as the District of Columbia’s designated Health Information Exchange and Health Data Utility. As a nonprofit organization, CRISP DC facilitates the secure, real-time exchange of health information across the continuum of care, including physicians’ offices, hospitals, laboratories, radiology centers, community-based organizations, and other healthcare providers. CRISP DC operates as an independent, District-governed entity and is affiliated with CRISP Shared Services, allowing participating regions to share technology, costs, and best practices. Learn more at crispdc.org.

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“People deserve to have their care preferences respected, regardless of where they receive care,” said Stephanie Brown, MPH, ML, President & Executive Director of CRISP DC.