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.
“Advance care planning is most effective when it is integrated into the systems and workflows healthcare professionals already use,” said Stephanie Brown Reichert, MPH, ML, President & Executive Director of CRISP DC. “By expanding our work with MyDirectives, we are making it easier for clinicians and community-based professionals to contribute documents, find the information they need, and help ensure each person’s goals of care and treatment preferences are available across the District. That’s a high-value service we’re bringing to our healthcare organization participants.”
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, along with standalone access for authorized organizations and professionals.
- EHR-integrated MyDirectives for Clinicians workflows that allow care teams to guide advance care planning discussions and create or upload advance directives and other ACP documents within the EHR platforms they use every day.
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.”
Because CRISP DC licenses part of its technology infrastructure from CRISP Shared Services, many of the core technical integrations supporting the expanded ecosystem are already in place. CRISP DC can build on its existing query and retrieval capabilities, provider portal integration, and shared technology infrastructure, helping reduce upfront deployment costs and accelerate implementation and adoption.
“CRISP DC is demonstrating what health information organizations can accomplish by building on the CRISP Shared Services infrastructure they already use,” said Craig Behm, President and CEO of CRISP Shared Services. “With much of the core technology and integration work already in place, other organizations using CRISP Shared Services infrastructure can replicate this model with lower upfront costs and a faster path to market. That creates greater value for their participants, strengthens advance care planning across their communities, and offers a sustainable new source of revenue.”
CRISP DC operates as an independent, District-governed organization while benefiting from the technology, shared costs, and best practices available through the CRISP Shared Services affiliation. The approach also demonstrates how other organizations using shared HIE infrastructure can build on existing investments to expand ACP capabilities more efficiently.
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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