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A|D Vault Proves Value-Based Healthcare Can Include a Person's Values

A|D Vault teams with industry innovation leaders to demonstrate interoperable exchange of a person’s medical treatment goals and preferences

Solves a significant obstacle for providers and payers in the global shift toward value-based payments

Industry Note: Scheduling appointments now for HIMSS17

Dallas, TX – Dallas, Texas-based ADVault, Inc., announced that it has used Direct Edge protocols and Health Level 7 International’s Fast Healthcare Interoperability Resources, or “FHIR,” to incorporate a person’s values, goals and preferences into the medical record.  This non-clinical consumer-generated data is key to helping payers and providers navigate the shift toward value-based payments.

Participating in the HL7 FHIR Connectathon 14, ADVault, its technical partners MaxMD and ZeOmega®, and HL7 CDA expert Lisa Nelson, showed how health insurance plans can locate this information through a personal advance care plan, and how healthcare providers can use these goals and preferences to support care planning and improve the quality of care. 

Personal advance care plans, sometimes referred to as emergency, critical and advance care plans, are consumer generated and updated responses to questions that can give meaningful insight into a person’s values, goals and preferences for medical care.  They can also tell medical personnel who is authorized to speak for a person in an emergency if that person cannot communicate.  ADVault uses the free-to-consumer and MyDirectives MOBILE platforms to help people create their own emergency, critical and advance care plans.

2015 HIMSS Physician IT Leadership Award winner Dr. Brian Yeaman said, “There is no understating the importance of this achievement.  As a doctor, I can finally know something about the person I’m trying to help.  It’s so obvious, and it’s amazing we haven’t been able to solve this before.  For all the buzz about ‘patient-centered healthcare,’ I’m excited to see we can finally deliver on that promise to put the patient’s goals at the center of care.”

ADVault and its partners used the technical and working group sessions to demonstrate how health insurance payers can advocate on behalf of their members by making sure providers know that a person’s advance care plan exists and where it can be found.  Payers who use ADVault’s platform do not get access to the content of a person’s decisions, just the digital address so they can help doctors locate that information in a crisis.  One such payer, Louisville, Kentucky-based health insurance industry leader Humana, Inc. (NYSE: HUM), with over 13 million members, announced its initial work with ADVault in early 2015 and subsequently announced its expanded use of the MyDirectives platforms to help certain members get their voices heard in case they have an emergency and cannot communicate.  Other payers are expected to follow suit.

During the HL7 FHIR event, ADVault created an advance care plan like those created by people every day at  Lisa Nelson and MaxMD then combined MaxMD-proprietary technology and Direct messaging to convert the document into FHIR Resources and post the information to servers.  Finally, ZeOmega used its Jiva™ population health management solution to show how a person’s specific goals and preferences can be located, extracted from the advance care plan, inserted into the medical record, and used to support clinical decision-making.

“Our industry is seeking solutions that drive consumer engagement and clinical value,” said Christina Caraballo, Senior Healthcare Strategist for Get Real Health and one of the inaugural recipients of the HIMSS Most Influential Women in Health IT Award.  “We are excited to see FHIR help drive this disruption, and we’re pleased that our business partner ADVault is at the forefront of this innovation.”

“There are almost 140 million emergency room visits every year.  Surrounded by chaos, doctors and nurses spend significant time and resources performing medical treatments, often without knowing what the patient really wants to achieve or avoid,” said team project leader and ADVault’s co-founder and President Scott Brown.  “With all the focus on healthcare reform and innovation, we wanted to show that a truly person-centered healthcare system can finally include the values and treatment goals for that person, even if there is a healthcare emergency and the patient can’t communicate.”

“We’re honored that ADVault selected MaxMD to work with them to prove Direct messaging can be interfaced to FHIR APIs to achieve interoperability and real-time access to non-clinical, consumer generated data,” said Scott Finlay, MaxMD’s co-founder, President and CEO.

“Bringing the voice of the patient into actionable care plans is an important step in the evolution of value-based care,” said Nandini Rangaswamy, Executive Vice President and Chief Strategy Officer at ZeOmega.  “We are optimistic that the work we have done with ADVault can be applied industry-wide. It will ensure that healthcare providers have a truly holistic patient view that includes the individual’s exact goals and preferences in times of critical decision making.”

Lisa Nelson added, “How can the healthcare system expect to provide ‘value-based care’ to patients when doctors and nurses don’t know what patients value?  We must educate people and help get their voice into the medical record so that doctors know what they want and don’t want.  MyDirectives is the best platform I’ve seen for recording a person’s wishes, and ADVault is the only company that has shown the ability to use health IT standards to get those wishes safely and securely into the medical record where they can be useful.”

ADVault co-founder and CEO Jeff Zucker said, “It’s time we move beyond just letting people view, download and transmit their medical records to other doctors.   This team effort showed we can now let them push their voice and views into their record so future doctors and nurses can understand their goals and treat them better.  The health insurance plans that pay for our healthcare and the doctors that treat us can truly help us most when they know who speaks for us and our goals of care.  Having confidence your voice can be found and heard is a much better way for people to live.”

Health IT leaders are asked to contact to schedule an appointment with ADVault at HIMSS17 (February 19-23, 2017 in Orlando, Florida.)


About ADVault, & MyDirectives MOBILETM

Dallas, Texas-based ADVault, Inc. is a privately held U.S. corporation dedicated to ensuring that emergency first responders, doctors, nurses and caregivers always have access to the most important voice in healthcare - yours.  ADVault is the leader in digital emergency, critical and advance care planning, and its MyDirectives® and MyDirectives MOBILE™ platforms are used today by people in all 50 states and in more than 40 foreign countries to create, update and share high-quality emergency, critical and advance care plans, giving them and their loved ones the assurance that their voices can be heard if they suffer a healthcare crisis and cannot communicate with doctors, nurses or other caregivers.  Through MyDirectives and MyDirectives MOBILE, ADVault helps consumers record their medical treatment wishes, preferences regarding palliative and hospice care, organ donation, and autopsy, and other critical personal information both on the device, and in the format, that is most convenient and comfortable for them.  ADVault then works with personal health record and electronic medical record vendors, as well as healthcare providers and payers, to make all of that information securely available on demand, whenever and wherever needed.  Additional information can be found at,, and, and by watching this TEDx Talk.

 About MaxMD

MaxMD is a leader in secure healthcare information technology and interoperability solutions. As one of the first companies in the country to achieve full accreditation through the Direct Trusted Agent Accreditation Program (DTAAP) developed by and the Electronic Healthcare Network Accreditation Commission (EHNAC), MaxMD operates as a Health Information Service Provider (HISP), Certificate Authority (CA) and Registration Authority (RA). DTAAP recognizes excellence in healthcare data processing and transactions, and ensures compliance with industry-established standards, HIPAA regulations, and the Direct Secure Messaging Protocol.  A respected contributor to numerous ONC and work groups, MaxMD has been at the forefront of establishing the national standards for Direct since 2010. MaxMD is the preferred HISP to the Rhode Island Quality Institute (RIQI), the Pennsylvania eHealth Partnership Authority, and the Tennessee Regional Extension Center (tnREC). MaxMD is also the sole HISP provider to the Regional Extension Center of New Jersey (NJHITEC), and is certified as a state Health Data Intermediary (HDI) by the Minnesota Department of Health.  Additional information can be found at and

 About ZeOmega

Jiva™, the HIE-enabled and powerful population health platform from ZeOmega, delivers high-value, strategic solutions enabling payers and care-delivery organizations to improve individual health and provider performance. With deep domain expertise and a comprehensive understanding of complex population health challenges, ZeOmega serves as a true partner for clients, offering flexible deployment and delivery models that leverage an innovative platform designed to integrate workflow, analytics, content, and communication capabilities. By consistently meeting customer expectations and project benchmarks, ZeOmega has earned a reputation for responsiveness and reliability. For more information, visit or call 214-618-9880. Follow ZeOmega on TwitterLinkedIn, and Facebook.

 About Lisa Nelson and Janie Appleseed

Lisa Nelson is the Principal Consultant at Life Over Time Solutions, LLC.  Lisa has over 20 years of experience in HIT strategy, support, and systems consulting.  She was the primary author for the C-CDA Patient Generated Document Header template.  She is the principal author for the HL7 Personal Advance Care Plan Document standard.  She is the creator of the “containerized” Care Plan Document design and is working closely with industry leaders and HL7 to test and evolve the Care Plan Document standards.  She also provided the technical leadership and support on the recent Care Plan proof-of-concept project sponsored by BlueCross BlueShield Association.  Lisa is an active member of the HL7 Structured Documents, Patient Care and Templates Groups.  She also is active in Integrating the Healthcare Enterprise (IHE) Quality, Research, and Public Health Domain, where she is the primary author of the Early Hearing Detection and Intervention family of profiles which includes specifications for a Hearing Plan of Care.  Lisa is also the founder of the Janie Appleseed Network, a non-profit organization that provides education and services to grow 21st century health literacy skills by cultivating adoption of consumer-controlled personal health records.  Janie Appleseed is building a community of consumers interested in using health information technology (HIT) to improve their lives and the lives of others.