September 24, 2014

Samantha Friedman, West End Strategy Team
Office: 202-776-7700; Cell: 202-215-9260;


Digital Advance Directives Leader Applauds Institute of Medicine Report

Hopes report will usher in new era of consumer-driven advance care planning


DALLAS – MyDirectives, the award-winning, digital advance medical directive service, responded to the Institute of Medicine report, “Dying in America: Improving Quality and Honoring Individual Preferences Near the End of Life,” released last week. Jeff Zucker, CEO of MyDirectives, said the following:

“MyDirectives applauds the Institute of Medicine and the leadership team of this report for traveling the country to research today’s healthcare challenges and to understand best practices to help address the issues. The report is correct in concluding that to see a major improvement in the way care is delivered, we need more, not less, advance care planning. 

Our own research, as well as firsthand consumer and provider feedback, shows we will see increased use of advance care planning if we:

  • Demand quality standards, so consumers have options and are not limited in their ability to express themselves
  • Incentivize to encourage both consumer adoption as well as provider retrieval and use of advance directives
  • Acknowledge that all citizens 18 and over, regardless of their age or health condition, deserve the chance to have their voices heard and should be encouraged to create and maintain directives. People in car accidents and tornado victims want and need their voices to be heard just as much as our frail and elderly. It is time we stop narrowly targeting the need for advance care planning; after all, there’s a reason it’s intended to be dealt with in “advance.”

We are pleased that many of the IOM recommendations are reflected in bipartisan legislation (S. 2240) that was introduced by Senator (and Dr.) Tom Coburn (R-Okla.) and Senator Chris Coons (D-Del.) in April of this year. The bill embraces the concept of incentivizing individuals to create detailed, high-quality advance care plans. The bill would help reach several of the report’s goals in regards to transparency, accountability, interdisciplinary teamwork, and shared decision-making between individuals and their providers in regards to the implementation of care.  

MyDirectives was founded upon the notion that educating consumers and encouraging the widespread use of advance care plans among all adults of all ages – in the form of high-quality digital advance medical directives – will streamline the flow of information across all care settings. Education and widespread use also will ensure that individuals’ wishes are fully accessible to providers when, and if, needed.                       

MyDirectives applauds the IOM’s recommendation to require the use of interoperable electronic health records (EHRs) that incorporate advance care planning and ensure they are kept up to date. In fact, it’s exactly what our platform allows. In this way, medical care will remain consistent with an individual’s choices, and as circumstances evolve, people can update their plans at any time.” is a free-to-consumer digital service that allows people to record their treatment and care choices to ensure that, in a crisis, clinicians are not treating a stranger. MyDirectives also lets users express their values and goals for treatment, and it ensures family and friends do not have to guess what care a person would or would not want, or carry guilt associated with making those decisions in a crisis. Healthcare industry providers and payers fund the MyDirectives service so that doctors can have real-time access to a person’s legal, actionable care plan. Users can grant permission to view, not edit, their directive to those family and friends they wish. They can rescind that permission at any time, and they can see a viewing history to know which doctors have seen their care plan. 

MyDirectives’ global system has users throughout the USA, the UK and in more than 20 other countries. The secure platform also allows users to upload video messages, documents, photos and music in order to have confidence their personal voice is heard and understood.



MyDirectives®, a service of Dallas, Texas-based A|D Vault, Inc., is the first completely digital advance directive that is secure, legal, easy to understand and free to consumers. has been recognized by the U.S. Department of Health and Human Services for becoming one of the first small businesses to reach full Blue Button® compatibility, which allows individuals to easily, quickly and securely download their electronic healthcare records. MyDirectives is also the first advance care platform to receive meaningful use certification from HHS so that hospitals may be eligible for incentive payments from Medicare and Medicaid under the American Recovery and Reinvestment Act when using this technology. MyDirectives’ Universal Advance Digital Directive (uADD)™ is the first all-digital directive to be used worldwide. The uADD simplifies more than 200 legalistic forms throughout the world and offers users the chance to include audio and video messages designed to create a superior advance care plan.

MyDirectives can also be found on Facebook at and Twitter at