Electronic Advance Directives

Advance care planning is a widely recognized way to support patient self-determination, facilitate decision making, and promote better care at the end of life (AMA). Regardless of health status, everyone over the age of 18 is encouraged to think about and document their values and treatment preferences to guide future medical decisions about their care. This includes appointing a health care agent. Refer to the information sheet provided by the Maryland Health Care Commission for an overview of the advance care planning process and options for creating an electronic advance directive. Electronic Advance Directives Information Sheet is available in two options. Both options contain the same content; the only difference is how they are formatted.

• Option 1 (color)
• Option 1 (black & white)
• Option 2 (color)
• Option 2 (black & white)

Pursuant to Maryland regulations (COMAR § 10.25.19), the Maryland Health Care Commission maintains rigorous criteria, including privacy and security standards, for recognizing advance directive services that are authorized to connect to CRISP, the Maryland-designated Health Information Exchange.  Currently, the following services have been recognized by the Maryland Health Care Commission and vetted through its criteria (COMAR 10.25.19).

• MyDirectives.com

By clicking on the above link, you are being routed to a state-recognized electronic advanced directive service that may share your advance directive with the state-designated Health Information Exchange.

With the support of Maryland Department of Health (MDH), CRISP has built a new infrastructure to consume and display Advance Care Plan (ACP) documents currently stored in a participant’s electronic health record. Through this partnership, CRISP aims to ease the administrative burden for providers sharing ACP documents by supporting patient directive documentation within the existing clinical workflow.

Implementing a direct interface between CRISP and your facility, your EHR will send out in real time any provider led, or patient completed ACP document uploaded or completed to CRISP. CRISP will seamlessly pass the uploaded documents via API to MyDirectives, where they will manage and store all copies. After a user query in the CRISP Portal or InContext, MyDirectives will send the most current form on file to CRISP to display in the clinical viewer.

For more information about this new Advance Care Planning process, view our Advance Care Planning One Pager by clicking here.