MEANINGFUL USE, ADVANCE CARE PLANNING, AND ADiE
MU 2 Final Rule
Care Planning- Advance Directive
Measure: More than 50 percent of all unique patients 65 years old or older admitted to the eligible hospital or CAH’s inpatient department (POS21) during the EHR reporting period have an indication of an advance directive status recorded as structured data.
M U 3 Objective
- Record whether a patient 65 years old or older has an advance directive
- Threshold: Medium
- Certification Criteria: CEHRT has the functionality to store the document in the record and/ or include more information about the document (e.g., link to document or instructions regarding where to find the document or where to find more information about it).
The Meaningful Use program has been a key driver for standardizing the way we exchange health information between healthcare providers. Advance care planning (ACP) documents like Advance Directives, POLST, and other similar forms are a critical piece of that information. Current EHR technology offer the capability to record the presence or absence of an Advance Directives, ADiE strives to deliver the content of that Advance Directive as well.
The content and specifics of an Advance Directive constitute the essential patient preference information that is necessary for providers to act according to their patients’ care wishes. ADiE can assist providers to access instructions for finding the most recent version of a patient’s advance directive through a link in the EHR or to the document itself.
ADiE expands the ability to capture ACP information for all patients, not just those ages 65 and older. This benefit should be available to all adults as unexpected catastrophic end-of-life incidents can happen at any age and without warning, yet most EHRs do not have a function for recording the advance directive status. Some of the EHR systems, including those from major vendors, provide no particular implementation to meet these Meaningful Use objectives.
ADiE goes beyond meeting the Advance Directive objectives of the Meaningful use program by creating an ecosystem that enables ACP document sharing in real time.