End of Life Planning - Directives by Design

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Quirk Healthcare Consulting Presentation

“Today’s high-tech medical care can sustain technical life — the beating heart — but utterly fails to restore real quality of life for many. There comes a point when physicians can prolong dying, but not provide quality living.” Dr. Jeff Gordon, Grant Medical Center, Columbus, Ohio

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Brief Introduction• Founder

Directives by Design, LLC

• Author:My Voice, My Choice: A Practical Guide toWriting a MeaningfulHealthcare Directive

• Motivational Speaker:Plan Well Finish Well

• Blogger: AnneElizabethDenny.com

• Daughter:Mom lived with Alzheimer’s for 20 years

Anne Elizabeth Denny

The healthcare industry has an opportunity and responsibilityto help people prepare for the end-of-life journey.

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Advance Care Planning / Healthcare Directive

Advance care planning is the process of exploring and communicating future healthcare preferences, typically resulting in a healthcare directive.

78 million baby boomers

Why planning for end-of-life healthcare decisions matters.


70 % die from chronic disease


33% of seniors die with dementia


50% need a healthcare decision-maker

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Current End-of-life Healthcare Challenges

• Undesired and ineffective care => Cost burden

• Lack of instructions => Default ICU care

• Family dynamics => Fear of litigation

• Form filling => Insufficient support to decision-makers

• Medical technology genie => Wrong expectations

• ACP not reimbursed => Perceived value

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Change is possible

① Effective

② Accessible

③ Valued

What if we—healthcare systems, plans, employers—made healthcare directives MORE:

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Effective Healthcare Directives

① Ensure the patient’s wishes can be honored.

② What makes it effective?

> 5 Essential Strategies <

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Accessible Healthcare Directives

① Available writing tool for everyone

② Visible to clinicians via EHR/EMR

③ Retrievable by healthcare agents / loved ones

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Valued Healthcare Directives

① Reimbursed by insurance

② Part of Meaningful Use

③ What if required prior to surgery?

④ What if required for Medicare application?

⑤ What if required by Primary Care?

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Introducing Directives by Design

• Our vision: One day, every adult in the United States will participate in advance care planning.• Our mission: Promote each individual’s right

and responsibility to prepare for the dying process so his or her wishes can be honored. • Our purpose: To offer a new generation of

advance care planning tools to ensure every adult can write and communicate a meaningful healthcare directive.

Visit DirectivesbyDesign.com

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Directives by Design Business Model

• Private label software –> integrated into your platform/portal• Software license agreement> Price negotiated> Code delivered

• Services available:> Assist with integration> Customize content> Build custom web service to EHR

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Benefits to Your Organization

• Effective directives offered with your branding through your portal

• Strengthening the clinician – patient relationship (stickiness)

• Improved patient / family satisfaction

• Fast implementation and integration

• Link to EMR/EHR via web service

• End-of-life cost management

• Customizable content

• Reduced risk of litigation

• No long term Saas contract

• Potential revenue stream as a value-added service and reimbursement

• Market differentiator

DirectivesByDesign.com | [email protected] | 651-334-7880

Contact founder Anne Denny for a software demo.

mailto:[email protected]