Oregon POLST Registry Now Accessible Nationwide Through MyDirectives’ A|D Vault Exchange via Carequality and eHealth Exchange

Audio By Carbonatix

DALLAS & PORTLAND, Ore.--(BUSINESS WIRE)--Dec 2, 2025--

HIT Commons, the Oregon POLST Registry, and MyDirectives today announced a major interoperability milestone. For the first time, validated Oregon POLST forms are available nationwide through Carequality and eHealth Exchange, and can be retrieved directly within participating EHR workflows.

This achievement was made possible through collaborations with St. Charles Health System, the first in Oregon to activate POLST retrieval using Epic’s Care Everywhere and MyDirectives’ HITRUST-certified A|D Vault Exchange.

POLST forms are portable medical orders that document a patient’s treatment preferences during medical emergencies, such as resuscitation instructions, when they may not be able to communicate their wishes. Oregon is one of the few states with a mandated-reporting POLST system, and its registry serves as the authoritative source for the most current, validated version of each form.

“Even the best advance care planning documents or POLST forms have limited value if they can’t be found in the critical moment,” said Scott Brown, President and CEO of MyDirectives. “With this connection, Oregon’s POLST Registry documents are now available across the country, in real time, giving clinicians and first responders the information they need to provide medical order-concordant care.”

Abby Dotson, Ph.D., Director of the Oregon POLST Registry, said this initiative reflects Oregon’s long-standing commitment to strengthening and modernizing POLST access. “Oregon has long set the national standard for rigorous, trusted POLST programs,” said Dotson. “Our registry is only as powerful as its ability to be used, and this interoperability helps ensure care teams can access the most current, validated POLST for a patient whenever it’s needed.”

The effort builds on MyDirectives’ long-standing role as a Responder Organization on the eHealth Exchange. The network supports secure, nationwide data exchange among thousands of healthcare organizations and manages more than a million weekly queries to MyDirectives’ A|D Vault Exchange.

“You can have the best healthcare data in the world, but if providers can’t access it when and where it’s needed, it doesn’t improve care,” said Jay Nakashima, CEO of eHealth Exchange. “This initiative exemplifies why Carequality and eHealth Exchange exist: to ensure that vital information—like POLST—is available across disparate systems to improve care delivery and honor patient wishes.”

Justin Keller, Director of HIT Commons in Oregon, said the milestone underscores the importance of breaking down silos between registries, health systems, and frontline responders. “We asked emergency department providers what information was critical to their work and they still asked for POLST despite previous efforts to connect,” said Keller. “By enabling real-time interoperability through trusted frameworks and taking advantage of the nation’s first mandatory registry for POLST, we’re bringing medical orders directly into providers’ workflow in their EHR, as if the POLST was native to their system. That’s how technology improves outcomes.”

The Oregon initiative is one of the first in the nation to demonstrate how a state-level POLST registry can integrate seamlessly with national interoperability frameworks, providing a scalable model for other states seeking to modernize access to POLST and advance care planning documents.

About MyDirectives

MyDirectives is the premier provider of digital advance care planning (ACP) solutions and highly secure, cloud-based storage for anytime, anywhere access across the healthcare continuum. Our free online tool allows individuals to create ACP documents in their own words or upload existing ACP documents, portable medical orders (POLST), or mental health advance directives (MHADs) in a secure, online repository available nationwide. MyDirectives for Clinicians enables care team members to lead guided ACP discussions with their patients. With MyDirectives, payers and providers can track business insights, quality measure achievement, and CMS regulatory compliance reporting integration, while hospital and healthcare systems can easily access a patient's ACP documents, POLST forms, or MHADs through their EHR. To learn more, follow MyDirectives on LinkedIn, X, and Facebook, or visit www.mydirectives.com.

About HIT Commons

HIT Commons is Oregon's public-private partnership for health IT, supported by the Oregon Health Leadership Council and OHA's Office of Health IT. We make community investments in Health IT as a public good. HIT Commons was formed in 2017 after successfully implementing the Emergency Department Information Exchange (EDIE) statewide. We have a 17-member representative board that reflects the complexity of Oregon's healthcare system and in addition to supporting foundational infrastructure like EDIE/PointClickCare and the Prescription Drug Monitoring Program, we also facilitate new and meaningful connections like the Oregon POLST Registry and Carequality.

About Oregon POLST

Oregon has served as The Founding POLST Program since the early 1990s. The Oregon POLST Registry (OPR) began in response to a need expressed by Emergency Medical Services (EMS) to access POLST orders when they arrived on the scene of a medical emergency and could not immediately locate the original POLST form. Over the 15 years of operation, the Registry has evolved from a POLST form repository to a technologically advanced platform and service. OPR continues to expand efforts around technology development, implementation, technical support, and quality reporting.

View source version on businesswire.com:https://www.businesswire.com/news/home/20251202578850/en/

CONTACT: Media ContactsFor MyDirectives:

Ron Wozny

SVP, Marketing & Business Development

[email protected] HIT Commons:

Justin Keller

Director of HIT Commons in Oregon

[email protected]

KEYWORD: TEXAS OREGON UNITED STATES NORTH AMERICA

INDUSTRY KEYWORD: HEALTH HOSPITALS HEALTH TECHNOLOGY PRACTICE MANAGEMENT OTHER HEALTH GENERAL HEALTH

SOURCE: MyDirectives

Copyright Business Wire 2025.

PUB: 12/02/2025 10:32 AM/DISC: 12/02/2025 10:32 AM

http://www.businesswire.com/news/home/20251202578850/en