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1 
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
2 
Brief Introduction 
• Founder 
Directives by Design, LLC 
• Author: 
My Voice, My Choice: 
A Practical Guide to 
Writing a Meaningful 
Healthcare 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 responsibility 
to help people prepare for the end-of-life journey.
4 
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 
Why planning for end-of-life healthcare decisions matters.
33% of seniors die with dementia 
Why planning for end-of-life healthcare decisions matters.
50% need a healthcare decision-maker 
Why planning for end-of-life healthcare decisions matters.
9 
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
10 
Change is possible 
What if we—healthcare systems, plans, employers— 
made healthcare directives MORE: 
① Effective 
② Accessible 
③ Valued
11 
Effective Healthcare Directives 
① Ensure the patient’s wishes can be honored. 
② What makes it effective? 
> 5 Essential Strategies <
13 
Accessible Healthcare Directives 
① Available writing tool for everyone 
② Visible to clinicians via EHR/EMR 
③ Retrievable by healthcare agents / loved ones
16 
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?
17 
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
19 
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
20 
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
Contact founder Anne Denny for a software demo. 
DirectivesByDesign.com | adenny@directivesbydesign.com | 651-334-7880

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End of Life Planning - Directives by Design

  • 1. 1 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
  • 2. 2 Brief Introduction • Founder Directives by Design, LLC • Author: My Voice, My Choice: A Practical Guide to Writing a Meaningful Healthcare Directive • Motivational Speaker: Plan Well Finish Well • Blogger: AnneElizabethDenny.com • Daughter: Mom lived with Alzheimer’s for 20 years Anne Elizabeth Denny
  • 3. The healthcare industry has an opportunity and responsibility to help people prepare for the end-of-life journey.
  • 4. 4 Advance Care Planning / Healthcare Directive Advance care planning is the process of exploring and communicating future healthcare preferences, typically resulting in a healthcare directive.
  • 5. 78 million baby boomers Why planning for end-of-life healthcare decisions matters.
  • 6. 70 % die from chronic disease Why planning for end-of-life healthcare decisions matters.
  • 7. 33% of seniors die with dementia Why planning for end-of-life healthcare decisions matters.
  • 8. 50% need a healthcare decision-maker Why planning for end-of-life healthcare decisions matters.
  • 9. 9 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
  • 10. 10 Change is possible What if we—healthcare systems, plans, employers— made healthcare directives MORE: ① Effective ② Accessible ③ Valued
  • 11. 11 Effective Healthcare Directives ① Ensure the patient’s wishes can be honored. ② What makes it effective? > 5 Essential Strategies <
  • 12.
  • 13. 13 Accessible Healthcare Directives ① Available writing tool for everyone ② Visible to clinicians via EHR/EMR ③ Retrievable by healthcare agents / loved ones
  • 14.
  • 15.
  • 16. 16 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?
  • 17. 17 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.
  • 19. 19 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
  • 20. 20 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
  • 21. Contact founder Anne Denny for a software demo. DirectivesByDesign.com | adenny@directivesbydesign.com | 651-334-7880