The A|D Vault Exchange
The nationwide ACP document registry built for seamless, secure access and sharing.
Anytime, Anywhere Access to Advance Care Planning Documents
The A|D Vault Exchange™ is the only truly nationwide, HIPAA compliant, HITRUST and TX-RAMP certified, and SOC 2 Type II audited advance care planning (ACP) document registry where ACP documents are securely uploaded, stored, shared, and accessed—so patient wishes follow the patient wherever care happens. Whether in an ambulance, emergency department, hospital, skilled nursing facility, home health, hospice, or behavioral health setting, authorized care teams can access the information they need to deliver care aligned with a person’s goals and preferences.
When ACP Documents Aren’t Accessible, Care Breaks Down
Across healthcare, advance care planning documents are still too often trapped—on paper in a file cabinet, inside a local EHR system, or buried in scanned files. When patients move between hospitals, post-acute care, home health, hospice, behavioral health, and emergency services, their documented goals of care and medical treatment preferences frequently fail to follow. The same is true for someone who rarely seeks medical care. When ACP documents aren’t accessible, a person’s wishes simply may not be known.
The result:
- First responders lack access in emergencies
- Hospitals can’t retrieve verified documents
- Care transitions break down
- Families are left to guess
- Patients receive medical treatments and interventions misaligned with their goals
Without a nationwide ACP document registry designed for seamless, secure access and sharing, even the best ACP documentation cannot reliably support care.
How the A|D Vault Exchange Helps
The A|D Vault Exchange—the ONLY truly nationwide, HIPAA compliant, HITRUST and TX-RAMP certified, and SOC 2 Type II audited ACP document registry—ensures ACP documents can be securely shared and accessed across the full continuum of care.
It supports access for:
- Consumers completing, uploading, updating, and sharing ACP documents
- Clinicians and facilitators guiding ACP conversations
- Hospitals and health systems
- EMS and other first responders
- Skilled nursing and post-acute care
- Home health and hospice
- Behavioral health
- Health information exchanges (HIEs)
- Statewide ACP and POLST programs
The result is a connected, community-wide, and statewide ACP ecosystem built on a single, secure nationwide registry.
Instant ACP Document Access in Emergencies & Transitions
Give clinicians, EMS and other first responders, and medical teams real-time access to advance directives, portable medical orders (POLST), mental health advance directives (MHADs), and even patient videos—so critical decisions are guided by verified patient wishes, not fragmented, outdated, or missing records.
Secure Sharing Across Organizations & States
Enable secure ACP document sharing and access across hospitals, post-acute care, EMS and other first responders, HIEs, and state registries—so patient care preferences and goals follow the patient through a connected nationwide registry.
Compliance, Quality & Financial Performance
What the A|D Vault Exchange Delivers for the Healthcare Ecosystem
Available nationwide across healthcare organizations and health systems.
Built for Nationwide ACP Document Access
- A single, nationwide ACP document registry for secure access and sharing
- Built using industry-leading healthcare content and data exchange standards
- Supports cross-organizational and cross-jurisdictional access
- Processes more than 1.5 million queries every week
- Accessible by more than 90% of the U.S. healthcare ecosystem
Supports Emergency & Transitions of Care
- Real-time ACP document access for EMS and other first responders, as well as emergency departments
- Supports admissions, discharges, and transfers across care settings
- Reduces delays, confusion, and unwanted treatments, interventions, and hospital readmissions
Security & Privacy at the Core
- HITRUST certified
- SOC 2 Type II audited
- TX-RAMP certified
- HIPAA compliant
Enables Statewide ACP Ecosystems
- Powers modern statewide ACP document, POLST form, and MHAD registries
- Connects state agencies, health systems, and first responders like Fire and EMS
- Supports effective data exchange, reporting, program sustainability, and long-term document access
The Financial & Operational Impact
When ACP documents are seamlessly, securely shared and accessible through a nationwide ACP document registry:
- Unwanted, non-beneficial treatment declines
- ICU utilization and avoidable readmissions are reduced
- First responder and ED efficiency improves
- Family conflict at the end of life is minimized
- Patient and caregiver satisfaction improves
- Emergency responder and medical team morale rises
- Total cost of care decreases
- Value-based care performance strengthens
For the Federal government, states, HIEs, and health systems, the A|D Vault Exchange delivers unlimited scalability with measurable clinical and financial ROI.
Built for Statewide and Nationwide Deployment
The A|D Vault Exchange nationwide ACP document registry supports:
- Statewide ACP document and POLST registries
- National data exchanges, as well as regional and state HIEs
- Large enterprise health systems
- Post-acute care systems and facilities
- EMS, Fire, and other emergency or mobile integrated care networks
It provides the foundation for modern, connected ACP ecosystems at both the state and national level.
The Nationwide ACP Document Registry That Makes ACP Work Everywhere
The A|D Vault Exchange ensures that advance care planning data can move with the patient across organizations, systems, and state lines. The result is clearer decision-making, stronger patient engagement, reduced unnecessary utilization and cost, and care that reflects patient goals.
Secure, Interoperable, Accessible.
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