Koda for Clinicians Is Now Available in Epic Connection Hub
July 28, 2026
Every EMR can already store an advance directive and remind a clinician to ask about one. Epic does this natively.
Storing the document was never the hard part. Having the conversation is.
That’s the problem Koda for Clinicians was built to solve, and it’s why we’re excited to announce that it’s now listed in Epic’s Connection Hub on Showroom, giving health systems, hospitals, ACOs, and population health organizations a direct path to discover and deploy Koda’s Advance Care Planning (ACP) solution within their existing clinical workflows.
CMS is raising the bar on advance care planning
CMS is actively making advance care planning a measured, reportable part of care quality. The FY2027 IPPS proposed rule adds a new Advance Care Planning eCQM, and its parent measure (MUC2025-020) is under consideration for adoption across additional care settings, including home health, skilled nursing, ambulatory surgery centers, and dialysis.
Combined with CMS’s public reporting of the Age-Friendly Hospital measure on goals-of-care conversations, the direction is clear. Advance care planning is no longer optional infrastructure. It’s becoming a core accountability metric for health systems.
CEO and Co-Founder, Koda Health
Where native EMR tools stop
Native EMR tools address the visible half of the ACP problem. They prompt the clinician, store the directive, and flag code status. That’s useful, but it’s also where these tools stop. The prompt fires during a visit that’s already too short, and the work of raising the subject, explaining it, and guiding the patient through it falls back on the clinician every time. A process that depends on a clinician remembering, in the moment, with time they don’t have, doesn’t scale to thousands of patients.
Two costs compound this for any health system evaluating ACP infrastructure.
Clinician time
Every prompt that turns into an actual conversation is a claim on minutes a clinician doesn’t have, in a population where those minutes are already spent on urgent care.
Reach
A prompt only reaches the patients who come to the visit. The highest-risk patients are often the ones who don’t. They never enter the funnel at all.
For a health system executive, the real question isn’t whether your EMR can hold an advance directive. It can. What matters is who actually has the conversation, for how many patients, and at what cost to your clinicians.
What Koda for Clinicians actually does
Koda for Clinicians is a SMART-on-FHIR application that embeds directly within Epic. Patients reach it through single sign-on with their existing MyChart credentials. Care teams initiate ACP referrals, track patient progress in real time, and access completed legal documents, including key discrete data elements, without ever leaving the patient chart.
The Epic integration matters, but it mainly serves as the delivery mechanism. What runs on it is a guided conversation engine that does three things the EMR alone cannot, and each one takes work off the clinician instead of adding to it.
The patient starts without a provider
Koda reads clinical, behavioral, and demographic signals and reaches patients directly. Most patients who complete a plan through the Epic deployment do it on their own, with no scheduled education visit and no provider walking them through it. The clinician’s role shifts from educator to informed participant, and the finished plan appears in their chart automatically.
One conversation produces everything downstream
The patient does the work once. That single guided conversation generates the legal documents, the prep that helps the patient raise it with their family and care team, and the structured data the health system needs to report on. Where a smart prompt captures a code status, the conversation captures the reasoning, the decision-maker, and the alignment behind it.
The plan lands as discrete, queryable data
Completed goals, values, preferences, and advance directives write back to the chart via HL7v2, with clear version control that distinguishes active plans from revoked ones. Koda surfaces Medical Power of Attorney and Living Will information as discrete data fields and flags both the documents and the underlying fields as legally valid and signed. In a time-sensitive moment, a clinician reads structured data at a glance instead of hunting through an attachment.
What the data shows
We recently published the first 100 days of Koda’s Epic-integrated deployment at one of the leading cancer centers in the country. The results show what happens when the conversation moves off the clinician’s plate.
of patients who completed a plan did so entirely on their own, with no physician referral and no education visit
average touchpoints across 303 engaged patients, evidence of genuine multi-session planning rather than a quick sign-off
of completed plans wrote back to Epic as discrete, queryable fields, goals, preferences, and healthcare agent among them
That last finding closes the loop cleanly. But the value was already created earlier, in the conversation the EMR could not have generated on its own.
A signed directive in the chart doesn’t guarantee care that matches what the patient wanted. Closing that gap is the real work, and an EMR field can’t do it alone.
Published outcomes
Koda is the only advance care planning solution in Epic’s Connection Hub with published evidence demonstrating reductions in inpatient utilization, ICU length of stay, and total cost of care.
| OUTCOME | RESULT |
|---|---|
| ACP completion, more than 4x the national average | 85% |
| Average cost savings per patient | $10,000–$15,000 |
| Patient Net Promoter Score (NPS) | 87 |
| Reduction in terminal hospitalizations | 79% |
| Reduction in ICU admissions | 38% |
| Reduction in total cost of care in the last year of life | 19% |
Koda’s largest Epic integration deployment supports one of the world’s leading cancer centers, giving more than 175,000 patients and 2,000 clinicians seamless access to ACP infrastructure directly within Epic. Koda Health currently serves over 1 million patients nationwide and partners with leading health systems and payers, including Healthspring, Memorial Hermann, Houston Methodist, and Guidehealth.
