Easier to talk with my doctorPatient-reported across 350+ pilot encounters
An End-to-End Advance Care Planning Workflow
Physician-BuiltDesigned & led by board-certified clinicians
Patient-Approved4.93/5 clarity rating from real patients
Academically DevelopedBuilt & validated within UTHealth Houston
Developed at
Validated at
Supported by
Our Mission
Your voice, leading the way.
Too many patients receive care that doesn't reflect their values - not because they didn't have preferences, but because their doctors never asked. My Health Code is changing that.
"The overwhelming majority of Americans say they want to focus on comfort and peace at the end of their lives. Yet millions face aggressive treatments they never wanted - simply because no one asked."
My Health Code bridges the gap between what patients want and what care teams know. By helping individuals identify their values, understand their options, and communicate clearly with their providers, we restore the most fundamental element of good medicine: the patient's own voice.
Recognition & Reach
Invited. Published. Awarded.
Invited National Talk
Rethinking Resuscitation: Digital Innovations for Goals of Care in the ED.
ACEP 2025 · American College of Emergency Physicians
Dr. Shreyans Sanghvi was invited to present nationally on the changing paradigm of Goals of Care discussions in the acute care setting, highlighting how My Health Code is helping pave the way for improved care quality and patient outcomes.
1st Place · Peer-Reviewed
Acceptability of a Video-Based Tool for Code Status Discussions in Older Adults After Trauma.
Geriatric Trauma Symposium · Dr. Thaddeus Puzio
MHC's video-based conversation aid was judged first place out of a field of peer research posters, recognized for acceptability and effectiveness in improving CPR understanding for older trauma patients and their surrogates.
How It Works
Four steps. One clear plan.
From the first invitation to the final care plan, My Health Code keeps the conversation in the patient's voice - and within reach of every clinician on the team.
Step 1 of 4
Your doctor invites you.
Your clinician places the order through your medical record. From there, you complete My Health Code in one of two ways:
At the bedside
An Advance Care Planning Coordinator sets you up on a clinic or hospital iPad.
At home, on your device
A secure link is sent to you or the person who makes medical decisions for you.
"It made me think about things I'd been avoiding for years. It was the first time I felt like I had a real conversation about things that mattered with my doctor, not just paperwork."
J.M. - Patient, UTHealth Houston
Step 2 of 4
You explore what matters.
You explore your values through short videos and questions, with family welcome to take part.
Watch 5 short videos.
Answer 10+ questions.
15 minutes.
"My daughter and I sat down together and went through it. It was the first real conversation we'd ever had about what I want."
M.R. - Patient, UTHealth Houston
Step 3 of 4
Your doctor reviews it with you.
Your doctor reads your answers, then sits down with you to review and answer any questions you have.
Unhurried review.
Treatments match values.
Every question answered.
"The doctor took his time to explain everything and answered all my questions. I felt like they really cared, and they respected the choices I was making."
A.G. - Patient, UTHealth Houston
Step 4 of 4
Your plan is finalized.
Once your choices are confirmed, your doctor certifies them into a care plan that travels with your chart.
Sent to your medical record.
Update at anytime.
Legally valid forms.
"It was so convenient to do while I was at the hospital already, taking one more responsibility off my plate. It's already been decided, and documented."
P.M. - Patient, UTHealth Houston
88%
First-time completionPatients finalize a care plan with their doctor on first use.
LanguagesEnglish & Spanish supported.
Invitation
Welcome to My Health Code.
Your clinician has ordered a care planning session to understand your values better.
iPad at the bedsideBegin now with your care team.
Mobile link at homeContinue with family on your phone.
Questions? Talk to your care helper.
In Progress
Module 1 of 5How I Live My Life
How I Live My Life
A short video about what makes a day feel like yours.
Being Reviewed
You answered
2
Doctor reviews
3
Confirm together
4
Care team
Your doctor is reviewing your answers now.
You did a great job. We'll let you know when your doctor is ready to talk it through.
Nothing to do right now - your doctor will reach out shortly.
Questions? Talk to your care helper.
Plan Certified
Your care plan is ready.
Signed and saved to your medical record.
Care plan summary
Your values, choices, and care preferences.
Signed
DNR / DNI form
Official DNR form.
Signed
Now visible to every clinician on your care team.
Need a change? Talk to your care helper.
Patient Outcomes
The proof is in the people.
0.00 / 5Clarity of InformationPatients found the material clear and easy to understand, with or without a medical background.
0.00 / 5Easier to Talk with DoctorsPatients reported it helped them start and sustain hard conversations about their care.
0.0 / 5Felt Heard & IncludedPatients said the tool helped them feel meaningfully included in their own care decisions.
0.0Net Promoter ScoreScores above 70 are considered exceptional. At 95.5, nearly every patient would recommend MHC to someone they love.
Voices From the Bedside
What patients & physicians are saying.
Patient
It had clarity - easy to understand information. It helped me understand what could happen, and not let that decision be taken by someone else, but make it beforehand while I was mentally able to. It met the need I had in that moment.
Patient · J.M.
MHC Pilot Study · Memorial Hermann
Physician
It's made it significantly more structured, and because it's more structured, I have a reliable, easy method to explore this topic. This feels like a standard of care approach - and even patients feel like it's just a natural part of their treatment.
Emergency Medicine Physician
MHC Pilot Study · Memorial Hermann
Patient
It took one more responsibility off my plate - it's already been decided, it's been documented, we can move forward. And it made me feel like y'all really cared. You respected the fact that I knew what I was choosing.
Patient · R.K.
MHC Pilot Study · Harris Health
Physician
It clarifies what patients really want out of their life - their meaning, how they want to be cared for. Because it changes how we treat them. They told me nobody had ever talked to them about this before, and they were very plugged-in patients.
Critical Care Physician
MHC Pilot Study · Harris Health
Physician
For patients who have serious illness, this is so important. The last thing we want is to put somebody through a rigorous resuscitation they wouldn't want - and this helps us know what they would want going forward.
Emergency Medicine Physician
MHC Pilot Study · Memorial Hermann
Physician
They said nobody had ever talked to them about this before - and they weren't patients who were lost to the healthcare system. They were very plugged-in patients.
Emergency Medicine Physician
MHC Pilot Study · Harris Health
Caregiver
It was extremely informative - elementary-level informative. Anyone could understand it.
Caregiver · D.T.
MHC Pilot Study · Memorial Hermann
Physician
It's able to clarify the patient's goals - what they want out of their life, their meaning, how they want to be cared for.
Emergency Medicine Physician
MHC Pilot Study · Memorial Hermann
Caregiver
In the moment, she was unconscious. But this cleared up all the doubts you may have. I think that's very important.
Caregiver · L.A.
MHC Pilot Study · Harris Health
The Team
Built by doctors, for patients.
Shreyans Sanghvi, DO
Founder & Project Lead
Inspired by the contrasting end-of-life journeys of his own grandparents, Dr. Sanghvi is an emergency physician whose work places patients' values at the center of care, with a particular focus on the moments where emergency medicine intersects with critical care and palliative needs.
His work has been presented nationally, published in peer-reviewed journals, and supported by UTHealth Houston institutional grants.
Emergency Medicine
Caroline Ha, MD
Content Expert: Palliative Care
Dr. Ha brings decades of experience as a palliative care physician and fellowship director, having guided countless patients and families through medicine's most difficult conversations.
Her clinical expertise shapes every aspect of My Health Code, ensuring the application is compassionate, rigorous, and genuinely useful at the bedside.
Palliative Care
Thaddeus Puzio, MD, MS
Content Expert: Research
Dr. Puzio leads My Health Code's rigorous research program through randomized controlled trials, supported by multiple institutional innovation grants.
As Director of the Surgical Trauma ICU at Memorial Hermann, he applies MHC daily at the bedside - bridging evidence-based research with real-world critical care.
Surgical Critical Care
Research & Publications
Evidence-based. Rigorously tested.
My Health Code is grounded in peer-reviewed research and validated through randomized controlled trials, with findings presented at the nation's leading clinical and academic forums.
Conference & Journal
When Decisions Matter Most: Changing the Paradigm of Goals-of-Care Discussions for Seriously Ill Patients in Acute Care
Sanghvi S, Des Bordes J, Ha C, Puzio T, Richey-Carson E, Balasubramanian B, Luber S · MD Anderson Oncologic EM Conference, Feb 2026 · Accepted, Journal of Emergency Medicine, 2026
1st Place
Symposium Award
Acceptability of a Video-Based Tool for Code Status Discussions in Older Adults and their Surrogates After Trauma
Advancing Discussions using a Video-based Support tool about End-of-life care: the ADVISE Project
Fajemisin MO, Karpe AS, Martinez Ugarte S, Blakely ML, Khraish G, Sanghvi S, Lee JL, Kao LS, Puzio TJ · Journal of Medical Internet Research, 2026
Published - Annals of Emergency Medicine
Rethinking Resuscitation
Sanghvi S, Furbacher J, Arneson M, Richey-Carson E, Abdelhalim D, Ha C, Sturkie A, Puzio T, Cooper B, Luber S · Annals of Emergency Medicine, 2025
Published - Journal of Emergency Medicine
Decoding Code Status: Assessing End-of-Life Care Knowledge in High-Risk Emergency Department Populations
Sanghvi S, Furbacher J, Puzio TJ, Ha C, Abdelhalim D, Arneson M, Sturkie A, Richey-Carson E, Cooper B, Luber S · Journal of Emergency Medicine, 2025
Peer-Reviewed Journal
Knowledge of CPR and Code Status Discussions in Traumatically Injured Older Adults: Does Health Literacy Matter?
Fajemisin MO, Karpe AS, Martinez Ugarte S, Hatton GE, Mueck K, Kao LS, Blakely ML, Khraish GH, Naik A, Sanghvi S, Lee JL, Puzio TJ · Journal of Applied Gerontology, 2025
Memorial Hermann Innovation AwardDepartment of Emergency Medicine, 2024
1st Place
UTHealth Retirement Organization GrantAwarded September 2025
1st Place
UTHealth Institute on Aging GrantAwarded February 2026
Institutional Affiliations & Partners
Get In Touch
Let's build better care together.
Whether you're a clinician, researcher, health system, investor, or patient advocate - we want to hear from you. My Health Code is growing, and we're looking for partners who share our vision.
