EHR for Long-Term Care (LTC)

• Unified resident profiles import data from referral EHRs or portals and consolidate key demographics and coverage to present a consistent chart for clinical and billing teams.
• Payer and coverage snapshots summarize payer mix, benefit periods, and authorizations into one view for quick visibility during intake.
• A bed-and-room-aware census board displays occupancy with isolation status, gender, and payer details to support bed assignment and planning.
• Admission packet automation generates state-specific agreements and consents from templates, routes them for electronic signature, and files them for audits.

Value-adding features:

• A regulatory and clinical pre-admission workspace consolidates PAS and PASRR status, checklists, and approvals to validate incoming residents meet regulatory criteria.
• An intake flow configurator lets multi-facility organizations adjust questions, documents, and placement rules by unit type.

• A hospital transition board lists incoming residents with imported discharge summaries, reconciled medications, key alerts, and room readiness indicators for admission planning.
• A care handoff summary generator compiles medications, diagnoses, functional status, risk flags, and recent incidents into structured discharge or transfer packets.
• A clinical results inbox aggregates new lab and imaging results by resident and unit, supports acknowledgment, and links results directly into the chart.
• A hospitalization timeline records each transfer out and return and highlights residents with frequent readmissions.

Value-adding features:

• An external provider collaboration panel shows secure message threads, open questions, and shared tasks with hospital clinicians and payers per resident.
• A readmission review list filters residents with recent hospital stays and opens their timelines and summaries for focused care-transition reviews.

• Role-based task lists on point-of-care screens show each CNA, nurse, and therapist their assigned residents and therapy sessions in time order.
• Bedside ADL and vitals charting lets staff record assistance level, intake, and output at the bedside.
• Structured nursing progress notes provide guided templates and flowsheets for long-term conditions and skin status with day-by-day and shift views.
• Multidisciplinary documentation templates capture physical, occupational, and speech therapy, social work, and dietary visits with session duration and type in a single resident chart.

Value-adding features:

• Offline mobile charting stores assignments and recent entries locally during network outages and synchronizes safely when connectivity returns.
• Context-aware point-of-care forms hide irrelevant questions and reuse existing resident data to accelerate completion.
• Bedside monitor connectivity uploads captured vital signs into the resident's chart after a quick wristband scan for patient identification.

• A standardized assessment library provides forms for therapy scales and functional assessments (fall and pressure injury risk, pain, cognition, etc.) with scoring and due dates.
• An MDS-focused assessment workspace (for SNFs only) reuses point-of-care and therapy documentation, groups MDS items on one screen, and highlights missing fields for review.
• An interdisciplinary care plan builder turns assessment findings into problems, goals, interventions, and outcomes that therapists, social workers, and dietitians can update in one place.
• A care plan view lists problems, goals, and interventions, as well as recorded incidents, so staff can match documented risks with planned care.

Value-adding features:

• Risk-based care prompts scan assessment scores, vital signs, and resident charts for risk patterns, such as worsening skin status, and flag residents for clinical review.
• Care plan review cycles collect new assessments, incidents, and notes into scheduled review lists with target dates for timely plan updates.

• Structured order entry forms provide templates and protocol-based suggestions for lab, medication, and treatment orders.
• Drug safety checks monitor allergies, interactions, duplicate therapies, dose ranges, and high-risk psychotropic patterns.
• Med-pass and treatment worklists convert active orders into nurse-specific schedules by resident and time window, highlighting due, overdue, and PRN tasks.
• Unified eMAR and eTAR views let nurses record given, held, and refused medications and treatments with clear reasons.

Value-adding features:

• A pharmacy integration sends orders to contracted pharmacies, receives dispense data, and feeds antibiotic, vaccine, and other anti-infective use into infection control and stewardship views.

• Controlled substance safeguards support double-witness documentation, shift counts, waste recording, and discrepancy reports for diversion control and compliance evidence.
• Bedside barcode medication checks match resident wristbands and medication packages against active orders.

• A centralized incident log provides forms to record falls, injuries, concerning behaviors, and elopement attempts with linked follow-up tasks.
• A wound and skin care workspace lets teams capture wound stage, size, treatment, and photos at each visit, see wound history in one view, and report healing progress during legal reviews.
• An infection and immunization log provides forms to record infections, antibiotic courses, and vaccination status and displays unit-level exposure metrics to support early cluster detection and antibiotic stewardship reviews.
• A resident safety timeline organizes each resident’s incidents, wounds, and infections into a chronological view for case reviews and care conferences.

Value-adding features:

• A local fall and behavior trend view summarizes events by resident, unit, and shift to identify high-risk areas and support staffing, routine, or environmental adjustments.

• Survey- and portal-ready documentation packages compile selected incidents, wound notes, photos, and tasks into exportable packets for survey responses, legal reviews, or family portal updates.

• A coverage rules engine applies SNF benefit, qualifying, and authorization rules during admission and stay updates to identify non-covered days and approval gaps.
• A PDPM case mix and rate view translates MDS items, functional scores, diagnoses, and therapy patterns into PDPM groups and expected daily reimbursement rates per resident.
• An MDS submission workspace builds export files from completed assessments, runs current CMS edit checks, and displays accept or reject statuses.
• An SNF claim file builder assembles institutional claims with PDPM rates, covered days, and occurrence codes for export to existing billing systems.

Value-adding features:

• A denial and underpayment tracker imports payer responses, groups recurring denial reasons, and links them to MDS and coverage rules to support corrective actions.

• A regulatory content manager stores PDPM, MDS, and coverage rule sets with effective dates to maintain consistent reimbursement logic across facilities.

• Clinical safety dashboards combine unit-level census, incidents, wounds, infections, antibiotic and psychotropic use, and documentation gaps to support daily safety oversight and stewardship reviews.
• A rehospitalization and deterioration risk panel ranks residents by near-term transfer risk and groups recent warning signs for case-review huddles.
• Fall and behavior risk views overlay fall risk scores, recent events, and safeguards in place by location to highlight high-risk units.
• A staffing optimization board combines census and basic acuity data to determine recommended staffing levels for each unit.

Value-adding features:

• A calculator for quality measures and Five-Star score (for SNFs only) computes CMS metrics from MDS responses and clinical data and links each measure to residents and documentation.

• A survey risk and correction plan workspace displays unit-level incidents, prior regulatory deficiency tags, and quality measures, along with the corrective action tracker.