EmpowerEHR — The Modern EHR for I/DD Providers

Everything your agency runs on. One platform.

No bolted-on modules, no third-party add-ons, no surprise invoices. Every capability below ships with EmpowerEHR.

eMAR that guides every pass

A color-coded medication grid your staff reads at a glance — scheduled, given, held, missed, and refused each get exactly one meaning. Vitals-based holds, PRN follow-ups, and inventory counts are built into the pass itself.

True CPOE, not a fax queue

Physicians and nurses enter medication and general orders against a standardized catalog with LOINC, SNOMED, and CPT codes. Verbal orders route for co-signature; standing orders generate their own recurring tasks.

Person-centered ISPs

Build Individual Service Plans with outcomes, supports, risk plans, and team signatures — then let daily documentation flow straight from the plan, so DSPs document against real goals, not free text.

Incident management built for compliance

MUI, UI, and general incident workflows with configurable required fields, witness statements, review chains, and closure lockdown — so nothing gets edited after the record is sealed.

Nursing delegation & competency

Track Ohio DODD nursing delegation, individual-specific training, competency checklists, and supervision plans — with expiration alerts before a lapse becomes a citation.

Flowsheets, vitals & results

Clinical flowsheets with threshold alerts, lab and imaging results with review workflows, and trends your nurses can actually see — abnormal values never hide in a PDF.

Behavior support, plan to episode

Write the behavior support plan in the product — target and replacement behaviors, ranked intervention strategies, and restrictive measures with committee review and informed consent. Publishing the plan pushes those behaviors straight onto the documentation screens staff use every shift.

Forms you build yourself

A drag-and-drop builder for the forms your agency actually uses, with conditional questions and versioning. Entries land in the chart, the staff profile, or the agency library, publish to a PDF-backed record, and can be sent out for someone to complete by email.

One calendar for the whole location

Appointments, meetings, outings, trainings, recurring tasks, and birthdays on a single calendar — with reminders that reach the assigned staff and tasks that get documented, not just displayed.

See the full feature tour

Live in Ohio today, built to expand state by state. Ohio DODD and Ohio ISP support are our first jurisdiction pack, not our only one. See what's next for your state →

Medication safety

Your pharmacy and your eMAR, always in agreement.

EmpowerEHR connects directly to your long-term care pharmacy, so what the pharmacy is dispensing and what's on your eMAR never drift apart. New prescriptions, changes, refills, and discontinuations arrive electronically and reconcile against the chart — no re-keying, no transcription errors, no discrepancies waiting to be found at the med cart.

Catches the orders that skip the EHR. When a provider eScribes a prescription straight to the pharmacy at an appointment, EmpowerEHR pulls that order in from the pharmacy and into the client's chart — so it's never missing from the eMAR.
Reconciled automatically, accepted by a nurse. Every inbound order is matched to the right client, medication, and location — then a nurse confirms it before it posts. Nothing reaches the chart without a human sign-off.
Fewer gaps, safer passes. Keeping the pharmacy and the eMAR in lockstep closes the gaps between systems where medication errors hide.

See it in a demo

The pharmacy has the prescription

eScribed by a provider at a visit, or called in

EmpowerEHR receives & reconciles

Matched to the client, medication, and location

A nurse accepts it into the chart

The order posts to the eMAR

Clinical safety

The people you serve often can't tell you what's wrong.

A urinary tract infection, an impaction, dehydration, a painful tooth — in a population with limited self-report, these rarely arrive as a complaint. They arrive as documentation nobody adds up: a few more incontinence episodes, one more day without a bowel movement, a spike in self-injury. EmpowerEHR reads the documentation your staff are already writing and surfaces the pattern while there is still time to act on it.

Hydration and bowel patterns

Intake and output are totalled across every flowsheet that records them, so low intake and a negative fluid balance raise an alert on their own. Days since the last documented bowel movement are tracked continuously against a two-tier warning and alert window your nurses set — and someone with no bowel movement ever recorded is measured from admission, not skipped.

UTI signs, counted across shifts

No single urinary sign is worth an alert; the pattern is. Distinct signs documented by different staff on different shifts accumulate over a window you set, and the alert escalates to critical when a fever crosses that individual's own temperature threshold. It is a prompt to assess — never a diagnosis, and never a rule-out.

Seizure duration and clustering

A single prolonged seizure and a cluster of shorter ones are different emergencies, and both are caught. The window is anchored to the seizure's own onset time, not to when someone got to a computer — so a nurse charting last night's three seizures this morning is still describing a cluster, and the alert says so.

Aspiration risk, added up

Aspiration is a leading cause of avoidable death in people with developmental disabilities, and it is rarely one dramatic event — it is a run of small ones nobody totalled. Choking incidents are counted as a cluster over a rolling window, and repeated emesis inside a short window raises its own alert.

Pain that presents as behavior

Someone who cannot report a dental abscess or an impaction shows you a spike in self-injury instead. The behavior gets documented, the plan gets revised, and nobody looks for the medical cause — that's diagnostic overshadowing, and it's the failure this check exists to interrupt. When behavior escalates without a conclusive pain screen behind it, EmpowerEHR says so and points at the assessment to run.

Medication errors, named the way the state names them

Missed and late doses, wrong dose, PRN follow-ups nobody closed, an administration by someone without the delegation — eleven signals detect themselves from the med pass rather than waiting for a self-report. Errors are classified against Ohio's own enumerated types and NCC-MERP severity, grouped one-per-pass rather than one-per-pill, and can suspend administration until a nurse lifts it.

And it tells you when a check can't fire. A safety check that depends on a flowsheet nobody uses is silently doing nothing, and an empty alert queue looks exactly the same whether you're compliant or blind. A Monitor Coverage panel reports every check as active, partial, or inert — and tells your administrator precisely what to configure to switch it on. See every safety check →

Security & compliance

HIPAA isn't a checkbox here. It's the foundation.

EmpowerEHR was architected for protected health information from the first line of code — not retrofitted after the fact.

Complete audit trail. Every view and every change of a clinical record is logged, immutable, and retained to HIPAA standards.
Role-based access with client scoping. Staff see only the individuals on their caseload and at their location — with a break-glass path for true emergencies, fully logged.
Multi-factor authentication. TOTP-based MFA with managed trust windows designed for shared nursing-station workstations.
True tenant isolation. Each agency's data lives in its own database schema — not commingled rows behind a filter.
Tamper-evident e-signatures. Cryptographically sealed signature capture for plans, orders, and consents — including remote signing for guardians and team members.

Built on proven, modern technology

EmpowerEHR runs on the same class of technology trusted by banks and government systems — engineered for reliability, security, and speed.

Standards-based coding

ICD-10, RxNorm, SNOMED CT, LOINC, and CPT built into diagnoses, medications, and orders.

Encrypted everywhere

TLS in transit, encryption at rest, and PHI-scrubbed operational logging.

Fast on any device

A responsive web app that works on the med-cart laptop, the office desktop, and the tablet in the van.

Always current

Continuous updates with zero-downtime deploys — no version upgrades to schedule, ever.

Pricing

One subscription. Everything included.

We don't do the module menu. Every capability on this site — eMAR, orders, ISPs, behavior support, incidents, delegation, custom forms, documents, reports — is in the base subscription, priced by the size of your agency. Implementation and training are part of the plan, not a surprise line item.

Get a quote for your agency

Frequently asked questions

Is EmpowerEHR HIPAA compliant?

Yes — and we can show you how, not just say it. Every access to a clinical record is logged, audit trails are immutable and retained to HIPAA standards, each agency's data lives in its own isolated database schema, and staff sign in with multi-factor authentication. We sign a Business Associate Agreement with every customer.

What does EmpowerEHR cost?

One all-inclusive subscription sized to your agency — no per-module pricing, and implementation and training are included. Contact us and we'll give you a straight answer with a real number for your size.

Can you migrate our data from our current system?

Yes. We run a guided migration for clients, medications, plans, and documents, and you validate everything in a review environment before go-live. Your team never starts from a blank database.

Do you support Ohio DODD requirements?

Ohio is built in by name: MUI/UI incident workflows, DODD nursing delegation with competency and supervision tracking, and the Ohio ISP with e-signatures and revision history. Ohio was our first jurisdiction, not our last — additional state compliance packs are in development. See our public roadmap for what's next, or tell us your state.

Does it work on tablets and phones?

EmpowerEHR is a responsive web application — it runs in the browser on the med-cart laptop, the office desktop, and the tablet in the community, with nothing to install or update.

What about Medicaid billing and EVV?

Both are on the active roadmap, and we'd rather tell you that plainly than sell you a checkbox. If billing is your first priority today, ask us about timelines on your demo call — we'll give you an honest answer.

The modern EHR your DSPs, nurses, and QIDPs will actually enjoy using.

ICF/IID Facilities

HCBS Waiver Providers

Day Programs

Vocational Services