EmpowerEHR isn't a collection of separately-priced products bolted together — it's one platform where medication passes, orders, plans, and incidents share the same client record.
Most I/DD platforms are documentation systems with medication features added later. EmpowerEHR was built around the clinical workflow itself.
A color-coded grid where every dose status — scheduled, given, held, missed, refused — has exactly one meaning. Vitals thresholds can hold a dose automatically, PRNs prompt for follow-up effectiveness, and every administration decrements inventory in real time so counts stay honest.
Enter medication and general orders against a standardized catalog carrying LOINC, SNOMED CT, and CPT codes. Verbal orders route to the prescriber for verification and co-signature. Standing orders spawn their own recurring implementation tasks — nothing lives on a sticky note.
Configurable clinical flowsheets for vitals, blood sugars, seizures, weights, intake/output — with per-value thresholds that raise alerts the moment something is out of range. Trends chart across time so patterns surface before they become emergencies.
Lab, imaging, cardiac, and procedure results with fast panel-style entry, a nurse-to-provider review workflow, and automatic order generation for follow-ups. Abnormal values are flagged in the record — not buried in a scanned PDF.
Clinical scheduling with follow-up chains, escorting-staff assignment, and outcome documentation. When the cardiologist says "come back in three months," the follow-up is created before anyone leaves the parking lot.
Per-location medication inventory tied directly to the eMAR — receipts, counts, and administrations reconcile automatically, and controlled-count discrepancies surface immediately instead of at the end of the month.
Connect EmpowerEHR to your long-term care pharmacy and keep both systems in agreement. New prescriptions, changes, refills, and discontinuations arrive electronically and reconcile against the chart — and when a provider eScribes an order straight to the pharmacy at a visit, you can accept it directly into the client's chart instead of re-keying it. Every inbound order is matched to the right client, medication, and location, then nurse-reviewed before it posts to the eMAR.
Outcomes and supports aren't paperwork that lives in a binder — they drive what your DSPs document every single day.
Full Ohio ISP support: team members, outcomes, supports, risk plans, consents, and discovery assessments — with a revision lifecycle and e-signatures, so version N+1 never silently overwrites version N.
DSPs document each shift against the person's actual outcomes and supports — structured prompts, not blank text boxes. Progress rolls up so QIDPs see at a glance which goals are moving and which are stalled.
A built-in pre-admission CRM: track referrals through configurable intake stages, capture what you learn along the way, and transfer to an active client record with one action when they enroll — nothing re-typed.
Author a complete BSP: target, replacement, and positive behaviors with operational definitions and hypothesized functions, intervention strategies ranked in the order staff should try them, and restrictive measures that carry their own human-rights-committee review, informed consent, and expiration dates. Plans revise and get signed like an ISP — and publishing one transfers its behaviors and interventions onto the documentation screens automatically.
ABC episodes that capture the antecedent, the behavior, and every intervention staff attempted — plus an ISP-style daily grid for frequency, duration, and no-occurrence days. Corrections supersede the original entry instead of overwriting it, and trend charts show whether the plan is working before the next review meeting.
Guardians and team members sign plans and consents from anywhere via a secure, identity-verified email link. Every signature is tamper-evident — cryptographically sealed with the exact document version signed.
Compliance workflows are first-class modules — with state rules like Ohio DODD delegation and MUI/UI reporting built in by name, not approximated. Ohio is our first jurisdiction pack; see what's next for other states.
Major Unusual Incidents, Unusual Incidents, and general incidents each follow their own workflow with configurable required fields, witness statements, and review chains. Closed incidents lock down — the record you submit is the record that stays.
Ohio DODD nursing delegation with individual-specific training (IST), competency checklists, supervision plans, and printable audit packets. Expiration alerts fire before a delegation lapses — not after the surveyor finds it.
Track staff licenses, certifications, and trainings against jurisdiction-aware policy rules. A compliance dashboard shows exactly who is out of compliance, for what, and when it happened — across every location.
Rules that fire at the point of care instead of in a report next month: block a staff member from a task they aren't qualified for, warn before a risky action, or require a witness where one is required. Rules layer — built-in, jurisdiction-specific, and your own — and every decision that isn't a routine approval is written to an immutable log with the exact facts behind it, so you can answer why was this allowed? a year later.
Abnormal vitals, expiring credentials, low medication stock, missed documentation — routed to the right staff with acknowledgment tracking, so "nobody told me" stops being possible.
Most of the people your staff support cannot reliably report a symptom. So the early signs of infection, impaction, dehydration and pain don't arrive as complaints — they arrive as documentation nobody adds up. These checks read the charting your staff are already doing and raise the pattern. Every one is on by default, tunable per agency, and overridable for an individual by signed order.
Two rules over documented intake and output: total 24-hour intake below your threshold, and output exceeding intake by more than your allowance over a rolling window. Volumes are read from every flowsheet that records them, so a bowel-and-bladder entry counts the same as an I&O one. We'll tell you the honest limit too: the balance rule under-detects for someone incontinent, because an episode carries no volume — which is why low intake is the rule to trust there.
Hours since the last documented bowel movement, checked continuously against a two-tier warning and alert threshold. A positive entry on any flowsheet counts — a q2h GI monitoring row is read exactly like a bowel-and-bladder one — and someone with no bowel movement ever recorded is measured from their admission date rather than quietly skipped, which is the case that matters most.
Distinct urinary signs accumulate across shifts and staff over a window you set; reaching your sign count raises a warning, and the same pattern with a temperature above that individual's own fever bound raises a critical alert. Accumulation rather than per-answer triggering is deliberate — no single sign warrants an alert in a population with atypical presentation, and a check that cried wolf would drive antibiotic use rather than assessment. It is never a rule-out.
A single seizure at or past your prolonged threshold, and clusters of shorter ones inside a rolling window. Windows anchor on the triggering seizure's own onset rather than on the clock, so late charting still reads as the cluster it was. Documentation of a person's typical seizure history is deliberately kept separate, so a baseline duration can never be mistaken for an event.
Choking incidents counted as a cluster over a rolling window, and repeated emesis inside a short one. Aspiration is a leading cause of avoidable death in this population and it is rarely a single dramatic event — it is a pattern of small ones nobody added up. Respiratory signs are left to the vital-sign thresholds rather than duplicated here, so there is one place to tune them.
When a behavior escalates, EmpowerEHR checks whether anyone has actually screened for pain — and an assessment that concluded "unable to determine" does not count. A dental abscess, an impaction or a fracture in someone who cannot report it presents as self-injury or aggression; the behavior gets documented and the medical cause goes unexamined. This is the check that interrupts that. (It needs the Behavior Support module and a configured pain threshold to fire.)
Eleven signals detect themselves from the med pass — missed dose, early and late administration, wrong dose, overdue PRN follow-up, PRN interval violation, supply unavailable, vitals-hold override, expired medication, uncertified staff, no nursing delegation. Errors carry both Ohio's thirteen enumerated types with their rule citations and NCC-MERP severity A–I, group one-per-pass rather than one-per-medication, promote to an incident report on confirmation, and can suspend a medication's administration until a nurse lifts it by hand.
Per-value normal and critical bounds resolve global default → agency default → this individual's order, so one person's baseline is never another's alarm. Out-of-range values alert on entry, and any medication can require a vital first — with thresholds that hold the dose at the cart until a nurse overrides with a reason. A Modified Early Warning Score flowsheet scores heart rate, respiratory rate, systolic pressure, temperature and responsiveness into a banded risk total.
Rolling percent weight change against tiers you define, firing on gain or loss. And anyone on a psychotropic whose AIMS screening has lapsed past your interval is flagged — with never-screened tracked separately and measured from the order's own start date, so "nobody ever looked" is caught rather than skipped.
Orders are checked against the individual's documented allergies by exact drug, RxNorm ingredient, and drug class — and completion is blocked until an override reason is recorded. The reverse direction is built too: documenting a new allergy re-checks the orders that are already active. What it can't check, it says out loud rather than passing over — a free-text allergy or a local medication with no catalog match is surfaced as unchecked, because a prescriber must never read "no conflicts" about allergies nobody looked at.
Aspiration, choking, dehydration, constipation and bowel obstruction, seizure, sepsis, GERD, falls and elopement risk are flagged on the emergency profile, in front of whoever opens the chart — including a paramedic. The flags and the monitors are deliberately the same list: what you flag as a risk is what the system watches for. Falls and sepsis are the two exceptions, and we say so — a scored Morse fall-risk assessment with trending exists, but there is no fall or sepsis monitor.
Every check above fails open: if the flowsheet row it depends on isn't in use, it skips rather than inventing findings. The honest consequence is that an empty alert queue looks identical whether you're compliant or the check is inert — so EmpowerEHR ships a panel that reports each monitor and each medication-error signal as active, partial, or inert, with the specific configuration change that would switch it on.
What we don't do. EmpowerEHR does not perform drug–drug interaction checking. That needs a licensed interaction database, it isn't built, and we would rather tell you than let you assume it. Every check above is clinical decision support: it surfaces a pattern for a clinician to act on, and none of it replaces clinical judgment.
Staff records with credentials, departments, job titles, and caseload assignments that directly drive who can see which individuals.
Fine-grained, tenant-customizable roles; caseload- and location-scoped client access; TOTP multi-factor authentication; and a fully-logged break-glass path for emergencies.
Centralized documents with OCR and full-text search — find the scanned consent from 2024 by what it says, not by remembering the filename.
Polished, printable PDFs for MARs, incident reports, ISPs, audit packets, and rosters — plus a growing library of operational reports.
Homes, day sites, and offices as first-class locations — staff select where they're working and see that location's clients, schedules, and inventory.
A control panel your administrators can actually use: picklists, required-field rules, medications, pharmacies, feature toggles — no support ticket required.
Build the forms your agency actually uses on a drag-and-drop canvas — conditional questions, per-form access rules, and versioning so an old entry always shows the form as it was filled. Entries publish to a PDF-backed record with a tamper-evident trail, can be completed remotely by email, and export to Excel or CSV.
One calendar per location merging appointments, meetings, outings, trainings, holidays, recurring tasks, and client birthdays — with reminders to assigned staff, per-occurrence assignment, and a printable day, week, or month PDF. Tasks are documented: completed, not completed with a reason, or skipped.
Configure each site's operating hours and take attendance from a roster — present, absent, or left early with a departure time — with the history right in the client's chart. If something is documented from a home location while someone is marked present at their day program, the mismatch is flagged with a one-click fix.
We'd rather tell you what's coming than pretend it's here. In active development: a secure Family Portal, Medicaid billing & claims, EVV integration, and expanded state-specific compliance packs beyond Ohio.
A live demo takes 30 minutes and is tailored to your programs — bring your hardest questions.
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