Category 5 of 12

EHR / EMR

The clinical record is authoritative for clinical facts. These questions cover what happens when clinical data has to become an operating, financial or portfolio decision.

1. Should the EHR be the source of truth for senior living?

   The EHR should be authoritative for clinical facts: assessments, orders, documentation and care events.

2. What happens when EHR data conflicts with accounting?

   When EHR data conflicts with accounting, revenue, census and per-resident-day measures become unreliable until someone reconciles them.

3. How should PointClickCare data be reconciled with financial systems?

   Reconcile PointClickCare data with financial systems the same way you would reconcile any clinical source.

4. How should MatrixCare data be reconciled with other operating systems?

   Treat MatrixCare as the authoritative source for the clinical facts your organization records there.

5. How should Aline data be reconciled with accounting and workforce systems?

   Reconcile Aline data with accounting and workforce systems by first deciding which facts Aline is authoritative for in your organization, then comparing those facts with billing and payroll records against approved definitions.

6. Can an operator govern data without replacing its EHR?

   Yes.

7. Does a senior living operator need one EHR across every community?

   No.

8. What happens when communities use different clinical systems?

   When communities use different clinical systems, the same event may be recorded under different codes, timing and definitions, so portfolio comparisons drift.

9. How should EHR data be governed after an acquisition?

   After an acquisition, keep the acquired community’s EHR running and govern its data before migrating anything.

10. Can a governing layer coexist with existing clinical systems?

    Yes.