eMAR for IDD group homes and agencies.

What does the Med Pass grid do?

Med Pass is where a direct support professional (DSP) records the medications given during a shift — the electronic version of signing the MAR, one tap per dose, timed and saved. Choose a location and a day, and the grid groups doses into Morning, Noon, Evening, and Night blocks, with Due, Overdue, Documented, and Upcoming tiles showing where things stand.

Recording a scheduled dose means tapping its slot, choosing a status — Given, Refused, Held, Missed, Not Home, or Error — confirming the time given (which can be backdated but never set in the future), and saving. There's one record per scheduled slot; fixing a mistake means amending it, not recording it again. PRN doses work differently: they're not on a fixed schedule, so every time one is given it's a new entry with its own required reason, tied back to the medication's indication.

The eMAR is documentation only, not clinical: it doesn't check drug interactions, do dose math, or send clinical alerts. It records who gave what, and when — and it's off by default until an administrator turns it on.

What happens with a client's medication list, refusals, and controlled substances?

A client's medication list lives on their Medications tab: a manager adds each one as Scheduled (with one or more times a day) or PRN (as-needed, with a required indication), and can flag it Controlled substance to put it on the count sheet. Discontinuing a medication moves it to Discontinued history rather than deleting it — the record stays for audit and shows as "(DC)" on the MAR.

Not every dose goes as planned, and Enmantle expects the real outcome documented rather than skipped: Refused, Held, Missed, and Not Home are all valid, complete records. Picking Error opens a warning and a direct link to file an incident report, since a medication error may be state-reportable. Controlled medications get a second layer: a witnessed count — run at shift change, when supply is received, or when it's wasted — where two staff members confirm the on-hand number against what Enmantle expected, and the second person confirms with their own password. A mismatch requires a note before it can be submitted, and it notifies the location's managers and admins automatically.

The MAR itself is a month-at-a-glance view, one row per medication and one column per day, with a status glyph for every scheduled time — ✓ given, R refused, H held, M missed, NH not home, E! error — and it prints for a paper file when you need one.

How it works in Ohio

Enmantle is built for Ohio IDD group homes and home-care agencies, where medication administration is one of the most closely watched parts of daily documentation. A dose recorded as an Error links directly to an incident report, because a medication error may be state-reportable — see UI and MUI incident reporting software for how that report is classified and filed. Times on the eMAR are Eastern wall-clock, and every entry — a dose, an amendment, a count — is audited, so the record stands up when a county board or a surveyor asks for it.

A day with it

At the start of a shift, a DSP opens Med Pass for their home and sees a few doses due, one already past the grace window and flagged Overdue. They tap the overdue slot, record it Given at the actual time, and add a short note. A PRN request comes up later — a client asks for their as-needed medication — so the DSP records it separately with the reason and, afterward, a quick effectiveness follow-up.

At shift change, the outgoing and oncoming staff pull up the Counts screen together. Most controlled medications match the expected count exactly; one is short by a single unit. The oncoming DSP recounts, confirms the discrepancy is real, writes what they found in the required note, and the count is submitted with a witness password from the other staff member. Managers are notified automatically, and the discrepancy sits in the count history for whoever follows up.

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