In long-term and senior care, accurate medication management depends on seamless communication between pharmacy systems and electronic health systems, specifically electronic medication administration records (eMARs). But when those systems don’t align, errors and inefficiencies can follow. Forum’s recent webinar, eMAR Integration and Patient Care: Q&A With an Industry Expert, featured Forum’s own experts—Pamela B. Kramer, BA, LPhT, Executive Vice President, and Sanjay Nannapaneni, PharmD, RPh, Director of Pharmacy Operations—who shared practical insights to help long-term care teams strengthen eMAR-pharmacy integration, reduce medication errors, and improve resident outcomes.
The session began by breaking down the two primary types of interfaces with eMAR systems: pharmacy-push models, in which the pharmacy enters and transmits orders to the eMAR, and facility-push models, where orders are entered at the facility and sent to the pharmacy. Each carries its own risks—from duplicate therapy on renewals to titration tapers missing start or stop dates. Even small interface issues can create downstream consequences such as incomplete orders, delays in treatment, or inaccurate medication documentation.
Many challenges occur within resolution queues, where orders await review or approval. Without regular oversight, pending or incomplete orders can easily be missed. Attendees were encouraged to create processes to monitor queues daily—focusing on pending and resolution items (as well as scanning medications where appropriate)—to identify discrepancies before they reach the resident.
Strong communication between pharmacy, facility staff, and vendors was identified as a key factor in successful integration. And when issues arise, understanding which entity actually has control or responsibility for specific eMAR can prevent frustration and speed resolution. Teams that treat their eMAR vendors as true partners—rather than just software providers—can often resolve interface issues faster and tailor configurations to better support workflow. Regular check-ins between pharmacy teams, facility leaders, and vendors help maintain accuracy and alignment even as systems evolve.
Consistency was another theme throughout the discussion. Standardizing how new orders are accepted, approved, and reconciled promotes efficiency and minimizes variation across shifts and locations. Facilities are also encouraged to designate super-users—staff trained to serve as internal experts who can troubleshoot problems, mentor peers, and coordinate directly with pharmacy and vendor partners to maintain data integrity.
When eMAR systems and pharmacy operations truly connect, care teams gain more than efficiency—they gain trust in their technology and confidence that every resident receives safe, accurate, and timely medication.
To explore more real-world examples and practical takeaways, watch the on-demand webinar.
