Built for geriatricsClinical-grade EMR

Geriatricsdeserves its ownoperating system.

Polypharmacy reconciliation, cognitive decline tracking, fall risk scoring, and advance directive management — unified in one workflow built for physicians who treat patients with seven specialists and fourteen medications.

HIPAA-compliantONC-certifiedHL7 FHIR R4
Patient Timeline — Margaret H., 82
MH

Margaret Holloway

82 · F · Memory Care · 14 active medications

High Complexity
AdmissionPoly RxMoCA 22Fall RxAWV
Clinical milestoneMedication alertAdverse event

14

Active Rx

22

MoCA Score

3

Fall Risk Flags

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Polypharmacy

Can it handle polypharmacy alerts across prescribers?

When a patient sees a cardiologist, a neurologist, and a urologist in the same month, no single prescriber sees the full picture. Charting aggregates every active medication — regardless of prescriber — and surfaces interaction alerts before you sign the order.

Medication Reconciliation — 14 active
2 Interactions Found

Warfarin 5mg

Cardiology

HIGH

Fluconazole 150mg

Primary Care

HIGH

Metformin 500mg

Endocrinology

RENAL

Donepezil 10mg

Neurology

OK

Lisinopril 10mg

Cardiology

OK

Warfarin + Fluconazole — Major Interaction

Azole antifungals inhibit CYP2C9. INR may increase 2–3×. Consider dose reduction or alternative antifungal.

Cross-prescriber DDI detection — flags interactions your pharmacy system misses because it only sees one prescriber.

Deprescribing suggestions mapped to AGS Beers Criteria — 2023 update included.

Medication reconciliation on every encounter, with one-click acceptance from the prior note.

Renal dosing auto-adjusted when eGFR drops — alerts fire before the lab result is acknowledged.

"I was reconciling medications by printing three different summaries and comparing them by hand. Charting showed me a warfarin–fluconazole interaction that two pharmacists had missed because they were working from different med lists."

Dr. Priya Nambiar, MD

Geriatrician, Memory Care Clinic · Philadelphia, PA

AWV Documentation

Does it generate AWV documentation automatically?

Medicare Annual Wellness Visits have 17 required elements. Most EMRs make you hunt for each one. Charting pulls Health Risk Assessment responses, prior visit data, and preventive service due dates into a structured AWV note — ready for your signature in under four minutes.

4 min

Average time to complete AWV documentation

vs. 22 min industry average

100%

CMS required elements captured automatically

Zero documentation gaps

17

AWV elements auto-populated from chart data

HRA, vitals, preventive services

AWV Builder — Medicare G0439
Health Risk AssessmentComplete
Preventive Services ReviewComplete
Cognitive Assessment (MoCA)Complete
Fall Risk ScreeningIn Progress
Depression Screen (PHQ-9)Pending
Documentation complete72%

HRA Auto-Import

Patient-completed Health Risk Assessment flows directly into the AWV note structure.

Preventive Due Dates

Flu, pneumococcal, shingles, colonoscopy — due dates calculated from chart history.

Patient-Ready Summary

After-visit summary generated in plain language, ready to hand to patient at checkout.

"I see 18 patients a day. Before Charting, the AWV note alone took me 20 minutes after the visit. Now I'm signing it before the patient reaches the checkout desk."

Dr. James Okafor, MD, FACP

Primary Care Physician · Geriatric Panel · Houston, TX

Cognitive Screening

How does cognitive screening integrate?

Cognitive decline doesn't announce itself between visits. Charting tracks MoCA, MMSE, and Mini-Cog scores longitudinally, flags meaningful decline (≥2 points over 12 months), and surfaces the trend graph before you enter the room — so the visit starts with context, not catch-up.

MoCA Trend — Margaret H. (2-year)
182022242628MCIJanAprJulOctJanAprJulOct

6-point decline over 24 months — exceeds 2-point threshold. Neurology referral template ready.

Current Status

20

MoCA Score

Oct 2025 · Mild impairment

Screening History

MoCA20/30
Oct 2025Mild
MMSE24/30
Jan 2025Normal
Mini-Cog3/5
Jul 2024Impaired

Longitudinal Score Tracking

MoCA · MMSE · Mini-Cog

≥2-Point Decline Alert

Fires on next encounter

Family Communication Template

Plain-language summary

Referral Pre-filled

Neurology / neuropsych

"The longitudinal graph changed how I have the conversation with families. Instead of telling them the score, I show them the slope. That's a completely different kind of evidence."

Dr. Anita Krishnaswamy, MD, CMD

Medical Director, Memory Care Unit · Chicago, IL

Fall Risk & Directives

Does it manage fall risk scoring and advance directives?

Falls are the leading cause of injury death in adults over 65. Advance directives are the most frequently missing document when a geriatric patient is admitted. Charting addresses both — not as checkboxes, but as active clinical workflows that surface at the right moment.

Morse Fall Scale
HIGH RISK
History of falls
25
Secondary diagnosis
15
Ambulatory aid (walker)
15
IV / heparin lock
Gait — weak
10
Mental status — forgets
15
Total Score80
Score ≥ 45 = High Fall Risk. Initiate fall prevention protocol. Order PT evaluation.
Advance Directive Status
1 Missing
POLST / MOLST
On File

Jan 12, 2025

Healthcare Proxy
On File

Jan 12, 2025

Living Will
Missing
DNR / DNI Order
Signed

Feb 3, 2025

Durable POA (Financial)
Not Required

37%

Reduction in fall-related ED visits

Among SNF patients on Charting

94%

Advance directive completion rate

vs. 32% industry average

< 2 min

To generate POLST from chart data

Pre-populated from existing notes

100%

Morse Fall Score documented on admission

Automated from nursing intake

"In a 180-bed SNF, I used to find out a patient had no advance directive when they were already in the ICU. Now Charting flags it on admission. We've gone from 32% to 91% directive completion in eight months."

Dr. Reginald Fontaine, MD, CMD

Medical Director, Skilled Nursing Facility · New Orleans, LA

5-Question Diagnostic

Score Your Current Workflow

The same scaled-response format geriatricians use for clinical assessments — applied to your documentation burden. Takes 3 minutes. Results map your pain points to specific platform features.

Workflow Gap Analysis

Five questions. Branching logic based on your practice setting. A results page that maps your specific friction points to Charting features — shareable with your practice manager.

5 questions~3 minutesPersonalized resultsNo email required