Clinical engine
Evidence-cited rules across ACB, STOPP/START, Beers 2023, CDC core elements, and AAMI water. Every finding tied to a source.
HIPAA-grade · consultant pharmacy operations
Modern chart review, structured and auditable.
Clinical rules, compliance automation, and sign-off in one workflow — built for SNF, ASC, and dialysis consultant pharmacists.
See the full workflow in a guided demo — not on a landing page.
Standards in the long-term care pack5 cited
ASCP standards of practiceConsultant pharmacist practice
Beers 2023Potentially inappropriate medications
STOPP/START v2Prescribing omissions and excess
42 CFR §483.45F605 · F757 · F881
Boustani ACBAnticholinergic burden scoring
·The long-term care pack is assigned automatically when the facility is created. An admin can swap it from the catalog.
5Standards cited
RosterReviewed by resident
100%Findings cited
Anticholinergic burden ≥ 3 with concurrent fall risk
Critical4 contributing agents · resident with a documented fall in 90 days
Beers 2023 · Table 8F605 · §483.45(e)Boustani ACB 3
Assigned automatically at facility creation18 flags · 18 cited
Previews are intentionally partial. The full workspace is shown in the demo.
Standards in the long-term care pack5 cited
ASCP standards of practiceConsultant pharmacist practice
Beers 2023Potentially inappropriate medications
STOPP/START v2Prescribing omissions and excess
42 CFR §483.45F605 · F757 · F881
Boustani ACBAnticholinergic burden scoring
·Assisted living inherits the long-term care pack as the closest fit — the geriatric and polypharmacy overlap is real. Swap it if you disagree.
5Standards cited
RosterReviewed by resident
100%Findings cited
Anticholinergic burden ≥ 3 with concurrent fall risk
CriticalGeriatric and polypharmacy overlap with skilled nursing
Beers 2023 · Table 8Boustani ACB 3
Inherits the long-term care pack — swappableSwappable by an admin
Previews are intentionally partial. The full workspace is shown in the demo.
Standards in the ambulatory surgical pack4 cited
AAAHC pharmaceutical standardsChapter 9
DEA 21 CFR §1304Controlled-substance recordkeeping
ISMP high-alert listStorage and independent double-check
Anesthesia reconciliationPre-op through discharge
·Assigned automatically, and ambulatory surgical facilities get five assessment worksheets.
4Standards cited
5Worksheets
100%Findings cited
Controlled-substance count variance unresolved past 24 h
CriticalTwo consecutive shifts · no reconciliation entry logged
DEA 21 CFR §1304.11AAAHC Ch. 9
Assigned automatically · 5 assessment worksheets11 flags · 11 cited
Previews are intentionally partial. The full workspace is shown in the demo.
Standards in the dialysis pack4 cited
42 CFR §494Conditions for coverage
AAMI water qualityRD52 · endotoxin and chemical limits
KDIGO anemiaESA dosing and hemoglobin targets
KDIGO mineral & bonePhosphate, calcium, PTH
·Assigned automatically, and dialysis facilities get three assessment worksheets.
4Standards cited
3Worksheets
100%Findings cited
Water endotoxin above AAMI action level on monthly culture
CriticalResample not logged within the required interval
AAMI RD5242 CFR §494.40
Assigned automatically · 3 assessment worksheets14 flags · 14 cited
Previews are intentionally partial. The full workspace is shown in the demo.
Rule packs assigned3 in catalog
Long-term care packASCP · Beers · STOPP/START · F-tags — assigned
Ambulatory surgical packAAAHC · DEA · high-alert monitoring — assigned
Dialysis pack42 CFR §494 · AAMI water — available, not assigned
·Nothing is auto-assigned to a Custom facility. An admin assigns whichever packs apply — and no workflow family is gated.
2Packs assigned
RosterReviewed by resident
100%Findings cited
Anticholinergic burden ≥ 3 with concurrent fall risk
CriticalRuns here only because an admin assigned the long-term care pack
Beers 2023 · Table 8Long-term care pack
You choose which packs run here2 of 3 packs assigned
Previews are intentionally partial. The full workspace is shown in the demo.
3
Vertical rule packs
Built-in
Assessment worksheets
HIPAA
Aligned controls
7 yr
Audit retention
ASCPAAAHC pharmaCMS CfC §494AAMI WaterBeers 2023STOPP/START v2
The pipeline
Draft through signed, without leaving the record.
Nothing is re-keyed, re-bundled, or reconciled in a spreadsheet at the end of the month.
5Ingestion pathways
NoneInterface required
OneSnapshot format
18 findings stagednot yet evaluated
Get the chart in, whatever shape it is in
Most consultant software waits on an interface project. We read what your systems already produce — a direct EHR connection where one exists, and the export, extract, or PDF where one does not. Nothing is retyped by hand.
Hands to stage 02One normalized snapshot — the rules never know which pathway it arrived on
Ingestion pathwaysOne snapshot format
Direct EHR connectionPointClickCare, through their certified data connectorIn progress
EHR chart exportThe clinical export your EHR already generatesLive
Pharmacy system extractThe batch files LTC dispensing software producesLive
MAR and lab PDFRead and structured, never retypedLive
CSVFor anything that fits none of the aboveLive
No interface project to startSame snapshot downstream
The clinical engine runs
The rules assigned to that facility evaluate the normalized chart — 40 of them here, out of 92 across the catalog. Every finding that fires carries the published rule it came from.
Hands to stage 0318 findings from 40 rules — each with its published rule already attached
Rules evaluatedDeterministic
Beers 2023 · Table 83 fired
Boustani ACB scale2 fired
STOPP/START v26 fired
F605 · §483.45(e)7 fired
22 further rulesevaluated, no finding
40 rules evaluated · 18 fired · 18 cited0 uncited
The pharmacist decides
Accept, modify, or dismiss with a reason. Drafts follow your house style; the clinical facts underneath are extracted deterministically, so the model never sources the evidence.
Hands to stage 0418 decisions — and every dismissal carries its reason
Pharmacist decisionsPHI redacted
Anticholinergic burden ≥ 3 with fall riskTaper recommended · sent to prescriberBeers 2023 · Table 8Accept
Gradual dose reduction due — psychotropicInterval changed to 90 days · rationale recordedF605 · §483.45(e)(3)Modify
Duplicate therapy — proton pump inhibitorDismissed · second agent discontinued at admissionDismiss
Every dismissal carries a reason18 of 18 reviewed
Bundled and billed
In-app signature, append-only audit entry, and the invoice — all from the same review. The bundle the surveyor eventually asks for is already assembled and searchable.
OutputOne signed bundle, one invoice, one searchable survey packet
Bundle · signedPHI redacted
Signed by—— · 10:12
Audit entryAppended · immutable · 7-year retention
InvoiceDrawn from this review · no re-entry
Survey packetAssembled and searchable on request
Nothing re-keyed between stagesSealed
The platform
Three pillars. One workflow.
Clinical depth and operational throughput — without spreadsheets or manual bundling.
Compliance automation
CMS F-tags, state board filings, in-app sign-off, and append-only audit log.
AI-assisted drafting
Recommendation drafts follow your house style, refined from edits you approve. Clinical facts are extracted deterministically — never by the model.
What you get
Outcomes, not screenshots.
We show capabilities and results on the site. The full review workspace is reserved for customers and demos.
01
Deterministic flags
Every clinical finding tied to a published rule or regulatory reference — auditable, not black-box.
02
Review to bundle
Draft through signed in one pipeline: flags, recommendations, in-app signature, invoicing.
03
HIPAA by design
Tenant-scoped data, append-only audit log, and automated PHI safety checks on every release.
Step 1
Ingest
EHR data normalized and ready for rules.
Step 2
Flag
Clinical engine runs with cited evidence.
Step 3
Review
Pharmacist decisions on every finding.
Step 4
Sign & invoice
Bundle, sign-off, and billing in one flow.
Want to see the full platform?
We walk through a live review with your sample chart in 30 minutes — that's where the product speaks for itself.
The whole loop
Nobody has to leave the platform to finish the review.
The work doesn’t end when the pharmacist signs. Everyone the review touches has their own way in, and every action lands on the record.
Prescribers respond in place
A recommendation goes out and comes back answered — accepted, modified, or declined — without ever leaving the record it came from.
Facility admins see what's outstanding
What's open, what's waiting on a signature, what's closed. No one has to ask for a status update.
The DON knows where the building stands
Regulatory standing from their own login, so the answer exists before the surveyor asks for it.
The surveyor still gets their binder. It just assembles itself — every finding, citation, response, and signature in one place, searchable in seconds instead of flipped through.
1 / 5Entries
1Writes
4Seats in sync
0 minElapsed
OpenRecord state
Pharmacist
WritesPrescriber
WritesFacility admin
ReadsDON
ReadsOpened 09:12Locks 10:12
09:12PharmacistEntry 1 / 5
Review opened
Chart ingested and normalized. The clinical engine raises 18 findings, each already tied to the rule it came from.
On all four seats the moment it lands. Nobody re-keys it anywhere.
09:29PharmacistEntry 2 / 5
Findings triaged
Three critical, six moderate, nine routine. Severity is the pharmacist’s call; the citation behind it is not editable.
Beers 2023STOPP/START v2Boustani ACB
On all four seats the moment it lands. Nobody re-keys it anywhere.
09:41PharmacistEntry 3 / 5
Recommendation signed
Taper recommended for anticholinergic burden ≥ 3 with concurrent fall risk. It reaches the prescriber inside the record, not in an inbox.
Beers 2023 · Table 8F605 · §483.45(e)
On all four seats the moment it lands. Nobody re-keys it anywhere.
10:08PrescriberEntry 4 / 5
Response recorded — accepted
Accepted with no edits. The answer attaches to the 09:41 entry, so the recommendation and its outcome stay one thing, not two.
Responds to 09:41
On all four seats the moment it lands. Nobody re-keys it anywhere.
10:12PharmacistEntry 5 / 5
Bundle closed & invoiced
Signature, audit entry, and invoice from the same review. The record seals — appended to, never rewritten.
Entry locked · 7-year retention
On all four seats the moment it lands. Nobody re-keys it anywhere.
Append-only · every action timestampedNothing re-keyed
Solutions
Built for your facility type.
Rule packs and compliance surfaces tuned to each regulatory framework.
Long-term care
SNF & ALF
ASCP standards · F605 / F757 / F881 · Boustani ACB · GDR psychotropic. Assisted living runs the same pack.
Explore SNF & ALFAmbulatory surgical
ASC
AAAHC pharmaceutical standards · DEA · high-alert med monitoring
Explore ASCDialysis
Dialysis
42 CFR 494 · AAMI water · ESA Hgb · MBD labs
Explore DialysisAnything else
Your facility is not one of these
Create it as a Custom facility and assign whichever rule packs apply. Nothing is assigned automatically, nothing is gated, and the review runs exactly the same way.
Trust & compliance
Compliance shipped in code.
Automated PHI safety checks and tenant isolation testing on every release.
- AES-256 at rest · TLS 1.2+ in transit
- HIPAA §164.308 / .310 / .312 controls
- BAA on every covered subprocessor
- Append-only audit log · 7-year retention
Why it exists
“I’ve dispensed in community, rounded in hospital, consulted in long-term care, and sat on the informatics side of EHR implementations. Twenty years in, the same problem kept turning up: the finding was defensible, but the evidence for it lived in three places and none of them was the chart. This is the tool I wanted on those reviews.”
Consultant pharmacist and founder, WeConsult Rx
More about how we work
See WeConsult Rx in your workflow.
Bring a sample chart. We'll show you a flagged review and bundle inside 30 minutes — with citations.