Implementation & Training

    Switching Home Health EMRs: A Migration and Go-Live Checklist

    Written for: Agency owners, administrators, and project leads planning an EMR switch.

    Most EMR switches fail on preparation, not software. Use this checklist to plan the migration, assign responsibilities, and know when you are actually ready to go live.

    Before you sign

    • Inventory your data: active patients, episodes, orders, and historical records you must keep.
    • Decide what migrates versus what stays in read-only archive.
    • Name an internal project lead with authority to make decisions.
    • Get the vendor's migration scope in writing: what they move, what you validate.
    • Plan the cutover around your billing cycle to avoid claim gaps.

    During migration

    • Validate a sample of migrated charts against the old system — clinical and billing staff both.
    • Configure roles, branches, and payers before training begins.
    • Train by role: clinicians on charting, QA on review queues, billers on claims.
    • Set a go/no-go date with explicit criteria, not just a calendar date.

    Go-live readiness checklist

    ItemOwnerDone when
    Data validationProject lead + vendorSampled charts match the old system and staff sign off
    User accounts & rolesAdministratorEvery staff member can log in and sees the right patients
    Payer setupBilling leadTest claims pass eligibility checks
    Training completionProject leadEach role has completed its training session
    Support planVendorYou know who to call in week one and how

    The first 30 days

    Expect slower charting in week one — that is normal. Watch QA return rates and claim rejections closely; they tell you where training gaps remain. Keep your vendor's support channel busy: the agencies that struggle are the ones that go quiet.

    Next step

    See how DSL handles this on a walkthrough tailored to your agency.