Whenever someone changes a medication record (adds, edits, stops, restarts), BEHCA creates a MAR version and notifies designated reviewers. This article covers the review side.
Why reviews exist
Medication records are clinically and legally significant. The review workflow:
- Adds a second-pair-of-eyes check on any changes.
- Creates a signed audit trail for regulators, families, and prescribers.
- Catches mistakes early — before staff start administering a wrong dose.
Who can review
Anyone who can review will be a:
- Manager (or Billing user) — they can always review.
- Staff member or Guest who's been given the Review MAR/IRs permission.
There's no setup to assign specific named reviewers to a particular medication or change — if you have review access, you can approve any pending change for the profiles you cover.
The person who made the change can also approve it. BEHCA doesn't block you from approving your own edits. If your organization wants a separate set of eyes, make that part of your internal process.
Where to review
On the web
- Sign in to BEHCA.
- Open MAR Review from the menu.
- You'll see two tabs: Pending Review and Approved.
- On Pending Review, each entry shows what changed, who changed it, and when, with an APPROVE button.
On mobile
Reviewers may receive a push notification linking to the review page on the web. Review work is best done on the web.
What you'll see in a version entry
Each version shows:
- What changed — e.g. "Risperidone 0.5mg added", "Sertraline schedule changed from BID to TID".
- Who made the change — name and timestamp.
- The previous state of the medication, side-by-side with the new state, where applicable.
- Reviewer slot — empty until reviewed, then showing the reviewer's name, time, and any notes.
Approving a change
- Read the change details carefully.
- Cross-check against the prescription order, label, or clinician note if available.
- Click APPROVE.
Once approved, the change moves to the Approved tab. A single approval is all that's needed — the medication's current state reflects the approved version.
If something looks wrong
There's no "reject" button — a change is either approved or left pending. If a change looks wrong:
- Don't approve it.
- Contact the person who made the change.
- They edit the medication, which creates a new version to review.
Reviewing past changes
The Approved tab shows changes that have already been signed off, so you can look back at how a medication has evolved over time — useful for clinical reviews.
Common questions
- What happens if a change isn't reviewed? — The medication is still active; staff continue to administer. Lack of review is a paperwork matter, not a clinical block.
- Can I edit my own change after submitting? — Yes, but it creates a new version that needs reviewing again.
- Do I get notified about every MAR change? — Yes, if you have the Review MAR/IRs permission.
- Can I print or export the review history? — The MAR Review page itself doesn't have a PDF export. The MAR PDF available from the dashboard is an administration report for a date range, not a printout of the version/approval history.