--- title: Understanding Concurrency Checks in GraphiumEMR description: Learn how GraphiumEMR automatically checks for anesthesia concurrency violations based on care models to ensure compliance and resolve overlapping cases easily. --- [Skip to content](https://help.graphiumhealth.com/understanding-concurrency-checks-in-graphiumemr#main-content) English Show submenu for translations [Submit an Issue](https://help.graphiumhealth.com/kb-tickets/new?hsLang=en) [Customer portal](https://help.graphiumhealth.com/tickets?hsLang=en) ![Graphium Health logo](https://help.graphiumhealth.com/hs-fs/hubfs/Graphium%20Health%20Logo_Navy-1.png?width=560&height=49&name=Graphium%20Health%20Logo_Navy-1.png) Open main navigation Close main navigation - English Show submenu for translations - [Submit an Issue](https://help.graphiumhealth.com/kb-tickets/new) - [Customer portal](https://help.graphiumhealth.com/tickets) How can we help you? - There are no suggestions because the search field is empty. 1. [Graphium Health](https://help.graphiumhealth.com/?hsLang=en) 2. [Mobile Application](https://help.graphiumhealth.com/mobile-application?hsLang=en) 3. [How to Complete Records in Graphium](https://help.graphiumhealth.com/mobile-application?hsLang=en#how-to-complete-records-in-graphium) # Understanding Concurrency Checks in GraphiumEMR ## Our system automatically checks for concurrency violations to help ensure compliance with anesthesia concurrency rules. This article explains how concurrency checks work and what information you’ll see if a violation occurs. ### **When We Run Concurrency Checks** We only run a concurrency check when all of the following are true: - The provider has entered a **start time** for themselves (Note: Anesthesia Case Start and Stop times are NOT a part of any concurrency check.) - A **care model** has been selected for the case - The case type is **Standard** (eg. Not an OB Case which are not checked for concurrency issues.) If these conditions aren’t met, the concurrency check won’t run. If no Provider specific end time is entered, we assume the case is still in progress and use the **current time** as the "end". --- ### **How We Detect Overlapping Cases** Once a case meets the above rules, we look for overlapping cases as follows: - The two cases must **overlap by at least one minute** - Only cases on the **same day** (or within 1 day) are compared - Providers can appear in the **same case multiple times** — this doesn’t count as a violation --- ### **Concurrency Rules by Care Model** Concurrency rules depend on the **care model** of the case: | **Care Model** | **Rule** | | --- | --- | | **CRNA Only** | A CRNA can only be in **1 case at a time** | | **Physician Only** | A physician can only be in **1 case at a time** | | **Team\*** | An anesthesiologist can be involved in **up to 4 cases at once** | | **Both Full** | Same rule as Team: up to **4 cases at once** | | **Supervised** | **No concurrency limit** | | **Mixed** | **No concurrency limit** because the care model changed mid-case | \*CAAs may only ever be in 1 case at a time. --- ### **What You’ll See for Violations** When a concurrency violation occurs, we show: - The **number of violations** for each provider - The **overlapping case details**: - Case number - Provider name and ID - Encounter ID and Encounter Form ID This helps you quickly see **which cases** and **which providers** are affected. --- ### **Example** ![](https://help.graphiumhealth.com/hs-fs/hubfs/undefined-2.png?width=658&height=526&name=undefined-2.png) This case is causing 1 concurrency issue. Specifically, the Provider ID with the concurrency is "MD1-11111". Furthermore, the "conflicting case" has an Encounter Number of "TEST\_OVERLAP". In this case, provider MD1-11111 needs to either (1) change their individual start time on this form, or (2) navigate out of this form to the "TEST\_OVERLAP" EN, find the conflicting form, open it, and change their individual times. Of note, this new form they have navigated to will show a similar "concurrency violation" which identifies the EN they just navigated away from. ### **Limitations** We do not yet have a dashboard visualization identifying conflicting forms. - [Mobile Application](https://help.graphiumhealth.com/mobile-application?hsLang=en#main-content) - [Graphium Application Demo](https://help.graphiumhealth.com/mobile-application?hsLang=en#graphium-application-demo) - [Account Creation and Maintenance](https://help.graphiumhealth.com/mobile-application?hsLang=en#account-creation-and-maintenance) - [Graphium iOS Application Basics](https://help.graphiumhealth.com/mobile-application?hsLang=en#graphium-ios-application-basics) - [How to Complete Records in Graphium](https://help.graphiumhealth.com/mobile-application?hsLang=en#how-to-complete-records-in-graphium) - [Charge Capture](https://help.graphiumhealth.com/mobile-application?hsLang=en#charge-capture) - [AnesthesiaEMR™](https://help.graphiumhealth.com/mobile-application?hsLang=en#anesthesiaemr) - [Integrated Vitals](https://help.graphiumhealth.com/mobile-application?hsLang=en#integrated-vitals) - [Dashboards](https://help.graphiumhealth.com/dashboards?hsLang=en#main-content) - [Graphium EMR Dashboard™](https://help.graphiumhealth.com/dashboards?hsLang=en#graphium-emr-dashboard) - [Graphium Collector Dashboard™](https://help.graphiumhealth.com/dashboards?hsLang=en#graphium-collector-dashboard) - [Managing Vitals Connections](https://help.graphiumhealth.com/dashboards?hsLang=en#managing-vitals-connections) - [MACRA Ready™](https://help.graphiumhealth.com/macra-ready?hsLang=en#main-content) - [Quality Payment Program](https://help.graphiumhealth.com/macra-ready?hsLang=en#quality-payment-program) - [Improvement Activities](https://help.graphiumhealth.com/macra-ready?hsLang=en#improvement-activities) - [Quality Measures](https://help.graphiumhealth.com/macra-ready?hsLang=en#quality-measures) - [Quality Benchmarks](https://help.graphiumhealth.com/macra-ready?hsLang=en#quality-benchmarks) - [MACRA Ready™ Platform](https://help.graphiumhealth.com/macra-ready?hsLang=en#macra-ready-platform) - [Historical Documents](https://help.graphiumhealth.com/macra-ready?hsLang=en#historical-documents) - [Advanced Anesthesia Analytics™](https://help.graphiumhealth.com/advanced-anesthesia-analytics?hsLang=en#main-content) - [Advanced Analytics Lessons](https://help.graphiumhealth.com/advanced-anesthesia-analytics?hsLang=en#advanced-analytics-lessons) - [Case Anomalies](https://help.graphiumhealth.com/advanced-anesthesia-analytics?hsLang=en#case-anomalies) - [Scorecards](https://help.graphiumhealth.com/advanced-anesthesia-analytics?hsLang=en#scorecards) - [Case Details / PHI Tables](https://help.graphiumhealth.com/advanced-anesthesia-analytics?hsLang=en#case-details-phi-tables) - [Operational Oversight](https://help.graphiumhealth.com/advanced-anesthesia-analytics?hsLang=en#operational-oversight) - [Customer Onboarding](https://help.graphiumhealth.com/customer-onboarding?hsLang=en#main-content) - [Overview](https://help.graphiumhealth.com/customer-onboarding?hsLang=en#overview) - [New Client Information](https://help.graphiumhealth.com/customer-onboarding?hsLang=en#new-client-information) - [Form Development](https://help.graphiumhealth.com/customer-onboarding?hsLang=en#form-development) - [Integrations](https://help.graphiumhealth.com/customer-onboarding?hsLang=en#integrations) - [Site Preparation](https://help.graphiumhealth.com/customer-onboarding?hsLang=en#site-preparation) - [Pre-Go Live Training](https://help.graphiumhealth.com/customer-onboarding?hsLang=en#pre-go-live-training) - [Onsite Go Live](https://help.graphiumhealth.com/customer-onboarding?hsLang=en#onsite-go-live) - [Post Go-Live](https://help.graphiumhealth.com/customer-onboarding?hsLang=en#post-go-live) - [Surveys](https://help.graphiumhealth.com/surveys?hsLang=en) - [Support Ticket Portal](https://help.graphiumhealth.com/support-ticket-portal?hsLang=en#main-content) - [Logging In & Access](https://help.graphiumhealth.com/support-ticket-portal?hsLang=en#logging-in-access) [![Graphium Health logo](https://help.graphiumhealth.com/hs-fs/hubfs/Graphium%20Health%20Logo_Navy-1.png?width=560&height=49&name=Graphium%20Health%20Logo_Navy-1.png "Graphium Health logo")](http://www.graphiumhealth.com) Copyright © 2026, GraphiumHealth