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From MACC to eMACC: Building the future together

The eMACC preserves everything the MACC was designed to accomplish: teamwork, intentionality, and structured verification

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Photograph of a paramedic using OneDose’s new eMACC feature.

A paramedic verifies medication administration using eMACC, the digital extension of the trusted MACC process.

Hinkcley Medical

PRESS RELEASE

LAKEVILLE, Minn. — For years, the Medication Administration Cross-Check (MACC), developed by Dr. Paul Misasi has been one of the most trusted patient safety processes in EMS. It brought structure, teamwork, and intentional verification to medication administration at a time when EMS needed a clear and repeatable system. The MACC didn’t just improve safety — it reshaped culture.

At OneDose, we have always admired that legacy. That admiration grew into something even more meaningful when we began working directly with Dr. Misasi to enhance the MACC, given new technological capabilities.

Our partnership was built on shared values, including a commitment to patient safety, a passion for supporting providers, and a belief that the best ideas in EMS come from the field itself. The MACC has proven itself over years of real-world use, and we entered this collaboration with deep respect for its purpose and its impact.

Together, we asked an important question:

How can we take the principles of the MACC, remove its limitations, and create true accountability with modern technology?

The answer is eMACC — the electronic MACC built into OneDose.

The eMACC preserves everything the MACC was designed to accomplish: teamwork, intentionality, and structured verification. But it adds a digital layer that extends its use to every situation and automatically creates an audit trail to support process improvement. By enabling a single provider to scan the medication directly, eMACC verifies medication identity and concentration, links that information to weight-based dosing, and records the entire verification process automatically.

This enhancement is only possible because of the foundation the MACC created — and because of the insight we gained through our ongoing collaboration with its originator. Dr. Misasi’s experience in the field and dedication to safety shaped the MACC; his partnership with us helped shape its natural digital evolution.

Today, agencies using the eMACC aren’t replacing the MACC. They’re enhancing it, supported by the same core principles that made the MACC so effective from the beginning.

We’re proud of the relationship that made this possible, and even more proud to help carry the MACC’s mission forward. Together with its creator, we’re bringing the same commitment to clarity, consistency, and patient safety into the next generation of EMS tools.

This is the eMACC — strengthened, supported, and brought into the digital age. And we’re honored to have built it side by side with the person who started it all.

About OneDose

Streamline protocol and clinical support with OneDose. Our solutions reduce provider stress, increase on-scene efficiency, and minimize prehospital medical errors. OneDose, an interactive protocol-workflow app, and OneWeight, the first patient scale for ambulance gurneys, are designed for seamless integration or standalone use. Both solutions enable accurate, adaptable treatment and streamlined protocol adherence from pre-scene to ED. www.hinckleymed.com