How to help ER docs update medications on my nursing home residents

I'm a nurse practitioner in a nursing home and noticed a number of situations where the ER doctor doesn't update my patient's medications in their system when I send them out. My patients go with a medication administration report and I suspect that a big part of the problem with the way it's formatted. I had a patient go to the ED twice this year so far, both times her long acting insulin was decreased from 40 to 25 (both times due to it not being updated in their system as the H&P showed the 25 units as her home dose)

I'm in the US and my nursing home facilities use PointClickCare. The local hospitals all use Epic.

Has anyone found a solution to this issue or have a suggestion?