Document a Clinical Opiate Withdrawal Scale

NextGen Behavioral Health Suite Help 5.5

Document the Patient's Detoxification Status

You can obtain information regarding how to use the template or sections of the template by selecting the information icon or the How to Use This Template link. Open NextGen® Enterprise EHR, and then in Patient History, select Templates. The Select Template window opens. Select Demographics, and then select All. Select Detoxification Monitoring (BH), and then select OK. Note: You can open the Detoxification Monitoring (BH) template from your Packet Navigation, or from the Templates module. For more information on configuring Packet Navigation, go to NextGen Healthcare Success Community, and download the Configuration Guide for NextGen® Behavioral Health Suite. Document the patient's new and recurring detox orders and the related billing details. Document the patient's vitals and the level of pain. Document the clinical opiate withdrawal scale (COWS) and clinical institute withdrawal assessment of alcohol scale (CIWA) for the patient. Document the time interval for the next detox assess

NextGen Behavioral Health Suite Help 5.5

Detoxification Monitoring

You can obtain information regarding how to use the template or sections of the template by selecting the information icon or the How to Use This Template link. With this template, you can: View detox orders. Document the patient's vital signs. Complete a standard CIWA and/or COWS assessment. Calculate the next assessment date and time. Complete the order when the treatment plan is. Detoxification Monitoring (BH) Template The CIWA-Ar and COWS grids display all the assessments that have been completed for the patient. The Current assessment and Assessment history options enable you to filter the grid. The CIWA total score and COWS total score fields display the patient's most recent assessment score while the initial scores are displayed in the respective fields. If the patient returns and a new withdrawal monitoring plan is ordered, Start New Detox Monitoring enables you to clear the initial CIWA-AR or COWS scores for the new treatment series. By clearing the initial scores, a new trea

NextGen® Adaptive Content Engine Help Enterprise 8

Complete the Diagnoses Section for Transfer/Discharge

In the Behavioral Health Diagnoses section, select any of the available links: Diagnosis Code Lookup Add Common Assessment Mandated Care Coordination In the required Diagnostic description field, click to launch the diagnosis search window. Selecting a description value automatically populates the ICD Code field or vice versa. In the Status field, click to select a value from the list. If appropriate, enter a Severity. If needed, enter a Differential dx, and/or Impression. To enter Specifiers, click one of the following: In the field to manually enter any required values The My Phrases link. For more information about My Phrases, go to NextGen Healthcare Success Community, and download the Getting Started User Guide for NextGen® Adaptive Content Engine. For chronic conditions, select the option to Mark diagnosis as chronic. Select the options to add the assessment to the Clinical problems, My tracked problems, and/or My favorites where applicable. Click Add To Grid. In the Physical Hea

NextGen Behavioral Health Suite Help 5.5

Document the Patient's Progress in the Opiate Treatment Program

Open NextGen® Enterprise EHR, and then in Patient History, select Open Templates. The Select Template window opens. On the Medical Records tab, select All. Select Opiate Treat Progress Note (BH), and then select OK. In the Time Entry Navigation sidebar, select Billing Time Entry, and then enter the start time. Note: You can select the current time or enter the time manually. Select the program, specialty, and visit type. Note: Only programs that the patient is actively enrolled in appear in the list. You can select <No Program> to create an encounter without a program, and then add the program later. Select the opiate treatment program. In the Individuals Present panel, document the details of the individuals present during the assessment. Note: The Homework data from the last session is displayed from the most recent encounter by the same provider on the Opiate Treat Progress Note (BH), IDD Summary Progress Note (BH), and Progress Note (BH) templates. The Copy Forward option copies th

NextGen Behavioral Health Suite Help 5.5

Assessment and Diagnosis Functionality

You can enter assessment information for the current encounter using the Assessment/Diagnosis panel. The table provides information about the functions available in the Assessment/Diagnosis panel. Assessment/Diagnosis Panel Functions Available Related Topics Add a Diagnosis Add an Admitting Diagnosis Add an Existing Client Diagnosis Add a Diagnosis Using Diagnosis Code Lookup Add a Diagnosis Using Common Assessment Add Diagnosis Details Sort Assessment Order Sort Assessment Order View or Document Psychosocial Stressors and GAF Score Document Psychosocial Stressors and GAF Score View or Complete a WHODAS Screening Document WHODAS Response Document Active Diagnosis Select the Note icon next to the Active Diagnosis link to generate a document with the list of active diagnoses in the Active Assessments (BH) template. Complete the custom questionnaires Select Configurable Questionnaires to document the pre-configured questions on the Additional Visit Information template and include its det

NextGen® Enterprise EHR Help

Completed Results Tab View

From the Results tab, you can do the following: View completed lab test results by their short, long, or NextGen description in a flow sheet format. View results for all orders using the pre-defined All filter or view only results for orders displayed in a user-defined private or practice filter. Display results for similar tests together on the flow sheet using LOINC codes. Assign delegates to view confidential lab results. View or add comments for order results. Create a graph of multiple results for the same test from different dates. Link to website resources for patient education, clinical decision support, and provider reference. Results Toolbar You can select the filters in the Results toolbar to display the options to select. View an Imported Result in a Graph You can view the graph and change the Y-axis range values for the imported result. View an Imported Result You can view an order and imported result. Add Tracking Comments for an Imported Result You can add tracking comme

Document a Clinical Opiate Withdrawal Scale

Recommendations

Document the Patient's Detoxification Status

Detoxification Monitoring

Complete the Diagnoses Section for Transfer/Discharge

Document the Patient's Progress in the Opiate Treatment Program

Assessment and Diagnosis Functionality

Completed Results Tab View

Document the Patient's Detoxification Status

Detoxification Monitoring

Complete the Diagnoses Section for Transfer/Discharge

Document the Patient's Progress in the Opiate Treatment Program

Assessment and Diagnosis Functionality

Completed Results Tab View