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Document Patient's Additional Trauma History using the LEC-5 Self-Report Template
In
NextGen® Enterprise EHR
, in
Patient History
, select the
Templates
button.
The
Select Template
window opens.
On the
Medical Records
tab, select
All
.
From the list, select
LEC-5 Interview (BH)
, and then select
OK
.
Select the program, specialty, and visit type for the patient.
In the
Stressful Events
panel, document the patient's experiences on stressful events.
In the
Stressful Events - Extended Response
panel, document additional responses for the questionnaire.
Select
Generate Document
.
Document Patient's Additional Trauma History using the LEC-5 Self-Report Template
NextGen Behavioral Health Suite Help 5.5
Document Patient's Trauma History using the LEC-5 Interview Template
In NextGen® Enterprise EHR, in Patient History, select the Templates button. The Select Template window opens. On the Medical Records tab, select All. From the list, select LEC-5 Interview (BH), and then select OK. Select the program, specialty, and visit type for the patient. In the Rate Emotional Abuse Severity panel, enter the rating after completing all the questions on the patient's emotional status. In the Rate Physical Abuse Severity panel, enter the rating after completing all the questions on the patient's physical status. In the Rate Sexual Assault or Other Uncomfortable Sexual Experience Severity panel, enter the rating after completing all the questions on the patient's sexual assault experiences. In the Rate Other Stressful Event Severity panel, document the patient's exposure to other stressful events such as war, life-threatening illness, sudden violent death, or serious injury you have caused to someone else. In the Event Rating and Summation panel, document the overall
NextGen Behavioral Health Suite Help 5.5
Document Serious or Traumatic Life Events
To facilitate improved trauma care, the Trauma Hx Questionnaire (BH) template provides a general questionnaire for clients to self-report on stressful incidents and trauma in their lifetime. Clients can view and manage details related to serious or traumatic life events on the Trauma Hx Questionnaire (BH) template. In NextGen® Enterprise EHR, in Patient History, select the Templates button. The Select Template window opens. On the Medical Records tab, select All. From the list, select Trauma Hx Questionnaire (BH) and select OK. The Trauma Hx Questionnaire (BH) template opens. Expand the Serious or Traumatic Life Events panel. Serious or Traumatic Life Events Answer all the questions listed in the panel. Task Supervisor/Staff for Review and Signoff The table provides information about the tasks related to the Signature (Tasking Supervisor/Staff for review and signoff) panel. Parent topic: Intake Visit Information Management
NextGen Behavioral Health Suite Help 5.5
Document the Patient's Mental Health and Risk Assessment Information
Open NextGen® Enterprise EHR, and then in Patient History, select Open Templates. The Select Template window opens. On the Medical Records tab, select All. From the list, select Comp Assess - BH Hx, and then select OK. To document the patient's medical and surgical details in the Past Medical/Surgical panel, select Add. Note: To document the patient's mental and physical health details, you can select the corresponding links in the Past Medical/Surgical panel. In the Substance Use/Addictive Behavior History panel, document the details about the patient's addiction to substance use. In the Mental Health and Addiction Treatment Service panel, document the patient's treatment details about the mental health and substance use. In the Medication Information panel, review and update the patient's medication details. In the Mental Status Evaluation panel, enter the patient's mental health details. Note: To document the patient's mental health status systematically, you can select the Mental s
NextGen Behavioral Health Suite Help 5.5
Document the Patient's Suicide Risk Assessment
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 Eval of Suicide Risk (BH), and then select OK. 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. Document the reason for the suicide risk assessment. Document the patient's historical, clinical, and situational risk factors. Document the protective factors for the patient's mental health. Document the recommendations based on the patient's current assessment. Select Save. Parent topic: Individual Visit Workflows for Behavioral Health
NextGen Behavioral Health Suite Help 5.5
Document Crisis Contact Details
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 BH Crisis Contact Note, and then select OK. Note: You can open the BH Crisis Contact Note template from your Packet Navigation or you can open the template 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. 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 suitable crisis service type. In the Individuals Present panel, document the details of the individuals present during the assessment. In the Goals, Objectives, and Interventions Addressed Today panel, document the patient's goals, objecti
NextGen Behavioral Health Suite Help 5.5
Document Post-traumatic Assessment Details using the PCL-5 Template
Open NextGen® Enterprise EHR. For a patient encounter, open a template. Note: Your practice can also configure the template to be accessible from thePacket Navigation (BH)template. For more information, go toNextGen Healthcare Success Community, and download theConfiguration Guide forNextGen® Behavioral Health Suite. Select the Screening Tools link. The Screening Tools template opens. Select PSTD Checklist for DSM-5 (PCL-5). Select the assessment date. Select a severity score for each question. The total score is calculated based on the selected scores for all of the questions. Select Save & Close. The information appears in the Screening Tools Performed grid on the Screening Tool window. Parent topic: Managing Patient Details in Screening and Assessment Tools
