Document Risk Assessment

NextGen Behavioral Health Suite Help 5.5

Document the Patient's Initial Psychiatric Evaluation Summary

As a psychiatrist, nurse practitioner (NPP), or other behavioral health professional, you can document an initial psychiatric assessment of the patient. It is important to note that you can prescribe medications during the psychiatric evaluation. Also, the EM Coding button opens the Finalize template, which enables you to submit billing codes. 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 Psych Eval (BH), and then select OK. Note: You can open the Psych Eval (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. 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 enco

NextGen® Adaptive Content Engine Help Enterprise 8

Record a Risk Assessment

Any assessment of risk data that was entered previously on the Comprehensive Assessment template set carries forward to the panels found here. On the Risk Assessment panel, if the patient is not a danger to self or other, select the option for Patient is not currently a danger to self, others, or property. Selecting this option sets every field in the section as unavailable. The Encounter field fills with the current date. In the Risk field, select the appropriate type of risk from the list. If there is a need to record a previous risk for the client, select the Past option. CAUTION: Always document past risks before a current assessment. If Past is selected, either an Event Date (even if approximate) or Denied should be populated. If there are no past assessments to document, select the option for Current. Select Denied or Admits. If Denied is selected, the documentation options are all disabled in this section except for the date fields and the Add and Clear buttons. Enter the Event

NextGen Behavioral Health Suite Help 5.5

Document Suicide Risk Evaluation Using the Columbia Suicide Severity Rating Scale

The Columbia Suicide Severity Risk Scale (C-SSRS) screening tool is part of the NextGen Behavioral Health Suite workflow. Developed by researchers at Columbia University, University of Pennsylvania, University of Pittsburgh, and New York University, the C-SSRS is designed to assess suicidal ideation and behavior. It rates the severity of suicidal ideation on a scale from "wish to be dead" to "active suicidal ideation with specific plan and intent and behaviors." Questions are phrased for use in an interview format, but the C-SSRS can also be completed as a self-report measure if necessary. The scale identifies behaviors that may indicate an individual's intent to complete suicide. An individual exhibiting even a single behavior identified by the scale was 8 to 10 times more likely to complete suicide. Open NextGen® Enterprise EHR. For a patient encounter, open a template. In the header link section, select Screening Tools. The Screening Tools template opens. Select Columbia Suicidal Se

NextGen® Adaptive Content Engine Help Enterprise 8

Enter Crisis Treatment Plan

On the BH - Crisis Treatment Plan template, expand the Crisis Treatment Plan panel. Click the Suicide/Homicide Risk link to assess risk level. Crisis Treatment Plan The Safety Risk template opens. Safety Risk Click the Quality button to learn about the Quality Reporting requirements related to this type of risk. Click Save & Close to return to the BH - Crisis Treatment Plan template. Under Problem/Precipitating Events, manually type an explanation in the field. In the Signs of Risk field, enter a description of the signs, symptoms, and circumstances that may cause the documented risk to happen again. Under the Strategies to Reduce Risk section, use the Patient strategies and Staff interventions fields to document specific actions meant to lower the risk. In the Goals Prior to Release from Precautions section, record the target initiatives to be completed by the client before being released from precautions. Parent topic: Crisis Treatment Plan Workflow

NextGen Behavioral Health Suite Help 5.5

SAFE-T Protocols with C-SSRS

The Columbia Suicide Severity Rating Scale, or C-SSRS, is a suicidal ideation and behavior rating scale that rates an individual's ideation on a scale, ranging from "wish to be dead" to "active suicidal ideation with specific plan and intent and behaviors". Questions are phrased for use in an interview format. But, the C-SSRS assessment questions alone do not meet some regulatory requirements. Another screening tool is introduced that includes the SAFE-T protocol questions along with the C-SSRS questions. As a provider, you can document the suicidal plan and attempt of an individual to assess the risk level. Open the SAFE-T Protocol with C-SSRS Template You can open the Screening Tools template to access the SAFE-T Protocol with C-SSRS template. Document the Risk Factor Details You can identify and document the risk factors of the individual's suicidal ideation. Document the Protective Factor Details You can identify and document protective factors of an individual's living. Document t

NextGen Behavioral Health Suite Help 5.5

Document the Final Assessment Details on the Patient's Suicide Status

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 CAMS Suicide Status Form (SSF-5) Final Session. Select the assessment date. In the Patient panel, let the patient complete the details with your assistance. In the Clinician panel, document the patient's suicidal details. In the Clinician Post-Session Evaluation panel, document your evaluation of the patient's assessment details. In the Signature panel, document the necessary signatories. Select Save & Close. The severity and interpretation information appears in the Screening Tools Performed grid in the Screening Tool window. Parent topic: Document the Patient's Suicide Status Form

Document Risk Assessment

Recommendations

Document the Patient's Initial Psychiatric Evaluation Summary

Record a Risk Assessment

Document Suicide Risk Evaluation Using the Columbia Suicide Severity Rating Scale

Enter Crisis Treatment Plan

SAFE-T Protocols with C-SSRS

Document the Final Assessment Details on the Patient's Suicide Status

Document the Patient's Initial Psychiatric Evaluation Summary

Record a Risk Assessment

Document Suicide Risk Evaluation Using the Columbia Suicide Severity Rating Scale

Enter Crisis Treatment Plan

SAFE-T Protocols with C-SSRS

Document the Final Assessment Details on the Patient's Suicide Status