Document Serious or Traumatic Life Events

NextGen Behavioral Health Suite Help 5.5

Document Patient's Mental Health Details Using the Brief Assessment Template

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 Brief Assessment (BH), and then select OK. Select the program, specialty, and visit type for the patient. Select whether you have discussed confidentiality and obtained patient's consent for the care. To document the patient's past medical history, select the History Summary link. In the Presenting Concerns panel, do one of the following actions in the Written HPI narrative field: Enter the patient's symptoms and presenting issues that prompted a visit to the office. Use the My Phrases link to select the details for the visit. In the Substance Use/Addictive Behavior panel, select the patient's addiction details to substances. Select the patient's current experiences on physical and domestic violence and other trauma details in the Trauma History panel. Enter the patient's mental status evaluation findings. Comp

NextGen Behavioral Health Suite Help 5.5

Managing Patient's Addiction Details

Your practice can configure the Addiction Severity Index (BH) to be accessible from your Packet Navigation or you can access the template from the Templates module . For more information, go to NextGen Healthcare Success Community and download the Configuration Guide for NextGen® Behavioral Health Suite. On the General Information and Severity Profile panels, you can select the information icon for tips on using the specific panels during the interview. After documenting the potential problem areas for the client, you can submit charges for the encounter or select the No Billing for Service checkbox. By selecting Addiction Severity Index, you can generate the Addiction Severity Index document, which displays the documented data for the patient. Select Program, Specialty, and Visit Type You can document the patient's billing and case management details. Document General Addiction Severity Index Information Severity Profile Assessment and Diagnosis Functionality Task Supervisor/Staff for

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 Integrated Service Plan Information

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 Integrated Service Plan (BH), and then select OK. Select the program, specialty, and visit type for the patient. Select whether the treatment program is the initial assessment or an annual update to an existing assessment. Expand the Family Vision/Treatment Involvement panel, and enter details about the patient's treatment program. In the Support Resources section, select Add to enter the patient's guardian details. In the Person's Strengths section, select the patient's strengths, and then select Add. Enter details in the Additional Services/Discharge Plan panel. Add the screening tools and the corresponding assessment scores to the current encounter. Note: You can open the Screening Tools template to complete more assessments by selecting the Screening Tools link. Select the expected discharge date for the patient

NextGen Behavioral Health Suite Help 5.5

Document the Patient's Intake Notes Using the Comprehensive Assessment Templates

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 - Concerns, and then select OK. Select the program, specialty, and visit type for the patient. Complete the assessment in the Concerns tab. Complete the assessment in the Social Hx tab. Complete the assessment in the BH Hx tab. Complete the assessment in the Asses/Plan tab. Select Generate Document. Document the Patient's Presenting Concerns You can document a patient's initial or annual assessment details and the presenting concerns. Document the Patient's Social Support Information You can document the patient's living situation, development history, and other social support details. Document the Patient's Mental Health and Risk Assessment Information You can document the patient's mental health history, substance use, and risk assessment using various screening tools. Document the Summary of the

NextGen Behavioral Health Suite Help 5.5

Crisis Mental Health Services

Crisis Mental Health Services are a set of templates and workflows meant to assist the client with effective problem-solving strategies to resolve the critical situation (if possible) or to cope with the problem as it continues. The templates included in the NextGen® Behavioral Health Suite Crisis Mental Health Services are: Crisis Contact Note (BH) Crisis Treatment Plan (BH) Relapse Prevention Plan (BH) Psychiatric Advance Directive (BH) Document Crisis Contact Details You can document the patient's crisis intervention and stabilization services. Document Crisis Treatment Plan Details You can document a detailed assessment on the patient's crisis and plan the treatment course. Document the Patient's Relapse Prevention Plan You can document the plan for preventing the patient's relapse and avoiding crises. Document the Patient's Psychiatric Advance Directives You can document the patient's preferences about the mental treatment in the event that the patient becomes unable to make such

Document Serious or Traumatic Life Events

Recommendations

Document Patient's Mental Health Details Using the Brief Assessment Template

Managing Patient's Addiction Details

Document Patient's Trauma History using the LEC-5 Interview Template

Document Integrated Service Plan Information

Document the Patient's Intake Notes Using the Comprehensive Assessment Templates

Crisis Mental Health Services

Document Patient's Mental Health Details Using the Brief Assessment Template

Managing Patient's Addiction Details

Document Patient's Trauma History using the LEC-5 Interview Template

Document Integrated Service Plan Information

Document the Patient's Intake Notes Using the Comprehensive Assessment Templates

Crisis Mental Health Services