Document the Patient's Relapse Prevention Plan
- 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 Relapse Prevention Plan (BH), and then select OK.
Note: You can open the Relapse Prevention Plan (BH) 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.
- 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.
- Document the patient's admission date, plan creation date, and plan revision date.
- Document the patient's early warning signs that are stressful and deteriorating leading to a relapse.
- Document the people, places, or things that contribute to increased stress and problems for the patient.
- Document the possible actions to manage the patient's stress.
- Document the questionnaire to manage the patient's psychology during a crisis.
- Document the details about the patient's emergency contacts to take care of the patient's affairs during a crisis.
- Document the details about the patient's advance directives and health care proxy.
- Document your acknowldgement on the preparation of the patient's relapse plan.
- Document the patient's assessment and diagnosis details.
- Document the applicable signatures from the tasking supervisor or staff.
- In the Time Entry Navigation sidebar, select Billing Time Entry, and then enter the end time.
Note: You can select the current time or enter the time manually.
- In the Charges panel, document the billing details.
- Optional: Select No Billing for Service if there is no charge for the current date.
- Select Generate Document.