Document the Patient's Suicide Risk Assessment

NextGen Behavioral Health Suite Help 5.5

Document Details for the Release of Information to the Patient

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 Psychiatric Advance Directive (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. In the Release Info panel, document the authorization details, reason for the disclosure, and the contacts involved in the release. In the Documents panel, document the details of the nature of information to be released. Document whether the patient received any privacy notice. Select Generate Document. Parent topic: Individual Visit Workflows for Behavioral Health

NextGen Behavioral Health Suite Help 5.5

Document a Physician Order

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 Physician Orders (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. In the Physician Orders panel, document the order details from the patient's physician. Document the applicable signatures from the tasking supervisor or staff. In the Labs panel, document the orders related to the patient's lab, radiology, and immunization. Select Generate Document. Parent topic: Individual Visit Workflows for Behavioral Health

NextGen Behavioral Health Suite Help 5.5

Document the Assessment and Billing 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. Select Assessment/Reassessment Billing (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. In the Individuals Present panel, document the details of the individuals present during the assessment. In the Treatment Recommendations/Assessed Needs panel, document the recommended treatments and the patient's needs. Document the patient's assessment and diagnosis details. Document the applicable signatures from the tasking supervisor or staff. In the Time Entry Navigation sidebar

NextGen Behavioral Health Suite Help 5.5

Document the Patient's Psychiatric Directive

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 Psychiatric Advance Directive (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. In the General panel, document the directives for the billing guidelines. In the Psychiatric Healthcare Proxy panel, document the details of the healthcare proxy. In the Directives on File panel, document the pre-configured evaluation questions. In the Medication Choices panel, document the medications agreed upon and refused by the patient. In the Hospital/Provider Choices panel, document the hospital and provider details. Document the review status of the directive. Select Generate Document. Parent topic: Individual Visit Workflows for Behavio

NextGen Behavioral Health Suite Help 5.5

Document the Initial Screening 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 Screening 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. In the Individuals Present panel, document the details of the individuals present during the assessment. Enter your plan and discussion on the patient's treatment. Note: You can select Copy Forward to copy existing details from another encounter to the current encounter. Document the patient's assessment and diagnosis details. Document the applicable signatures from the tasking supervisor or staff. In

NextGen Behavioral Health Suite Help 5.5

Document the Staffing Note

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 Staffing 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. In the Staffing Details panel, document the reason for the meeting, staff resource details, identified issue details, and the recommended plans. Document the patient's assessment and diagnosis details. Document the applicable signatures for provider sign off. 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