Enter Treatment Recommendations and Assessed Needs
In the
Treatment Recommendations/Assessed Needs
panel, select the priority by selecting
Priority
.
Enter the
Assessed need
.
Select
Status
to select from the list.
Enter date
Identified
.
Enter the
Rationale
.
Select
Add
.
The information is added to the grid.
Enter Further Evaluations Needed
Treatment Planning Updates
Recommendations
Explore
NextGen Behavioral Health Suite Help 5.5
Enter Further Evaluations Needed
From the Treatment Recommendations/Assessed Needs panel, in the Further evaluations needed section, select the evaluations needed. Select None indicated if no other evaluations are needed. Document the Level of care/indicated service recommendations. Enter a value for Individual served/guardian/family response to recommendations. Parent topic: Enter Treatment Recommendations and Assessed Needs
NextGen Behavioral Health Suite Help 5.5
Treatment Planning Updates
In the Treatment Recommendations/Assessed Needs panel, select Yes or No for Change in ISP required. Parent topic: Enter Treatment Recommendations and Assessed Needs
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® Adaptive Content Engine Help Enterprise 8
Enter Treatment Recommendations
The Treatment Recommendations/Assessed Needs panel enables the delineation of assessed needs, their priority, their status, the date identified, the rationale for not addressing a particular need, and the date resolved. The priority, assessed need and status are required fields if this section is used. If no recommendations are indicated, select No additional recommendations clinically indicated. To enter an assessed need, click the Priority field to type a number. Free text an explanation in the Assessed Need field. In the Status field, select a value from the Need status list. Enter a date in the Identified field. If the need has been declined, deferred, or referred out, enter a Rationale. If the assessed need is resolved, enter the Resolved date. Enter other assessed needs if required. To manage existing assessments, highlight a row in the grid and click Update or Remove. To delete data from the related fields before it is saved to the grid, click Clear. Select any Further evaluatio
NextGen® Adaptive Content Engine Help Enterprise 8
Document Treatment Recommendations/Assessed Needs
On the Treatment Recommendations/Assessed Needs panel, if appropriate, select No additional recommendations clinically indicated. To create a new entry, click the Priority field to enter a number. Type an Assessed Need. In the Status field, click to select a value from the Need status list. Enter a date in the Identified field. If applicable, enter Rationale(s) and/or a Resolved date. Click Add. Repeat steps 1 - 6 as needed. In the Further Evaluations Needed section, do one of the following: Select None indicated. Place a check mark next to any of the applicable options. Enter details in the Level of care/indicated service recommendations field. Type a summary in the Individual served/guardian/family response to recommendations field. In the Treatment Planning Updates section, select No or Yes to Change in IAP Required. If Yes is selected, complete the IAP revision by clicking IAP Review at the top of the template. Parent topic: BH - Psychiatric Evaluation
NextGen® Adaptive Content Engine Help Enterprise 8
Document Assessed Needs, Goals, Objectives and Interventions
Any previously entered data fills the grid under the Assessed needs section on the panel. On the Assessed Needs, Goals, Objectives and Interventions Overview panel, click the Display status of field and select a value to sort the grid. Click the Add button beneath the grid to enter an Assessed need on the template. In the Priority field, click to type a number. Type an explanation in the Assessed Need field. In the Status field, select a value from the Need status to display list. Enter a date in the Identified field. If applicable, set the Resolved date. If the need has been declined, deferred, or referred out, enter a Rationale. Click Save. Do one of the following: Click Clear for Add to enter other assessed needs. Click Close to return to the IAP tab. Edit an Assessed Need Manage Data in the Assessed Needs, Goals, Objectives and Interventions Grid Parent topic: BH - Individualized Action Plan (IAP) Template Parent topic: The BH - IAP Review/Revision Template
