Care Guidelines

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Care Guidelines System

The Care Guidelines system helps the provider and patients to take care of their health maintenance and chronic diseases. You can open the Care Guidelines template using the Care Guidelines link on the template header. It provides both a schedule of typically followed items such as immunizations, diagnostic studies, labs, and so on. The care guidelines system tracks recommendations about medications and goals that might be applicable for the patient's chronic conditions. The care guidelines system is highly configurable. The Care Guidelines system helps to carry out the functions of Health Maintenance and Disease Management testing and Health Monitor. Using Care Guidelines: Some guideline items are automatically added to each patient’s chart based on the patient’s chronic conditions, while others are added manually by the clinicians; these are added as a group related to a chronic condition, long-term medication use, for health maintenance or any other special circumstance requiring cl

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Viewing Risk Factors

You can view details about patients' risk factors to help you to evaluate their health condition. The risk indicators for Tobacco use (TOB), Hypertension (HTN), Diabetes (DM), and Coronary artery disease (CAD) are available for documentation in NextGen® Adaptive Content Engine. Risk factors You can use the Risk Factors Config template to indicate a patient's current health conditions. You cannot consider a patient's health at high risk by looking at these conditions or you can view the risk indicator icons without opening the template. If you want to indicate that the patient is at high risk for developing a certain condition, you can document such details on the Care Guidelines template. You can use the risk indicators to review the risk factors without opening the Risk Factors Config template. Document the Risk Factors You can document the risk factors for patients. Risk Indicators You can identify a patient's risk factors by viewing the risk indicators associated with certain health

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Order Diagnostic Tests by AUC Score

You can generate the Appropriate Use Criteria (AUC) for diagnostic tests. Before you begin You must configure the AUC in File Maintenance and map them in the Care Guidelines Setup practice template for a patient to generate an AUC score for an advanced imaging test and then place the appropriate order. In the Practice Configuration practice template, you must ensure that the Enable Appropriate Use Criteria (AUC) Rules check box is selected and the Enable Order Module check box is not selected. Open NextGen® Enterprise EHR. On a patient encounter, open any of the standard visit templates (for example, the Intake) template. On the template header, select the Care Guidelines link. The Care Guidelines Paged View template opens. In the Care Guidelines grid, select a diagnostic test. The AUC Score Wizard opens. Select the check boxes for exam indications and then select Review AUC. AUC Score Wizard The AUC Score Wizard displays the AUC score for the selected test. Review the AUC score genera

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Review AUC Scores for Radiology Tests

If you changed a diagnosis code for a radiology test configured for Appropriate Use Criteria (AUC) in File Maintenance, you can review the AUC scores manually to ensure you have the appropriate AUC information. Open the Home or any other applicable template, select Orders from the upper navigation bar, and then select Single Order or Radiology Order. In the Radiology Order template or the Radiology panel of the Single Order template, select the appropriate test from the This Order grid. Select Run AUC. The AUC Score Wizard window opens displaying the AUC score for the selected test. Review the AUC score of the test. Optional: Select a different test from the grid. Note: NextGen Healthcare recommends that you select a test with the same category as the test you selected on the Single Order or Radiology Order template. Select Accept. If you select a different test, the original test in the Single Order or Radiology Order template is replaced with the test you selected, and the AUC values

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

AUC Validation on Advanced Imaging Orders

The AUC score is used to validate the appropriateness of an Advanced Imaging order. You can initiate the American College of Radiology (ACR) Appropriate Use Criteria (AUC) score wizard from the Assessment And Plan or Procedure Order cardiology templates by selecting a radiology order or cardiology procedure such as a CT, MRI, PET, Echo, or ECG. The AUC wizard displays the AUC score, which indicates whether the selected order is the most appropriate imaging test for a specific clinical condition or not. You can either accept or cancel the AUC score. If you accept the AUC score, the Assessment And Plan or the Procedure Order template records the AUC score and prints it on the requisition document. After the order is placed, the AUC score label no longer appears on the Assessment And Plan and Procedure Order cardiology templates. The AUC information may be shared as order details when the cardiology procedure or radiology order is processed by a third party. For more information on the AU

NextGen® Enterprise EHR Help

Appropriate Use Criteria for Ordering Advanced Imaging Tests

To meet the regulatory CMS mandate for Clinical Decision Support (CDS) when ordering radiology advanced imaging tests (such as CTs, MRIs, and PET scans), practices can set up and use Appropriate Use Criteria (AUC). After setting up the AUC in File Maintenance, providers or other clinical staff can order Advanced Imaging tests and receive appropriate use feedback for a patient’s medical condition before placing radiology orders from the Orders module. This process occurs immediately after the user selects the advanced imaging test on the Create New Radiology Order window. For detailed information on setting up and using Appropriate Use Criteria (AUC), go to the NextGen Healthcare Success Community, and download the Radiology Appropriate Use Criteria Workflow for the Orders Module for NextGen® Enterprise EHR. Parent topic: Create a Radiology Order Workflow

Care Guidelines

Recommendations

Care Guidelines System

Viewing Risk Factors

Order Diagnostic Tests by AUC Score

Review AUC Scores for Radiology Tests

AUC Validation on Advanced Imaging Orders

Appropriate Use Criteria for Ordering Advanced Imaging Tests

Care Guidelines System

Viewing Risk Factors

Order Diagnostic Tests by AUC Score

Review AUC Scores for Radiology Tests

AUC Validation on Advanced Imaging Orders

Appropriate Use Criteria for Ordering Advanced Imaging Tests