Documentation Tab

Panels	Description
Provider Interactions	Use this panel to record interactions with other providers.
Telephone Interactions	Enter patient’s interactions over the phone on this panel.
Face-to-Face Interactions	Enter patient’s face-to-face interactions on this panel.
Care Coordination Interactions	Enter patient’s care coordination-related interactions on this panel.
Document	Use this panel to add or update the visit diagnosis codes, document the type of visit, submit the encounter visit code, and generate the visit note. The Document panel also contains links to generate several care management documents.

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Plan and Intervention Tab

You can define various team members who are going to provide healthcare services to a patient and maintain patient circumstances using the Plan/Intervention tab. The Plan/Intervention tab consists of the following panels: Panel Description Care Coordination Team This panel enables you to define the various team members who are going to provide healthcare services to a patient. When defining team member, you identify the individual provider and the agency with which the provider is associated. Barriers to Care This panel enables you to record and track patient circumstances that may negatively impact the patient’s ability to comply with the requirements of the nursing care plan. History This panel lists all the nursing care plans that have been created for a patient. These plans can be created on the History panel. Interventions This panel lists the current interventions that have been defined for a patient along with the relevant data necessary to define the intervention. Progress This

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Comp Assessment Tab

You can document a patient's comprehensive assessment using the Comp Assessment tab. Comp Assessment Tab Comp Assessment Panels Comp Assessment General Panel Document Recent ER Visits (in last 12 months) Panel Record Recent Patient Hospitalizations Comp Assessment Problem List Panel Active and Managed Problems Panel for the Comp Assessment Tab Nursing Care Plan History Panel for the Comp Assessment Tab Viewing Patient Medications You can view the patient's medications in the Medications panel. Medication Reconciliation for a Patient Medication reconciliation is a review of patient adherence to prescribed medications. Patient's Social History You can document a patient's social history. Review of Systems Panel Patient/Caregiver Concerns Panel Parent topic: Care Management

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Care Transitions Tab

You can document information and instructions for a patient's transitions of care using the Care Transitions tab. Cm Care Transitions Care Transitions Panels Document General Transition of Care Information for a Patient Record a Discharge Diagnosis Update a Patient's Problem List Add a New Problem to a Patient's Problem List Parent topic: Care Management

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document Telephone Interactions

Before you begin Ensure that you have selected the Specialty as Care Management and Visit Type as Case & Consent. Open NextGen® Enterprise EHR. On the Documentation template, expand the Telephone Interactions panel, and then select Add.The Telephone Interactions template opens. Fill out all the fields that apply for this interaction. Select Save. Select Clear For Add to enter multiple actions or select Close . Note: Use the Edit and Remove buttons to manage Telephone Interactions. Parent topic: Documentation Tab

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document Provider Interactions

Before you begin Ensure that you have selected the Specialty as Care Management and Visit Type as Case & Consent. Open NextGen® Enterprise EHR. On the Documentation tab, expand the Provider Interactions panel, and then select Add.The Provider Interactions template opens. Type a description of the action taken in the Actions field. Select Save. To add another entry, select Clear For Add and repeat steps 2 and 3. When you have completed all need entries, select Close. The template closes and the saved entries appear on the Provider Interactions data grid. To remove an entry from the Provider Interactions grids, select the entry to be removed and select Remove. To change an entry on the grid, select the entry to be changed and select Edit. The Provider Interactions template appears and you can edit the text in the Actions field. Parent topic: Documentation Tab

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Use the Document Panel to Complete a Visit

Before you begin Ensure that you have selected the Specialty as Care Management and Visit Type as Case & Consent. Open NextGen® Enterprise EHR. On the Documentation template, expand the Document panel. Document Add or update the diagnosis code as needed. Choose the appropriate type of visit for the encounter. Select the Add button. Generate the visit note by clicking the correct document link. Parent topic: Documentation Tab

Documentation Tab

Recommendations

Plan and Intervention Tab

Comp Assessment Tab

Care Transitions Tab

Document Telephone Interactions

Document Provider Interactions

Use the Document Panel to Complete a Visit

Documentation Tab

Plan and Intervention Tab

Comp Assessment Tab

Care Transitions Tab

Document Telephone Interactions

Document Provider Interactions

Use the Document Panel to Complete a Visit