Record a Discharge Diagnosis

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Update a Patient's Problem List

Before you begin Ensure that you have selected the Specialty and Visit Type as Care Management. Open NextGen® Enterprise EHR. On the Care Transitions tab, and expand the Problem List after Discharge panel. Select the appropriate checkbox to build the description of services required for the patient. If required, type additional text into the description. If the patient currently does not have any active problems, select the No active problems option. To add a new problem to the list, select Add.The Problem module appears. Note: For information on using the Problem module, go to the NextGen Healthcare Success Community, and download the Problems Module User Guide for NextGen® Enterprise EHR. Show chronic and Show my tracked problem options filter the patient’s problem list. Parent topic: Care Transitions Tab

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document General Transition of Care Information for a Patient

Before you begin Ensure that you have selected the Specialty and Visit Type as Care Management. Open NextGen® Enterprise EHR. Select the Care Transitions tab.The Cm Care Transitions template opens. Cm Care Transitions Select the PCP field.The field populates with the Primary Care Practitioner established in the patient's demographics. If there is no PCP selected in the patient chart, the Modify Patient Information template opens, enabling you to select a PCP. Do one of the following: Select the Encounter Type field to launch a list of transitional care encounter types and then select an encounter type from that list. Select the blue arrow to the right of the Encounter type field to launch the interim history data list and then select a past encounter from the interim history data. Select the first Historian field and select the relationship of the historian to the patient from the resulting list. If needed, select the second Historian field and select the relationship of the second his

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Record Recent Patient Hospitalizations

Before you begin Ensure that you have selected the Specialty and Visit Type as Care Management. Open NextGen® Enterprise EHR. On the Comp Assessment tab, expand Recent Hospitalizations panel. Select the Location field and then select the hospital the patient was admitted to from the resulting list. Select the Admit date field and then select the date the patient was admitted to the hospital from the resulting calendar. Select the D/C dates field and then select the date the patient was discharged from the hospital from the resulting calendar. Select the D/C diagnosis field, and then select a discharge diagnosis from the window that appears. Select the appropriate option for Summary report received. Select Add.The record appears in the Recent Hospitalizations. Repeat this procedure to add additional hospitalizations. Remove Patient Hospitalization Records Parent topic: Comp Assessment Tab

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document Transitioning into Care from the Care Management Specialty

You can document transitioning into care from the Care Management specialty. Open NextGen® Enterprise EHR. Select a patient and open an encounter. Open the Intake template. Select Specialty as Care Management and Visit Type as Care Management.The Cm Care Transitions template opens. Cm Care Transitions On the General panel, do one of the following: Select the Encounter Type field to open a list of transitional care encounter types and then select an encounter type from that list. Select the blue arrow to the right of the Encounter type field to open the interim history data list and then select a past encounter from the interim history data. Select the PCP field.If there is no PCP selected in the patient chart, the Modify Patient Information template opens, enabling you to select a PCP. The field fills with the Primary Care Practitioner established in the patient's demographics. Select the Case Manager field and select a case manager from the list. Select the Historian field and then se

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document Recent ER Visits (in last 12 months) Panel

Before you begin Ensure that you have selected the Specialty and Visit Type as Care Management. If a patient has had any emergency room (ER) visits since his or her last visit or in the past 12 months, document those ER visits on this panel. Open NextGen® Enterprise EHR. On the Comp Assessment tab, expand Recent ER Visits (in last 12 months) panel. ER Visits Select the Location field and then select the hospital the patient was admitted to. Select the Date field and use the calendar to select the date the patient was admitted. Select the Diagnosis field and type a diagnosis code for the patient. Note: You can double-click the Diagnosis field to launch the Diagnosis search template. Use the template to search and select the diagnosis for the patient. Select the appropriate option for Summary report received. Select Add.The entered record appears in the Recent ER Visits panel. Remove an ER Visit Parent topic: Comp Assessment Tab

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document Transitioning into Care from Any Specialty

You can document transitioning into care from any specialty affected by transition into Care Management. Open NextGen® Enterprise EHR. Select a patient and open an encounter. Open the Intake template. Select a Specialty that is affected by Transitioning into Care Management and select Visit Type as Transition into Care. In the General Information panel, select the Transitioning Into Care link.The Transitioning Into Care template opens. Transitioning Into Care On the Transition into Care Management panel, select the Discharged field, and select the discharged date from the calendar. Select the Initial Communication field, and select the appropriate option from the list of communication types. Select the on field, and select the date of the initial communication from the calendar. Note: Notice that a appears to the right side of the initial communication on field, which reminds you to apply the CPT codes for Transitioning Into Care. The initial communication must take place within two bu

Record a Discharge Diagnosis

Before you begin

Recommendations

Update a Patient's Problem List

Document General Transition of Care Information for a Patient

Record Recent Patient Hospitalizations

Document Transitioning into Care from the Care Management Specialty

Document Recent ER Visits (in last 12 months) Panel

Document Transitioning into Care from Any Specialty

Record a Discharge Diagnosis

Before you begin

Update a Patient's Problem List

Document General Transition of Care Information for a Patient

Record Recent Patient Hospitalizations

Document Transitioning into Care from the Care Management Specialty

Document Recent ER Visits (in last 12 months) Panel

Document Transitioning into Care from Any Specialty