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Access the BH - Psychopharm Template
To access the
BH - Psychopharm
template, set the
Specialty
to
Behavioral Health
and then select one of the following for the
Visit Type:
Medication Management with Psychotherapy
Medication Management with Psychotherapy & Translator
Click the
Psychopharm F/U
tab.
The
BH - Psychopharm
template opens.
Optionally, click the
Psychopharm Note
link from the left navigation bar.
NextGen® Adaptive Content Engine Help Enterprise 8
Document Individuals Present
In the Individuals Present panel, select from one of the Contact Type options. Select one of the following in the Individuals present section: Individual not present Individual present Select Others present and enter the details in the Support Resources section. In the Support Resources section, record the client's closest friends and relatives. To add the support resources data in the grid, click Add. To change the grid view, select All or Active. The Effective and End dates determine if a resource is Active. Parent topic: BH - Contact Note Template Parent topic: BH - Psychopharm Template Parent topic: Nurse's Progress Note (Long) Parent topic: Nurse's Progress Note (Short)
NextGen® Adaptive Content Engine Help Enterprise 8
Enter Program Information
To enter information in the General panel, click the Program name field. Note: Program names can be added and/or edited by the practice on the Custom Picklists Setup, system template. Entering a program name helps when setting up reports for the practice, but is not required. Select the appropriate name from the list. Enter the current time by clicking the Start button. Parent topic: BH - Psychopharm Template
NextGen® Adaptive Content Engine Help Enterprise 8
Record Plan Details
On the BH - Psychopharm template, navigate to the Plan panel. Document the Diagnosis since the last visit by selecting from the following: No change Yes, CA update required Next to Rationale for changing medications, select Not indicated or enter an explanation in the associated field. Answer No or Yes to: Were Medications delivered today. Next to If Yes, for what duration select one of the following options: Weekly Monthly Other Select No or Yes to indicate if there was a Prescription written. Document if the medication was Called into pharmacy. Next to Lab tests were ordered, select No or Yes. If Yes, enter available Results in the associated field Click the Review Labs link to open the Orders module and to view existing lab orders for this client. Document Instructions/comments/plan, as applicable. To schedule a follow up, click the Follow Up button to the right of Next Appointment. Follow-up/Disposition The Follow-up/Disposition template opens to document appointment details. Paren
NextGen® Adaptive Content Engine Help Enterprise 8
Enter the Prescriber's Evaluation
Expand the Prescriber's Evaluation panel. If there are no modifications, select the No changes reported/observed check box. In the Interim Update field, use the My Phrases link or manually type information about the client's progress since the last visit related to symptoms, effectiveness of medications, substance use, changes in family/social history, overall functioning, and any new issues. For more information about My Phrases, go to NextGen Healthcare Success Community, and download the latest Getting Started User Guide forNextGen®Adaptive Content Engine. Parent topic: BH - Psychopharm Template
NextGen® Adaptive Content Engine Help Enterprise 8
Document Medication Information
On the BH - Psychopharm template, expand the Medication Information panel. Answer the following questions with Yes, No, or Not applicable as applies: Takes meds as prescribed Changes in medical status Other meds Allergic reactions Side effects reported Note: All allergic reactions must be entered in the Allergies module to ensure that they are apparent on future visits. Click the Side effects reported link to open the Medication Side Effects - BH template. Entering information on the template automatically selects the Yes option in the Medication Information panel and turns the Side effects reported link purple to indicate that data is present from that link. At the top of the grid, click the Comments link if additional information is required. All prescriptions currently existing in the Medications module are visible in the grid under the Active Medications section. If a medication is Inactive, a stop date appears in the grid. Under Active Medications, double click in the grid to laun
NextGen® Adaptive Content Engine Help Enterprise 8
Enter Document Signatures
Multiple people may be required to sign a treatment plan. Security on the Signatures panel is set up so that only the person who checks a signature line can alter it in any way. The name of the user who is logged on to the computer populates in the name field, along with the date of the signature. After ‘signing’, the signer clicks on the Send Task button in the upper right of this panel. The template is sent to the next person who has to sign off. Electronic signature software can be used to capture the signature for client and/or parent/guardian. To enter signatures on the Signatures panel, place a check mark next to the applicable label(s). Enter any Credentials to further identify a signature as needed. Select N/A to indicate that a signature is not applicable and clear the fields of anything that may have been entered in the same row. Click the Send Task button to forward the template to the next person in line to sign. If one of the required signatures does not fall under the pre
