Add a Health Concern Using the Other Category

NextGen® Adaptive Content Engine Help Enterprise 8

Update a Health Concern

From the navigation bar, click Care Plan. The Care Plan template appears. Expand the Add/Edit Health Concerns panel. From the bottom-right grid, select a health concern. The information for the health concern appears in the corresponding fields. Do one or more of the following: Modify the clinical status Modify the verification status Note: If you select the Entered-in-error verification status, the associated goals, interventions, and outcomes will be removed. Add or update comments To indicate that the health concern is resolved, select the Resolved clinical status and then enter the resolved date. Click Update. Parent topic: Manage Health Concerns

NextGen® Adaptive Content Engine Help Enterprise 8

Add a Health Concern

From the navigation bar, click Care Plan. The Care Plan template appears. Expand the Add/Edit Health Concerns panel. Add/Edit Health Concerns panel From the Select Category grid, select a category. The Select Concern grid appears, and all patient records for the category appear in the grid. To view all the previous records, select Show all dates. If you selected Encounter Diagnosis, Social History, or Vital Signs category, you can view all the records or filter them by a date range. From the Select Concern grid, select a record. The data from the record appears in corresponding fields on the right. If a health concern is not listed in any of the categories, use the Other category to add the health concern. To modify clinical or verification statuses, click in the corresponding fields and then select a status. The default clinical and verification statuses are Active and Confirmed respectively. Note: If you select the Entered-in-error verification status, the associated goals, intervent

NextGen® Adaptive Content Engine Help Enterprise 8

Remove a Health Concern

You can remove a health concern at any time. If you remove a concern, all associated goals, interventions and outcomes are also removed. From the navigation bar, click Care Plan. The Care Plan template appears. Navigate to the Add/Edit Health Concerns panel. Click the health concern to be removed in the lower right grid. The system populates the fields above the grid with the data from the selected record. Click Remove. The system removes the record from the Health Concerns grid. Parent topic: Manage Health Concerns

NextGen® Adaptive Content Engine Help Enterprise 8

Add a Patient Goal to Address a Health Concern

You can add multiple goals to a single health concern. To add multiple goals, repeat this procedure for each goal. From the navigation bar, click Care Plan. The Care Plan template appears. Expand the Goals, Interventions and Outcomes panel. The Select a Health concern to document section appears with all previously added health concerns. Goals, Interventions and Outcomes panel Select a health concern from the list. The information about the selected health concern goal fields appears on the right. Goal details on the Goals, Interventions and Outcomes panel In the Goal field, type a goal description to address the health concern, or use Common Phrases. Indicate if the goal is a patient goal or a provider goal. Verify that the life cycle status of the goal is set to Active. You can also change the status. For Goal achieved, do one or more of the following: Select Yes, No, Goal not attainable, or No progress toward goal. Click the field below and then select an option from the list that a

NextGen® Adaptive Content Engine Help Enterprise 8

Create a Care Plan

Before you begin Make sure that the existing care plans for the patient are in Completed status. From the navigation, click Care Plan. The Care Plan template appears. Care Plan template Click Create a New Care Plan. All the panels gets activated. Activated panels on the Care Plan template Select a status, and an intent. The default values are Active, and Plan respectively. Add a health concern. Add goals to address health concern. Add interventions to achieve the goals. Record functional and cognitive assessments. Click Save and Close. Note: To edit a completed care plan, you must update the status of the current plan to Entered-in-Error, which removes the current care plan's data and redirects you to the previous care plan. Care Plan Statuses You can view or update the status of a care plan from the Status field of the Care Plan template. Parent topic: Patient Care Plans

NextGen® Adaptive Content Engine Help Enterprise 8

Record an Outcome for an Intervention

From the navigation bar, click Care Plan. The Care Plan template appears. Navigate to the Goals, Interventions and Outcomes panel. The Select a Health concern to document grid is populated with all previously identified health concerns. Select a health concern from the list. The selected health concern appears in the Health Concern field and the data entry fields for goals appear to the right. Select the goal that you are adding an intervention outcome for. The data for the selected goal populates the data entry fields to the right. Click the Interventions tab. The full Interventions tab appears with the previously entered interventions in the Select an Intervention to document grid. Click the intervention in the grid that you are reporting an outcome for. Click the Outcomes tab. The full Outcomes tab appears with the data entry fields for the outcome to the right. Goals, Interventions and Outcome Click the Outcome field and type a description of the outcome. Click the Outcome date fie

Add a Health Concern Using the Other Category

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Update a Health Concern

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Add a Patient Goal to Address a Health Concern

Create a Care Plan

Record an Outcome for an Intervention