BH - Psychiatric Evaluation

NextGen® Adaptive Content Engine Help Enterprise 8

BH - Psychopharm Template

The BH - Psychopharm template is intended for the Behavioral Health prescriber to document a follow-up visit. The interventions can be tied to the client's treatment plan, but the content is specific to the needs of psychiatric professionals who prescribe medication. Access the BH - Psychopharm Template Enter Program Information Record Vital Signs for the Nurse Progress Note Document Individuals Present Record Mental Status Exam Information Enter the Prescriber's Evaluation Record a Risk Assessment Document Medication Information Enter Assessment and Diagnosis Details Enter Goals, Objectives, and Interventions Addressed Today Record Plan Details Enter Document Signatures Parent topic: Behavioral Health Medication Management

NextGen® Adaptive Content Engine Help Enterprise 8

Complete the General Panel of the BH Psychiatric Evaluation

To access the BH - Psychiatric Evaluation do one of the following: Click the Psychiatry Eval tab. Click Psychiatric Evaluation from the navigation bar. Navigate to the General panel and click the Program name field. Program names can be added and/or edited by the practice on the Custom Picklists Setup, system template. Select the appropriate name from the list. Click the clock button to enter the current time in the Start field. The Start and End buttons are available here and at the bottom of the Psychiatric Eval tab in the Behavioral health billing section. The values documented in either place are immediately reflected in the same fields in the other section. Entered times can be modified by clicking in the field. It is important to follow the established format: 0:00 AM or PM. Parent topic: BH - Psychiatric Evaluation

NextGen Behavioral Health Suite Help 5.5

Document the Patient's Initial Psychiatric Evaluation Summary

As a psychiatrist, nurse practitioner (NPP), or other behavioral health professional, you can document an initial psychiatric assessment of the patient. It is important to note that you can prescribe medications during the psychiatric evaluation. Also, the EM Coding button opens the Finalize template, which enables you to submit billing codes. Open NextGen® Enterprise EHR, and then in Patient History, select Open Templates. The Select Template window opens. On the Medical Records tab, select All. Select Psych Eval (BH), and then select OK. Note: You can open the Psych Eval (BH) template from your Packet Navigation, or from the Templates module. For more information on configuring Packet Navigation, go to NextGen Healthcare Success Community, and download the Configuration Guide for NextGen® Behavioral Health Suite. Select the program, specialty, and visit type. Note: Only programs that the patient is actively enrolled in appear in the list. You can select <No Program> to create an enco

NextGen® Adaptive Content Engine Help Enterprise 8

Enter Program Information for a Psychiatric Evaluation

Navigate to the General panel and click the Program name field. Program names can be added and/or edited by the practice on the Custom Picklists Setup, system template. Select the appropriate name from the list. Click the clock button to enter the current time in the Start field. The Start and End buttons are available here and at the bottom of the Psychiatric Eval tab in the Behavioral health billing section. The values documented in either place are immediately reflected in the same fields in the other section. Entered times can be modified by clicking in the field. It is important to follow the established format: 0:00 AM or PM. Parent topic: BH - Psychiatric Evaluation

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

Enter Assessment and Diagnosis Details

Expand the Assessment/Diagnosis panel. If enabled, click the DSM IV link in the upper, right corner to launch the BH – DSM IV template. Note: The display of the link is set up on the Behavioral Health section of the Practice Configuration system template. In the Behavioral Health Diagnoses section, select any of the available links. In the Diagnostic description required field, click to launch the diagnosis search window. Selecting a description value automatically populates the ICD Code field or vice versa. Add Status, Severity, Differential DX, and Impression. The out-of-the-box Severity picklist does not include Extreme or Persistent. These values can be added to the list in File Maintenance. Enter any required Specifiers by doing one of the following actions: Click the field to type a value. Click the My Phrases link to create a new sentence or part of a sentence. For more information about My Phrases, go to NextGen Healthcare Success Community and download the latest Getting Start

BH - Psychiatric Evaluation

Recommendations

BH - Psychopharm Template

Complete the General Panel of the BH Psychiatric Evaluation

Document the Patient's Initial Psychiatric Evaluation Summary

Enter Program Information for a Psychiatric Evaluation

Enter the Prescriber's Evaluation

Enter Assessment and Diagnosis Details

BH - Psychiatric Evaluation

BH - Psychopharm Template

Complete the General Panel of the BH Psychiatric Evaluation

Document the Patient's Initial Psychiatric Evaluation Summary

Enter Program Information for a Psychiatric Evaluation

Enter the Prescriber's Evaluation

Enter Assessment and Diagnosis Details