Crisis Treatment Plan Workflow

NextGen® Adaptive Content Engine Help Enterprise 8

Screening and Admission Visit Workflow

The BH - Screening/Admission Note template is used to document information that a program or Emergency Room might need for their initial evaluation of a client. Information gathered here is the basis for a summarization of the services and possible interventions that are initially provided to the client. Generally, this is completed by the non-clinical staff at the practice and can be done separately from a Comprehensive Assessment exam. The BH - Screening/Admission Note template can be accessed at any time during an encounter by selecting Other Templates from the bottom section of the navigation bar. Document Admission Data Document Referral Source Enter Assessment and Diagnosis Details Add Additional Notes Enter Document Signatures Finalize Behavioral Health Billing Parent topic: Behavioral Health

NextGen® Adaptive Content Engine Help Enterprise 8

Individual Visit Workflows for Behavioral Health

Individual visit workflows for Behavioral Health enable the documentation of assessment and treatment plans for the individual client and are associated with the following Visit Types: Home Visit Psychiatric Diagnostic Evaluation Psychiatric Diagnostic Evaluation with Medical Services Psychotherapy - Individual Psychotherapy - Individual with E&M Virtual Visit Telephone Virtual Visit Video You can record new issues for the client on the Individualized Action Plan (IAP) template. The Comp Assess tab can be used to access the Treatment Recommendations/Assessed Needs panel. The IAP tab is used for the initial documentation of the client's goals, objectives and interventions for the assessed needs. The BH - IAP Review/Revision template is for updating any previously entered action plan elements. The BH - Relapse Prevention Plan template (Relapse Prev tab) is available from all of the individual psychotherapy visits. BH - Contact Note Template The BH - IAP Review/Revision Template BH - Indi

NextGen® Adaptive Content Engine Help Enterprise 8

BH - Individual Counsel/Psych Prog Note Template

The BH - Individual Counsel/Psych Prog Note template enables you to document individual counseling services and the client's progress or the lack thereof. Any risk assessment, goals, objectives, or assessment data that was entered previously on the Comprehensive Assessment template set populates in the panels found on the Progress Note tab. You can document new issues and make updates to the goals, objectives and interventions. Use the Behavioral health billing section to submit billable service codes to the Superbill. The Progress Note tab can be a stand-alone template or used in conjunction with the other tabs or links. Enter Program Name Record Individuals Present Update the Client's Current Assessment Record a Risk Assessment Record New Issues Enter Goals, Objectives and Interventions Addressed Today Document Plan and Additional Information Enter Assessment and Diagnosis Details Sign the Behavioral Health Document Complete Behavioral Health Billing Parent topic: Individual Visit Wo

NextGen® Adaptive Content Engine Help Enterprise 8

Behavioral Health Configuration Options

Several configuration steps must be reviewed and possibly implemented to complete the Behavioral Health workflows as outlined in this user guide: On the Practice Configuration system template: Assessment/Diagnosis panel configuration enables seamless billing between the NextGen® Enterprise and NextGen® Enterprise PM applications Learn how to use the DSM IV and Behavioral Health-based Add or Update Assessment templates as part of your practice's workflow DSM IV or DSM-5 configuration for which code set standards appear on the documents A Signature panel option ensures that the configured procedures for billing a Behavioral Health encounter are enforced, including an alert option In File Maintenance, add Severity descriptions to meet DSM-5 documentation standards Billing configurations: Service Code Mapping system template File Maintenance provider level configuration The Home Page - Behavioral Health template: Some practices may find setting this home page as the default template for ev

NextGen® Adaptive Content Engine Help Enterprise 8

Access the Crisis Treatment Plan

From the navigation bar, scroll down to select Other Templates. Select Crisis Treatment Plan from the picklist. Click OK. The BH - Crisis Treatment Plan template launches. Parent topic: Crisis Treatment Plan Workflow

NextGen® Adaptive Content Engine Help Enterprise 8

Enter Crisis Treatment Plan

On the BH - Crisis Treatment Plan template, expand the Crisis Treatment Plan panel. Click the Suicide/Homicide Risk link to assess risk level. Crisis Treatment Plan The Safety Risk template opens. Safety Risk Click the Quality button to learn about the Quality Reporting requirements related to this type of risk. Click Save & Close to return to the BH - Crisis Treatment Plan template. Under Problem/Precipitating Events, manually type an explanation in the field. In the Signs of Risk field, enter a description of the signs, symptoms, and circumstances that may cause the documented risk to happen again. Under the Strategies to Reduce Risk section, use the Patient strategies and Staff interventions fields to document specific actions meant to lower the risk. In the Goals Prior to Release from Precautions section, record the target initiatives to be completed by the client before being released from precautions. Parent topic: Crisis Treatment Plan Workflow