Document Adverse Childhood Experiences Screening

You can document Adverse Childhood Experiences (ACE) of patients aged between 0 to 19 years using the Adverse Childhood Experiences (ACE-Q) template.

1. Open NextGen® Enterprise EHR.
2. For a patient encounter, open a template.
   For example, Intake
3. In the navigation bar, select Screening Tools.
   The Screening Tools template opens.
4. Select Adverse Childhood Experiences (ACE-Q).
   The Adverse Childhood Experiences (ACE-Q) template opens. The encounter date appears as the Performed Date by defaults.
5. To enter a different Performed By date, select the field, and then select a date.
6. To indicate that the questions are reported by the patient, select the Reported By Patient check box.
   Note: The Reported By Patient check box is not available for patients aged 12 years or younger.
   The questions for your child are updated for you in the Additional Early Life Stressors panel.

   

7. In the Original Ten ACE Questionnaire panel, answer all the questions.
8. In the Additional Early Life Stressors panel, answer all the questions.
   Note: The questions in the Additional Early Life Stressors panel are age-specific to the patient's age as of current encounter date. Additional Early Life Stressors is not available for patients more than 19 years old.
9. In the Relevant Symptomatology panel, select any check boxes of relevant symptoms.
   Note: The symptoms in the Relevant Symptomatology panel are similar to symptoms in Review of Symptoms, and are not shared with any other templates in NextGen® Enterprise EHR.
10. In the Interpretation of Results section, select Calculate Score.
    A two-digit score appears in Total Score. Based on the combined Total Score field, a default interpretation appears in Interpretation.

    

11. To override the calculated interpretation, select a new Interpretation.
    Note: You can enter additional information in Comments.
    A note appears indicating that the interpretation is overridden.

    

    Note: When you create the document, the overridden note also appears on the document.
12. To enter a referral, select the Referrals link.
13. To send a task, select Quick Task or Send Task.
14. Select Save & Close.