Document Pain Assessment and Plan of Care

NextGen® Adaptive Content Engine Help Enterprise 8

Document Health Promotion Plans

You can document the Health Promotion Plans such as BMI plan, depression plan, and hypertension plan of a patient. Open NextGen® Enterprise EHR. Open the Intake template. Expand the Vital Signs panel and then select the Health Promotion Plan link. The Health Promotion Plan template opens. Expand the Health Promotion Plan panel. Health Promotion Plan Add a diagnosis. Select Plan and select a plan from the list. Based on the selected plan, the different sets of fields appear. To add the plan details, do the following: For BMI Plan, add the diet, physical activity, and referrals details. For Depression Plan, dd the follow-up and referrals details. For Hypertension Plan, add the diet, physical activity, referrals, and lifestyle details. Note: To enable the Referrals section and order a referral, you must add a diagnosis. To indicate that the referral is internal, select the Internal referral check box. If required, in the Details field, enter any additional information. If you want to add

NextGen® Adaptive Content Engine Help Enterprise 8

Document Functional and Cognitive Assessments

You can document a patient's functional and cognitive assessments in the Functional and Cognitive Assessment Status panel. The data entered in the Functional and Cognitive Assessment Status panel is shared with the Health Promotion Plan, Medicare Preventive HPI, Screening Summary, and Care Plan templates to measure compliance and for surveillance reporting. Open NextGen® Enterprise EHR. Open the Intake template. Expand the Vital Signs panel, and then select the Health Promotion Plan link. The Health Promotion Plan template opens. Expand the Functional and Cognitive Assessment Status panel. Functional and Cognitive Assessment Status For Functional Status and Cognitive Status, do the following: If there is no change in the functional status of the patient, select No Change. If there is a change in the functional status or cognitive status of the patient, select Change. Select the Status field, and select the appropriate option from the list. Enter the assessment method and used method. T

NextGen® Adaptive Content Engine Help Enterprise 8

Document Historical Vital Signs

You can document the historical vital signs for a patient. Open NextGen® Enterprise EHR. Open a patient's record, and then open an encounter. On Top Toolbar, select Templates . The Select Template window opens. Open the Intake template. Expand the Vital Signs panel and select Add. The age-specific vital signs template opens. Document the patient's recorded historical vital signs. In Weight measurement, document the patient's weight in the lb and kg fields within the 4.409 – 1543.3 lb or 2.00 – 699.99 kg range. Note: An alert message appears if the value entered is not within the range. In Blood Pressure and pulse, document the patient's Systolic and Diastolic readings within the 0 – 399 range, and then document the patient's pulse rate within the 10 – 499 range. Note: An alert message appears if the value entered is not within the range. Select Measured date, and select the corresponding historical date. To enter the time details, select Time, and select the corresponding historical ti

NextGen® Adaptive Content Engine Help Enterprise 8

Open the Template Data Sets Setup Template

The Health Promotion Plan template is packaged with BMI Plan, Depression Plan, and Hypertension Plan. You can also create a customized health promotion plans. Open NextGen® Enterprise EHR. Select File > System \ Practice Template. The Select Template window opens. Select the Practice tab. In the Show section, select All. A list of templates appear. Double-click Data Sets Setup. The Data Sets Setup practice template opens. In the Data Set field, select Health Promotion Plan from the list. Data Sets Setup Practice Template Select Add to open the Template Data Sets Setup template, and then select Add. Template Data Sets Setup Setting Up the Data Sets Fields The Data Sets Setup template contains many useful fields. Setting Up Diagnosis Categories in File Maintenance When you select a diagnosis, you can view diagnoses associated with the relevant diagnosis code. Create Custom Health Promotion Plans You can create a custom health promotion plan. Fields in Data Sets Setup to Customize Health

NextGen® Adaptive Content Engine Help Enterprise 8

Document a Patient's Pain Level

You can document the pain level of a patient. You can document the neck, waist, and hip circumferences, audiometry exam, and vision screening findings, and orthostatic vital signs using the links on the Vital Signs template. Open NextGen® Enterprise EHR. Open a patient's record, and then open an encounter. On Top Toolbar, select Templates . The Select Template window opens. Open the Intake template. Expand the Vital Signs panel and select Add.The age-specific vital signs template opens. In the Pain level section, select the pain level from the list.The default method Numeric Pain Intensity Scale appears in the Method field. However, you can change the method. The pain level and method appear on the Screening Summary and Health Promotion Plan templates. To document a plan of care, select the Pain Plan link.The Health Promotion Plan template opens, where you can document the pain assessment and plan of care in the Pain Management panel. Select OK. To document the Health Assessment Questi

NextGen® Adaptive Content Engine Help Enterprise 8

Document a Patient's Respiration and Pulse Oximetry, Peak Flow, and Pain Level

You can document a patient's respiration and pulse oximetry, peak flow and pain level using the Vital Signs panel. Open NextGen® Enterprise EHR. Select the Care Guidelines link on any of the main template. The Care Guidelines Paged View template opens. In the Care Guidelines panel, select the Grid View link. The Care Guidelines grid view template opens. In the Vital Signs panel, select Add. The Adult Vital Signs [New Record] template opens. Document the Patient's Respiration and Pulse Oximetry. Enter a value in the Respiration field. Select a method and enter any additional information for the patient's respiration. Enter the appropriate values for pulse oximetry. Select a source and either the Pre-treatment or Post-treatment option. Complete any additional information. Document the Patient's Peak Flow. Enter the appropriate values for peak flow. Select either the Pre-treatment or Post-treatment option. Select a method. Document the patient's Pain level. In the Pain level section, sele

Document Pain Assessment and Plan of Care

Recommendations

Document Health Promotion Plans

Document Functional and Cognitive Assessments

Document Historical Vital Signs

Open the Template Data Sets Setup Template

Document a Patient's Pain Level

Document a Patient's Respiration and Pulse Oximetry, Peak Flow, and Pain Level

Document Health Promotion Plans

Document Functional and Cognitive Assessments

Document Historical Vital Signs

Open the Template Data Sets Setup Template

Document a Patient's Pain Level

Document a Patient's Respiration and Pulse Oximetry, Peak Flow, and Pain Level