Manage Goals, Interventions, and Outcomes

NextGen® Adaptive Content Engine Help Enterprise 8

Manage Health Concerns

The first step in managing patient care is to identify and add the patient health concerns that you, as the provider, would like to address using a care plan. Prior to using the template, you must have entered health care concerns for the patient, either during the current encounter or during prior encounters. Allergies, smoking status, alcohol or drug use, family history, vital signs, and so on would appear as health concern categories on the Care Plan template. Add a Health Concern You can add a health concern to a patient's care plan from Add/Edit Health Concerns panel of the Care Plan template. Add a Health Concern Using the Other Category Update a Health Concern Remove a Health Concern Parent topic: Care Plan

NextGen® Adaptive Content Engine Help Enterprise 8

Patient Care Plans

You can create a care plan to address patients' health concerns and monitor their progress toward resolving specific concerns. On the Care Plan template, you can do the following: Define and maintain a care plan for a patient that addresses health concerns, goals, interventions, and outcomes Record the functional and cognitive status of the patient Define, track, and review interventions by multiple providers and agencies Track the overall progress of the patient toward achieving defined goals The Care Plan template also enables you to meet the 2015 edition certification criterion, which requires a recording, changing, accessing, creating, and receiving care plan information. This information is in accordance with the structured format of the Care Plan document template in the HL7 Implementation Guide for CDR® Release 2: Consolidated CDA Templates for Clinical Notes. You can also create a Care Plan document from the Care Plan template and save the document as part of the encounter hist

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

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

NextGen® Adaptive Content Engine Help Enterprise 8

Care Plan

You can use the Care Plan templates to address patients' health concerns and monitor their progress toward resolving specific concerns. Patient Care Plans You can create a care plan to address patients' health concerns and monitor their progress toward resolving specific concerns. Manage Health Concerns Manage Goals, Interventions, and Outcomes Patient Care Team Members Document Functional and Cognitive Assessments You can document a patient's functional and cognitive assessments in the Functional and Cognitive Assessment Status panel. Review a Patient's Care Plan History View At A Glance Panel Related concepts Patient Care Plans Manage Health Concerns Manage Goals, Interventions, and Outcomes Patient Care Team Members Review a Patient's Care Plan History Related tasks Document Functional and Cognitive Assessments View At A Glance Panel

NextGen® Adaptive Content Engine Help Enterprise 8

Create an Intervention to Achieve a Goal

You can add multiple interventions to a single goal. To add multiple interventions, repeat this procedure for each intervention to be added. 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 for. The selected goal appears in the Goal field and data for the selected goal populates the data entry fields to the right. Click the Interventions tab. The full Interventions tab appears. Interventions tab on the Goals, Interventions and Outcomes panel The selected goal appears in the Goal field. The Category defaults to Procedure and the data entry field below defaults to Procedure. If necessary, select

Manage Goals, Interventions, and Outcomes

Recommendations

Manage Health Concerns

Patient Care Plans

Add a Patient Goal to Address a Health Concern

Record an Outcome for an Intervention

Care Plan

Create an Intervention to Achieve a Goal

Manage Health Concerns

Patient Care Plans

Add a Patient Goal to Address a Health Concern

Record an Outcome for an Intervention

Care Plan

Create an Intervention to Achieve a Goal