Record Recent Patient Hospitalizations

NextGen® Adaptive Content Engine Help Enterprise 8

Document Recent ER Visits (in last 12 months) Panel

Before you begin Ensure that you have selected the Specialty and Visit Type as Care Management. If a patient has had any emergency room (ER) visits since his or her last visit or in the past 12 months, document those ER visits on this panel. On the Comp Assessment tab, expand Recent ER Visits (in last 12 months) panel. ER Visits Click the Location field and select the hospital the patient was admitted to. Click the Date field and use the calendar to select the date the patient was admitted. Click the Diagnosis field and type a diagnosis code for the patient. Note: You can double-click the Diagnosis field to launch the Diagnosis search template. Use the template to search and select the diagnosis for the patient. Click the appropriate option for Summary report received. Click Add. The entered record appears in the Recent ER Visits panel. Remove an ER Visit Parent topic: Comp Assessment Tab

NextGen® Adaptive Content Engine Help Enterprise 8

Comp Assessment Panels

The Comp (Comprehensive) Assessment template consists of the following panels: Panel Description General Panel The General panel displays the information documented in the Care Transition template. Recent ER Visits Panel Any recent emergency room visits by the patient are recorded on this panel. Recent Hospitalizations Panel If the patient had experienced any recent hospitalizations, then you would enter that information on this panel. Problem List Panel The Problem List panel displays a list of the patient's chronic and secondary problems as documented in the Problem List after Discharge panel on the Care Transition template. Active and Manage Problems The Active and Managed Problems panel is where active and managed problems are entered and monitored. Nursing Care Plan History The Nursing Care Plan History panel lists all the nursing care plans that have been created for a patient. Medications Panel This panel is documented in a variety of NextGen Adaptive Content Engine documents, i

NextGen® Adaptive Content Engine Help Enterprise 8

Remove Patient Hospitalization Records

Before you begin Ensure that you have selected the Specialty and Visit Type as Care Management. On the Comp Assessment tab, expand Recent Hospitalizations panel. Highlight the record that you want to remove from the grid. Click Remove. Parent topic: Record Recent Patient Hospitalizations

NextGen® Adaptive Content Engine Help Enterprise 8

Record a Discharge Diagnosis

Before you begin Ensure that you have selected the Specialty and Visit Type as Care Management. Click the Care Transitions tab. The Cm Care Transitions template opens. Cm Care Transitions On the General panel, click a blank Discharge diagnosis field. The Diagnosis Search window opens. Use the window to locate and select the appropriate diagnosis. The selected record appears in the Discharge Diagnosis field in the Discharge Diagnosis panel. Note: You can add up to four diagnoses. Click the appropriate option for the Previous hospital admission in last 30 days field. Click the appropriate option for the Complete D/C summary received field. Parent topic: Care Transitions Tab

NextGen® Adaptive Content Engine Help Enterprise 8

Comp Assessment Tab

You can document a patient's comprehensive assessment using the Comp Assessment tab. Comp Assessment Tab Comp Assessment Panels Comp Assessment General Panel Document Recent ER Visits (in last 12 months) Panel Record Recent Patient Hospitalizations Comp Assessment Problem List Panel Active and Managed Problems Panel for the Comp Assessment Tab Nursing Care Plan History Panel for the Comp Assessment Tab Viewing Patient Medications You can view the patient's medications in the Medications panel on the Intake template. Medication Reconciliation for a Patient Medication reconciliation is a review of patient adherence to prescribed medications. Patient's Social History You can document a patient's social history. Review of Systems Panel Patient/Caregiver Concerns Panel Parent topic: Care Management

NextGen® Adaptive Content Engine Help Enterprise 8

Document General Transition of Care Information for a Patient

Before you begin Ensure that you have selected the Specialty and Visit Type as Care Management. Click the Care Transitions tab.The Cm Care Transitions template opens. Cm Care Transitions Click the PCP field.The field populates with the Primary Care Practitioner established in the patient's demographics. If there is no PCP selected in the patient chart, the Modify Patient Information template opens, enabling you to select a PCP. Do one of the following: Click the Encounter Type field to launch a list of transitional care encounter types and then select an encounter type from that list. Click the blue arrow to the right of the Encounter type field to launch the interim history data list and then select a past encounter from the interim history data. Click the first Historian field and select the relationship of the historian to the patient from the resulting list. If needed, click the second Historian field and select the relationship of the second historian to the patient from the resul

Record Recent Patient Hospitalizations

Before you begin

Recommendations

Document Recent ER Visits (in last 12 months) Panel

Comp Assessment Panels

Remove Patient Hospitalization Records

Record a Discharge Diagnosis

Comp Assessment Tab

Document General Transition of Care Information for a Patient

Document Recent ER Visits (in last 12 months) Panel

Comp Assessment Panels

Remove Patient Hospitalization Records

Record a Discharge Diagnosis

Comp Assessment Tab

Document General Transition of Care Information for a Patient