Begin a New Ophthalmic Encounter

NextGen® Ophthalmic Suite Help 2022.2

Document General Patient Information

In the General panel, select New patient or Established patient. The patient type is required for billing purposes and determines the type of visit code calculated on the Finalize tab. If the patient has been seen previously, the system automatically selects Established patient. Click the Historian field and select a value from the list or select the top blank line to type a different value. To enter a different date for First seen, click the field and select a date using the Calendar. For Vision Correction, select Yes or No. If yes, enter the Type and Years for the following: Glasses Contact Lenses Select OD or OS for Dominant Eye. Health Monitor Parent topic: Access Home Page - OPH Parent topic: Ophthalmic Intake Template

NextGen® Ophthalmic Suite Help 2022.2

Access Home Page - OPH

Open a patient record. Click Templates on the History toolbar. The Select Template window appears. Select the Medical Records tab. In the Show section, select the All option to display the full list of templates. Select Home Page - OPH and click OK. Begin a New Ophthalmic Encounter How to begin a new encounter in the NextGen® Ophthalmic Suite. Contagion Risk Risk Factor Indicators Document General Patient Information Orders Historical Impression/Plan Summary Information Historical Visual Acuity Measurements Historical IOP Measurements Document Vital Signs Ophthalmic practices document vital signs on the Vital Signs Lite template. Patient's Problem List You can manage a patient's problems. Parent topic: Technician or Assistant Office Visit Workflow

NextGen® Ophthalmic Suite Help 2022.2

Complete the Ophthalmology Provider Workflow

For most office visit encounters in general Ophthalmology, the following is a basic outline of the workflow for the provider portion of the visit. To review historical information of the patient, go to the Home Page – OPH template. Go to the Provider – OPH template to document the provider's portion of the encounter. Note: For certain encounters, there are specific single-page visit templates, such as Postoperative Exam – OPH. Select the Provider Summary link to review patient information for today's encounter. Select the Eye Summary link to view current and historical patient findings in a grid. Expand the General panel to review general patient information, the Health Monitor, and Internal Physician Notes. Expand the Orders panel to review, update, and add orders. Expand the Medications panel to review or update medications and perform medication reconciliation, if appropriate. Expand the Reason for Visit panel to review the technician conversation, makes any updates, and sign-off on

NextGen® Ophthalmic Suite Help 2022.2

Information Documented on the Postoperative Exam Template

The Postoperative Exam - OPH template includes the following panels and sections: Panel/Section Description General Information section Review or document general information about the surgery, such as procedure and location, status post-procedure, days post-op, and surgeon Reason for Visit (with History of Present Illness) panel Review or document a reason for visit and HPI information for the encounter Visual Acuity exam panel Review or document visual acuity exam findings IOP exam panel Review or document visual acuity exam findings Examination section Review or document exam findings for External, Slit Lamp, and Posterior exams. Document intraocular lenses (IOL) that were implanted during cataract surgery Patient Instructions/Advice section Select advice and instructions for the patient Medications section Patient medications can be reviewed, reconciled, and documented. Internal Physician Notes section Providers use this section to keep historical notes that do not appear in genera

NextGen® Ophthalmic Suite Help 2022.2

Additional Reason for Visit Panel Features

Additional features on the Reason for Visit panel enable you to adjust how you document chief complaints and HPI information, indicate follow-up visits, review the patient's HPI history, and remove studies reviewed from the grid. Feature Description Do not launch HPI Enables you to select one or more chief complaints/reasons for visit from the list without opening the HPI template To open the HPI template after selecting reasons for visit, click the row of one of the chief complaints listed in the grid. Additional/Manage Located in the left pane and opens the Reason for Visit template, where you can indicate a follow-up visit or you can type a chief complaint. The Reason for Visit template includes a complete list of chief complaints for the specialty Historic HPI Opens the Historic HPI template, where you can see the patient’s history of chief complaints and HPI details in a concatenated summary format for Ophthalmic specialties or all specialties Intake Comments Used by Intake staff

NextGen® Ophthalmic Suite Help 2022.2

Document an Ophthalmic Postoperative Exam

Depending on the practice, documenting a post-op visit on the Postoperative Exam - OPH template may begin after Intake or after preliminary exams performed by a technician. Information previously documented for the encounter appears in the corresponding data fields on the Postoperative Exam - OPH template. This information can be reviewed and updated as appropriate. Review and update the procedure information in the General Information section at the top of the template. Document the following details for each procedure, as appropriate: Read-only date fields across the top display the date each exam was most recently performed and documented including, Dilated exam, Gonioscopy, OCT/HRT for optic nerve, and Visual Fields. postoperative exam - oph template Enter the Reason for Visit. Enter the Visual Acuity and click Save. Record the (Intraocular Pressure)IOP and click Save. Document the External exam. Document the Slit Lamp exam. If appropriate, document details for the intraocular lens

Begin a New Ophthalmic Encounter

Recommendations

Document General Patient Information

Access Home Page - OPH

Complete the Ophthalmology Provider Workflow

Information Documented on the Postoperative Exam Template

Additional Reason for Visit Panel Features

Document an Ophthalmic Postoperative Exam

Begin a New Ophthalmic Encounter

Document General Patient Information

Access Home Page - OPH

Complete the Ophthalmology Provider Workflow

Information Documented on the Postoperative Exam Template

Additional Reason for Visit Panel Features

Document an Ophthalmic Postoperative Exam