Documenting Medical Clearance Details

NextGen® Orthopedic Suite Help 80.2.14.0

Surgery Details of Patients

You can document the surgery diagnosis, procedure codes, and surgery details prior to scheduling the surgery for a patient. You can add diagnoses, surgery details, pre-operative and post-operative procedures, components, and procedure notes in the Surgery Information panel on the Surgery Sched template. The Diagnosis, Procedure, and Surgeon fields are mandatory. Surgery Information panel on the Surgery Scheduling template If the patient has a guardian, you can enter the contact details of the guardian. You can also indicate the following details of the surgery. If the surgery is urgent If the patient needs to call to schedule the surgery If the patient is a minor If the patient has a guardian Add Surgery Diagnoses You can add the surgery diagnoses applicable to the surgery order. Add Surgical Procedure Codes Enter Surgery Details Prior to scheduling a surgery, you can enter the details of the surgery such as surgeon, assistant, anesthesiologist, anesthetics, admit type, patient positio

NextGen® Orthopedic Suite Help 80.2.14.0

Surgery Scheduling Template

Use the Surgery Sched template to enter surgery-related information. The information can be entered by the clinical staff, but must be reviewed and signed off by a provider or surgeon. The Surgery Sched template has the following panels: Surgery Information Surgical Risk Index Pre-Surgical Checklist Medical Clearance Histories Insurance Lab/Testing Place Order Surgery Scheduling template Record the Surgery Date and Location Surgery Details of Patients You can document the surgery diagnosis, procedure codes, and surgery details prior to scheduling the surgery for a patient. Surgical Risk Index of a Patient You can view and edit the patient's risk factors for a surgery. Pre-Surgical Checklist Panel Documenting Medical Clearance Details You can add and track the medical clearance details of a patient for scheduling a surgery. Patient History for Scheduling Surgeries You can review, add, and update histories of a patient for scheduling a surgery. Lab/Testing Panel Insurance Panel Managing

NextGen® Orthopedic Suite Help 80.2.14.0

Enter Pre-and Post-op Medications and Instructions

To enter Pre-OP Medications, Post-OP Medications, and Instructions, click the fields and select the medications and instructions from the configurable picklists. Note: The picklists for these fields are configured on the Surgery Scheduling Configuration template. For more information, go to NextGen Healthcare Success Community, and download the Configuration Guide forNextGen®Orthopedic Suite. Parent topic: Documenting Medical Clearance Details

NextGen® Orthopedic Suite Help 80.2.14.0

Managing Pre- and Post-Operative Medication Instructions

You can configure the picklist for pre- and post-operative medications and instructions fields using the IORTS Cfg Surgery Schedule system template. The Pre & Post Op Medication Instructions panel on the IORTS Cfg Surgery Schedule system template has the medication categories. You can use these categories to configure the picklists for the following fields in the Medical Clearance panel on the Surgery Sched medical record template. Pre-Op Medications Post-Op Medications Pre-Op Anticoags Post-Op Anticoags Bridging RA Med Instructions Chronic Pain Mgmt Pre and Post Op Medication Instructions panel on the IORTS Cfg Surgery Schedule template Medical Clearance panel on the Surgery Sched template Add a Medication and Instructions Update a Medication and Instructions Delete a Medication Parent topic: Surgery Scheduling Configuration

NextGen® Orthopedic Suite Help 80.2.14.0

Generate Surgery Orders and Clearance Letters

You can generate surgery orders, lab orders, and clearance letters. On the Coordinator template, in the Medical Clearance panel, you can generate surgery orders, surgery plan documents, clearance letters, and lab orders. You can configure the document generation for the following documents based on the surgery location and admit type in the Surgery Scheduling - Document Generation panel on the Document Config system template. Hospital clearance letter Ambulatory surgical center (ASC) clearance letter Surgery order Surgery plan For more information, go to NextGen Healthcare Success Community, and download the Configuration Guide forNextGen®Orthopedic Suite. On the Coordinator template, expand the Medical Clearance panel. Medical Clearance panel on the Coordinator template Enter any notes in the Coordinator Notes field, if needed. To generate hospital clearance letter, ASC clearance letter, surgery order, or surgery plan document, do the following: Select the check box of the document to

NextGen® Orthopedic Suite Help 80.2.14.0

Surgery Scheduling Workflow

The surgery scheduling workflow for NextGen® Orthopedic Suite begins on the Surgery Sched template. The information can be entered by clinical staff but must be reviewed and signed off by a provider or surgeon. You can use QuickPick to fill standard information for each surgery type and then add patient specific information. Note: Best practice recommends that you open the Surgery Sched template on its own encounter. Surgeries may be scheduled months in advance and this enables the coordinators to unlock the encounter without having to worry about changing documentation for a previous visit. Surgery Scheduling Template Wait List Tracking Surgery Orders You can track surgery orders, add coordinator notes, and generate various documents and patient letters on the Coordinator template. Pre-Authorization for Surgeries You can use the Pre Auth template to add and track the authorization details for scheduling the surgery of a patient. Surgery Coding Template Surgery Scheduling Worklog Surge

Documenting Medical Clearance Details

Recommendations

Surgery Details of Patients

Surgery Scheduling Template

Enter Pre-and Post-op Medications and Instructions

Managing Pre- and Post-Operative Medication Instructions

Generate Surgery Orders and Clearance Letters

Surgery Scheduling Workflow

Surgery Details of Patients

Surgery Scheduling Template

Enter Pre-and Post-op Medications and Instructions

Managing Pre- and Post-Operative Medication Instructions

Generate Surgery Orders and Clearance Letters

Surgery Scheduling Workflow