Patient History for Scheduling Surgeries

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

Documenting Medical Clearance Details

You can add and track the medical clearance details of a patient for scheduling a surgery. You can document the following medical clearance details of patient in the Medical Clearance panel on the Surgery Sched template. Pre-op clearance Primary care provider Specialty clearance Medications Anticoagulants Bridging RA Medication Instructions Antibiotics Chronic pain management Medical Clearance panel on the Surgery Scheduling template If a primary care provider is added for a patient, the provider name is automatically filled in the PCP field. You must enter a pre-op clearance before signing off or approve the Surgery Sched template. Note: You can configure the picklists for the fields in the Medical Clearance panel. For more information, go to NextGen Healthcare Success Community, and download the Configuration Guide for NextGen® Orthopedic Suite. The Last Recorded Vitals grid displays the vitals details of a patient added on the Intake template. You can add a vital or edit a vital, as

NextGen® Orthopedic Suite Help 80.2.14.0

Record the Surgery Date and Location

In the surgery scheduling process, the Date of Surgery is not required and can be skipped if not known at the time of the order. From the Home template, click the Surgery Sched link. To enter a date of surgery, click the Date of Surgery field to open a calendar pop-up. The system fills the Admit Date field with the same date. You can edit the Admit Date. Enter the surgery Location. The location picklist is configurable. Parent topic: Surgery Scheduling Template

NextGen® Orthopedic Suite Help 80.2.14.0

Changing Surgery Schedules

You can cancel, revise, and reschedule the existing surgery orders. On the Surgery Sched template, in the Place Order panel, you can use the following check boxes to cancel, revise, or reschedule the existing surgery orders. Cancel Revised Reschedule Cancel, Revised, Reschedule check boxes in the Place Order panel When you cancel, revise, or reschedule a surgery order, the changes in the surgery schedule are reflected on the Coordinator template. The Order Status/Messages grid displays the changes in the surgery order status, your name, and the date and time of the change. You can also enter a message in the message field, and click Add Message for manually adding messages to the grid. If you need to add patients to the wait list or their surgery is rescheduled, you can click Add to Waitlist to send the patient’s information to the Wait List template. Cancel Surgeries On the Surgery Sched template, you can cancel existing surgery orders. Revise Surgery Details If you change the surgery

NextGen® Orthopedic Suite Help 80.2.14.0

Patient History

You can review, add, and update the patient histories. The History panel on the Billable Visit template enables you to select the visit type and review the diagnoses, histories, medications, allergies, and review of systems of a patient. You can also add or update the details of the history of present illness (HPI). The following grids are automatically filled with the data documented on the Intake template. You can add, edit, and remove the data as needed. Diagnosis Orthopedic Surgical History Allergies Medical History Surgical History Medications Social History Family History Review of Systems History panel on the Billable Visit template Visit Type Quick Visit Add a Chief Complaint Document HPI of Patients You can document a history of present illness (HPI) for chief complaints. Signing Off Patient Histories After you review and update the patient histories, you can sign off the data to bill for the visit. Parent topic: Billable Visits Related concepts Patient Intake Details

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

Patient History for Scheduling Surgeries

Recommendations

Surgery Details of Patients

Documenting Medical Clearance Details

Record the Surgery Date and Location

Changing Surgery Schedules

Patient History

Surgery Scheduling Template

Patient History for Scheduling Surgeries

Surgery Details of Patients

Documenting Medical Clearance Details

Record the Surgery Date and Location

Changing Surgery Schedules

Patient History

Surgery Scheduling Template