Document a PT or OT Patient Screening

NextGen® Therapy Suite Help 30.3.13.0

Document Subjective Information for a PT/OT Screening

You can document subjective information for screening such as the patient's chief complaints, the date and mechanism of injury, alleviating and aggravating factors, symptoms, and previous medical intervention. Open a patient record, and then in Encounter History, expand a case and select an encounter. Open the NTS Homepage template, and then in Visit Type, select Screening. Select the Screening tab to open the NTS Screening template. Expand the Subjective panel. Enter the onset date or date of injury and, in Subjective Comments, document the patient's chief complaints. After you complete the subjective information, you can copy the data recorded to the subjective comments in the NTS Single Visit template. Parent topic: Document a PT or OT Patient Screening

NextGen® Therapy Suite Help 30.3.13.0

Single Visit Subjective Panel

Use the Subjective panel on the NTS Single Visit template to document the patient’s history. The Subjective panel also gives you access to additional templates to document the patient’s limitations, work demands, and specialty subjective information. In the Job Title, Work Status, and Last Worked fields, you can document the patient’s workplace and work status information. Note: These fields share the same values from the Job Title, Work Status, and Last Worked fields on the NTS Homepage template. The Ordering Diagnosis grid pulls data entered on the NTS Homepage template. To update Ordering Diagnosis information, open the NTS Homepage template. The Surgery and Past Medical History grids display any history that was captured in a NextGen Healthcare application for the patient. You can edit past medical history and add family and social history. If precautions or contraindications were entered on the NTS Homepage template, they display in the Precautions/Contraindications field, where y

NextGen® Therapy Suite Help 30.3.13.0

Copy Subjective Comments from a Screening to a PT/OT Single Visit

Before you begin Record subjective comments for a patient in the NTS Screening template. You can copy subjective comments from a patient screening to the subjective comments in the NTS Single Visit template. The text is appended to existing text in the field. Open a patient record, and then in Encounter History, expand a case and select an encounter. Open the NTS Single Visit template. In the Subjective panel, select Get Screening to make the encounter, onset dates, and dates of injury available in the Past Screening Encounter Dates window. Select an encounter date from the list, and then select OK. The subjective comment from the encounter date is copied to the Subjective panel. Parent topic: Single Visit Subjective Panel

NextGen® Therapy Suite Help 30.3.13.0

View Subjective Comments from a Patient’s Initial Evaluation Visit

If you are tracking a patient's progress, you can review the subjective findings from the patient's initial physical or occupational therapy evaluation. Open a patient record, and then in Encounter History, expand a case and select an encounter. Open the NTS Single Visit template. In the Subjective panel, select the Initial Eval Subjective link. The Initial Eval Subjective window opens with the date and subjective comments from the patient’s initial evaluation. Parent topic: Single Visit Subjective Panel

NextGen® Therapy Suite Help 30.3.13.0

Document Patient Education for Physical or Occupational Therapy

Open a patient record, and then in Encounter History, expand a case and select an encounter. Open the NTS Homepage template associated with the encounter, and then select a PT or OT visit type. Open the NTS Single Visit template, and then expand the Objective panel. Under Treatment, select Education. The Education template opens in the NTS PT Treatment Edu window. For patient education, enter a description under Education of the education provided by doing one of the following: Select Body Mechanics, Gait, or ADL as the education type, and then select a description in each field. Note: If you select the blank space at the top of the list, you can type an entry into the field. To enter custom descriptions that is not related to an education type, make sure that none of the Body Mechanics, Gait, or ADL options are selected, and then enter your descriptions in the fields. Optional: To clear the description from a field, select X next to the field. In Patient and/or Caregiver Education, ty

NextGen® Therapy Suite Help 30.3.13.0

Document Caregiver Education for Physical or Occupational Therapy

You can document the physical and occupational therapy training the patient's caregiver receives in the patient's absence. The patient or representative must have given consent for this training. The caregiver training information appears on the Office Visit document. Open a patient record, and then in Encounter History, expand a case and select an encounter. Open the NTS Homepage template associated with the encounter, and then select a PT or OT visit type. Open the NTS Single Visit template, and then expand the Objective panel. Under Treatment, select Education. The Education template opens in the NTS PT Treatment Edu window. Select Patient consented to caregiver training. Select the appropriate checkbox that describes whether the caregiver training is for an individual or a group. For individual caregiver training, enter the total minutes of training time in Min, and then enter any therapist assistant-led training time in Asst. Asst appears only if the administrator configured the t

Document a PT or OT Patient Screening

Before you begin

Recommendations

Document Subjective Information for a PT/OT Screening

Single Visit Subjective Panel

Copy Subjective Comments from a Screening to a PT/OT Single Visit

View Subjective Comments from a Patient’s Initial Evaluation Visit

Document Patient Education for Physical or Occupational Therapy

Document Caregiver Education for Physical or Occupational Therapy

Document a PT or OT Patient Screening

Before you begin

Document Subjective Information for a PT/OT Screening

Single Visit Subjective Panel

Copy Subjective Comments from a Screening to a PT/OT Single Visit

View Subjective Comments from a Patient’s Initial Evaluation Visit

Document Patient Education for Physical or Occupational Therapy

Document Caregiver Education for Physical or Occupational Therapy