Intake Visit Information Management

NextGen Behavioral Health Suite Help 5.5

Individual Visit Workflows for Behavioral Health

Individual visit workflows for NextGen® Behavioral Health Suite are found in the following section. Document the Assessment and Billing Information You can document the billing details for an assessment service even without completing a full comprehensive assessment. Document the Adult Recovery Team Meeting Note You can document the details of the meeting conducted by the adult recovery team. Document a Child and Family Team Meeting Note You can document the patient's details from the child and family team meeting. Document the Patient's Case Management Services in the Contact Note You can document the patient's billing and case management details. Document Care Coordination You can document the caregivers' coordination towards the patient's care. Document Client Requests for Services You can document client request for services and meet the routine care needs and initial evaluation measures. Document a Physician Order You can document the orders requested by the patient's physicians.

NextGen Behavioral Health Suite Help 5.5

Managing Patient Safety Plan Assessments

You can document a patient's safety plan using the Patient Safety Plan (BH) template to proactively manage mental health. This safety plan is intended for ongoing use to prevent crises. You can document the warning signs, distractions, support resources, and safe environments for the patient. Document Warning Signs for Patient Safety You can document warning signs that can indicate a patient's risk of mental crisis. Document Coping Strategies for Patient Safety You can document the coping strategies that patients can use to divert their attention from their problems. Document Distractions for Patient Safety You can document information about individuals and social settings that distract the patient from their suicidal thoughts. Document Supporting Resources for Patient Safety You can document the contact information and relationship for the patient's support person. Document Professional and Agency Information for Patient Crisis Support You can document information about community reso

NextGen Behavioral Health Suite Help 5.5

Document Patient's Mental Health Details Using the Brief Assessment Template

Open NextGen® Enterprise EHR, and then in Patient History, select Open Templates. The Select Template window opens. On the Medical Records tab, select All. From the list, select Brief Assessment (BH), and then select OK. Select the program, specialty, and visit type for the patient. Select whether you have discussed confidentiality and obtained patient's consent for the care. To document the patient's past medical history, select the History Summary link. In the Presenting Concerns panel, do one of the following actions in the Written HPI narrative field: Enter the patient's symptoms and presenting issues that prompted a visit to the office. Use the My Phrases link to select the details for the visit. In the Substance Use/Addictive Behavior panel, select the patient's addiction details to substances. Select the patient's current experiences on physical and domestic violence and other trauma details in the Trauma History panel. Enter the patient's mental status evaluation findings. Comp

NextGen Behavioral Health Suite Help 5.5

Document the Patient's Intake Notes Using the Comprehensive Assessment Templates

Open NextGen® Enterprise EHR, and then in Patient History, select Open Templates. The Select Template window opens. On the Medical Records tab, select All. From the list, select Comp Assess - Concerns, and then select OK. Select the program, specialty, and visit type for the patient. Complete the assessment in the Concerns tab. Complete the assessment in the Social Hx tab. Complete the assessment in the BH Hx tab. Complete the assessment in the Asses/Plan tab. Select Generate Document. Document the Patient's Presenting Concerns You can document a patient's initial or annual assessment details and the presenting concerns. Document the Patient's Social Support Information You can document the patient's living situation, development history, and other social support details. Document the Patient's Mental Health and Risk Assessment Information You can document the patient's mental health history, substance use, and risk assessment using various screening tools. Document the Summary of the

NextGen Behavioral Health Suite Help 5.5

Document Nutritional Assessment Information

You can capture data related to a patient's eating disorder and other nutritional data. You can view and document details about a patient's nutritional assessment on the Nutritional Assessment template. In NextGen® Enterprise EHR, in Patient History, select the Templates button. The Select Template window opens. On the Medical Records tab, select All. From the list, select Nutritional Assessment (BH), and then select OK. Expand the Today's Vital Signs panel, and enter the patient's vital signs and weight history information. Note: In the Dental Symptoms section, you can document a pain plan by selecting a record in the Vitals record, and then selecting Edit. The Pain Plan link is located in the Pain Level section. Enter the patient's weight and basal metabolic rate information in the Weight and Metabolic Rate panel. Note: This data is calculated from the BMI statistics collected in the Today's Vitals panel. Enter the patient's gastrointestinal symptoms in the Gastrointestinal Symptoms

NextGen Behavioral Health Suite Help 5.5

Document the Patient's Mental Health and Risk Assessment Information

Open NextGen® Enterprise EHR, and then in Patient History, select Open Templates. The Select Template window opens. On the Medical Records tab, select All. From the list, select Comp Assess - BH Hx, and then select OK. To document the patient's medical and surgical details in the Past Medical/Surgical panel, select Add. Note: To document the patient's mental and physical health details, you can select the corresponding links in the Past Medical/Surgical panel. In the Substance Use/Addictive Behavior History panel, document the details about the patient's addiction to substance use. In the Mental Health and Addiction Treatment Service panel, document the patient's treatment details about the mental health and substance use. In the Medication Information panel, review and update the patient's medication details. In the Mental Status Evaluation panel, enter the patient's mental health details. Note: To document the patient's mental health status systematically, you can select the Mental s

Intake Visit Information Management

Recommendations

Individual Visit Workflows for Behavioral Health

Managing Patient Safety Plan Assessments

Document Patient's Mental Health Details Using the Brief Assessment Template

Document the Patient's Intake Notes Using the Comprehensive Assessment Templates

Document Nutritional Assessment Information

Document the Patient's Mental Health and Risk Assessment Information

Intake Visit Information Management

Individual Visit Workflows for Behavioral Health

Managing Patient Safety Plan Assessments

Document Patient's Mental Health Details Using the Brief Assessment Template

Document the Patient's Intake Notes Using the Comprehensive Assessment Templates

Document Nutritional Assessment Information

Document the Patient's Mental Health and Risk Assessment Information