SPECIALTY/SURGERY Weekly EHR Update 09/28/2015

CURRENT NEXTGEN 8.3 USER ANNOUNCEMENTS

ICD-10 is coming this Thursday!

Anti-Coagulation Template – Users will be prompted to select an ICD-10 code when opening the Anticoag template in encounters post ICD-10 update (10/1/2915)

clip_image002

Labs and DiagnosticsThe Chronic Dx grid available on the Lab Master and Diagnostics templates will only show newly applied ICD-10 codes if they were applied to a patient’s chart and marked “chronic” during the dual coding period (Sept. 8 – 30, 2015).   If no dual codes were applied to the patients chart, the grid will be blank.  Going forward these grids will be rebuilt with ICD-10 codes as they are entered as chronic.

  • When codes are selected from this grid, the code will be added to Today’s Assessments

  • For PCCS and Neuro the Diagnosis History grid on the Diagnostics Template will only show newly applied ICD-10 codes if they were applied to a patient’s chart during the dual coding period (Sept. 8 – 30, 2015).   If no dual codes were applied to the patients chart, the grid will be blank.  Going forward these grids will be rebuilt with ICD-10 codes as they are entered. When codes are selected from this grid, the code will be added to Today’s Assessments.

clip_image004

clip_image006

Procedures requiring laterality for increased specificity

This is a simple example that shows laterality for an ear procedure.

clip_image008

clip_image010

Custom Picklists

Here is an example for a GYN Biopsy / Destruction. You’ll notice that many more codes are available in ICD-10.

clip_image012

clip_image014

The Interceptor Tool – this will ONLY appear if the user attempts to submit to superbill with a ICD-9 code that was not mapped to ICD-10. In this example, an ICD-9 code was saved with a procedure saved default. IF the user gets this pop up, #1 They will need to select the ellipsis button and pick the ICD-10 code and #2 select “ok” to close the interceptor tool. Users who see this pop up are asked to report this to the Help Desk immediately. Go to the LNF -> Help Desk Ticket” and note which template you are on.

clip_image016

clip_image018

Assessment Tabif the user selects an ICD-9 code from the Diagnosis History, the user will be prompted with a NextGen Search tool to pick an ICD-10 code. In this example, there is a 1-to-1 match between the ICD-9 code for cough and the ICD-10 code for cough. 1. Select the ICD-9 code and 2. When the NextGen Search pops up select the ICD-10 code and choose the “Select” button.  

 clip_image019

The items below will be imported Thursday, October 10, 2015

Six HPI’s will be updated to help increase specificity for coding ICD-10.  Coding and compliance has made recommendations for minor changes to the following HPIs to assist providers in documenting increased specificity:

  • Generic HPI:  added a free text box to allow for documenting “what caused the problem”
  • Nephrology HPI (Chronic Kidney Disease): the ability to indicate the stage and patients last Creatinine and GFR will be displayed on the HPI
  • COPD follow-up HPI: updated status pick list
  • Stroke HPI: Hand dominance from social histories will be shared on this HPI. Field to document which side was affected by the stroke.
  • Diabetes Mellitus – Updated complication status to allow further documentation based on ICD-10
  • Mood Disorders HPI: Updated Status pick list

Coming Soon!

Morbid Obesity – To assist providers in reporting HCC codes for Morbid Obesity, when the BMI shows that the patient is obese or morbidly obese, the condition will be added to the problem list using the appropriate SNOMED code. This was approved by Operation 230 PM-PM.

 

Smoking Status triggers will be linked to ICD-10 codes and will flow to today’s assessment. The appropriate code will be applied for a current smoker if indicated for cigarette, cigarillo, cigar, and pipe as well for non-smoking products: chew, smokeless and snuff, when these are populated on the Tobacco Use template.  The applicable code will also flow if patient was a former smoker; if smoking cessation counseling time is filled out and if the patient has had passive smoke exposure documented. 

 




PEDIATRIC Weekly EHR Update 09/28/2015

ICD-10 is coming this thursday!

Labs and DiagnosticsThe Chronic Dx grid is available on the Lab Master and Diagnostics templates will only show newly applied ICD-10 codes if they were applied to a patient’s chart and marked “chronic” during the dual coding period (Sept. 8 – 30, 2015).   If no dual codes were applied to the patients chart, the grid will be blank.  Going forward these grids will be rebuilt with ICD-10 codes as they are entered as chronic.

  • When codes are selected from this grid, the code will be added to Today’s Assessments

clip_image002

clip_image004

Procedures requiring laterality for increased specificity

This is a simple example that shows laterality for an ear procedure.

clip_image006

clip_image008

Custom Picklists

Here is an example for a GYN Biopsy / Destruction. You’ll notice that many more codes are available in ICD-10.

clip_image010

clip_image012

The Interceptor Tool – this will ONLY appear if the user attempts to submit to superbill with a ICD-9 code that was not mapped to ICD-10. In this example, an ICD-9 code was saved with a procedure saved default. IF the user gets this pop up, #1 They will need to select the ellipsis button and pick the ICD-10 code and #2 select “ok” to close the interceptor tool. Users who see this pop up are asked to report this to the Help Desk immediately. Go to the LNF -> Help Desk Ticket” and note which template you are on.

clip_image014

clip_image016

 

Assessment Tabif the user selects an ICD-9 code from the Diagnosis History, the user will be prompted with a NextGen Search tool to pick an ICD-10 code. In this example, there is a 1-to-1 match between the ICD-9 code for cough and the ICD-10 code for cough. 1. Select the ICD-9 code and 2. When the NextGen Search pops up select the ICD-10 code and choose the “Select” button.  

 clip_image017

 

 

The items below will be imported Thursday, October 10, 2015

Six HPI’s will be updated to help increase specificity for coding ICD-10.  Coding and compliance has made recommendations for minor changes to the following HPIs to assist providers in documenting increased specificity:

  • Generic HPI:  added a free text box to allow for documenting “what caused the problem”
  • Nephrology HPI (Chronic Kidney Disease): the ability to indicate the stage and patients last Creatinine and GFR will be displayed on the HPI
  • COPD follow-up HPI: updated status pick list
  • Stroke HPI: Hand dominance from social histories will be shared on this HPI. Field to document which side was affected by the stroke.
  • Diabetes Mellitus – Updated complication status to allow further documentation based on ICD-10
  • Mood Disorders HPI: Updated Status pick list

Coming Soon!

Morbid Obesity – To assist providers in reporting HCC codes for Morbid Obesity, when the BMI shows that the patient is obese or morbidly obese, the condition will be added to the problem list using the appropriate SNOMED code. This was approved by Operation 230 PM-PM.

 

Smoking Status triggers will be linked to ICD-10 codes and will flow to today’s assessment. The appropriate code will be applied for a current smoker if indicated for cigarette, cigarillo, cigar, and pipe as well for non-smoking products: chew, smokeless and snuff, when these are populated on the Tobacco Use template.  The applicable code will also flow if patient was a former smoker; if smoking cessation counseling time is filled out and if the patient has had passive smoke exposure documented. 

 




OBGYN Weekly EHR Update 09/28/2015

ICD-10 is coming this thursday!

Labs and DiagnosticsThe Chronic Dx grid is available on the Lab Master and Diagnostics templates will only show newly applied ICD-10 codes if they were applied to a patient’s chart and marked “chronic” during the dual coding period (Sept. 8 – 30, 2015).   If no dual codes were applied to the patients chart, the grid will be blank.  Going forward these grids will be rebuilt with ICD-10 codes as they are entered as chronic.

  • When codes are selected from this grid, the code will be added to Today’s Assessments.

clip_image002clip_image004

Procedures requiring laterality for increased specificity

This is a simple example that shows laterality for an ear procedure.

clip_image006

clip_image008

Custom Picklists

Here is an example for a GYN Biopsy / Destruction. You’ll notice that many more codes are available in ICD-10.

clip_image010

clip_image012

The Interceptor Tool – this will ONLY appear if the user attempts to submit to superbill with a ICD-9 code that was not mapped to ICD-10. In this example, an ICD-9 code was saved with a procedure saved default. IF the user gets this pop up, #1 They will need to select the ellipsis button and pick the ICD-10 code and #2 select “ok” to close the interceptor tool. Users who see this pop up are asked to report this to the Help Desk immediately. Go to the LNF -> Help Desk Ticket” and note which template you are on.

clip_image014

clip_image016

Assessment Tabif the user selects an ICD-9 code from the Diagnosis History, the user will be prompted with a NextGen Search tool to pick an ICD-10 code. In this example, there is a 1-to-1 match between the ICD-9 code for cough and the ICD-10 code for cough. 1. Select the ICD-9 code and 2. When the NextGen Search pops up select the ICD-10 code and choose the “Select” button.  

 

 clip_image017

The items below will be imported Thursday, October 10, 2015

Six HPI’s will be updated to help increase specificity for coding ICD-10.  Coding and compliance has made recommendations for minor changes to the following HPIs to assist providers in documenting increased specificity:

  • Generic HPI:  added a free text box to allow for documenting “what caused the problem”
  • Nephrology HPI (Chronic Kidney Disease): the ability to indicate the stage and patients last Creatinine and GFR will be displayed on the HPI
  • COPD follow-up HPI: updated status pick list
  • Stroke HPI: Hand dominance from social histories will be shared on this HPI. Field to document which side was affected by the stroke.
  • Diabetes Mellitus – Updated complication status to allow further documentation based on ICD-10
  • Mood Disorders HPI: Updated Status pick list

Coming Soon!

Morbid Obesity – To assist providers in reporting HCC codes for Morbid Obesity, when the BMI shows that the patient is obese or morbidly obese, the condition will be added to the problem list using the appropriate SNOMED code. This was approved by Operation 230 PM-PM.

 

Smoking Status triggers will be linked to ICD-10 codes and will flow to today’s assessment. The appropriate code will be applied for a current smoker if indicated for cigarette, cigarillo, cigar, and pipe as well for non-smoking products: chew, smokeless and snuff, when these are populated on the Tobacco Use template.  The applicable code will also flow if patient was a former smoker; if smoking cessation counseling time is filled out and if the patient has had passive smoke exposure documented. 

 




FM/IM Weekly EHR Update 09/28/2015

ICD-10 is coming this Thursday!

Anti-Coagulation Template – Users will be prompted to select an ICD-10 code when opening the Anticoag template in encounters post ICD-10 update (10/1/2915)

 

 clip_image002

 

Labs and DiagnosticsThe Chronic Dx grid is available on the Lab Master and Diagnostics templates will only show newly applied ICD-10 codes if they were applied to a patient’s chart and marked “chronic” during the dual coding period (Sept. 8 – 30, 2015).   If no dual codes were applied to the patients chart, the grid will be blank.  Going forward these grids will be rebuilt with ICD-10 codes as they are entered as chronic.

  • When codes are selected from this grid, the code will be added to Today’s Assessments

 clip_image004clip_image006

 Procedures requiring laterality for increased specificity

This is a simple example that shows laterality for an ear procedure.

clip_image008

 clip_image010

 Custom Picklists

Here is an example for a GYN Biopsy / Destruction. You’ll notice that many more codes are available in ICD-10.

clip_image012

clip_image014

The Interceptor Tool – this will ONLY appear if the user attempts to submit to superbill with a ICD-9 code that was not mapped to ICD-10. In this example, an ICD-9 code was saved with a procedure saved default. IF the user gets this pop up, #1 They will need to select the ellipsis button and pick the ICD-10 code and #2 select “ok” to close the interceptor tool. Users who see this pop up are asked to report this to the Help Desk immediately. Go to the LNF -> Help Desk Ticket” and note which template you are on.

clip_image016

clip_image018

Assessment Tabif the user selects an ICD-9 code from the Diagnosis History, the user will be prompted with a NextGen Search tool to pick an ICD-10 code. In this example, there is a 1-to-1 match between the ICD-9 code for cough and the ICD-10 code for cough. 1. Select the ICD-9 code and 2. When the NextGen Search pops up select the ICD-10 code and choose the “Select” button.  

clip_image019

The items below will be imported Thursday, October 10, 2015

Six HPI’s will be updated to help increase specificity for coding ICD-10.  Coding and compliance has made recommendations for minor changes to the following HPIs to assist providers in documenting increased specificity:

  • Generic HPI:  added a free text box to allow for documenting “what caused the problem”
  • Nephrology HPI (Chronic Kidney Disease): the ability to indicate the stage and patients last Creatinine and GFR will be displayed on the HPI
  • COPD follow-up HPI: updated status pick list
  • Stroke HPI: Hand dominance from social histories will be shared on this HPI. Field to document which side was affected by the stroke.
  • Diabetes Mellitus – Updated complication status to allow further documentation based on ICD-10
  • Mood Disorders HPI: Updated Status pick list

Coming Soon!

Morbid Obesity – To assist providers in reporting HCC codes for Morbid Obesity, when the BMI shows that the patient is obese or morbidly obese, the condition will be added to the problem list using the appropriate SNOMED code. This was approved by Operation 230 PM-PM.

 

Smoking Status triggers will be linked to ICD-10 codes and will flow to today’s assessment. The appropriate code will be applied for a current smoker if indicated for cigarette, cigarillo, cigar, and pipe as well for non-smoking products: chew, smokeless and snuff, when these are populated on the Tobacco Use template.  The applicable code will also flow if patient was a former smoker; if smoking cessation counseling time is filled out and if the patient has had passive smoke exposure documented. 

 




MH Weekly EHR Update 09/28/2015

ICD-10 is coming this Thursday!

Anti-Coagulation Template – Users will be prompted to select an ICD-10 code when opening the Anticoag template in encounters post ICD-10 update (10/1/2915)

clip_image002[4]

 

 

LabsThe Diagnosis History grid that is available on the Lab Master will only show newly applied ICD-10 codes if they were applied to a patient’s chart during the dual coding period (Sept. 8 – 30, 2015).   If no dual codes were applied to the patients chart, the grid will be blank.  Going forward these grids will be rebuilt with ICD-10 codes as they are entered.

  •  When codes are selected from this grid, the code will be added to Today’s Assessments

clip_image004[4]

 

 

The Interceptor Tool – this will ONLY appear if the user attempts to submit to superbill with a ICD-9 code that was not mapped to ICD-10. In this example, an ICD-9 code was saved with a procedure saved default. IF the user gets this pop up, #1 They will need to select the ellipsis button and pick the ICD-10 code and #2 select “ok” to close the interceptor tool. Users who see this pop up are asked to report this to the Help Desk immediately. Go to the LNF -> Help Desk Ticket” and note which template you are on.

clip_image006[4]

clip_image008[4]

Coming Soon!

Morbid Obesity – To assist providers in reporting HCC codes for Morbid Obesity, when the BMI shows that the patient is obese or morbidly obese, the condition will be added to the problem list using the appropriate SNOMED code. This was approved by Operation 230 PM-PM.

 

Smoking Status triggers will be linked to ICD-10 codes and will flow to today’s assessment. The appropriate code will be applied for a current smoker if indicated for cigarette, cigarillo, cigar, and pipe as well for non-smoking products: chew, smokeless and snuff, when these are populated on the Tobacco Use template.  The applicable code will also flow if patient was a former smoker; if smoking cessation counseling time is filled out and if the patient has had passive smoke exposure documented. 

 




MH Weekly EHR Update 09/21/2015

ICD-10 – Where will I see changes in NextGen on October 1st?

  • Labs and Diagnostics – The Diagnosis History grid is available on the Lab Master and Diagnostics templates will only show newly applied ICD-10 codes if they were applied to a patient’s chart during the dual coding period (Sept. 8 – 30, 2015).   If no dual codes were applied to the patients chart, the grid will be blank.  Going forward these grids will be rebuilt with ICD-10 codes as they are entered.

o   When codes are selected from this grid, the code will be added to Today’s Assessments

clip_image002

 

  • Procedures requiring laterality for increased specificity

o   This is a simple example that shows laterality for an ear procedure.

clip_image004

clip_image006

  • Custom Picklists

o   Here is an example for a GYN Biopsy / Destruction. You’ll notice that many more codes are available in ICD-10.

clip_image008      clip_image010

  • The Interceptor Tool – this will ONLY appear if the user attempts to submit to superbill with a ICD-9 code that was not mapped to ICD-10. In this example, an ICD-9 code was saved with a procedure saved default. IF the user gets this pop up, #1 They will need to select the ellipsis button and pick the ICD-10 code and #2 select “ok” to close the interceptor tool. Users who see this pop up are asked to report this to the Help Desk immediately. Go to the LNF -> Help Desk Ticket” and note which template you are on.

clip_image012

clip_image014

  • Assessment Tab- if the user selects an ICD-9 code from the Diagnosis History, the user will be prompted with a NextGen Search tool to pick an ICD-10 code. In this example, there is a 1-to-1 match between the ICD-9 code for cough and the ICD-10 code for cough. 1. Select the ICD-9 code and 2. When the NextGen Search pops up select the ICD-10 code and choose the “Select” button.  

 clip_image015

 

Coming Soon:

  • PHQ-9 Enhancements – work is in progress which will enhance the documentation for major depression. Providers will have the ability to add a major depression diagnosis directly from the PHQ-9. Links to further document on the Mood Disorders HPI will be applied to help facilitate complete documentation. If the patient’s PHQ score indicates that a depression diagnosis should be considered and this was not added to today’s assessments, providers will receive a pop-up on the finalize visit asking to apply if appropriate. This was approved by Operation 230-PMPM.
  • HPIs to help increase specificity for coding ICD-10.  Coding and compliance has made several recommendations for minor changes to HPIs to assist providers in documenting increased specificity.
    • Generic HPI:  added a free text box to allow for documenting “what caused the problem”
    • Nephrology HPI (Chronic Kidney Disease): the ability to indicate the stage and patients last Creatinine and GFR will be displayed on the HPI
    • COPD follow-up HPI: updated status pick list
    • Stroke HPI: Hand dominance from social histories will be shared on this HPI. Field to document which side was affected by the stroke.
    • Diabetes Mellitus – Updated complication status to allow further documentation based on ICD-10
    • Smoking status – will have automatic triggering to code for ICD-10.
    • Mood Disorders HPI: Updated Status pick list

 

Development import freeze until Oct 12

We are busy preparing the database for ICD-10. There will be no changes imported into the Production database until 10/12. Patient safety tickets will be the exception. The goal is to ensure we have a solid database for the ICD-10 roll out on October 1st.

 

IMports

·         DME order requisitions will now display ICD 9 and ICD 10 codes.

EHR Tip of the Week:

There are two ways you can view your categories, Group view or Flatten view.

Group View Setting: Will group the specific test or scanned document by name, i.e. as shown below all the EKGs are listed under the category of EKG.

clip_image017

If you want to change your view from group view to flatten view, right click on a category (for this example: Diagnostic category) and click Flatten View

clip_image019

The scanned documents will organize by category and then by scanned/document date. This could save clicks and make it easier on users to find the most recent scanned documents by category.

Flatten view:

clip_image021

The setting will stay for every patient until you manually change them back.

 




FM/IM Weekly EHR Update 09/21/2015

ICD-10 – Where will I see changes in NextGen on October 1st?

  • Labs and Diagnostics- The Chronic Dx grid is available on the Lab Master and Diagnostics templates will only show newly applied ICD-10 codes if they were applied to a patient’s chart and marked “chronic” during the dual coding period (Sept. 8 – 30, 2015).   If no dual codes were applied to the patients chart, the grid will be blank.  Going forward these grids will be rebuilt with ICD-10 codes as they are entered as chronic.

o   When codes are selected from this grid, the code will be added to Today’s Assessments

clip_image002clip_image004               

  • Procedures requiring laterality for increased specificity

o   This is a simple example that shows laterality for an ear procedure.

clip_image006

clip_image008

  • Custom Picklists

o   Here is an example for a GYN Biopsy / Destruction. You’ll notice that many more codes are available in ICD-10.

clip_image010      clip_image012

  • The Interceptor Tool – this will ONLY appear if the user attempts to submit to superbill with a ICD-9 code that was not mapped to ICD-10. In this example, an ICD-9 code was saved with a procedure saved default. IF the user gets this pop up, #1 They will need to select the ellipsis button and pick the ICD-10 code and #2 select “ok” to close the interceptor tool. Users who see this pop up are asked to report this to the Help Desk immediately. Go to the LNF -> Help Desk Ticket” and note which template you are on.

clip_image014

clip_image016

 

 

 

 clip_image017

 

 

Coming Soon:

  • PHQ-9 Enhancements – work is in progress which will enhance the documentation for major depression. Providers will have the ability to add a major depression diagnosis directly from the PHQ-9. Links to further document on the Mood Disorders HPI will be applied to help facilitate complete documentation. If the patient’s PHQ score indicates that a depression diagnosis should be considered and this was not added to today’s assessments, providers will receive a pop-up on the finalize visit asking to apply if appropriate. This was approved by Operation 230-PMPM.
  • HPIs to help increase specificity for coding ICD-10.  Coding and compliance has made several recommendations for minor changes to HPIs to assist providers in documenting increased specificity.
    • Generic HPI:  added a free text box to allow for documenting “what caused the problem”
    • Nephrology HPI (Chronic Kidney Disease): the ability to indicate the stage and patients last Creatinine and GFR will be displayed on the HPI
    • COPD follow-up HPI: updated status pick list
    • Stroke HPI: Hand dominance from social histories will be shared on this HPI. Field to document which side was affected by the stroke.
    • Diabetes Mellitus – Updated complication status to allow further documentation based on ICD-10
    • Smoking status – will have automatic triggering to code for ICD-10.
    • Mood Disorders HPI: Updated Status pick list

 

Development import freeze until Oct 12

We are busy preparing the database for ICD-10. There will be no changes imported into the Production database until 10/12. Patient safety tickets will be the exception. The goal is to ensure we have a solid database for the ICD-10 roll out on October 1st.

 

 IMports

·         DME order requisitions will now display ICD 9 and ICD 10 codes.

 EHR Tip of the Week:

There are two ways you can view your categories, Group view or Flatten view.

Group View Setting: Will group the specific test or scanned document by name, i.e. as shown below all the EKGs are listed under the category of EKG.

clip_image019

If you want to change your view from group view to flatten view, right click on a category (for this example: Diagnostic category) and click Flatten View

clip_image021

The scanned documents will organize by category and then by scanned/document date. This could save clicks and make it easier on users to find the most recent scanned documents by category.

Flatten view:

clip_image023

The setting will stay for every patient until you manually change them back.




OBGYN Weekly EHR Update 09/21/2015

ICD-10 – Where will I see changes in NextGen on October 1st?

  • Labs and Diagnostics- The Chronic Dx grid is available on the Lab Master and Diagnostics templates will only show newly applied ICD-10 codes if they were applied to a patient’s chart and marked “chronic” during the dual coding period (Sept. 8 – 30, 2015).   If no dual codes were applied to the patients chart, the grid will be blank.  Going forward these grids will be rebuilt with ICD-10 codes as they are entered as chronic.

o   When codes are selected from this grid, the code will be added to Today’s Assessments

clip_image002clip_image004               

  •  Procedures requiring laterality for increased specificity

o   This is a simple example that shows laterality for an ear procedure.

clip_image006

clip_image008

  • Custom Picklists

o   Here is an example for a GYN Biopsy / Destruction. You’ll notice that many more codes are available in ICD-10.

clip_image010      clip_image012

  • The Interceptor Tool – this will ONLY appear if the user attempts to submit to superbill with a ICD-9 code that was not mapped to ICD-10. In this example, an ICD-9 code was saved with a procedure saved default. IF the user gets this pop up, #1 They will need to select the ellipsis button and pick the ICD-10 code and #2 select “ok” to close the interceptor tool. Users who see this pop up are asked to report this to the Help Desk immediately. Go to the LNF -> Help Desk Ticket” and note which template you are on.

clip_image014

 

clip_image016

 

 

 

clip_image017  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  

Coming Soon:

  • PHQ-9 Enhancements – work is in progress which will enhance the documentation for major depression. Providers will have the ability to add a major depression diagnosis directly from the PHQ-9. Links to further document on the Mood Disorders HPI will be applied to help facilitate complete documentation. If the patient’s PHQ score indicates that a depression diagnosis should be considered and this was not added to today’s assessments, providers will receive a pop-up on the finalize visit asking to apply if appropriate. This was approved by Operation 230-PMPM.
  • HPIs to help increase specificity for coding ICD-10.  Coding and compliance has made several recommendations for minor changes to HPIs to assist providers in documenting increased specificity.
    • Generic HPI:  added a free text box to allow for documenting “what caused the problem”
    • Nephrology HPI (Chronic Kidney Disease): the ability to indicate the stage and patients last Creatinine and GFR will be displayed on the HPI
    • COPD follow-up HPI: updated status pick list
    • Stroke HPI: Hand dominance from social histories will be shared on this HPI. Field to document which side was affected by the stroke.
    • Diabetes Mellitus – Updated complication status to allow further documentation based on ICD-10
    • Smoking status – will have automatic triggering to code for ICD-10.
    • Mood Disorders HPI: Updated Status pick list

 Development import freeze until Oct 12

We are busy preparing the database for ICD-10. There will be no changes imported into the Production database until 10/12. Patient safety tickets will be the exception. The goal is to ensure we have a solid database for the ICD-10 roll out on October 1st.

 

 IMports

·         DME order requisitions will now display ICD 9 and ICD 10 codes.

EHR Tip of the Week:

There are two ways you can view your categories, Group view or Flatten view.

 

Group View Setting: Will group the specific test or scanned document by name, i.e. as shown below all the EKGs are listed under the category of EKG.

 

clip_image019

If you want to change your view from group view to flatten view, right click on a category (for this example: Diagnostic category) and click Flatten View

clip_image021

The scanned documents will organize by category and then by scanned/document date. This could save clicks and make it easier on users to find the most recent scanned documents by category.

Flatten view:

clip_image023

The setting will stay for every patient until you manually change them back.




PEDIATRIC Weekly EHR Update 09/21/2015

ICD-10 – Where will I see changes in NextGen on October 1st?

  • Labs and Diagnostics- The Chronic Dx grid is available on the Lab Master and Diagnostics templates will only show newly applied ICD-10 codes if they were applied to a patient’s chart and marked “chronic” during the dual coding period (Sept. 8 – 30, 2015).   If no dual codes were applied to the patients chart, the grid will be blank.  Going forward these grids will be rebuilt with ICD-10 codes as they are entered as chronic.

o   When codes are selected from this grid, the code will be added to Today’s Assessments

clip_image002[7]clip_image004[7]               

  • Procedures requiring laterality for increased specificity

o   This is a simple example that shows laterality for an ear procedure.

clip_image006[7]

clip_image008[7]

  • Custom Picklists

o   Here is an example for a GYN Biopsy / Destruction. You’ll notice that many more codes are available in ICD-10.

clip_image010[7]      clip_image012[7]

  • The Interceptor Tool – this will ONLY appear if the user attempts to submit to superbill with a ICD-9 code that was not mapped to ICD-10. In this example, an ICD-9 code was saved with a procedure saved default. IF the user gets this pop up, #1 They will need to select the ellipsis button and pick the ICD-10 code and #2 select “ok” to close the interceptor tool. Users who see this pop up are asked to report this to the Help Desk immediately. Go to the LNF -> Help Desk Ticket” and note which template you are on.

 clip_image014[7]

 

 clip_image016[7]

 

 clip_image017[7]

Coming Soon:

  • PHQ-9 Enhancements – work is in progress which will enhance the documentation for major depression. Providers will have the ability to add a major depression diagnosis directly from the PHQ-9. Links to further document on the Mood Disorders HPI will be applied to help facilitate complete documentation. If the patient’s PHQ score indicates that a depression diagnosis should be considered and this was not added to today’s assessments, providers will receive a pop-up on the finalize visit asking to apply if appropriate. This was approved by Operation 230-PMPM.
  • HPIs to help increase specificity for coding ICD-10.  Coding and compliance has made several recommendations for minor changes to HPIs to assist providers in documenting increased specificity.
    • Generic HPI:  added a free text box to allow for documenting “what caused the problem”
    • Nephrology HPI (Chronic Kidney Disease): the ability to indicate the stage and patients last Creatinine and GFR will be displayed on the HPI
    • COPD follow-up HPI: updated status pick list
    • Stroke HPI: Hand dominance from social histories will be shared on this HPI. Field to document which side was affected by the stroke.
    • Diabetes Mellitus – Updated complication status to allow further documentation based on ICD-10
    • Smoking status – will have automatic triggering to code for ICD-10.
    • Mood Disorders HPI: Updated Status pick list

 

Development import freeze until Oct 12

We are busy preparing the database for ICD-10. There will be no changes imported into the Production database until 10/12. Patient safety tickets will be the exception. The goal is to ensure we have a solid database for the ICD-10 roll out on October 1st.

 

IMports

·         DME order requisitions will now display ICD 9 and ICD 10 codes.

EHR Tip of the Week:

There are two ways you can view your categories, Group view or Flatten view.

Group View Setting: Will group the specific test or scanned document by name, i.e. as shown below all the EKGs are listed under the category of EKG.

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If you want to change your view from group view to flatten view, right click on a category (for this example: Diagnostic category) and click Flatten View

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The scanned documents will organize by category and then by scanned/document date. This could save clicks and make it easier on users to find the most recent scanned documents by category.

Flatten view:

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The setting will stay for every patient until you manually change them back.

 




SPECIALTY/SURGERY Weekly EHR Update 09/21/2015

ICD-10 – Where will I see changes in NextGen on October

  • Labs and Diagnostics- The Chronic Dx grid available on the Lab Master and Diagnostics templates will only show newly applied ICD-10 codes if they were applied to a patient’s chart and marked “chronic” during the dual coding period (Sept. 8 – 30, 2015).   If no dual codes were applied to the patients chart, the grid will be blank.  Going forward these grids will be rebuilt with ICD-10 codes as they are entered as chronic.

o   When codes are selected from this grid, the code will be added to Today’s Assessments

o   For PCCS and Neuro the Diagnosis History grid on the Diagnostics Template will only show newly applied ICD-10 codes if they were applied to a patient’s chart during the dual coding period (Sept. 8 – 30, 2015).   If no dual codes were applied to the patients chart, the grid will be blank.  Going forward these grids will be rebuilt with ICD-10 codes as they are entered. When codes are selected from this grid, the code will be added to Today’s Assessments.

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  •  Procedures requiring laterality for increased specificity

o   This is a simple example that shows laterality for an ear procedure.

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  •  Custom Picklists

o   Here is an example for a GYN Biopsy / Destruction. You’ll notice that many more codes are available in ICD-10.

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  • The Interceptor Tool – this will ONLY appear if the user attempts to submit to superbill with a ICD-9 code that was not mapped to ICD-10. In this example, an ICD-9 code was saved with a procedure saved default. IF the user gets this pop up, #1 They will need to select the ellipsis button and pick the ICD-10 code and #2 select “ok” to close the interceptor tool. Users who see this pop up are asked to report this to the Help Desk immediately. Go to the LNF -> Help Desk Ticket” and note which template you are on.

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Coming Soon:

  • PHQ-9 Enhancements – work is in progress which will enhance the documentation for major depression. Providers will have the ability to add a major depression diagnosis directly from the PHQ-9. Links to further document on the Mood Disorders HPI will be applied to help facilitate complete documentation. If the patient’s PHQ score indicates that a depression diagnosis should be considered and this was not added to today’s assessments, providers will receive a pop-up on the finalize visit asking to apply if appropriate. This was approved by Operation 230-PMPM.
  • HPIs to help increase specificity for coding ICD-10.  Coding and compliance has made several recommendations for minor changes to HPIs to assist providers in documenting increased specificity.
  • ·         Generic HPI:  added a free text box to allow for documenting “what caused the problem”
  • ·         Nephrology HPI (Chronic Kidney Disease): the ability to indicate the stage and patients last Creatinine and GFR will be displayed on the HPI
  • ·         COPD follow-up HPI: updated status pick list
  • ·         Stroke HPI: Hand dominance from social histories will be shared on this HPI. Field to document which side was affected by the stroke.
  • ·         Diabetes Mellitus – Updated complication status to allow further documentation based on ICD-10
  • ·         Smoking status – will have automatic triggering to code for ICD-10.
  • ·         Mood Disorders HPI: Updated Status pick list

 

Development import freeze until Oct 12

We are busy preparing the database for ICD-10. There will be no changes imported into the Production database until 10/12. Patient safety tickets will be the exception. The goal is to ensure we have a solid database for the ICD-10 roll out on October 1st.

 

 IMports

·         DME order requisitions will now display ICD 9 and ICD 10 codes.

EHR Tip of the Week:

There are two ways you can view your categories, Group view or Flatten view.

Group View Setting: Will group the specific test or scanned document by name, i.e. as shown below all the EKGs are listed under the category of EKG.

clip_image019

If you want to change your view from group view to flatten view, right click on a category (for this example: Diagnostic category) and click Flatten View

clip_image021

The scanned documents will organize by category and then by scanned/document date. This could save clicks and make it easier on users to find the most recent scanned documents by category.

Flatten view:

clip_image023

The setting will stay for every patient until you manually change them back.