PEDIATRIC Weekly EHR Update 09/21/2015

image_print

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.

clip_image019[7]

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[7]

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[7]

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