Transcript NEXTGEN TOBACCO STATUS DEMONSTRATION This demonstration reviews documentation of tobacco status in NextGen. This has been prepared with EHR 5.6.5.63 and KBM 7.9.2.

NEXTGEN
TOBACCO STATUS
DEMONSTRATION
This demonstration reviews documentation of tobacco
status in NextGen.
This has been prepared with EHR 5.6.5.63 and KBM
7.9.2. Subsequent updates may display cosmetic and
functional changes.
Use the keyboard or mouse to pause, review, and
resume as necessary.
There is no audio with this exercise.
Tobacco vs Smoking History
As of this writing (summer 2011), documenting
tobacco status in NextGen has become more
complicated and less intuitive.
This is largely due to the fact that Meaningful
Use specifies the recording of smoking status,
whereas good medical practice documents the
abuse of any form of tobacco.
As a result, tobacco documentation has
become somewhat redundant.
On the Histories Tab, note there
are now references to both
smoking and tobacco status.
To begin documentation of this,
click Tobacco Usage.
For someone who has never used
tobacco, click never, then Add.
This status is added to the Tobacco Use Grids.
For someone who currently uses tobacco, click current.
Add other details as known/pertinent, then click Add.
Here we’ve indicated that the patient
is a current cigarette smoker.
One might logically think this would be sufficient,
and you could now click Save and Close.
However, if you do, you will see this popup,
regardless of the tobacco status you’ve
indicated.
That’s because we’re now expected to also
indicate smoking status as well before clicking
Save and Close.
Yes, illogically, even if we’ve indicated that the
patient has never used tobacco, we have to also
say that the patient has never smoked.
After clicking Save and Close you’ll
return to the Histories Tab and
see the data that has been entered.
Another variant you’ll see occurs when a patient age 13-18
is seen. The pediatric version of the Histories Tab doesn’t
allow you to directly enter the patient’s tobacco history,
yet Meaningful Use requires that smoking status be
documented.
As a result, we’re seeing these overlapping fields,
including the Required for MU notice. (It is unclear
whether NextGen considers this a “feature” or an error.)
One way to enter tobacco history for an adolescent
is to click the Social History Update button. (This
is also the way you’d enter other Social History
details on children.)
The Pediatric Social History template appears.
Change to the Adult Social History template by
clicking Adult Social History.
From here you can document the patient’s
personal tobacco history by clicking the
Tobacco Usage link as demonstrated above.
Here is another tip: Note the red text Required for MU.
Almost everywhere in NextGen red text is a warning or
notice, and blue text is an active link. However, here
Required for MU is also an active link. For both children
and adults, clicking this link brings up the Tobacco Use
popup, allowing documentation of tobacco/smoking status.
Thus this gives us a direct way to document this on
patients 18 and under that saves a couple clicks.
Obviously, this workflow presents some
annoyances and frustrations to the user.
Hopefully NextGen will improve upon this in
future updates.
This concludes the
NextGen Tobacco Documentation
demonstration.
Why are you IN a movie, but you’re ON TV?
This concludes the
NextGen Tobacco Documentation
demonstration.
Why are you IN a movie, but you’re ON TV?