Potential Patient Safety
 
 

Completion of the Patient Health Questionnaire (PHQ-9) May Not Complete the Depression Screening Guideline

Issue ID: 45817

Versions Affected

NextGen® KBM v.8.1.6

The Issue

NextGen Healthcare has identified an issue on the Clinical Guidelines template where, after completing the Patient Health Questionnaire (PHQ-9) and immediately adding a protocol that includes the Depression Screening guideline, the guideline may not display as completed.

Example

In this example, the user creates a new patient or opens an existing patient and creates a new encounter. The user navigates to the *Intake template and selects a specialty and visit type. The user selects Depression from the Reason for Visit panel and launches the Mood Disorders – HPI template. The user selects the Screening Instrument active text, launches the Screening Tools template, and selects the Patient Health Questionnaire (PHQ-9) active text. From the Patient Health Questionnaire (PHQ-9) template, the user documents information, clicks Calculate, and Save & Close. The user sees the questionnaire is displayed as completed on the grid. From the Screening Tools template, the user clicks Save & Close and navigates back to the *Intake template.

From the *Intake template, the user selects the Guidelines tab, clicks Add Protocols, and launches the Activate Protocols template. The user selects Health Maintenance from the Protocols field and clicks OK. From the Risk Male template, the user selects the Diabetes check box, selects a diagnosis from the list, and clicks Save & Close. The user clicks Save & Close on the Activate Protocols template and sees the Depression Screening guideline incorrectly displays as due on the grid.

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Actions Required

Until this issue is fixed, users should manually change the guideline to completed from the Clinical Guidelines grid after the depression screening order has been placed.

Users may also modify the Ngkbm_write_protocol.sql and the Ngkbm_update_cg_protocols.sql stored procedures via the SQL Server Management Studio.

There are three places in each stored procedure where the following code appears:
 
and actCode not in ( '90714', '90715', '90718')

In all three places, change that code to:

and isnull(actCode,'') not in ( '90714', '90715', '90718')

Then execute the stored procedures to pick up the coding changes.

Status

This issue was fixed in NextGen KBM v.8.1.7.

Clients who are experiencing this issue can link their practice and be kept up to date on the status of this issue on the Client Support Center website (http://csc.nextgen.com). Just navigate to the Known/Fixed Issues tab, select the affected product from the navigation bar and filter by the Issue ID.

All NewsFlashes can be found in the NewsFlash Archive section under the Known/Fixed Issues tab on the Client Support Center website (http://csc.nextgen.com).

Clients who become aware of any potential critical issues should report them by following the process found here.

Thank you for your continued support.
NextGen Healthcare

 
 
 
 

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