dental quality management - amazon web services...dental quality management (dqm) is critical to...

Global Dental

DENTAL QUALITY MANAGEMENT

1

Confidential, © GDS 2017 Global Dental

AGENDA

▪ Introduction to DQM

▪ Case study – India’s largest chain (200+ clinics)

▪ Technology platform

2


DENTAL QUALITY – A KEY CHALLENGEMAINTAINING CONSISTENT QUALITY IS DIFFICULT PARTICULARLY IN CORPORATE CHAINS, SINCE EMPLOYEE MOTIVATION AND INCENTIVES STRUCTURES ARE DIFFERENT

3

Incomplete

/ Incorrect

Diagnosis

Poor

Treatment

Quality

Under / Over

Treatment

Inaccurate

Billing

Incomplete

Electronic

Medical data

High Cost of

Consumables

Patient

Issues

Corporate

Issues

Legal Lawsuits &

Insurance Disputes

Patient

Dissatisfaction

Higher Cost and

losses

Brand Credibility

Confidential, © GDS 2017 Global Dental 4

THE INDUSTRY PROBLEMS

Class Action Law Suits

Insurance proof

Billing Dispute

Over / under treatment

Performance standards

✓ Customized Treatment✓ Each Patient Unique

Social embarrassment

DENTAL QUALITY MANAGEMENT (DQM)IS CRITICAL TO SUSTAINABLE SUCCESS


DENTAL QUALITY CAN BE MANAGED

Dental diagnosis and treatment are based on

1. Patient provided medical history

2. Oral examination of the cavity

3. Intra-oral images

4. Digital x-Rays, OPGs, CBCTs etc.

5

Notes in Patient Management Software

Uploaded to Patient Management Software


DENTAL QUALITY CAN BE MANAGEDMOST DENTAL TREATMENTS REQUIRE X-RAYS BEFORE, DURING AND POST TREATMENT

Working Length X-Ray Master Cone X-Ray Post Obturation

During treatment X-Ray Post Treatment

6


DENTAL QUALITY MANAGEMENT – DQM

GDS has developed proprietary Dental Quality

Management processes and technology along with

a network of board certified Dentists in India

who can review and comments on several

quality parameters.

7


THREE COMPONENTS OF DQM

1. Technology platform that can integrate into most (if not all)Practice Management Software❖ Anonymize patient data and dentist information

❖ Ability to route records to a network of dentists for ”peer review”

2. Quality Review Processes and Templates to evaluate each patient record on several parameters ❖ Diagnosis completeness

❖ Treatment completeness and quality

❖ Billing / Insurance check against treatments completed

❖ Patient information and doctor notes completeness check

3. Team of Dentist based in India (across all clinical specialties) who review patient records in a cost effective, outsourced model

DQM SOLUTION AT GDS CONSIST OF PROPRIETARY (PATENT PENDING) PROCESSES AND TEMPLATES. A COMPREHENSIVE REPORTS ARE DEVELOPED ON EACH CASE REVIEWED

8


COMPONENTS OF DQM – SAMPLE LIST

Was the case documented?4. Documentation Completeness

• Oral Exam Completeness

• Diagnosis accuracy

• Comprehensive Treatment Plan (right treatment, medical history – diabetic condition, blood thinner etc.,)

1. Treatment Quality

• Review for each Specialty – Implant vs. Prostho, Prescription quality

• Review of Imaging / diagnostic

• Prognosis/results

What Learnings and Improvements ?3. Treatment Analytics

• Statistical study of efficiency in time taken for treatment, man power utilization, optimal material utilization

• Determination of success rate and re-treatment rate

• Training Need assessment for doctors

Were Business Processes completed?2. Commercial Effectiveness

• Invoice Accuracy – verified with treatment right offers/memberships, discounts

• Billing / Collections / Insurance Claims Processing

• P&L evaluation –treatment wise as well as patient wise

9

Were highest treatment standards met ?

Confidential, © GDS 2017 Global Dental 10

DQM FLOW PROCESS

REVIEW BOARD RATING & GRADING

CASE SEGREGATION (SPECIALITY CASES, NON SPECIALITY CASES, GENERAL CASES)

REVIEW REFUTED REVIEW ACCEPTED INFLOW OF CASES (STATISTICALLY VIABLE SAMPLE) OUTFLOW OF RE-REVIEWD CASES DOCTOR DASHBOARD NO SYSTEM ASSIGNED REVIEWERS

(R1, R2, R3………..) YES CASE REVIEWS DONE BY SENIOR REVIEWERS

CASE REVIEWS DONE BY REVIEWERS OUTFLOW OF REVIEWED CASES

POOL OF

CASES

REVIEW

OUTCOMES

CASES

SELECTED FOR

RE-REVIEW

TESTING AND

SCORING CRITERIA

SAMPLE CASES

TESTING AND SCORING CRITERIA

CASE REVIEWREVIEW

OUTCOME


TREATMENT QUALITY – SOME EXAMPLES

11

Incorrect Implant angulation

Incorrect Implant angulation

Implants placed too close to each other

Short Implant with weak bone support


TREATMENT QUALITY – SOME EXAMPLES

12

Crown placed with improper Obturation and infection

Tooth Perforation during Root Canal

Incomplete extraction leaving root piece behind

Excessive tooth structure loss during Root Canal


AGENDA




13


CASE STUDY – INDIA’S LARGEST CHAIN (200+ CLINICS)

25,000+ cases reviewed to date

3000+ cases reviewed monthly,

growing as Client grows

All 500+ Dentist reviewed monthly

Constant feedback provided to

Dentist and reports to Management

DQM HAS IMPROVED CLINICAL AND BUSINESS QUALITY ACROSS ALL METRICS

14

Significant Quality improvement in

all treatments & business metrics

Restoration Dislodgement reduced

to 0.5%

RCT protocols compliance

increased to 99.5%

Invoicing accuracy increased

to 98.3%

Clinical records completeness

increased from


RESTORATIONS DONE WITH POSITIVE

PROGNOSIS

15

99.30%100.00%

99.75%

98.55%99.21% 99.48%

92.00%

93.00%

94.00%

95.00%

96.00%

97.00%

98.00%

99.00%

100.00%

May-17 Jun-17 Jul-17 Aug-17 Sep-17 Oct-17


RCT DONE WITH POSITIVE PROGNOSIS

16

98.95%

100.00% 99.82%99.54%

99.80%99.51%

92.00%

93.00%

94.00%

95.00%

96.00%

97.00%

98.00%

99.00%

100.00%



IMPROVEMENT IN QUALITY OF BILLING AND

INVOICING

17

97.30%

98.10%97.70% 97.52%

97.70%98.30%

91.00%

92.00%

93.00%

94.00%

95.00%

96.00%

97.00%

98.00%

99.00%

100.00%



IMPROVEMENT IN DOCUMENTATION

COMPLETENESS

18

77.20%78.16%

79.59% 78.90%82.04% 82.02%

50.00%

55.00%

60.00%

65.00%

70.00%

75.00%

80.00%

85.00%

90.00%

MAY-17 JUN-17 JUL-17 AUG-17 SEP-17 OCT-17


AGENDA




19


PATIENT DASHBOARD FOR REVIEWERREVIEWER CAN ACCESS ENTIRE CASE AND PATIENT DETAILS THROUGH THIS DASHBOARD

20


PATIENT DETAILS – TREATMENT PLANREVIEWER CAN ACCESS ENTIRE CASE AND TREATMENT PLAN SUGGESTED BY THE DOCTOR THROUGH THIS MODULE

21


PATIENT DETAILS – X RAY IMAGESREVIEWER CAN ACCESS ALL X-RAY AND INTRA-ORAL IMAGES

22


REVIEW PROCESS – STEP 1 QUALIFYING CRITERIA

23


REVIEW PROCESS – STEP 2 CRITICAL CRITERIA

24


REVIEW PROCESS – STEP 3 ESSENTIAL CRITERIA

25


REVIEW PROCESS – STEP 4 IMPORTANT METRICS

26


CASE REVIEW SCORE CARDS

27

10 speciality score cards to review cases


NOTIFICATION FOR DOCTORS ONCE A CASE IS REVIEWED, TREATING DENTIST RECEIVES A NOTIFICATION

28


DOCTOR REMARKS ON REVIEWED CASESDOCTOR CAN PUT IN HIS REMARKS/ AGREEMENT / DISAGREEMENT POST CASE REVIEW

29

dental quality management - amazon web services...dental quality management (dqm) is critical to...

Documents