mission accomplished: how to treat patients, be sustainable, meet quality indicators and have fun,...
TRANSCRIPT
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Mission Accomplished: How to Treat Patients, be Sustainable,
Meet Quality Indicators and Have Fun, TooMark J. Doherty, DMD, MPH, CCHP
National Primary Oral Health ConferenceNovember 9-13,2008
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Well….. What is the Best Practice?
The one that manages itself well enough to provide quality treatment, maintains financial viability, completes its mission and is able to recruit and retain staff while having fun doing it.
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Men are from Mars , Women are from Venus by John Gray
Medical Departments and Dental Departments are just as different as men and women
In order to be successful at running either…. one has to understand the basic environment of care for each.
Would you take the time to learn how to fly a plane before you take one up? Of Course!
What type of success should we expect if we try running a dental department before we understand all of the moving parts?
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What's the First and the Second Rule ?
1.Think
2.Apply Yourself
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What's the MOST important Consideration ?
Keep it Simple
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This Ain`t Rocket Science
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Why Recreate the Wheel?
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Thimk! Mission Quality of care Needs Staffing to meet needs Expenses Payer Mix Chaos or control
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Apply Yourself
Strategic Plan Leadership Information Pick the low hanging fruit Build success early Share your success Be creative
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Let's Start
Be Real…..Let's be practical In order to apply yourself you have to
know your practice. Data does not lie. Information is knowledge and
knowledge is power The first step in getting to know your
practice is gathering your data.
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The Key Data Visits Gross Charges Net Revenue Expenses No-Show Rate Emergency Patient visits Transactions by ADA code Completed Phase I Treatment Plans Payer Mix of the practice
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What can that DATA tell us????
It tells us if Expenses are greater then Revenue It tells us the cost per visit [expenses/visits] It tells the revenue per visit [revenue/visits] It tells us if we are accomplishing our mission
[completed treatments] It tells us if we are controlling chaos [%no-Shows,
#emergencies] It tells us what our opportunities are [payer mix]
and how well we are using the mix to expand our access.
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What do we do with the data?
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Think and Plan at the level of the visit
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The visit is what we understand
Clinically Financially Strategically Practically
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The Visit
Build and create strategic plans around the visit
Eliminate chaos involved with the visit
Create business plans using the visit as the basic building block
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HRSA`s Role
Support Guidance Education Motivation Learning Community Communication
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Quality Indicators Completed Phase I treatment plans: More emphasis on
completed treatments as an indicator of program quality, disease elimination and disease management
High Phase I completion rates is a quality indicator for better patient population service
The more patients we complete the more new patients we can introduce to the practice.
Completed treatments is a well understood goal by
staff and an action step in many strategic plans
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What is Phase I One Treatment?
Diagnostics Preventive services Treatment and elimination of
disease Extraction of Hopeless teeth Help patients achieve a baseline of
normal disease free oral health
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What Best Practices Aid in the Completion of Phase I Treatments ?
Decreased No Shows Defined and controlled care of Emergencies Scheduling practices that optimize the timely
completion of needed treatment. Protocols directed toward the completion of
Phase One Treatment. [Think!] Program budgets with a 330 grant oral health
allocation listed and utilized in the strategic plan to complete treatments
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Completed Phase I Treatments as a Performance Measure
Gives us a measure as to how well we are completing our mission
Helps us identify strategies which help us complete treatments as well as those that impede progress
Completed treatments fulfill two major criteria: Creating more access by provision of more
appointments for new patients Stabilizing the oral health status of our patients by
treating and eliminating disease.Completed treatments as a quality measure helps limit
or eliminate “churning” as a practice strategy
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Monitoring Phase I Completion Rates A Quality Indicator for Disease Elimination and Management
Utilized across the CHC network as a benchmark at the local, state and national level for completed treatments in a timely manner
With a benchmark CHC practices will be able to share contributing and restricting factors to timely completion rates.
Encounter rates will be attached to completed treatments as a measure of success.
High rates = better population service
20-30% Poor
30-50% Average
50-70-% Excellent
>70% - Outstanding
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“Tracking our Dental Program’s Treatment Plan Completion
rate”
Phase 1 TherapyA Clinical Outcome Measure
Alexandra L. Chan DDS,MPHHill Health Corporation
Director of Dental ServicesNew Haven, Derby Connecticut
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Safety Net Solutions Partnering to Strengthen and Preserve
the Oral Health Safety Net
http://www.catalyst-safetynetsolutions.org