Presentation on theme: "Mission Accomplished: How to Treat Patients, be Sustainable, Meet Quality Indicators and Have Fun, Too Mark J. Doherty, DMD, MPH, CCHP National Primary."— Presentation transcript:
1 Mission Accomplished: How to Treat Patients, be Sustainable, Meet Quality Indicators and Have Fun, TooMark J. Doherty, DMD, MPH, CCHPNational Primary Oral Health ConferenceNovember 9-13,2008
2 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.
3 Men are from Mars , Women are from Venus by John Gray Medical Departments and Dental Departments are just as different as men and womenIn 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?
4 What's the First and the Second Rule ? ThinkApply Yourself
5 What's the MOST important Consideration ? Keep it Simple
8 Thimk! Mission Quality of care Needs Staffing to meet needs Expenses Payer MixChaos or control
9 Apply Yourself Strategic Plan Leadership Information Pick the low hanging fruitBuild success earlyShare your successBe creative
10 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 powerThe first step in getting to know your practice is gathering your data.
11 The Key Data Visits Gross Charges Net Revenue Expenses No-Show Rate Emergency Patient visitsTransactions by ADA codeCompleted Phase I Treatment PlansPayer Mix of the practice
12 What can that DATA tell us???? It tells us if Expenses are greater then RevenueIt 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.
15 The visit is what we understand ClinicallyFinanciallyStrategicallyPractically
16 The Visit Build and create strategic plans around the visit Eliminate chaos involved with the visitCreate business plans using the visit as the basic building block
17 HRSA`s Role Support Guidance Education Motivation Learning Community Communication
18 Quality IndicatorsCompleted Phase I treatment plans: More emphasis on completed treatments as an indicator of program quality, disease elimination and disease managementHigh Phase I completion rates is a quality indicator for better patient population serviceThe 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
19 What is Phase I One Treatment? DiagnosticsPreventive servicesTreatment and elimination of diseaseExtraction of Hopeless teethHelp patients achieve a baseline of normal disease free oral health
20 What Best Practices Aid in the Completion of Phase I Treatments ? Decreased No ShowsDefined and controlled care of EmergenciesScheduling 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
21 Completed Phase I Treatments as a Performance Measure Gives us a measure as to how well we are completing our missionHelps us identify strategies which help us complete treatments as well as those that impede progressCompleted treatments fulfill two major criteria:Creating more access by provision of more appointments for new patientsStabilizing 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
22 Monitoring Phase I Completion Rates A Quality Indicator for Disease Elimination and ManagementUtilized across the CHC network as a benchmark at the local, state and national level for completed treatments in a timely mannerWith 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 service20-30% Poor30-50% Average50-70-% Excellent>70% - Outstanding
23 “Tracking our Dental Program’s Treatment Plan Completion rate” Phase 1 TherapyA Clinical Outcome MeasureAlexandra L. Chan DDS,MPHHill Health CorporationDirector of Dental ServicesNew Haven, Derby Connecticut
24 Partnering to Strengthen and Preserve the Oral Health Safety Net Safety Net SolutionsPartnering to Strengthen and Preservethe Oral Health Safety Net