1. Best Practice Roundtable Janet Bozzone, DMD, MPH Irene Hilton, DDS, MPH Dan Brody, DMD Ellen Gould, RDH, MPA Jay Anderson, DMD, MHSA Wednesday, October 27, 2010

2. LEARNING OBJECTIVES  Discuss Best Practice concepts  Implement PDSA cycles for improvement  Locate some Best Practices resources  Evaluate applicability of a Best Practice  Share answers for FAQs  Discover missing resources & links

3. What is a “Best Practice? Management practices and work processes that lead to world- class, superior performance.”* * Fletcher Challenge Ltd

4. What is a “Best Practice?  Aligns with strategy  Reduces costs  Improves productivity  Promotes timely execution  Enables better decision making  Leverages/exploits existing/emerging technologies  Ensures acceptable levels of control and risk management  Optimizes the skills and capabilities of the organization  Promotes collaboration across the extended enterprise -Hackett Benchmarking

5. A Best Practice is NOT…  A cookie cutter solution!  but is a starting recipe that requires adaptation to your facility.

6. Diets????  Atkins Diet Atkins Diet  Baby Food Diet Baby Food Diet  Belly Fat Cure Belly Fat Cure  Best Life Diet Best Life Diet  Big Breakfast Diet Big Breakfast Diet  Biggest Loser Diet Biggest Loser Diet  Biggest Loser Simple Swaps Biggest Loser Simple Swaps  Body for Life Body for Life  Brown Fat Revolution Brown Fat Revolution  Cabbage Soup Diet Cabbage Soup Diet  The Caveman (Paleo) Diet The Caveman (Paleo) Diet  Cheater's Diet Cheater's Diet  Cookie Diet Cookie Diet  The Diet Solution The Diet Solution  Dr. Phil's Ultimate Weight Solution Dr. Phil's Ultimate Weight Solution  Dukan Diet Dukan Diet  Eat More, Weigh Less? Eat More, Weigh Less?  Eat Right for Your Type Eat Right for Your Type  Eat This, Not That Eat This, Not That  Eat What You Love Eat What You Love  Eco Atkins Diet Eco Atkins Diet  Fast Food Diet Fast Food Diet  Fat Smash Diet Fat Smash Diet  Flat Belly Diet Flat Belly Diet  Flexitarian Diet Flexitarian Diet  5 Factor Diet 5 Factor Diet  Flavor Point Diet Flavor Point Diet  4 Day Diet 4 Day Diet  Fruit Flush Diet Fruit Flush Diet  French Women Don't Get Fat French Women Don't Get Fat  Fresh Diet Fresh Diet  The FullBar Diet The FullBar Diet  G Free Diet G Free Diet  Gene Smart Diet Gene Smart Diet  Glycemic Index Diet Glycemic Index Diet  Grapefruit Diet Grapefruit Diet  Hallelujah Diet Hallelujah Diet  High School Reunion Diet High School Reunion Diet  Instinct Diet Instinct Diet  Jenny Craig Jenny Craig  The Kind Diet The Kind Diet  LA Weight Loss LA Weight Loss  Lemonade Diet Lemonade Diet  Living Low-Carb Living Low-Carb  Macrobiotic Diet Macrobiotic Diet  Martha's Vineyard Diet Detox Martha's Vineyard Diet Detox  Master Your Metabolism Master Your Metabolism  Mayo Clinic Diet Mayo Clinic Diet  Medifast Diet Medifast Diet  Mediterranean Diet Mediterranean Diet  Morning Banana Diet Morning Banana Diet  Naturally Thin Diet Naturally Thin Diet  New Atkins for a New You New Atkins for a New You  New Beverly Hills Diet New Beverly Hills Diet  NutriSystem Diet NutriSystem Diet  02 Diet 02 Diet  Park Avenue Diet Park Avenue Diet  Perricone Diet Perricone Diet  Personality Type Diet Personality Type Diet  Pritikin Principle Pritikin Principle  Protein Power Protein Power  Raw Food Diet Raw Food Diet  Rice Diet Solution Rice Diet Solution  Shangri-La Diet Shangri-La Diet  Skinny Vegan Diet Skinny Vegan Diet  Slim-Fast Plan Slim-Fast Plan  Sonoma Diet Sonoma Diet  South Beach Diet South Beach Diet  South Beach Diet Supercharged South Beach Diet Supercharged  The Spectrum The Spectrum  Step Diet Step Diet  Sugar Busters Sugar Busters  Thin for Life Thin for Life  This Is Why You're Fat This Is Why You're Fat  3 Day Diet 3 Day Diet  3-Hour Diet 3-Hour Diet  UltraMetabolism Diet UltraMetabolism Diet  Volumetrics Volumetrics  What Color is Your Diet? What Color is Your Diet?  The Weigh Down The Weigh Down  Weight Loss Cure Weight Loss Cure  Weight Watchers Weight Watchers  Dr. Andrew Weil Dr. Andrew Weil  You – On a Diet You – On a Diet  The Zone The Zone

7. Rapid PDSA Cycles *From the Institute for Healthcare Improvement Decide what you can measure and if it is an improvement!

8. Some Best Practices Online Resources  NNOHA! http://www.nnoha.org/resources.html http://www.nnoha.org/resources.html  ASTDD http://www.astdd.org/index.php?template=bestpractices.html http://www.astdd.org/index.php?template=bestpractices.html  DMC http://www.dmcnet.org/DMCConferenceLinks.html http://www.dmcnet.org/DMCConferenceLinks.html  CDN http://www.cdnetwork.org/NewCDN/LibrarySearch.aspx http://www.cdnetwork.org/NewCDN/LibrarySearch.aspx  CDA http://www.cdafoundation.org/ http://www.cdafoundation.org/

9. Additional Online Resources  Oral Health Care during Pregnancy and Early Childhood - Practice Guidelines http://www.health.state.ny.us/publications/0824.pdf http://www.health.state.ny.us/publications/0824.pdf  Improving Women and Children’s Oral Health: http://www.idph.state.il.us/HealthWellness/oralhlth/ http://www.idph.state.il.us/HealthWellness/oralhlth/  "First 5" web-based training for dental providers: http://www.first5oralhealth.org http://www.first5oralhealth.org  CAMBRA Risk Assessment: Journal of the CDA http://www.cda.org/page/Library/cda_member/pubs/journal/jo ur1007/index.html http://www.cda.org/page/Library/cda_member/pubs/journal/jo ur1007/index.html

10. http://www.cdafoundation.org/library/docs/jour1007/ramos.pdf

11. FAQs Frequently Asked Questions You are not alone!

12. Operational FAQs  Reporting  Grant Allotment  Administrative Time  Provider Scheduling, Open Access  No Shows  Panel Size  Fee Schedules  Nominal Fees  Dental Manuals

13. Clinical FAQs  Emergency Patients  Radiograph Refusals  Clinical Guidelines (IOH, Prenatal, Geriatrics)  Special Populations  Specialty Care  QA, QI, PI, Dashboards  Standardized Treatment Plans, Protocols  Meaningful Use

14. No-Shows, DNKAs, and Broken Appointments!  How do I deal with no-shows?  Can we bill patients for no-show appointments?  Can I bill Medicaid for no-shows?

15. Questions, Comments, or Suggestions?

16. NNOHA - www.nnoha.org - 303-957-0635www.nnoha.org THANK YOU Janet Bozzone, DMD, MPH Director of Dental Services Open Door Family Medical Centers jbozzone@ood.org Irene Hilton, DDS, MPH SF Department of Public Health Silver Ave Family Health Center irene.hilton@sfdph.org Ellen Gould, RDH, MPA Director Forsyth Kids gould.ellen@gmail.com Jay R. Anderson, DMD, MHSA Chief Dental Officer, HRSA janderson@hrsa.gov Dan Brody, DMD Dental Director Valley Health Systems dbrody@valleyhealth.org