June 2016
Journal of the Georgia Dental Association
Exploring the Appropriate Use of Quality Measurement in Dentistry
HELPING CLENTS NAVIGATE THE EVER CHANGING LANDSCAPE OF DENTALANDSCAPE PRACTICE OWNERSHIP Oberman Law Firm is comprised of a team of individuals possessing the knowledge, expertise and experience to address the myriad of regulatory, business and ethical issues facing the health care industry today. We can help you piece it all together so you can focus on what really matters, your practice.
Practice Sales & Acquisitions Joint Ventures OSHA/HIPAA Compliance Employment Law Partnership Agreements Lease Negotiations Dental Board Defense Associate Contracts Intellectual Property
Renown Guidance
Next Level Commitment
Exceptional Results
Experience
OBERMAN LAW FIRM 2 • June 2016
147 Lee Byrd
Loganville, Georgia 30052
770.554.1400
www.obermanlaw.com
GDACONTENTS
june 2016 • volume 35, no. 5
features
GDA President's Trip
Star Legend
9 DENTAL BUYERS GROUP
May 25-June 1, 2017
Read an update on this dental practice game changer.
Join the 2016-17 GDA President Dr. Ben and Cindy Jernigan as they sail from Athens to Rome through the heart of the Mediterranean on the magnificent Star Legend – one of the gorgeous new Windstar yachts. Windstar is renowned for offering their guests the highest level of attention by their staff. They have excellent cuisine and beautiful accommodations, it is easy to see why they were voted best small ship by Conde Nast. We love that this ship feels like a private yacht with only 212 passengers. We hope many of you will join us on this very special adventure!
18 DENTAL MEASUREMENT
Learn about the appropriate use of quality measurement in dentistry.
20 GDA IN WASHINGTON
Fares from $2528
Dentists and GDA staff advocate for dentistry on Capitol Hill.
plus taxes and port fees per person, double occupancy
Included: All suite accommodations, meals and snacks, complimentary soft beverages, all entertainment, normal shipboard activities, welcome aboard cocktail party, Deck BBQ under the Stars, GDA cocktail party, Dental Continuing Education, $100 per person shipboard credit, & a Windstar private event called "Tastes of Sicily" at the Gambino Vineyards.
22 GIVE KIDS A SMILE
GDA dentists give back to kids in need during charitable event.
departments
Deposits Due July 25th
11 THE PRACTICE
An initial deposit of 15% is required at time of booking. This deposit is due by July 25, 2016. Final payment is due February 24, 2017. Deposits are fully refundable minus a $50 administrative fee until January 25, 2017. Book early for best choice of cabins and guaranteed space at the group rate.
Tools and tips to help you manage your business.
13 FINDING SUCCESS
Pre & Post Cruise Travel
Helping you achieve personal and professional growth.
Airfare options will be discussed on an individual basis and we are happy to assist with airfare strategy including the best use of FF points, discounted business class or economy class air.
14 SEEN & HEARD
Reserve Your Cabin Today!
in every issue
Contact Melissa Rosenbloum Century Travel melissa@centurytvl.com 404-271-3678 www.ctexplore.com/gda-2017.html
Members making news and news for GDA members.
4 5 5 7 9 28 30
Calendar of Events Benefits Plus+ Savings Contact GDA Staff Editorial Director’s Commentary Practice Promotions Classifieds
Cover: Quality measurement is here to stay in dentistry. Starting on page 18, learn about the Dental Quality Alliance, how the organization uses a multi-stage process to validate a quality measure, how many quality measures exist, and how the DQA is planning to move from pediatric to adult measures in the near future.
Pre-Cruise options in Greece as well as Post-Cruise options in Italy are a great way to extend your trip and we are here to help with those arrangements.
Join the 2017 President's Cruise Join 2016-17 GDA President Dr. Ben and Cindy Jernigan as they sail from Athens to Rome on the Star Legend, one of the gorgeous new Windstar yachts. The trip takes place May 25 - June 1, 2017. Your itinerary: May 25 Athens, Greece; May 26 Monemvasia, Greece; May 27 Gythion, Greece; May 28 Day at Sea; May 29 Naxos, Sicily, Italy; May 30 Lipari, Sicily, Italy; May 31 Sorrento, Amalfi Coast, Italy; and June 1 Rome, Italy. An initial deposit of 15% is required at time of booking. This deposit is due by July 25, 2016. Please contact Melissa Rosenbloum at Century Travel to book your cabin at melissa@centurytvl.com or (404) 271-3678. June 2016 • 3
GDA ACTION (ISSN 0273-5989; USPS PE-590290) The official Journal of the Georgia Dental Association is published 10 times per year. POSTMASTER: Send address changes to GDA Action, 7000 Peachtree Dunwoody Road N.E., Suite 200, Building 17, Atlanta, GA 30328. Dr. David Bradberry, GDA Editor 1070 Woodlawn Dr NE, Suite 250 Marietta, GA 30028 drbradberry@bellsouth.net Ms. Delaine Hall GDA Managing Editor 7000 Peachtree Dunwoody Rd NE Suite 200 Bldg 17, Atlanta, GA 30328 delaine@gadental.org Dr. Tom Broderick, GDA President 500 Eisenhower Dr Savannah, GA 31406 thomas.broderick@comcast.net Mr. Frank Capaldo, GDA Executive Director 7000 Peachtree Dunwoody Rd NE Suite 200 Bldg 17, Atlanta, GA 30328 frank@gadental.org ______________________________ GDA ACTION seeks to be an issuesdriven journal focusing on current matters affecting Georgia dentists and patients accomplished by disseminating information and providing a forum for commentary. Closing date for all editorial and advertising materials: First of the month preceding the publication month. Subscriptions: $17 of GDA membership dues is for the journal; all others, $75 per year. Periodicals postage paid at Atlanta, GA. © Copyright 2016 by the Georgia Dental Association. All rights reserved. No part of this publication may be reproduced without written permission. Publication of any article or advertisement should not be deemed an endorsement of the opinions expressed or products advertised. The GDA expressly reserves the right to refuse publication of any article, photograph, or advertisement, and illustrate, reduce, or revise any article submitted.
4 • June 2016
GDAEVENTS June 3-5: Hinman Dental Society Annual Meeting, Hilton Head. Sun, June 12: Fisher Foundation Board Meeting, GDA Office. Fri, June 17: Board-Approved LEAP Course, GDA Office. Thur, June 23: Alliance New Member Event, Top Golf, Alpharetta. ___________________________________________________________ Mon, July 4: GDA Office Closed for Independence Day Holiday. Mon, July 6: Northern District Executive Council, GDA Office. Wed, July 13: GDA Board of Trustees Meeting, Amelia Island, Florida. Thur, July 14: GDA House of Delegates Meeting, Amelia Island, Florida. July 14-17: GDA Convention & Expo, Amelia Island, Florida. Fri, July 22: ACD White Coat Ceremony, The Dental College of Georgia. Sat, July 30: NEW DATE: Northern District Gala for Smiles, Park Tavern. ___________________________________________________________ Wed, August 24: Welcome Back Event, The Dental College of Georgia. Sat, August 27: Special Smiles Dental Screening Event, Warner Robins. ___________________________________________________________ Mon, Sept 5: GDA Office Closed for Labor Day Holiday. Sat, Sept 10: GDA Board of Trustees Meeting, Atlanta. Fri, Sept 16: Southwestern District Fall Meeting/CE, Dr. Marvin Fier. ___________________________________________________________ Tue, Oct 4: GDA Officer Visit to Eastern District, Washington. Oct 13-15: ADA Fifth District Caucus, Birmingham, AL Oct 19-24: ADA Annual Session, Denver, Colorado (Oct 19-22 CE; Oct 20-21 Exhibit Hall; Oct 20-24 House of Delegates Wed, Oct 26: GDA Officer Visit to Northwestern District, Tellus Museum. Sat, Oct 29: GDIS Board Meeting, GDA Office. ___________________________________________________________ Wed, Nov 2: Western District Legislative Reception & Officer Visit. Tue, Nov 8: Eastern District Legislative Reception (Athens). Thur, Nov 10: Southwestern District Legislative Reception (Albany). Tue, Nov 15: Eastern District Legislative Reception (Augusta). Thur, Nov 17: Southwestern District Legislative Reception (Valdosta). ___________________________________________________________ Thur, Dec 1: Sat, Dec 3: Sun, Dec 4: Wed, Dec 7:
Southeastern District Legislative Reception & GDA Officer Visit, Savannah Golf Club. GDA Board of Trustees Meeting, GDA Office. GDA House of Delegates Meeting, Atlanta. Northwestern District Legislative Reception, Cartersville.
REACHUS PERSONAL SERVICES + MERCEDES-BENZ: (866) 628-7232 or www.gadental.org UBS (wealth management): (404) 760-3000 or www.gadental.org WHIRLPOOL (appliances): (866) 808-9274 or www.gadental.org
HEALTH PLANS + GEORGIA DENTAL INSURANCE SERVICES (group and individual medical and vision coverage) with BLUECROSS BLUESHIELD OF GEORGIA (800) 432-4357 or www.gadental.org
PRACTICE SERVICES + BANK OF AMERICA PRACTICE SOLUTIONS: (800) 497-6076 or www.gadental.org CARECREDIT (patient financing): (800) 300-3046 x-4519 or www.gadental.org CLAIM-X (insurance claims management): (866) 886-5113 or www.gadental.org THE DENTAL RECORD (patient form kits): (800) 243-4675 or www.gadental.org iMEDICOR (HIPAA secure email provider): (800) 432-4357 or www.gadental.org LANDS END OUTFITTERS (staff apparel): (800) 990-5407 or www.gadental.org LEGALSHIELD (prepaid legal plans and ID theft restoration): (904) 573-2232, (407) 529-8030, or www.gadental.org OFFICITE (custom practice websites): (877) 484-7187 or www.gadental.org TRANSFIRST (check/credit card acceptance): (800) 538-1601 or www.gadental.org TRANSWORLD SYSTEMS (debt recovery): (404) 538-6099 or www.gadental.org UPS (shipping services): 1-800-MEMBERS or www.gadental.org
BUSINESS INSURANCE + GEORGIA DENTAL INSURANCE SERVICES (800) 432-4357 or www.gadental.org • GREATER GEORGIA LIFE INSURANCE COMPANY (life insurance) • GUARDIAN (disability coverage) • THE HARTFORD (property and casualty coverage) • THE HARTFORD (workers’ compensation coverage) • JOHN HANCOCK (long term care coverage) • MEDICAL PROTECTIVE (professional liability coverage)
GDA EXECUTIVE OFFICE 7000 Peachtree Dunwoody Road NE Suite 200 Building 17 Atlanta GA 30328-1655 (800) 432-4357 or (404) 636-7553 GDA Fax: (404) 633-3943 GDIS Fax: (404) 634-6099 Do you have questions about Georgia Dental Insurance Services coverage? > Michele Amatulli, x-127 michele@gadental.org Do you have questions about dues or your membership status? > Katherine Torbush, x-126 katherine@gadental.org Do you have questions about “Because I Saw My Dentist”? > Carol Galbreath, x-119 carol@gadental.org Do you have questions about GDA Action or advertising? > Delaine Hall, x-104 delaine@gadental.org Do you have questions about the Convention or GDA Foundation? > Courtney Layfield, x-209 courtney@gadental.org Do you have questions about governmental affairs/LAW Day? > Scott Lofranco, x-103 scott@gadental.org Do you have questions about Medicaid, PeachCare, or insurance issues? > Stephanie Lotti, x-108 stephanie@gadental.org Do you have questions about continuing education courses? > Joanne Singletary, x-128 joanne@gadental.org Do you have questions about Integrity Dental Buyers Group? > Lisa VanZandt, x-105 lisa@gadental.org
June 2016 • 5
Is Your E-Mail HIPAA-Compliant? Yahoo
Gmail
No
No
No
Transmission Security (encryption) HIPAA 164.312(e)(1)
No
No
No
Audit Controls HIPAA §164.312(b)
No
No
No
3rd-Party Verification & Authentication HIPAA §164.312 (a)(2)(i)
No
No
No
Emergency Access Procedures HIPAA §164.312 (a)
No
No
No
Utilizes the “DIRECT” Federal Protocol (MU2)
No
No
No
Check if your provider supplies these features: Automatic Log Off
HIPAA §164.312 (a)
Outlook
HIPAA Facts, and Why HIPAA Compliance is Critical WHY
In 1996, the Health Information Portability and Accountability Act (HIPAA) was passed into law. The purpose of the law is to protect individuals’ identifiable health information, also known as Protected Health Information, or PHI.
WHO WHAT
if the law’s broken?
Anyone, except the patient, with access to patient health information is responsible. Violations can result in fines ranging from $50,000–$1.5 million. A HIPAA Privacy Rule infraction can also be considered a criminal act, and lead to prosecution by the Department of Justice–with jail time ranging from 1 to 10 years.
Many products on the market today are secure, but may not meet the standard of HIPAA compliance. Incorporate a secure, HIPAA-compliant messaging protocol designed to protect your practice from federal violations.
E-Mail Compliance for $22.50/mo. GDA endorsed service provider iMedicor’s iCoreExchange is a HIPAAcompliant secure messaging hub. GDA members receive a 35% discount on subscriptions. Learn more at www.imedicor.com, or by calling iMedicor at 888-810-7706.
6 • June 2016
888-810-7706
EDITORIAL: INVITING PORTS OF CALL
By Dr. David Bradberry GDA Editor
“Growing our education department is going to be an open and orderly process and will identify not just CE, but the knowledge that we need ... The value is going to be that high.” DR. DAVID BRADBERRY GDA Editor Phone (770) 977-8644 drbradberry@bellsouth.net
One year ago, Dr. Tom Broderick of Savannah was sworn in as president of our association. He took over in July 2015 from Dr. Doug Torbush, who was taken from us far too soon last December. Both presidents were among the first to serve with our new executive director, Frank Capaldo, and both were called on to help captain the GDA ship through transitional waters. Our leaders were faced with an array of challenges, including dealing with changes in the way health insurance operates which impacted our Georgia Dental Insurance Services agency. But as we sailed our GDA ship through the waves, we saw promise on the horizon. We have made outstanding progress in our Four Cornerstones. These are Legislation and Policy, Public Relations and Communications, Member Practice Services and Education, and Business and Non-Dues Services. Our strategic plan was developed along these cornerstones. Doug, and now Tom, have worked diligently to ensure that we build up our association in all of these areas, in alignment with the strategic plan, so we can survive and thrive in the future. The 2016 legislative session was tough, but productive. Throughout the session, your governmental affairs team met regularly to discuss legislation and ideas. The process was orderly and transparent. Our work for 2017 started the day after the session ended, and we have plans in store that will help us continue to strengthen the GDA "Action for Dental Health" plan. The goals of this plan are to promote quality attainable dental care for the uninsured and underserved; promote oral health education and literacy; and to optimize the use and availability of publicly supported dental facilities. These are huge goals, but with the orderly, open way we are moving, we can accomplish them, all of us. Do you know the acronym BISMD? It stands for "Because I Saw My Dentist," and I hope you all have seen the social media posts and stories generated by our public relations activities led by Dr. Robin Reich. Our national organization and other states have reached out to us for information on how
they can use parts of this campaign, which is moving Georgians to find dental homes with GDA members. This campaign uses our stories, and was led by GDA members. And we are only in phase one of this campaign. Promise on the horizon. We now have a fully operating education and training department, and that is another bright spot on our horizon in a many ways. You may say, we already have a lot of continuing education available to us. I would say, growing this department from the ground up is going to make the difference. Growing our education department is going to be an open and orderly process too and will identify not just CE, but the knowledge that we need. I believe that this department is going to be a huge reason for dentists to join the GDA and remain not just members, but devoted members. The value is going to be that high. But we will need your help. When you receive GDA surveys asking what you want in terms of knowledge, answer them. Help us create the value you want. I could mention a lot about business services. I could talk about the value of GDIS, where every staff member who works in the medical and property and malpractice departments spends every minute helping members succeed. I think I will primarily encourage everyone though to read Frank's column in this issue about our buyers group. I have watched the GDA start this initiative from the ground up and I see the value that is there for us as practitioners and us as an association when this group starts up. I wrote a check the day after I found out about this initiative and I believe that I will see benefits from my investment. I encourage everyone who has invested to stay the course. There is sunshine on the horizon there, too. Our Georgia Dental Association is sailing into some inviting ports of call. I hope you get and stay on board.
June 2016 • 7
Dental practice financing Working together to help you achieve your goal
At Bank of America Practice Solutions, you can rely on our industry leadership and commitment to your success. We’ll work with you to help determine the financing solution that best fits your plans, and then guide you through the process. ●
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– Practice sales and purchases
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Let’s talk. For more information, contact one of our Practice Specialists:
Call 800.428.2847
Or visit bankofamerica.com/practicesolutions
* All programs subject to credit approval and loan amounts are subject to creditworthiness. Some restrictions may apply. The term, amount, interest rate and repayment schedule for your loan, and any product features, including interest rate locks, may vary depending on your creditworthiness and on the type, amount and collateral for your loan. † Bank of America Practice Solutions may prohibit use of an account to pay off or pay down another Bank of America account. Bank of America is a registered trademark of Bank of America Corporation. Bank of America Practice Solutions is a division of Bank of America, N.A. ©2015 Bank of America Corporation ARFDGLFJ | Flyer-0914-Den | Rev. 05/15
8 • June 2016 05.15_Allproduct_GDAl_8.5x11_flyer_1.indd 1
5/15/15 3:14 PM
COMMENTARY: STAYING THE COURSE
By Frank J. Capaldo GDA Executive Director
“... [W]e and your colleagues on the IDBG board of directors, along with Premier and the members of the GDA staff, see this delay as just another bump in the road to success.� FRANK J. CAPALDO Executive Director Phone (404) 636-7553 frank@gadental.org
Remember when our parents told us that if becoming a dentist was easy, everyone would do it? Or maybe when we made the same statement to one of our aspiring children? I know I received that speech and gave it as well, along with hearing and saying that hard work and never giving up results in success! Well folks, no one said that building a dental buying group company with all of its parts would be easy! In fact, most of our correspondence informed everyone there would be and have been bumps and obstacles along that road to success. We all have worked diligently over the past year to bring together a group buying program that is properly set up and built to last into the future. None of us wants to begin a business before all the pieces are correctly and firmly in place for you and to that end we must delay the launch. We know you are saying "delay," but when you read the following you will understand and agree. The road that we went down has been methodical, step by step, via Request for Proposals to obtain a Group Purchasing Organization partner to handle the negotiations with the suppliers. Premier, with $44 billion dollars in supply chain spending, was selected for their expertise, their size, and because they already had large group purchasing contracts with many of the same suppliers and manufacturers we utilize, but on the medical side. You, the members, through many in-person meetings, told us you wanted all suppliers to have a chance to participate. We could have gone directly to the manufacturers and bypassed the suppliers, but you felt it was important to include your long-time suppliers who provided servicing and local distribution. You also told us that it was important to make sure your local sales representative was not cut out of the program, because they have families as well. We/you/ us are loyal people who hold the belief that all parties could participate and benefit mutually! And so all were included, but some
had no interest, some feigned interest, and others did not make the cut. For numerous reasons, it came down to one supplier. Premier's team, who are experienced negotiators in the business, worked with the final supplier for months. They believed in good faith, as we all believed, that there would be a final signed contract by the end of May. Instead at the end of May we learned that "the supplier in question" who would have had an exclusive deal with IDBG and an incredible opportunity to increase market share would not complete the deal. Therefore, as a result, we did not have a June purchasing launch for you as originally planned. However, we and your colleagues on the IDBG board of directors, along with Premier and the members of the GDA staff, see this delay as just another bump in the road to success. While it will delay success, it will not deter us from our commitment to bring you a dental supply group purchasing program. We have other options, but they will take time to activate and complete. The members of the IDBG board have decided that because of the delay that the following actions are appropriate for your patience and continued support: 1.) Everyone who has a signed commitment at the time of the launch will receive free membership for six (6) months of the first eighteen (18) months from the date of the launch. 2.) We will stop invoicing immediately until the launch date is set in stone. 3.) As was always the case, if you want to be released from your commitment at any time up to the launch you may pull out and obtain a total refund.
DIRECTOR
Continued on page 25
June 2016 • 9
Your Practice is Your Legacy. We will help you find the RIGHT buyer.
THE RESULT:
Our clients frequently experience a 95% or better patient retention after a transition. Contact us for a complimentary, confidential consultation. in memoriam –
Southeast Transitions is pleased to have represented the estate of Dr. David Thomason in the sale of his practice.
Southeast Transitions
Dr. Thomason believed in treating his staff and patients as if they were his own family. This belief was reflected in his morals and work ethic throughout the years and will be carried on in his practice in the years to come.
Passing dentistry to the next generation through practice sales
www.SoutheastTransitions.com • 678-482-7305
Have your patients complained about headaches? HEADACHE
Are headache and temporomandibular disorders related? A blinded study. Study indicate that a high proportion of headache patients have signiÞcant disability because of ongoing chronic TMD pain. The trend to a higher prevalence of TMD in patients with combined migraine and tension-type headache suggests that this could be a risk factor for TMD development. Their Þndings emphasize the importance of examination of the masticatory system in headache sufferers and underline the necessity of a multi- dimensional approach in chronic headache patients. Cephalalgia. 2008 Aug; vol. 28(8) pp. 832-41. Ballegaard V, Thede-Schmidt-Hansen P, Svensson P, Jensen R. Dental Sleep Medicine and Craniofacial Pain are not recognized as specialty areas by the ADA.
HEADACHES
•
FACIAL PAIN
•
NECK PAIN
•
TMJ DISORDERS
•
SLEEP APNEA
Mayoor Patel DDS, MS
DAAPM, RPSGT, FAAOP, FICCMO, FAACP, FAGD
Diplomate American Board of Orofacial Pain Diplomate American Board of Craniofacial Pain Diplomate American Board of Dental Sleep Medicine Diplomate American Board of Craniofacial Dental Sleep Medicine
10 • June 2016
200 ASHFORD CENTER NORTH • SUITE 195 • ATLANTA, GA 30338 678.899.6076 • FAX 678.899.6075 • WWW.CPCGEORGIA.COM
THE
PRACTICE Staff Discussions of Salaries and Benefits By Stuart Oberman, JD Many dentists unknowingly violate federal law by attempting to prevent employees from discussing salary and company benefits with other employees. The law surrounding this issue is often misunderstood. However, the lack of knowledge surrounding these laws can be costly and can lead dental employers straight into disputes with labor boards. Many dental practices have a corporate policy similar to this: "Confidentiality of Salary and Benefit Information: Employees are prohibited from discussing their salary or wage levels and company benefits with other employees. Such information is confidential and may not be discussed in the workplace. Any employee violating this policy will be considered to have committed a breach of confidentiality and will be subject to disciplinary action, up to and possibly including termination of employment." A 2011 survey from the Institute for Women's Policy Research found that about half of workers "report that the discussion of wage and salary information is either discouraged or prohibited and/or could lead to punishment." Those same companies would likely be surprised to learn that such policies violate federal labor law. The National Labor Relations Act, which applies to most private sector employers (including health care facilities), contains a provision, Section 7 (29 U.S.C. § 157), that gives all employees the right to "engage in concerted activities," including the right to discuss their terms and conditions of employment with each other. Section 8(a)(1) of the NLRA (29 U.S.C. § 158(a)(1)) makes it an unfair labor practice for an employer to deny or limit the Section 7 rights of employees. Based upon those two provisions, the National Labor Relations Board has taken the position for decades now that employers may not prohibit employees from discussing their pay and benefits, and that any attempts to do so violate the NLRA. Over the years, the National Labor Relations Board has resoundingly sided on behalf of employees’ rights to discuss salary and wages, and courts have uniformly supported that position. Even if an employee signs a nondisclosure agreement, the employee would still be protected when talking about salary.
An employer cannot declare information about employees’ pay to be confidential information that cannot be discussed. However, an employee whose job function involves access to company wage and payroll information may not disclose employee pay information to other employees unless directed by the employer or an investigating agency. The National Labor Relations Board has routinely heard cases regarding an employee’s right to discuss wages. In one case, an employee noticed a document containing wage increase information in a supervisor’s office, copied the wage information concerning each employee and then shared the information with several employees. The National Labor Relations Board found that the employee did not commit trespass to access the payroll information, and that the employee was even within his rights to distribute the information. __________________________________________
A 2011 survey from the Institute for Women's Policy Research found that about half of workers "report that the discussion of wage and salary information is either discouraged or prohibited and/or could lead to punishment." Those same companies would likely be surprised to learn that such policies violate federal labor law. ______________________________________________ Finally, it makes a difference under the law as to how employees obtain the salary and benefit information they are discussing. Employees discussing their own information are protected, as are employees discussing the pay and benefits of others if they obtained that information through ordinary conversations with others.
PRACTICE
Continued on page 25
Find tools and tips for managing your business in this column and on The Practice page at www.gadental.org. June 2016 • 11
Your benefits It’s more than just investing.
Last year, UBS and GDA celebrated 13 years together. As a wealth management provider for the GDA, we have helped many members with leadership and advice beyond investing. GDA member benefits include – Complimentary financial planning (a $5k–10k value) – 401(k) retirement savings plan designed exclusively for GDA members at a group discount rate – Advisory and investment program offered at group discount rate – Retirement planning guidance, including a retirement income replacement system – Lending capabilities with competitive interest rates – Free access to UBS global investment research Wile Consulting Group UBS Financial Services Inc. Harris Gignilliat, CRPS®, CIMA® Senior Vice President–Wealth Management 3455 Peachtree Road NE, Suite 1700, Atlanta, GA 30326 404-760-3301 harris.gignilliat@ubs.com ubs.com/team/wile GDA and UBS Financial Services Inc. are not affiliated. Depending on your needs, we can help you implement your retirement strategies through both our brokerage and advisory capabilities. Financial Planning services are provided in our capacity as a registered investment adviser. As a firm providing wealth management services to clients in the U.S., we offer both investment advisory and brokerages services. These services are separate and distinct, differ in material ways and are governed by different laws and separate contracts. For more information on the distinctions between our brokerage and investment advisory services, please speak with your Financial Advisor or visit our website at ubs.com/workingwithus. Chartered Retirement Plans SpecialistSM and CRPS® are registered service marks of the College for Financial Planning®. CIMA® is a registered certification mark of the Investment Management Consultants Association, Inc. in the United States of America and worldwide. ©UBS 2016. All rights reserved. UBS Financial Services Inc. is a subsidiary of UBS AG. Member FINRA/SIPC. 7.00_Ad_7.5x4.875_AX0412_GigH IA1601691 Exp. 4/15/17
Do your patients suffer from any of these symptoms? Head Pain
Forehead • Temples Migraine-type Sinus-type
Ear Ear pain • Ringing in ears Dizziness • Vertigo
Eyes
Jaw
Pain behind eye Blood-shot eyes Sensitive to light
Clicking, popping jaw joints Pain in cheek • Limited opening
Teeth
Neck
Clenching/grinding at night Looseness and soreness of back teeth
Lack of mobility/stiffness Neck pain • Tired/sore muscles Arm/finger numbness
Visit us online at w w w.tmdatlanta.com to download a referral form and learn more about our services! Manoj Maggan DDS, DABDSM, DABCP, DAAPM, FICCMO, FAACP
3590 Old Milton Parkway, Alpharetta, GA 30005
Center for TMJ Therapy
12 • June 2016
770.521.1978 phone • 770.521.9936 fax www.tmdatlanta.com • office@tmdatlanta.com
If your patients have any of these symptoms and are not responding to treatments, they may be suffering from a TMJ disorder. Problems within the jaw can produce a myriad of symptoms that, at first glance, might appear to be totally unrelated to the temporomandibular complex. Our dedicated team of professionals have years of training and are happy to assist you in the diagnosis and treatment of possible craniomandibular/ temporomandibular disorders.
FINDING
SUCCESS
Leadership that Empowers Your Team By Jeff Lovejoy I had the pleasure of working with a business owner for 18 months on a variety of issues that were holding his business back from the results he desired. These included; 1) Marketing was only achieving marginal results, 2) Planning both strategically and tactically didn’t exist, 3) Awareness of their financials was marginal, and 4) His team was talented, but not empowered. The team lacked empowerment, because the owner was focused on the day-to-day tactical aspects of the business and only noted the results but not the causes of the team's problems. His employees were not interested in helping the business grow, wasted time, and lacked motivation. This situation repeats itself in many businesses, and the cause is almost always the same … the owners. I teach business owners that their team is one of their most important assets, and that they need to devote more time leading and coaching this valuable asset. A highly motivated, appreciated, and empowered team makes life much easier for any business owner. All that’s required is to recognize their importance and to devote attention to them. Empowerment One of the first things my customer did to begin motivating his team was to start holding short weekly team meetings to share and discuss issues he considered important and to solicit suggestions from the team. Staff members were hesitant at first after so many years of feeling disempowered but they eventually began to appreciate the owner’s efforts. I had the owner share his financial goals and team goals and to ask for ideas that could contribute to achieving those goals. We also:
None of these strategies were “leading edge” or were wildly creative, but each one combined to completely turn team performance around. At the time we discontinued working together, the owner’s focus on his team had resulted in a motivated group that was actively engaged and offering suggestions and ideas towards achieving established annual financial goals. Amazing what can be done when the focus is in the right place! So What Can You Do? If any of these team conditions hold true for your business then look at your focus. Is a significant portion of your time devoted to your team? If not, it’s probably because your focus is IN instead of ON your business. That dayto-day focus often creates a work environment that’s low on employee morale, high on error rates, and high on employee turnover. As a result these owners often find themselves: • Working longer hours, because their earlier attempts at delegating failed • Working longer hours, because they have to perform the work of missing employees • Losing excitement in running their business • Blaming the problem as due to the absence of quality employees Spend less time working on the day-to-day and more time leading your team with vision, and you’ll notice the results. Your customers, or patients, will as well. Jeff Lovejoy works with owners of local companies to help them achieve the success they desire from their businesses. He can be reached at (404) 250-3221 or jefflovejoy@ actioncoach.com.
• Instituted pay for performance and bonus programs, • Hired additional employees to relieve workload stress, • Developed job descriptions for each position, and • Discussed performance issues with employees immediately after every instance or issue
Find guidance in achieving personal and professional growth in this column and at www.gadental.org. June 2016 • 13
SEEN&HEARD
State Legislative News: Consider attending a Georgia Dental Association LAW Day in 2017 to learn about legislative issues impacting dentistry and dental patients, then talk legislators about those issues. Members, DCG dental students, and Alliance spouses are welcome on any day. Contact sheila@gadental.org to register. Jan 18 Northern & Eastern Districts; GDA Alliance Feb 1 Southwestern, Western Districts; Northern District Hall Co Branch Feb 8 Northwestern District Feb 23 Southeastern District and Georgia Dental Society Mar 8 Central District Mar 22 All districts, specialties, and DCG dental students 14 • June 2016
Dentists and Friends Take Part in Fundraiser for Dr. Drew Ferguson GDA member dentist Dr. Drew Ferguson is headed to a runoff election in the race to fill the Congressional seat held by Rep. Lynn Westmoreland in the 3rd District. Dr. Ferguson, a multi-term mayor of West Point, Georgia, and graduate of the Medical College of Georgia, will face Mike Crane in a July 26, 2016, runoff since neither garnered at least 50 percent of the Republican vote during the May election. GDA members showed their support in a big way for Dr. Ferguson leading up to the May election, and are supporting him again leading into this runoff election. Dentists took part in a fundraiser for Dr. Ferguson on June 20 (some participants shown above are Dr. Howard Jones, Dr. Donna Thomas Moses, Dr. Bruce Camp, Dr. Craig Widener, and Dr. Bill Calhoun with Dr. Drew Ferguson and Buffy Ferguson at the center) in Jonesville. The event raised significant funds for Dr. Ferguson as he attempts to go to Congress. If you want to help Dr. Ferguson, visit http:// fergusonforgeorgia.com and contribute.
Alzheimer's Association Creates Referral Form for Dentists The Alzheimer's Association (AlzA) is dedicated to providing support for all affected by the disease and to reducing the risk of dementia through the promotion of brain health. AlzA recognizes that while today's health care climate does not allow physicians to spend a significant amount of time with patients, dentists may spend more time at every appointment. For persons with dementia and their families, AlzA can offer free counseling, support groups, and phone support. These free services may not be known to many dental patients. The next time you provide care for a person with memory loss or for an individual supporting a person with memory loss who could potentially benefit from AlzA programs, send the AlzA a referral form. Patients and families are much more likely to utilize Alzheimer's support services in a timely manner when they first discuss services with a health care professional. For more information, please call 1-800-272-3900 or visit alz.org/Georgia for local community resources.
Fax Referral for Services (Free
of Charge) Fax to: 404-636-9768 Attention: Care Consultant
Patient/Caregiver
I give my health care profe ssional, ____________________ ___________, permission to address, phone number, and give my name, the additi onal patient inform ation below to the Alzheimer’s Georgia Chapter. The inform Association, ation is disclosed so that a representative from the Alzhe Association can contact me imer’s to inform me about educational opportunities, support servic resources for me and my family es and other . I understand that the Alzhe imer’s Association will give my health care professiona feedback to l based upon our contact. I also give permission to the Association to inform my physi Alzhe imer’s cian about the services I receiv ed from the Alzheimer’s Assoc iation.
Signature _______________
_________________________ _________________________ _______________
Please print name___________ Relationship to the person
_________________________ _________________________ __________
with memory loss
The person with memory loss
___
_____
Self_______0ther___________ ____________________
being referred provided verbal
consent instead of their signat ure.
__
Yes
Mailing Address_________ _________________________ _________________________ ___________________ _________________________ _________________________ Phone (Home)_______________ _________________________ ___ ___________________(Cell)___ _________________________ To be completed by Health __________ ___ Care Professional Name of Patient/Family Caregi ver_______________________ _________________________ ________ Diagnosis_________________ ___________ Date of Diagn osis______________________ ____________ Health Care Professional Inform ation Name____________________ ______________________Pho ne_______________________ Address___________________ _____ _____________ _________________________ _________________________ e-mail____________________ _________________ ______________________ Reason for referral – please check all that applies Dementia Education for Community Resources Info Patient Social Activities for patient and Referral Care Consultation, similar and caregiver Safety Concerns (wandering, to counseling Legal and Financial Info driving, home modification ) Dementia Education for Support Groups for patient or Caregiver Other needs caregiver Alzheimer’s Association, Georgi a Chapter Headquarters 41 Perimeter Center East, Suite 550, Atlanta, Georgia 30346 Phone: 800-272-3900
Dr. Melvin Baker Appointed to Oxford City Council GDA member Dr. Melvin Baker was recently sworn in as a member of the Oxford City Council, replacing a council member who moved out of the area. Dr. Baker's appointment to the council received unanimous and enthusiastic support. The Oxford resident and Medical College of Georgia graduate owned a dental practice in Covington, Georgia, until selling his practice in 2012. He is a member of the American Dental Association, Georgia Dental Association, Academy of General Dentistry, Newton Medical Center Board of Directors, Washington Street Community Center Board of Directors, and St. Paul AME Church. He was also a Lt. Commander in the U.S. Navy Dental Corps. Dr. Baker earned a degree in biology from Clark Atlanta University before attending MCG. He and his wife Gussie Griggs Baker have three sons and seven grandchildren. June 2016 • 15
SEEN&HEARD Study Shows that Tobacco Smoke Makes Germs More Resilient The mouth is one of the dirtiest parts of the body, home to millions of germs. But puffing cigarettes can increase the likelihood that certain bacteria like Porphyromonas gingivalis will not only set up camp but will build a fortified city in the mouth and fight against the immune system. University of Louisville School of Dentistry researcher David A. Scott, Ph.D., and his research team have identified how tobacco smoke, composed of thousands of chemical components, is an environmental stressor and promotes bacteria colonization and immune invasion. Scott says since this initial finding several years ago, a recent literature review published in Tobacco Induced Diseases revealed that cigarette smoke and its components also promote biofilm formation by several other pathogens. “Once a pathogen establishes itself within a biofilm, it can be difficult to eradicate as biofilms provide a physical barrier against the host immune response, can be impermeable to antibiotics and act as a reservoir for persistent infection,” Scott said. “Furthermore, biofilms allow for the transfer of genetic material among the bacterial community and this can lead to antibiotic resistance and the propagation of other virulence factors that promote infection.” One of the most prevalent biofilms is dental plaque, which can lead to gingivitis and to more severe oral diseases, such as chronic periodontitis. Bacterial biofilms also can form on heart valves resulting in heart-related infections, and they also can cause a host of other problems. In Georgia, 19.5% of the adult population (aged 18+ years)—over 1,393,000 individuals—are current cigarette smokers, according to a 2010 CDC report. Across all states, the prevalence of cigarette smoking among adults ranges from 9.3% to 26.5%. Georgia ranks 32nd among the states. Among youth aged 12–17 years, 10.0% smoke in Georgia. The range across all states is 6.5% to 15.9%. Georgia ranks 19th among the states.
16 • June 2016
The GDA has a new look! See more at www. gadental.org!
Drs. Bachand and Blankenship Receive GDA/ASDA Organized Dentistry Awards
Dr. Richard Mixon Honored as Volunteer The Macon Volunteer Clinic provides free health care to working, uninsured individuals in Bibb County. The clinic relies on volunteers to gift their time and professional skills to keep the clinic doors open every week. Each quarter, the clinic honors a volunteer. The clinic selected GDA dentist Dr. Richard Mixon to highlight this quarter. When he is not volunteering, Dr. Mixon operates Mixon Family Dentistry in Macon, where he has practiced for 35 years. When asked why he volunteers, Dr. Mixon said, "This is a way I can give back through a profession that has blessed me through the years. I am honored to serve a community of patients that typically falls through the cracks ... and I am thankful for this vehicle in which I am able to serve them." Other GDA members who volunteer at the clinic include Drs. Lawrence McCurdy, Leigh Bennett, Eric Hall, Tommy Peterson, John Bowman, Ched Smaha, Samer Othman, Amber Lawson, Jimmy Cassidy, and Cameron Garvin.
The Georgia Dental Association honored William R. Bachand, DDS, and Jordan Blankenship, DMD, during The Dental College of Georgia’s annual senior awards ceremony at Augusta University on May 12. The GDA in partnership with the American Student Dental Association (ASDA) chapter at Augusta University annually recognizes a student and faculty member for active participation in, and outstanding service to, organized dentistry within the university. The association presented the Outstanding Senior Dental Student Award to Jordan Blankenship, DMD, who served as president of the ASDA chapter at Augusta University during the 2015-2016 term. For the second year in a row, Augusta University faculty member William R. Bachand, DDS, received the Outstanding Dental Faculty Contribution Award for his support of ASDA activities and of organized dentistry. “The dental students of today and the faculty that teach them are instrumental in forwarding our mission to improve oral health in Georgia,” said GDA Executive Director Frank J. Capaldo. “Together with our partners, we are working to remove barriers to dental care in the state, ensuring all Georgians have access to the highest quality of care provided by a dentist.” In addition to an award recognizing them for their accomplishments, awardees received complimentary registration to the GDA Annual Convention & Expo this summer in Amelia Island, Fla., along with a cash stipend. Shown below are GDA Member Relations Manager Katherine Torbush, Dr. Bachand, and Dr. Blankenship.
June 2016 • 17
Appropriate Use of Dental Quality Measurement in Dentistry by Marie Schweinebraten, DMD “Our dilemma is that we hate change and love it at the same time. What we really want is for things to remain the same but get better.” Sydney J. Harris (1917-1986), journalist, Chicago Daily News/Chicago Sun Times. Many of us have asked ourselves in the practice environment, “How many of my new patients really accept treatment?” or “What percentage of my patients return for recall after completion of treatment?” These are questions we ask in order for our 18 • June 2016
practices to run effectively and efficiently, and allow us to provide optimal care for our patients. In our practices, and in dentistry in general, “quality measurement” may seem like a foreign term, but our profession has used quality measurement for decades. Practice management consultants encourage practices to utilize quality measurement and it is utilized within Medicaid patient care systems, health care exchanges, and insurance plans. The idea of quality management as a foreign concept to dentists may be changing.1 As technology advances, so too does the criteria for evaluating patient care. Historically the dental profession has
enjoyed respect and trust from patients, and provided a comfortable standard of living for practitioners. The challenge facing dentists is to maintain these characteristics in an everchanging practice environment. The days of the isolated practitioner who provides care one-on-one for patients with no outside influences are largely gone. Modern dentistry not only involves the dentist providing care in a practice location but extends into a much more complex world of patients who have access to reams of health care information, employers, insurance carriers, the influence of print and social media, and government regulations. To help us understand the increasing role of quality
measurement in this new world of dentistry, let’s review the work of the Dental Quality Alliance. Formation of the Dental Quality Alliance The Dental Quality Alliance (DQA) was formed by the American Dental Association (ADA) Board of Trustees in 2008 at the request of the Center for Medicare & Medicaid Services (CMS).2 The DQA was created to bring together numerous stakeholders to develop oral health measures that would improve the delivery of health care services and increase desired health outcomes, while ultimately enhancing the reporting capabilities of Medicaid and Children’s Health Insurance Programs (CHIPs). At the time, there was no standardized measure to evaluate the effectiveness of different states’ Medicaid programs. A reliable method of measuring quality was needed to compare a Medicaid program in Texas with one in Florida, for example. The DQA held its first meeting in 2010. There were members from key ADA councils, all of the dental specialty organizations, the Academy of General Dentistry, the American Dental Education Association, the American Dental Hygienists’ Association, CMS, the Medicaid-CHIP State Dental Association, and payer groups such as America's Health Insurance Plans (an association representing nearly 1,300 health insurance companies), Delta Dental, and the National Association of Dental Plans. The group established a mission “to advance the field of performance measures through a consensus building process with the goal of improving oral health, patient care, and safety.” Initially, the DQA sought to establish pediatric measures in three areas: · Evaluating utilization of dental services, · Quality of care, and · Cost of care. Evaluating utilization simply means, “Are the services being used?” For example, what percentage of children eligible for Medicaid in Georgia are actually seen for a dental examination? Cost effectiveness might include how much a plan costs per member per month. How Dental Measures Are Developed At first glance, the process of determining which dental measures will provide the
information that providers, plans, or government agencies need may seem very straight-forward. The first discussion step is the easiest, but a multi-stage process is necessary to validate a quality measure. Let’s use an example of a quality measure the DQA has taken through the validation process. The profession knows through evidencebased dentistry that sealants reduce caries risk, but how many children receive sealants on their first molars? That question is the beginning of your first quality measurement. Quality measures are typically expressed as percentages and defined using a numerator and a denominator. Our example would look like this: How many children received sealants on first molars? ___________________________ How many children of record are in the practice? Once we determine that this measure provides information valuable to the practice, plan, or government agency, then the measure must be validated. The validation process establishes the measure’s validity, importance, usability, and feasibility. The general concept is then refined with input from the dental community and environmental scans, and we determine proposed measure specifications. In this instance, we add that the children studied should be limited to those between the ages of six and nine. A time frame is also added: over the course of a year. Finally, we focused on those children at high risk for caries, as defined by the ADA’s caries risk assessment parameters. A fully specified measure now focuses on a more specific population: How many received sealants on their first molars during the year? ___________________________ How many children 6-9 years of age who are of record in the practice in the measurement year were at elevated risk (needed sealants on their first molars)? The quality measure then goes through a process of validation testing to verify that the resulting data is clear and concise. Additionally, the method is assessed for its replicability—the ability to uniformly generate meaningful data with various data sets. At each step in the process, comment
from the dental community plays a vital role in moving the measure forward. After testing, the final measure is brought to the DQA for approval. This specific measure, one of the first approved by the DQA, is currently being used by 14 state Medicaid programs and in California’s plan exchange. The measure can be applied to the plan level or practice level, meaning, for example, that payers that participate in an exchange must have this data available to meet criteria set by the exchange in California. Medicaid uses the quality measure at the practice level, meaning that a Federally Qualified Health Center, for example, would use the measure to ensure that the number of children receiving care is consistent with established goals and metrics. DQA-Approved Measures The DQA has approved 12 pediatric measures to this point. These measures include sealant use in 6-9 year olds, and also in 10-14 year olds. Care continuity, fluoride use, emergency room visits for caries-related problems for children, and follow-up care after emergency room visits have been addressed. Over the next few years, the DQA will look into adult quality measures, beginning with periodontal care. For example, the number of patients with a history of chronic periodontitis who have had an oral evaluation in the last year, or those who have had active periodontal therapy and return for periodontal maintenance would be determined through a validated measure. Eventually, metrics could be developed based on the perio-systemic link. For example, how many patients with diabetes have had a periodontal evaluation? Measure Implementation and Maintenance There are many facets of maintenance to consider once quality measures are validated. The DQA’s work is not completed once its measures are available to the profession. Implementation is important because how a measure is used is driven by a group’s needs and the information the group wants. As
QUALITY ALLIANCE Continued on page 26
June 2016 • 19
Washington Leadership Conference Brings Dentists to Capitol Hill by Scott Lofranco, GDA Director of Government Affairs and General Counsel The American Dental Association (ADA) held its annual Washington Leadership Conference (WLC) in May in our nation’s capital, Washington, D.C. Members from the Georgia Delegation who attended this year’s WLC included Dr. David Bradberry, Dr. Bruce Camp, Dr. Jonathan Dubin, Dr. Jay Harrington, Dr. Amy Loden, Dr. Mike Loden, Dr. Marshall Mann, Dr. Darryal McCullough, and Dr. Michael Wright. On the first day, members of the Georgia Delegation attended educational “Breakout Sessions” featuring topics such as “How to 20 • June 2016
Effectively Meet with Your Legislator and His/Her Staff ” and “The 2016 Election Cycle — Congressional Elections.” The afternoon also included a open forum in which the ADA Government Affairs Team fielded questions about the association's current legislative agenda and discussed pending legislation with conference attendees. One of the highlights of the conference was an hour-long talk and Q&A given by this year's featured speaker and political analyst Tucker Carlson, a correspondent and pundit for Fox News. He provided his insights on the current political climate and the upcoming presidential election.
The day concluded with a cocktail reception and fundraiser for GDA member Dr. Drew Ferguson, a Republican candidate running in Georgia’s 3rd Congressional District race, and Dr. Fred Costello, a Republican candidate running in Florida’s 6th Congressional District race. On the second day, the ADA held another fundraiser breakfast that allowed both Congressional candidates to present their platforms to a broader audience. Georgia's Dr. Mann provided a great introduction for Dr. Ferguson. After breakfast, members of the Georgia Delegation headed to Capitol Hill to meet with staff members of U.S. Senators and
Congressmen from Georgia to discuss the ADA’s pending legislation: (1.) The Dental and Optometric Care Access Act of 2015 ("DOC Access Act") / HR 3323 sponsored by Rep. Buddy Carter of Georgia. This bill would prohibit "noncovered services" provisions in dental and vision plans regulated by the federal government and is supported by both the American Dental Association and American Optometric Association. As they relate to insurance benefits plans, non-covered services provisions typically dictate what a health care provider can charge a patient enrolled in a particular plan for services that are not covered by that plan. Already 39 states, including Georgia, have enacted legislation limiting these types of provisions in dental or vision plans.
their patients' prescriptions to continue to be covered by Medicare Part D Plans. The Centers for Medicare and Medicaid Services (CMS) issued this mandate (although the enforcement date has been delayed four times) in response to an Office of the Inspector General report that identified more than $1 billion in Part D payments for prescriptions written by providers without prescribing authority or a valid prescriber ID number. However, dentists were not part of the group of providers identified with the fraudulent prescriptions and should be excluded from the CMS rule. For those dentists who have never attended a WLC Conference, taking part is a great way to meet with ADA leadership
and the ADA Government Affairs Team, as well as network with colleagues from other state associations. The WLC provides an excellent educational forum for members to discuss legislative issues that impact organized dentistry at a national level and to learn how to communicate with legislators and their staff. This event is an invaluable asset for engaging ADA member dentists from a grassroots perspective and provides attendees with information they can bring back to their home states and incorporate at the local level. For any questions about the event or if you want to know more about how to get involved in the Georgia’s Delegation, please contact Scott at scott@gadental.org.
(2.) The Student Loan Refinancing Act / HR 649 sponsored by Rep. Mark Pocan of Wisconsin. This bill would allow individuals, particularly new dentists, to refinance their federal student loans more than one time. Specifically, it would allow them to refinance their federal Direct Loans, Direct PLUS Loans, and Direct Consolidation Loans at any time during the life of the loans, which enables them to take advantage of lower interest rates during more favorable economic conditions. (3.) The Protecting Our Students By Terminating Graduate Rates that Add to Debt Act / HR 4223 sponsored Rep. Judy Chu of California. This bill would allow graduate and professional degree students to take advantage of the interest rate subsidy that is currently only available to undergraduate students with federal Direct Subsidized Loans. The U.S. Department of Education offers Direct Subsidized Loans to assist eligible undergraduate students in paying for all or part of their undergraduate education by having a portion of the student loan interest subsidized. This would be a significant benefit for our dental students, who on average, graduate with over $200,000 in student loan debt. (4.) The Protecting Seniors Access to Proper Care Act of 2015 / HR 4062 sponsored by Reps. Kenny Marchant of Texas and Earl Blumenauer of Oregon. This bill seeks to remove the mandate for dentists to enroll in or opt out of Medicare in order for
Top: Dr. Jonathan Dubin, Dr. Marshall Mann, Dr. Michael Wright, Dr. Amy Loden, Dr. Mike Loden, ADA President Dr. Carol Summerhays, Dr. Jay Harrington, and Dr. Darryal McCullough. Lower left, Dr. McCullough with Congressman David Scott staff member Martha Cramer. Lower right: Congressional candidate Dr. Drew Ferguson of Georgia. June 2016 • 21
Dr. Janice Wilmot, an orthodontist in Lilburn in the Northern District, talks to some of the 405 children she reached during Children's Dental Health Month.
GDA, Alliance Members Care for and Educate Hundreds of Kids by Courtney Layfield, Director of Foundation Development & Outreach, GDA Foundation for Oral Health February was Children’s Dental Health Month (CDHM). Members from across the state turned out in droves at their local elementary schools, daycares, Boys and Girls Clubs, special needs centers, and faith centers, reaching almost 12,000 children throughout the month. The signature event of the month was the 14th annual Give Kids A Smile (GKAS) Day on February 5. Nearly every GDA district held a GKAS event, where volunteers provided free dental care and oral health education to approximately 22 • June 2016
400 children with care valued at almost $100,000! In addition, the GDA Council on Dental Health distributed more than 10,000 toothbrushes, toothpaste tubes, and goody bags across all seven of the GDA districts for volunteers to use at GDA events. Thank you all of the GDA members, dental staff members, Alliance members, dental hygiene school faculty members and students, and community volunteers who helped to make CDHM and GKAS Day a tremendous success in Georgia. The following events are the ones that were reported in writing to the GDA office. Watch for information on how to plan for 2017 events to come later this year.
• Students and faculty from The Dental College of Georgia and College of Allied Health Sciences provided free dental care for nearly 125 local kids. Children participated from several elementary schools and the Healthy Grandparents Program. Restorative treatment, including extractions, composite restorations, and stainless steel crowns, was provided by pediatric dentistry faculty and residents along with senior dental students. Junior dental students pitched in as runners to help with patient flow. The event was coordinated by Jennifer VanCise, Kandyce A'See, Dr. Bruce Riggs, and Dr. Tara Schafer.
• The Northwestern District hosted an event at the Fortis College Department of Dental Hygiene where 35 children and adolescents received exams, cleanings, sealants, x-rays, and oral health education. The care was valued at approximately $8,000. Special thanks to GDA members Drs. Aaron Schwartz, Kay Kalantari, Robin Reich, Freddie Padilla, Kumar Patel, David and Monicha Drew, Chris Shim, and Alex Patrick for volunteering their time and services.
systems, the event treated more than 160 children. The roughly $50,000 of donated treatment included exams, radiographs, prophys, fluoride, sealants, extractions, and fillings. The children were educated on proper oral care and given prevention tips to help avoid them avoid cavities in the future. The district thanks the 125+ volunteers who worked to make sure the patients received the highest level of care,
including GDA members Drs. Lindsey Anderson, Alla Brown, Denise Brown, Sean Cochran, Ben Hawkins, James Hicks, John Martin, Heather McGee, Bhavik Patel, Shilpa Singh, John Uetsuki, Matthew Vaughn, and Tom Weyrich. The district also thanks event sponsors, including the ADA, GDA, Alliance of the GDA, Patterson Dental, Dexis, and Affinity Bank, as well as the Lanier Technical College dental hygiene program.
• Southeastern District members gathered at Savannah Technical College to provide exams, cleanings, fluoride, sealants, restorative care, and oral health education to 56 children. The care was valued at $22,000. Kudos to Drs. Christopher Comer, Tom Broderick, Donihue Waters, Mark Dusek, Ben Duval, Kamiti Harden, Felix Maher, Byron Colley, Alex Schnabel, Shana Herring, Angie Willox, Chris Fall, Matt Rosenthal, and Christopher DeLeon for volunteering to help the children who were seen. • Southwestern District members Drs. Charles Stuart and Bonita Richter White worked with Gail Blitch at Wiregrass Technical College to arrange free treatment for 15 children, including exams, x-rays, cleanings, sealants, fluoride, and oral health education. The care was valued at $6,300. • Childress Dental Center and Dr. Meredith Gardner provided free services to three children. Each child received an exam, cleaning, fluoride, sealants, oral health education, and a take-home goody bag. This donated care was valued at approximately $550. Thanks to Dr. Gardner and her staff for making these children feel welcome and taking care of their dental needs. • Dr. Janice Wilmot visited Arcado Elementary, Camp Creek Elementary, and Good Shepherd Preschool in February to talk to the children about the importance of good oral hygiene. She also handed out goody bags. She reached 405 students. • Dr. Matt Mazzawi visited Grayson Elementary and Partee Elementary during CDHM, providing dental health education to 265 students. • Dr. Ryan Vaughn reports that the Northern District celebrated Give Kids A Smile Day at Lanier Technical College. Working with the Hall County and Gainesville City school
Top: Dr. Meredith Gardner; middle left, Dr. Ben Duval, Dr. Tom Broderick, and Dr. Christopher Comer; middle right, Dr. Matt Mazzawi visiting an elementary school; lower, Dr. Carole Hanes taking part at an event at The Dental College of Georgia at Augusta University (photo courtesy of Phil Jones and The Dental College of Georgia). June 2016 • 23
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DIRECTOR
PRACTICE
Continued from page 9
Continued from page 11 However, if in order to get the pay and benefit information they discuss with others, they access offices or files known to be off-limits to them, or cause others to break access restrictions and give them confidential information, and the company has clearly taken steps to restrict the information and uphold its confidentiality, then they may well find themselves unprotected by the National Labor Relations Act if they are disciplined, or even discharged, for participating in the access violation. Many employers use sample policies that they have found on the Internet or in collections of policies in popular office software, and some employers simply draft their own policies. With some areas of employee relations, that can work. However, when the policies concern pay and benefit discussion, it may not be a good idea. This area of the law is so little-known by most employers and employees and so fraught with potential problems that any employer considering writing or enforcing a policy
restricting discussion of pay and benefits should consider consulting an employment law specialist who is knowledgeable about National Labor Relations Act issues before taking any actions. The clear message for employers: do not prohibit workers from discussing pay and compensation. The law errs on the side of protecting employees’ right to concerted activity. Stuart J. Oberman, Esq. handles a wide range of legal issues for the dental profession including employment law, practice sales, OSHA and HIPAA compliance, real estate transactions, lease agreements, non-compete agreements, dental board complaints and professional corporations. For questions or comments regarding this article please call (770) 554-1400 or visit www.obermanlaw. com. If you would like Stuart to speak at an event to your organization, please contact Katharine Drum, Marketing Coordinator, at kath@obermanlaw.com.
Please join us! Help raise much-needed funds to provide accessible, comprehensive dental treatment to more than 4,500 patients with developmental disabilities.
Friday, August 19 at Smoke Rise Country Club in Stone Mountain 8:00 a.m. shotgun start Registration includes greens fees, cart, breakfast and lunch, hors d’oeuvres and beverages on the greens, team photos and a golfer goody bag! For information: www.dddfoundation.org and click on the Events tab or email slynch@dddfoundation.org
Colleagues, we encourage you to hold firm to your commitment, as we are doing, because at this point you have nothing to lose and everything to still gain. Try to remember these points of light when you feel your resolve is waning: * WHY are so many of the companies that we/you have used, made wealthy, and been loyal to for so long trying so hard to stop US/YOU from having a cooperative buying program that helps all of us? * This program is still a major part of the SOLUTION we/you need to remain independent, reduce OUR/your overhead, and make US/YOU/WE more competitive with the large players in OUR/YOUR market. * EVERY other industry and profession has formed buying cooperatives and used GPOs to reduce costs, including the oral surgeons, hospitals, and the rest of the medical world. The large group, corporate, and big box practices all use group buying because it makes good business sense to lower your overhead so you can continue to practice your profession your way! Yes, we are all disappointed with this new obstacle, but as Winston Churchill said, "Never give up, never give up, never give up!" And certainly, let's not allow other interests to bully us. Remember, without us/you, there are no dental manufacturers, suppliers, or distributors, so do not let them be the tail wagging the dog. Well, we are not giving up and we encourage you to not give up as we have other avenues available and we will bring you a launch in the very near future. Until that time we will keep everyone up-to-date on our progress toward the new solution. Please reach out to any of us if you have any additional questions.
June 2016 • 25
DENTAL QUALITY Continued from page 19
mentioned previously, some measures can be applied at a program level, a plan level, or a practice level. In some cases, the DQA oversees implementation so that the correct data required for the measure is obtained and the information received is valid. This oversight is important to ensure the validity of the quality measure. The DQA is also responsible for maintaining the measure. As needs, data collection, and other changes occur, a measure must be reviewed to ensure its continued validity and relevance, similar to maintenance of the dental treatment procedure codes. Currently the DQA has a committee dedicated to educating the profession and the public regarding measures and their appropriate use. A DQA User’s Guide is available, along with webinars for member groups of the DQA to use to educate their constituents and answer questions about quality measurement. Conclusion Quality measurement is here to stay, but the process and maintenance of measures must be controlled by the profession and not outside organizations. Dental Quality Alliance goals include assisting and protecting the dentist at all levels of practice so that dentists may continue to provide quality care and maintain a high level of respect and trust of patients through quality measurement. References 1. Hunt RJ. Aravamudhan K. The quality movement in oral healthcare: Who will lead? J Am Dent Assoc 2014;145(5):421-423. 2. Ojha D, Aravamudhan K. Leading the dental quality movement: A Dental Quality Alliance perspective. Calif Dental Assoc J 2016;44:239-244. Dr. Marie Schweinebraten, a GDA member periodontist in Norcross and past GDA president, is the insurance consultant for the American Academy of Periodontology. In that role, she acts as a liaison for members on such matters as reimbursements and code revisions. After a number of years serving on the AAP Patient Benefits and Advocacy Committee, Dr. Schweinebraten was appointed to the ADA Council on Dental Benefits Programs. After 26 • June 2016
Figure 2: DQA Measure Development Process
Topic Selection
Environmental Scan
Dental Community Input
Proposed measures and specifications
Dental Community Input
Proposed measure concepts
Dental Community Input
Validation testing
Final measures
Figure 1: DQA Structure
DQA
Executive Committee
Measure Development and Maintenance
Implementation and Evaluation
Education and Communication
eMeasures
Top: The structure of the DQA and DQA Measure Development Process. Right: DQA Quality Measures. Figures and tables provided courtesy of the American Dental Association Office of Quality Assessment & Improvement.
four years on the council, having eventually ascended to its vice chair position, she spent seven years on the ADA’s Code Revision Committee and later became an ADA Trustee. The ADA established the Dental Quality Alliance to develop performance measures for oral health care. The DQA is an organization of major stakeholders in oral health care delivery that uses a collaborative approach to develop oral health care measures. The mission of the Dental Quality Alliance is to advance performance measurement as a means to improve oral health, patient care, and safety
through a consensus-building process. The objectives of the DQA are to identify and develop evidence-based oral health care performance measures and measurement resources; advance the effectiveness and scientific basis of clinical performance measurement and improvement; and foster and support professional accountability, transparency, and value in oral health care through the development, implementation, and evaluation of performance measurement. Please read more about the DQA and quality measures on the ADA.org website.
Table 2: DQA Quality Measures
Evaluating Utilization Measure Name
Description
NQF #
Data Source
Measure Domains
Level(s) of Measurement
Utilization of Services
Percentage of all enrolled children under age 21 who received at least one dental service within the reporting year.
2511
Administrative enrollment and claims
Access/ Process
Program, Plan
Preventive Services for Children at Elevated Caries Risk
Percentage of all enrolled children who are at “elevated” risk (i.e., “moderate” or “high”) who received a topical fluoride application and/or sealants within the reporting year.
N/A
Administrative enrollment and claims
Related Health Care Delivery: Use of Services
Program, Plan
Treatment Services
Percentage of all enrolled children who received a treatment service within the reporting year.
N/A
Administrative enrollment and claims
Related Health Care Delivery: Use of Services
Program, Plan
Evaluating Quality of Care Measure Name
Description
NQF #
Data Source
Measure Domains
Level of Measurement
Oral Evaluation
Percentage of enrolled children under age 21 who received a comprehensive or periodic oral evaluation within the reporting year.
2517
Administrative enrollment and claims
Process
Program, Plan
Topical Fluoride for Children at Elevated Caries Risk
Percentage of enrolled children aged 1–21 years who are at “elevated” risk (i.e., “moderate” or “high”) who received at least 2 topical fluoride applications within the reporting year.
2528
Administrative enrollment and claims
Process
Program, Plan
Sealants for 6–9 Year-Old Children at Elevated Caries Risk
Percentage of enrolled children in the age category of 6–9 years at “elevated” risk (i.e., “moderate” or “high”) who received a sealant on a permanent first molar tooth within the reporting year.
2508
Administrative enrollment and claims
Process
Program, Plan
Sealants for 6–9 Year-Old Children at Elevated Caries Risk
Percentage of enrolled children in the age category of 6–9 years at “elevated” risk (i.e., “moderate” or “high”) who received a sealant on a permanent first molar tooth within the reporting year.
Electronic Health Records
Process
Practice
Sealants for 10–14 Year-Old Children at Elevated Caries Risk
Percentage of enrolled children in the age category of 10–14 years at “elevated” risk (i.e., “moderate” or “high”) who received a sealant on a permanent second molar tooth within the reporting year.
2509
Administrative enrollment and claims
Process
Program, Plan
Care Continuity
Percentage of all children enrolled in two consecutive years who received a comprehensive or periodic oral evaluation in both years.
N/A
Administrative enrollment and claims
Process
Program, Plan
Care Continuity
Percentage of all children enrolled in two consecutive years who received a comprehensive or periodic oral evaluation in both years.
N/A
Electronic Health Records
Process
Practice
Usual Source of Services
Percentage of all children enrolled in two consecutive years who visited the same practice or clinical entity in both years.
N/A
Administrative enrollment and claims
Access/ Process
Program, Plan
Ambulatory Care Sensitive Emergency Department Visits for Dental Caries in Children
Number of emergency department visits for cariesrelated reasons per 100,000 member months for all enrolled children
2689
Administrative enrollment and claims
Outcome
Program
Follow-Up after Emergency Department Visit by Children for Dental Caries
Percentage of ambulatory care sensitive Emergency Department (ED) visits for dental caries among children 0–20 years in the reporting period for which the member visited a dentist within (a) 7 days and (b) 30 days of the ED visit.
Administrative enrollment and claims
Process
Program
Evaluating Efficiency and Cost
2695
Measure Name
Description
NQF #
Data Source
Measure Domain
Level of Measurement
Per Member Per Month Cost of Clinical Services
Total amount that is paid on direct provision of care (reimbursed for clinical services) per member per month for all enrolled children during the reporting year.
N/A
Administrative enrollment and claims
Related Health Care Delivery: Efficiency and Cost
Program, Plan
June 2016 • 27
Are You Using BISMD? Let the Georgia Dental Association office know if you are using "Because I Saw My Dentist" public relations campaign materials in your office promotions, on social media, or in your waiting area! Send your photos, stories, and comments to carol@ gadental.org. Kudos to Midway Dentistry, owned by Dr. Gina Reinhart and Dr. Leslie Moore, for featuring "Because I Saw My Dentist" on their practice website! These Medical College of Georgia graduates know the value of the public relations and education materials provided by their Georgia Dental Association! 28 • June 2016
GDAPROMOTIONS Use Materials from the “Because I Saw My Dentist” Consumer Campaign The “Because I Saw My Dentist” campaign was created to help raise the quality of oral health among all Georgians and encourage them to seek a dental home. “Because I Saw My Dentist” showcases powerful stories of real people from all corners of the state whose lives have been changed because they regularly see their GDA member dentist. We know that dentists have the expertise and experience to diagnose and prevent disease, build confidence, and help people live richer, fuller lives. This campaign shares that message in ways that are both expected and unexpected. This campaign includes social media, local television and radio, print materials, and a new website, www. BecauseISawMyDentist.com. In order to drive more patients to your office and to encourage them to come more frequently, we’ve put together a toolkit with materials you can use in your practices—from waiting room signage to content for your website and Facebook pages. Please take a few minutes to learn more about “Because I Saw My Dentist” and all the great resources available to you. In fact, if you or your practice administrator will contact us, we’ll walk you through how you can help make this campaign among the most successful programs ever undertaken by the Georgia Dental Association. Email laura@gadental.org for additional details. The toolkit and printable materials can be downloaded at www.gadental.org for your convenience. Click each link to open the appropriate file in a new page, and then right-click and select ‘save as’ to download the file to your computer.
“My rheumatoid arthritis was diagnosed and treated early, and now I’m able to create beautiful art pieces again.” — Lainie Smith
becauseisawmydentist.com
“My multiple sclerosis was caught early and I am able to live a normal life.” — Demetria Rhynes
becauseisawmydentist.com
June 2016 • 29
GDACLASSIFIEDS DENTISTS AVAILABLE
EQUIPMENT FOR SALE
Dentist (Temp Fill In). Current GA, FL, AL licenses. Sold 22 year solo private practice. Also group and military practice experience. DEA# and insured. Email drglassdmd@yahoo.com or call cell (770) 656-5269 or (770) 380-7487.
Operatory cabinetry and related equipment. Three Adec cherry Central console Cabinets with matching 5580 Rear Treatment Cabinets, 545 Assistant Instrumentation, and a 5531 Side Cabinet. Two Planmeca X Rays with Sensors. Adec wall and cabinet mounts for monitors and lights. Ivoclar CS oven w/pump. Excellent condition. Email Alan Brown at abrown@oconeestatebank. com for pictures/prices.
Dentist available for long or short term temp fill in. I will fill in for illness, vacation, or CE. In practice for over 31 years. Recently sold private practice. Extensive solo, group, and government practice experience. Ga. License, DEA#, insured. General dentistry. I will treat your patients like my own! Call cell (678) 373-6286. pkwaters57@gmail. com. Paul Waters DDS. Temporary Dental Office Coverage: Cover Your Hygiene Department and Emergencies. Licensed, Insured, DEA Registered. Call Dr. Norman Busch at (678) 406-0555. Need an experienced dentist to cover your office in case of personal emergency, CE courses, or just a well-deserved day off? I am licensed, insured and DEA registered. Examine hygiene patients, triage emergencies, and generally keep things running smoothly. Call Jay Auerbach at (404) 272-1069. Dentist TLC part time fill in available: North Metro Atlanta and North. Sold solo practice of 31 years. Part-time fill in. GA and DEA license, insured. Lots of TLC with patients. Please contact Dr. Pam at wdtroll1982@gmail.com or call (770) 653-8412. Dentist will fill in for illness, vacation, or CE. Licensed, insured, DEA #. Call (404) 786-0229 or email breighard@gmail.com. Dentist available during emergencies, vacation, CDE courses. I have a current license, DEA certificate, and insurance. Contact me at (706) 291-2254 or cell (706) 802-7760. I hope I can be of service to you. Patrick A. Parrino, DDS, MAGD. DENTIST: Need Part Time Fill In? Vacation, Illness, Maternity? GENERAL DENTIST SOLD LONG ESTABLISHED PRACTICE. GA & DEA LICENSED. (Available Expanded Atlanta Area.) Cell: (404) 219-4097. Home: (404) 842-1196. Jesse Hader, DDS.
30 • June 2016
POSITIONS AVAILABLE GENERAL DENTIST for busy Atlanta North restorative practice. We are a fee for service practice seeking a skilled general dentist experienced in fixed and removable prosthodontics. Must be skilled in treatment planning, crown & bridge, implant restoration, extractions, and rotary endo. Candidate must be able to work without direct supervision. Excellent compensation package including paid vacation, paid CE credits and malpractice insurance. This is the perfect job for a young, but experienced dentist looking to put away a nest egg, or and older dentist seeking to focus on dentistry and not worry about running the business. Monday through Thursday, 8 a.m.-5 p.m. Email greg@visucius.com. Oral Surgeon/Endodontist or General Dentist specializing in. Part time opening in Lilburn, GA. 1-2 days per week, flexible hours, and part time benefits. Will consider contractor/1099 status. GA dental license, DEA, and current professional liability policy required. Apply via our website: www.dental-partners.com or call (321) 574-8003 for a review of the opportunities. Seeking Associate Dentist in Sumter, SC. Limitless Income Potential. Great Respect, Benefits, and Bonuses. We are a fast growing, well respected, privately owned dental practice in Sumter, SC. We offer newest most advanced equipment/procedures, educational support, flexible hours and huge opportunities for advancement. Email resume to evelyn@ehorneandassoc.com. Kool Smiles has Oral Surgeon, Pedodontist, Endodontist, Orthodontist, and Dental/ Medical Anesthesiologist Full-Time and Part-Time opportunities available nationwide! Kool Smiles offers generous compensation and outstanding benefits including: 401k, PTO, malpractice, health, & life insurance, continuing education, licensing reimbursements, and Visa/ permanent residency sponsorship. For more information contact Emily Platto at eplatto@ benevis.com!
We are looking for talented dentists to work in our busy southwestern Georgia practice. $75,000 retention bonus, relocation, excellent earning potential. Nearby country club with excellent golf and tennis facilities. Full suite of benefits (401k, professional insurance, etc.) Recently remodeled office with two other fulltime dentists and a collegial atmosphere. Contact achaugen@vsmmgt.com. Full time or part time—our growing family practice has an immediate opening for a highly skilled Dentist with great communication skills to join our professional, well-trained team in providing high quality dental care to our patients We are a FFS/PPO practice in Midtown Atlanta we are seeking a Doctor proficient in performing all phases of dentistry including molar root canal therapy, surgical extraction, implant and cosmetic dentistry. Applicant should be committed to high quality patient care and excellent customer services. If you are looking for a long term career opportunity with unlimited professional growth potential please summit your CV alone with your cover letter to info@radiantsmilesdental.com. Kool Smiles Associate Dentist—FT/PT/ Multi-Site opportunities in AR, AZ, CT, DC, GA, IN, KY, LA, MA, MD, MS, NM, OK, SC, TX, VA. EARN UP TO $650 DAILY GUARANTEE OR % OF COLLECTIONS! UP TO $20,000.00 SIGN-ON BONUS + RELOCATION! We are the nation’s leader in general dental care to underserved kids, teens, and adults. Contact us at www. koolsmilesjobs.com/connect! Kool Smiles Associate Dentist—FT/PT/MultiSite opportunities in New Orleans, Baton Rouge, Lafayette, Lake Charles, Metarie, Monroe, Gretna, and Shreveport, Louisiana! EARN UP TO $650 DAILY GUARANTEE OR % OF COLLECTIONS! UP TO $20,000.00 SIGN-ON BONUS + RELOCATION! We offer outstanding benefits including: 401k/PTO, malpractice, health, and life insurance, CE, licensing reimbursements, and Visa/ Permanent Residency sponsorship. Contact us at jobs@koolsmilespc.com! Dentist position available in the quaint town of Blue Ridge, GA, servicing the tri-state region of GA, TN, and NC. It is a twelve operatory, five hygienist, general dental office. Full or part-time options available. See www.blueridgedentistry.com. For more information, please call (706) 633-3648, or email rahold@tds.net.
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GA-MAY-2016.pdf
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The safest place for your special needs* patients? In an O.R., of course. *Intense fears and phobias • Severe gag reflexes Medically compromised • Developmentally disabled High liability Put your most stressful and unprofitable cases in the absolute best of hands: Dr. David Kurtzman at his regional Sleep Dentistry practice. • 25 years of hospital dentistry Find out more: • Hospital residency trained • General anesthesia administered by an MD HospitalDentistry.org
Multiple procedures per visit Root Canals General Dentistry Implants Surgery Perio
“The doctor’s safety net.”
Dr. David Kurtzman, DDS, FAGD 770-980-6336 | dkdds@drkurtzman.com
June 2016 • 31
CLASSIFIEDS
Continued from page 30 Help support our Troops! Dentists needed now for Weekday and Weekend Temporary Assignments in the greater Atlanta and Hinesville areas. Earn $720-$850 per day depending on assignment. Assistance with travel expenses may also be available. Earn great daily pay and help provide professional dental support for our Nation’s Heroes! Apply now at www. greatlakesdentalusa.com or call (414) 988-6150 x-4207. General Dentist: We are looking for a general dentist for a busy dental practices: Columbus; Albany; Valdosta; Macon. Your daily procedures will include restoration, crown and bridge and core build-ups, extractions, removable prosthodontics, and providing comprehensive treatment plans. These positions offer sign-on bonus, guarantee daily rate + monthly profit sharing on whole office, full benefits & more. Call or text Belinda Wade, (315) 715-2270, bwade@aspendental.com. General Dentist Needed: We have a wonderful opportunity for a General Dentist to join our successful private practice in the Marietta/Acworth area. Prefer someone with a minimum of 1 year experience OR a GPR. Great working environment, high tech office, good systems in place, and a friendly and well trained team. High income potential for the right person. Please email your resume to: lakepointe@gmail.com. Pediatric & General Dentists Needed: We are seeking new grads or seasoned professionals to join our growing and dynamic team. Must be goal-oriented and motivated with effective communication skills and a positive attitude. Our compensation and benefits package are very competitive which include up to a $20,000 sign-on bonus. In business for over 30 years, mentorship & training of Pediatric Dentistry by Board Certified President & Owner, residency-style doctor forums & panels to broaden your scope of dentistry, and in-house IV sedation facility with on-site anesthesiologists. Current opportunities available at our Lilburn, Dacula, Gainesville, and Suwanee locations. Please visit our website at www. TeboDental.com, contact us at (770) 925-3300 or send your CV to HR@TeboDental.com. Orthodontist Needed: Our dental group is seeking a part-time Orthodontist. You will have the opportunity to expand hours by traveling to other locations. Must be flexible, enthusiastic, and willing to work with the team. We welcome the use of new techniques and ideas when providing optimal care to our patients. New graduates are welcomed. Please visit our website at www.TeboDental.com, contact us at (770) 925-3300 or send your CV to HR@TeboDental.com.
32 • June 2016
Associate to Ownership Opportunities: Atlanta and Savannah area associate opportunities with ownership available within 6 months. Take over an existing, established private practice that is fully staffed. Newnan, GA and Hinesville, GA currently available. Contact Zac Rhinesmith at zrhinesmith@ benevis.com or (770) 710-3042. Need a dentist! Howard Family Dental is an established dental group consisting of 13 offices in the Coastal Georgia region. In order to continue offering compassionate care to our growing patient base, we are seeking an enthusiastic dentist to join our team! To learn more about this opportunity, please contact Nick Cease, (502) 254-8514, ncease@mfdc.net. www.howardfamilydental.com; www.mortensondentalpartners.com. Fast growing High Tech dental practice specializing in Implant and Reconstructive dentistry is looking for an associates to join our warm and fun team in two locations. Offices located in the heart of Gwinnett and Marietta. Fully digital, intraoral scanner, digital Radiography and Photography, CBCT scan, FFS and PPOs. The ideal candidates should be a team player who is willing to develop a practice; is open to learn and work in a warm team environment; must have practiced at least 3 years; must maintain license, malpractice insurance and keep CPR current; be quality oriented; and have excellent operative skills and manners. Bilingual (Spanish) is a plus. Must present references. The position is full time and offers a competitive salary, medical benefits, CE, and potential to grow. Please contact info@ implantoption.com. Dental Partners has a General Dentist opportunity in Blue Ridge, GA/Copperhill, TN. This position gives you the opportunity to provide patients with excellent dental care while building important relationships. Work along side our talented and dedicated support team and enjoy the following: Yearly base salary of $145K with performance incentives to earn more. $5K sign on bonus. Full time benefits to include CE allowance, professional liability, 401K with company match and group medical/vision/dental/life. Practice 4-5 days per week with family friendly days and hours. Send resume to areimiller@dental-partners.com or call 321-574-8003 for a confidential review of the opportunity. Oral Surgeon/Endodontist or General Dentist specializing in. Part time opening in Lilburn, GA. 1-2 days per week, flexible hours and part time benefits. Will consider contractor/1099 status. GA dental license, DEA and current professional liability policy required. Apply via our website: www.dental-partners.com or call (321) 574-8003 for a review of the opportunities.
General Dentists Needed: We would like to offer you a unique opportunity to do the work you love without having to worry about the non-clinical aspects of running a practice. We take pride in knowing that our experienced team of professionals offer the highest standard of care by enriching the lives of our patients and the community. In addition to offering top compensation, we offer a very competitive benefits package. Current opportunities available at our Hiram, McDonough, Alpharetta, Covington, Acworth, and Atlanta locations. Please contact us at (717) 590-1500 or email your CV to christa. barnett@blackforddental.com. Part-Time General Dentist: Private family FFS/ PPO practice is seeking a highly skilled dentist with great communication skills to join our professional, well-trained team in providing high quality dental care to our patients two to three days a week. We are a growing family practice with a great east metro location in Gwinnett County, Georgia. We are seeking an experienced doctor proficient in performing all phases of dentistry including molar root canal therapy, surgical extraction, implant and cosmetic dentistry. Applicants should be committed to high quality patient care and excellent customer service. Remuneration based on commission. If you are looking for a great place to work with growth potential, please submit your resume and cover letter to sghanberry@gmail.com. Great Expressions Dental Centers has immediate openings for full-time Lead Dentist(s) in: Forest Park, GA (digital/ established); Douglasville, GA (established office) and in Newnan, GA (digital/established office). Doctors can expect unlimited production based earnings, full benefits, CE, time-off, Invisalign training, malpractice coverage, stable patient base, and long-term practice career growth with possible investment opportunity. Aggressive sign-on bonus or relocation assistance possible as well! Please reach out to Ross Shoemaker @ (678) 836-2226 or ross.shoemaker@greatexpressions.com to learn more! General Dentist: Part-time position available for a general dentist in our private practice in Gwinnett County. Seeking a caring, highcharacter dentist with excellent chair-side manner approximately 6 mornings/month. This position requires a valid GA license and liability insurance. Immediate need. Contact dentalresumesga@yahoo. com.
CLASSIFIEDS
Continued on page 34
Health. It’s what matters most. Ana Casas M.D. offers the most advanced, cutting edge programs for: * Women * Men * Couples She uses the latest advances in: t OVUSJUJPO t TVQQMFNFOUBUJPO t FYFSDJTF t CJP JEFOUJDBM IPSNPOFT UP IFMQ IFS QBUJFOUT MPPL BOE GFFM ZFBST ZPVOHFS Ana Casas M.D., Board Certified, "OUJ "HJOH BOE 3FHFOFSBUJWF .FEJDJOF
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JUNEADGUIDE Affinity Bank.......................................................... 24 Atlanta Age Management Medicine/ Ana Casas, MD.................................................. 33 Bank of America.......................................................8 Center for TMJ Therapy....................................... 12 Craniofacial Pain Center of Georgia.................. 10 Dr. Mark Padolsky—TMD Dentist...................... 33 GDA Dental Recovery Network.......................... 12 Georgia Dental Insurance Services................... 36 Georgia Dental Law.............................................. 28 Hospital Dentistry—Dr. Kurtzman.................... 31 iMedicor....................................................................6 Oberman Law Firm..................................................2 Paragon Practice Transitions.............................. 31 Southeast Transitions.......................................... 10 UBS Financial Services......................................... 12
June 2016 • 33
CLASSIFIEDS
Continued from page 32
POSITIONS WANTED NEED A PART-TIME ASSOCIATE? Location, Coastal Georgia. Experienced, highly motivated, personable, licensed GA dentist available for longterm position in private general dentistry practice. One day per week with potential for additional day in future. Email: coastalgadmd@comcast.net.
PRACTICES FOR SALE/ SPACE AVAILABLE Outstanding opportunity for new dentist wanting to start a new practice, fully equipped dental office with 5 complete operatories in a free standing building in a prestigious suburban area south of Atlanta. Previous practice has been at this location for 15 years and a partial patient list will be provided with lease. Excellent possibility $3500 per month for the 2,650 sq. ft. office plus utilities includes office and equipment and a dental hygienist is available if needed. Interested parties may contact (770) 778-3232. Practice for Sale Lake Oconee Area. 100% FFS with consistent $650K annual revenue. Practice offers a four day work week with low overhead and excellent profitability. Proforma and after tax cash flow analysis available. Contact: loganvilledentist2015@gmail.com. Oral and Maxillofacial Surgery Practice for Sale: Atlanta, Georgia. Want to stay out of the insurance trap? Are quality patients important to you? Join our established, Atlanta-area practice and provide the absolute best in family dental care. 100% fee for service. Personalized patient care. Offering state-of-the-art Oral Surgery. Buyer would share expenses with another oral surgeon in the shared space. • Highly profitable annual revenue in a 2.5 day work week • 20+ Year stellar reputation in Atlanta area • Desirably located in affluent location • 4 Surgical Suites • 3 Exam/ Consult Rooms • 1 Consultation Room • 3 Private Offices. Seller willing to assist with transitioning practice & its substantial referral base! Please submit your CV to emails below and/or to discuss further details contact Randall at rpl3pds@gmail. com or (770) 853-9244. Dental Practice for Sale: Fitzgerald, GA. Retiring after 44 years. Price $150,000 for practice with some financing. Will negotiate a fair price for the building and equipment. Great location with great people, as well as hunting, fishing, schools, and churches. Call after 6 p.m. Monday-Friday, or text for more information at (229) 424-5888.
34 • June 2016
For Sale! Reduced price! Ready to move-in! Medicaid/Insurance suitable spacious dental office condominium in Jonesboro, GA. Good fit for general dentist or specialist! Fully functional and furnished office is plumbed for nitrous and has working x-ray machines, compressor/vacuum, chairs and units. The office has large reception area, three working treatment rooms and fourth room is plumbed. Office building is 1750 sq. ft. and has ample parking, storage and close to interstates. It was a reputable endodontic office. Call (770) 478-6878 or please email office@rootga. com for further inquiries. General Dentist practice for sale in Marietta. 4 day week, 40% net, new equipment with warranty, 6 and 1/2 yrs on lease. Digital Nomad and pano. Asking one times last year’s collection of $615,000. Call (404) 725-7982 or email drjrgraham@ gmail.com. No broker fees. Experienced dental transition attorney will be fair to buyer and seller. Serious, pre-qualified buyers only; will leave for experienced dentist. Dental Practice for Sale East of Atlanta in a Metropolitan Area: #GA-1101. Elegant, 6 ops (5 equipped), all FFS family practice with gross collections of $960,000 with a healthy hygiene department. Real estate also for sale. Please call (678) 482-7305 or email info@ southeasttransitions.com for details using Listing ID #GA-1101. www.southeasttransitions.com. Contact Southeast Transitions to learn about other dental practices for sale throughout Georgia. info@southeasttransitions.com; (678) 482-7305 www.southeasttransitions.com. • Gwinnett County, 2 locations, collecting over $1 million—Listing ID: #GA-1088 • Pedo practice in East Central GA, stunning facility, collecting $1M—Listing ID: #GA-1091 • Marietta, ideal location, 100% specialties referred out—Listing ID: #GA-1089 • Rockdale County, fantastic location with great access, FFS, 3 day/week w collections $740K— Listing ID: #GA-1105 • Valdosta, All FFS, free standing bldg., all digital, thriving practice—Listing ID: #GA-1102 Sandy Springs Dental Office For Sale. Fee for Service practice. No debt. Prime location across from Children’s Health Care of Atlanta and Northside Hospitals. Medical complex location. Established patients for 40 years in same location. Selling due to accident of owner who is able and willing to stay on for consultations and introductions. Direct contact (404) 213-3067.
SAVANNAH: Modern, stand-alone 5 operatory dental office building located in a small complex of medical buildings at close-in Southside Savannah. Purchase or rent with an option to buy. Some equipment available. Please call or text (912) 713-4410.
SPACE WANTED Buckhead Dentist seeks office space in same general area as current office: Piedmont Road at Roswell Road in Chastain-Buckhead. Prefer to relocate from current retail shopping center to medical office building, free standing, or similar. Space-sharing or alternating days/times is possibility. Even a short-term situation for transition would remedy timing inflexibilities inherent to retail lease. Contact Charles Poole, DMD: atldentaloffice@gmail.com or (404) 7353233.
PLACING A GEORGIA DENTAL ASSOCIATION CLASSIFIED AD All ads for the GDA Action journal and website must be submitted via the placement form on the GDA website www.gadental.org. After you submit an ad, the GDA office will forward you a payment form. ALL ADS MUST BE PREPAID OR ADVERTISERS MUST HAVE A CREDIT CARD ON FILE WITH THE GDA OFFICE. Please see the GDA website for rates and additional submission details.
WELCOME! Georgia Dental Association
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Journal of the Georgia Dental Association 7000 Peachtree Dunwoody Road NE Suite 200, Building 17, Atlanta, GA 30328
INSIDE THIS ISSUE: Dental Quality Alliance Impact on Care Update on Your Dental Buying Group GDA Advocacy Matters on Capitol Hill Dentists Give Back for Kids in Need Bachand, Blankenship Win GDA Awards
Time to renew liability coverage? Go with GDIS. Georgia Dental Insurance Services (GDIS) offers professional liability coverage through Medical Protective, backed by strong financial resources and smart solutions. Contact your GDA subsidiary GDIS for a free quote on your coverage at support@gadental.org.
Learn more about your right of consent, occurence versus claims made policies, and how to choose the policy right for you! Visit the GDIS/Medical Protective website for members. View videos, get answers to questions, and get a quote at MyGDIS.com.
800.432.4357 or www.MyGDIS.com