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WSDA 8 201 h· arc ·m e4
The voice of the Washington State Dental Association
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CHARITABLE CARE IN WASHINGTON HOW NON-PROFIT CLINICS ACROSS THE STATE HELP FILL GAPS IN CARE Also in this issue: A VOTE OF NO CONFIDENCE FOR WDS’ JIM DWYER th e wsda ne w s · issue 4, march · 2018 · www.wsda.org · 1
news
PREMIER BUILDERS DENTAL FACILITIES
CLINICS IN WASHINGTO
HOW NON PROFIT CLINICS ACRO THE STATE ARE PROVIDING CARE
Premier builder of medical, dental, commercial, retail and manufacturing facilities in the Pacific Northwest. With over 30 years of experience we build relationships based on trust, dependability, integrity and quality craftsmanship. 2 路 th e wsda ne w s 路 issue 4, march 路 2018 路 www.wsda.org
C O N S TA N T I N E B U I L D E R S . C O M
UWSoD students gathered for a meeting with Representative Dr. Michelle Caldier during Dental Action Day Photo by Craig Mitchelldyer
WSDA news
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Cover story by Rob Bahnsen Cover story photography by Scott Eklund/Red Box Pictures Cover photo: Ms. Alexandra Hendgen, Executive Director, Puget Sound Christian Clinic
issue 4 · march 2018
4-5
no confidence information/petition
6-7
guest editorial
8-9
in memoriam
35
legislative news
10-13
dad pictorial
37
ce across the state
14-19
cover story
20-25
pndc news
40
clinical corner
27, 29
gkas news
46
first person: dr. brittany dean
30-31
wdia news
33 newsflash
39, 41, 43, 44, 45
classifieds
Like us on Facebook: www.facebook.com/WashingtonStateDentalAssociation WSDA News Editor Dr. Mar y Jennings
Dr. Ashley L. Ulmer Dr. Amy M. Winston
Continuing Education and Events Coordinator Rachel McFarlane
Editorial Advisor y Board Dr. Brittany Dean Dr. John Evans Dr. Julie Kellogg Dr. Stephen Lee Dr. Joseph Vaughn
WSDA Staff:
Membership Ser vices Coordinator Rachel Gunderson
Washington State Dental Association Dr. Cynthia R. Pauley, President Dr. Christopher Delecki, President-elect Dr. Nathan G. Russell, Secretary-Treasurer Dr. Bernard J. Larson, Immediate Past President Board of Directors Dr. Marissa N. Bender Dr. Dennis L. Bradshaw Dr. Chris Dorow Dr. Linda J. Edgar Dr. John Gibbons Dr. Todd R. Irwin Dr. Christine L. Kirchner Dr. Eric J. Kvinsland Dr. I. Blake McKinley Dr. Randall H. Ogata
Executive Director Bracken Killpack Assistant Executive Director Kainoa Trot ter Controller Peter Aaron
Membership and Communications Coordinator Emma Brown Bookkeeper Joline Hartman Association Of fice: (206) 448 -1914
Director of Government Affairs Mellani McAleenan
Fax: (206) 443 -9266
Director of Operations Brenda Berlin
E- mail/web: info@ wsda.org/wsda.org
Toll Free Number: (800) 448 - 3368
Ar t Director/Managing Editor Robert Bahnsen Director of Continuing Education and Events Emily Rademacher, CMP Government Affairs Associate Emily Lovell
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In the event of a natural disaster that takes down the WSDA web site and email accounts, the WSDA has established a separate email address. Should an emergency occur, members can contact washstatedental@gmail.com. The WSDA News is published eight times yearly by the Washington State Dental Association. Copyright © 2018 by the Washington State Dental Association, all rights reser ved. No part of this publication may be reproduced without permission of the editor. Statements of fact or opinion are the responsibility of the authors alone and do not express the opinions of the WSDA, unless the Association has adopted such statements or opinions. Subscription price is $65 plus sales tax per year for eight issues of the News. Foreign rate is $97.92 per year. Advertising is published as a service to readers; the editor reserves the right to accept, reject, discontinue or edit any advertising offered for publication. Publication of advertising materials is not an endorsement, qualification, approval or guarantee of either the advertiser or product. Communications intended for publication, business matters and advertising should be sent to the WSDA Office, 126 NW Canal Street, Seattle, Wash. 98107. ISSN 1064-0835 Member Publication American Association of Dental Editors. Winner: 2017: Journalism Award, Platinum Pencil, Leadership Article, Division 1, Honorable Mention; 2016: Platinum Pencil Award; 2015: Golden Pen Award Honorable Mention; 2014: ADA Golden Apple Award for Outstanding Achievement in the Promotion of Diversit y and Inclusion; 2013: Journalism Award, Platinum Pencil; 2012: Journalism Award, Best Newslet ter, Division 1, Platinum Pencil Award Honorable Mention (2); 2008: Best Newsletter, Division 1; 2007 Platinum Pen Award; 2006 Honorable Mention; 2005 Platinum Pencil Award; 2005 Publication Award; International College of Dentists.
table of contents issue 4, march 2018
a day in the life
wds news no confidence petition calls for removal of jim dwyer
No-confidence: Petition calls for removal of Jim Dwyer Once again, we need your help in our efforts to make Washington Dental Service (WDS, Delta) operations more patientfocused, more respectful of the doctor-patient relationship, and more transparent and responsive to its members. Attached is a petition that a number of your fellow Delta member dentists have worked with legal counsel to develop and plan to submit to the WDS Board of Directors. The petition states that we, as Delta members, have lost confidence in the leadership of current CEO Jim Dwyer; that we request the Board of Directors remove him from that position effective immediately; and that the Board’s search for a successor should focus on individuals possessing expertise in operating a not-for-profit healthcare organization committed to core values of patient care, responsive governance and transparency. This action will help restore confidence and support among Delta member dentists. We ask you to join us in presenting this request to the Delta board. Just as so many of you joined us in attending or sending your proxies to the special member meetings last September, we must again send a clear and strong signal to the WDS Board of Directors that changes must be made. Adding your name to our call for change is easy. Simply sign petition on the facing page or at wsda.org/delta and return it via email to petition@wsda.org or by fax to 206-443-9266 by March 15th. We have been informed that there has been discussions with stakeholders that Mr. Dwyer intends to retire approximately one year from now. In light of these discussions, we recognize that this petition may seem like an exceptional action to take, but we feel it is important to send a clear signal that a “business as usual” transition is not acceptable to WDS members and not in the best interest of the organization going forward. Instead, we see this as a critically important moment for the future of oral health in our state, and a crucial inflection point for the relationship between Washington’s dental community and our largest carrier of dental insurance coverage. Under Mr. Dwyer’s tenure, Washington Dental Service, which should be a key partner with our profession in driving better patient outcomes, has instead become a barrier and antagonist to the dental profession. Despite the extraordinary message sent by our special meetings and a 91% vote in favor of bylaws amendments at Delta, the Board not only vetoed most of our proposed changes, but also took the additional step of cancelling the annual membership meeting. We believe that substantive and positive change cannot occur until Mr. Dwyer is replaced with a new executive that genuinely treats members as partners and patients as customers. We cannot overstate the importance of these efforts to improve the patient and provider focus at WDS – for our patients and for our profession. We need your help, right now. Please return your signed petition by March 15th. Thank you in advance for your support in this critical effort! Sincerely,
CLINICS IN WASHINGTO
HOW NON PROFIT CLINICS ACRO THE STATE ARE PROVIDING CARE
Dr. Cindy Pauley
Dr. Chriis Delecki
Dr. Nathan Russell
Dr. BJ Larson
Dr. Marissa N. Bender
Dr. Dennis L. Bradshaw
Dr. Chris Dorow
Dr. Linda J. Edgar
Dr. John Gibbons
Dr. Todd R. Irwin
Dr. Christine L. Kirchner
Dr. Eric J. Kvinsland
Dr. I. Blake McKinley
Dr. Randall H. Ogata
Dr. Ashley L. Ulmer
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WASHINGTON DENTAL SERVICE MEMBER PETITION OF NO CONFIDENCE IN PRESIDENT JAMES D. DWYER TO:
WHEREAS, Washington Dental Service is a non-profit, tax-exempt entity organized for the purpose of promoting social welfare; and WHEREAS, the Bylaws of Washington Dental Service create the office of the President; and WHEREAS, as an officer of Washington Dental Service, the President is obligated to act as a fiduciary for the organization, promoting its purposes and acting as a trustworthy steward of its resources; and WHEREAS, the Board of Directors selected James D. Dwyer to be the President of Washington Dental Service pursuant to the Bylaws as they existed at the time of his selection; and WHEREAS, the undersigned members of Washington Dental Service believe that James D. Dwyer has failed to faithfully execute the obligations of the office of President by:
1. Failing to promote good governance by ensuring that those most knowledgeable about dental patient care have a voice in Washington Dental Service governance matters, including:
a. for example, Washington Dental Service’s refusal to hold an Annual Member Meeting in 2017 as required by the Washington Dental Service Bylaws and Washington law; and
b. for example, Washington Dental Service’s refusal to adopt Bylaws amendments approved by more than 91 percent of the organization’s member dentists who voted at two Special Meetings held in September 2017; and
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THE SECRETARY AND THE BOARD OF DIRECTORS OF WASHINGTON DENTAL SERVICE:
2. Failing to make the actions and decisions of Washington Dental Service transparent to providers and patients, including:
a. for example, failing to ensure that quality patient care is the focus of Washington Dental Service and that patients are provided reasonable access to necessary information to understand their benefits;
b. for example, obstructing member dentists’ reasonable access to information concerning Washington Dental Service’s administrative expenses; and
c. for example, refusing member dentists reasonable access to disclosure of information related to the percentage of claims denied, the percentage of denied claims reviewed by a dentist, and the percentage of denied claims not reviewed by a dentist; and d. for example, seeking a restraining order to prevent access to public records of the Washington State Executive Ethics Board investigation of Joel Berg, Dean and Professor of Pediatric Dentistry at the University of Washington School of Dentistry, related in part to his relationship with Washington Dental Service and its subsidiary SpringRock Ventures, LLC. NOW, THEREFORE, the undersigned Members of Washington Dental Service, in order to make their voices heard, submit this member petition to the Secretary and Board of Directors for consideration. FIRST, the undersigned Members of Washington Dental Service adjudge that President James D. Dwyer has failed to faithfully execute the obligations of his office; and SECOND, the undersigned Members of Washington Dental Service hereby request the Board of Directors remove James D. Dwyer from the office of President, effective immediately; and THIRD, the undersigned Members of Washington Dental Service hereby request the Board of Directors begin the search process for a President, specifically seeking a consensus building leader with experience operating a not-for-profit service organization that is committed to the core values of patient care, responsive governance, and transparency. This petition may be signed in counterparts.
Signature_____________________________________________
Printed Name:_________________________________________
State License Number or Address _________________________
____________________________________________________
____________________________________________________
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wds news of no confidence petition
No-confidence petition
guest editorial dr. john carber y
Why you should consider becoming a commission member
of the Dental Quality Assurance Commission
Dr. John Carbery DQAC
“The Dental Quality Assurance Commission’s mandate is to protect the public’s health and safety, and to promote the welfare of the state by regulating the competency and quality of professional healthcare providers under its jurisdiction.”
More than eight years ago, and with more than 25 years of service chairing the Yakima County Dental Society Peer Review Committee, I was asked if I would be interested in applying to become a Dental Quality Assurance Commission member. It sounded like an interesting concept, but many questions initially surrounded this idea. First, I had to see if I was qualified. That is, what are the requirements to become a commission member? Surprisingly, they are very minimal. You have to be a U.S. citizen and a Washington State resident, and you must have an active practice in our state and have actively practiced the past five years. Whew, I passed the first set of requirements! The next step was to submit a résumé, go through an interview process, and then be vetted by the governor and his or her staff. At the time I applied, Christine Gregoire was the governor. (Yes, it’s been that long!) With blessings from the Tooth Fairy, I was selected to become a commission member. I would soon become aware of all that I had volunteered for. Ignorance is bliss, but only for a while. First, I served a four-year term, to be followed by another four-year term. I will end my final year in July of this year, having served as chair of the Dental Commission, and what an honor it has been to serve as chair! I would not have been able to achieve this without the support of the current commission members and the incredible Dental Commission staff. So what expectations do the governor and the Department of Health have for commission members? The Dental Quality Assurance Commission’s mandate is to protect the public’s health and safety, and to promote the welfare of the state by regulating the competency and quality of professional healthcare providers under its jurisdiction. The commission accomplishes this mandate through a variety of activities working with the Department of Health.
CLINICS IN WASHINGTO
HOW NON PROFIT CLINICS ACRO THE STATE ARE PROVIDING CARE
Dental Commission duties include:
• Establishing required qualifications to grant or deny credentials of: dentists, expanded function dental auxiliaries, dental assistants, dental anesthesia assistants, and dental sedation permits • Regulating the competency and quality of professional healthcare providers under its jurisdiction by establishing, monitoring, and enforcing qualifications for credentials • Establishing and monitoring compliance with continuing education requirements • Ensuring consistent and appropriate standards of practice • Developing continuing competency mechanisms • Assessing complaints, authorizing investigations, and making recommendations related to allegations against credentialed dental providers • Serving as reviewing members on disciplinary cases and serving on disciplinary panels
Dr. Mary Jennings, WSDA News editor, welcomes comments and letters from readers. Contact her at her email address: mjenningsdds@gmail.com.
• Serving as members of standing committees (Current active committees include: education and outreach, dental collaboration, infection control, dental anesthesia, continuing competency, and jurisprudence exam. Other committees are established at the need and request of the commission.) • Developing rules, policies and procedures that promote the delivery of safe and quality healthcare to the public.
The views expressed in all WSDA publications are those of the individual authors and do not necessarily reflect the official positions or policies of the WSDA.
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“We need individuals who are willing to help our profession, to protect the public and to guide our profession into the future. We need people who are ethically sound and who have the experience to evaluate that the quality of dentistry meets the standard of care.”
guest editorial dr. john carber y
I have listed the duties and responsibilities above not to intimidate those of you who wish to become future commission members, but rather to fully disclose the Dental Commission’s expectations of each member. Now, for the final disclosure, how much time is required annually from each commissioner? The typical time commitment ranges between 24 and 37 days per year. That includes commission business meetings, disciplinary hearings, committee meetings, weekly disciplinary case authorizations, case assessments and review, and other meetings or discussions that occur as required by the commission. I can hear you naysayers saying, “Not for me. … too much time!” First, let me explain that this time commitment is spread out throughout the year. Some days are full business meeting days (eight per year). Sometimes this requires a day of travel. And some days add up with authorization conference calls (15 minutes to an hour), committee meetings (inperson or conference calls from one to two hours); and case reviews (completed on your own time, but usually taking one to four hours each). Yes, that sounds like a lot, but now let me tell you why it’s worth it! We currently have more than 271 years of licensed experience in our profession on the Dental Commission. Once you become a commission member, you will be surrounded by commissioners who will enlighten and educate you to ensure you successfully fulfill your duties as a commissioner. You will expand your view of our profession in such dramatic and positive ways because of the great people who will mentor you. You will find that the experience and work you do will evolve our profession. You will be called upon by our professional community because of your expertise, and your knowledge and ideas of our profession will expand. All the while, you will be continuously supported and guided with other commissioners’ knowledge and perspectives. We have all heard that old saying, “You are judged by the company you keep.” Well, bring it on! Nowhere will you be better served in company than being on this commission. Let me give you an example. We have a commission member who has practiced for many years. He is a past president of the WSDA, he even played football for the University of Washington, and is an avid skier, father, husband, and overall great guy. He has served on American Dental Association (ADA) councils, and now because of his involvement with the Dental Commission, he is serving as a dental examiner for the Western Regional Examining Board (WREB). Once you become a Dental Commission member, you will have the opportunity to volunteer to become involved with a dental testing agency such as WREB. To be in the presence of such a fine person has been a wonderful experience. Our friendship, our camaraderie, and the years of hard work on the Dental Commission created a respect for each other that can develop only under these circumstances. Now, take this up a notch and multiply this particular commission member by 16. Everyone who is and has been a commission member, while I have been on the commission, has added to my life experience. We don’t always share the same points of view, but we all bring a valuable set of opinions backed by years of experience. Another, if not the most important, part of serving on the commission is: You have the awesome opportunity to influence not only the quality of dentistry delivered in our state, but the future direction of our profession! In his new book, “The Difference,” Subir Chowdhury writes about, “When Good Enough Isn’t Enough?” This is your opportunity to step up to the challenge. We need people who are willing to help our profession, to protect the public, and to guide our profession into the future. We need people who are ethically sound, and who have the experience to evaluate that quality of dentistry meets the standard of care. That is, when is “good enough” not good enough? So if you care about your profession and how dental care is provided in our state, step up, get out of your comfort zone, go to the website (https://fortress.wa.gov/.es/governor/ boardsapplication), and apply. I promise you the journey that follows will be life-changing. Commissioners and staff members are there to help you along the way, and to ensure your success as a commission member.
drs. paxton, filion in memoriam
CLINICS IN WASHINGTO
HOW NON PROFIT CLINICS ACRO THE STATE ARE PROVIDING CARE
IN MEMORIAM:
2006 CITIZEN OF THE YEAR DR. MARK PAXTON
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“Dr. Mark Paxton was one of the first oral surgeons I met after moving back to Spokane in 1997. From our first meeting, he was engaging and helpful in many ways. One of the things we had in common was an interest in the Inferior Alveolar Nerve Block. This led to the opportunity to present at the PNDC several times when he was on that committee. Mark was instrumental in encouraging me to pursue a position on the PNDC committee, which in turn opened doors to an extensive involvement at the state and local levels. Mark was that way. He asked, and you were hard-pressed to say no. Our paths crossed several times in leadership circles. I always admired his charisma and can-do outlook. Mark had an exceptional amount of energy, which tended to be contagious! Mark’s passing has certainly left a large void in Spokane, and not just in the dental community. He is missed.” – Dr. I. Blake McKinley
Dr. Mark C. Paxton
Dr. Mark C Paxton of died on Feb. 8, 2018 in Spokane. He was a beloved husband, father, Papa, brother, and friend. His life was packed to the brim with adventure, service, family, and friends. Paxton was born on Aug. 10, 1954 in Burbank, CA to Tom and Sue Paxton. He was the third of six children, and grew up in Bellevue, WA. He graduated from Washington State University and then went to dental school at the University of Washington. While at UW, Paxton met Diane Stevens, followed her around, and convinced her to marry him in 1980. After dental school, Paxton joined the U.S. Air Force, where he received his training as an oral and maxillofacial surgeon. After he left the Air Force, the Paxtons relocated to Spokane in 1995, and he started his oral surgery practice. He had a special interest in cleft lip and palate surgery, and he touched the lives of many patients and their families through his compassionate
Dr. Willard J. Filion
Dr. Willard J. Filion passed away on Feb. 1, 2018, surrounded by his immediate family. Filion was born on Dec. 21, 1930 in Gregory, SD to Lester L. and Laura E. Filion. When he was 2 years old, the family moved to Eastern Washington, and in 1936 they settled in the Grand Coulee Dam area, where his father found employment. Filion graduated from Grand Coulee High School with the Class of 1949. He was active in student government and played in all four major sports. These were very happy days for him, as he developed many friendships that lasted throughout his life. After high school Filion joined the U.S. Navy for four years, serving primarily in the Pacific area during the Korean War. He was assigned as an electrician to the aircraft carrier USS Princeton for nearly three years. He thoroughly enjoyed his time in the Navy. He and his buddies climbed Mount Fuji and participated in many local activities in Japan. Upon discharge he spent a year in Eastern Washington, reacquainting himself with his parents and his brothers and their families. During this time he attended Columbia Basin Community College in Pasco and played on the school baseball team. In 1957, he married Linda Beisner and they moved to Seattle, where he began attending the University of Washington. After graduation, he was admitted to the UWSoD. He graduated in 1961. Filion opened a dental practice in the Tukwila area, where he practiced for some 53 years. He enjoyed his work and had many patients who became his best friends, including a number of old friends from Eastern Washington who settled in the Seattle area. He greatly appreciated his assistant, Patti Carmada, who also managed the office. He always said, “When Patti retires, I retire.” Filion is survived by his daughter, Holly Skinner, her sons, Kyle and Jeff, and their father Jim, all of Atlanta; sons Rik (Malaty Lim) of Southern California and Scot of Seattle; brothers Lester (Virginia) of Seattle and Jerry (Barbara) of Issaquah, Wash.; and many nieces and nephews, who knew him affectionately as “Uncle Willy.” A special thank you to his nephew, Craig Filion, who devoted many hours to his care and assistance at doctor appointments over the past few months.
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drs. paxton, filion
“Mark Paxton was the kind of guy that everybody liked, and liked to be around. He always had a smile for you and time to talk. For him, there never was a problem that seemed too big to tackle, no horizon too broad to travel, no dream too big to dream. And he always encouraged those around him to do the same. If you had a problem to solve, he was very giving with both his time and expertise, and would often offer to come to your office to demonstrate how to solve a problem. Mark was well known for organizing classes to give everyone the training, the encouragement, and the opportunity to help us raise the level of care we could provide our patients. He and his staff trained thousands at an annual CPR event that had to be seen to be believed. His 28 years with Hearts in Motion extended his touch to thousands of patients in other countries, most of whom would otherwise not have had access to care. Mark’s passing leaves a large hole in our community, and in many other communities as well.” – Dr. Bob Shaw
and skilled work. Paxton traveled to Colombia and Guatemala for 28 years with Hearts in Motion to perform surgeries for children who would have otherwise gone without any help. He mentored hundreds of surgical residents, dental students, and WSU undergraduate students, and took them to Guatemala on these mission trips. Paxton was also fundamental in building the Inland Dental Expanded Access Clinic in Spokane. Paxton lived a full life. He loved adventures like traveling, hiking, biking, skiing, sailing, and especially flying. He was very loyal to his WSU Cougars. Mostly, he loved his family and friends, and cherished these last several months having his grandchildren, Quincy, Clara, and Edda, living in his home. He was a beloved Papa. Paxton is survived by his wife, Diane; son Chris (Mary Dorothy); daughter Lindsey Paxton; grandchildren Quincy, Clara, and Edda; siblings Anne (Jim Harvey) Paxton, Tim (Cathy) Paxton, Matt (Kris) Paxton, and Suzanne; parents-in-law Otto and Shirley Stevens; sisters and brothers-in-law Scott (Suzi) Stevens, Rich Stevens, Brian (Denise) Stevens, and Kristi (Rob) Rice; many nieces and nephews; and numerous special friends. Paxton was preceded in death by his parents, Tom and Sue, and his older brother, also named Tom.
in memoriam
Editor’s note: Dr. Mark Paxton was well-known in the Washington State Dental Association. He was President of the Spokane District Dental Society and a former WSDA Citizen of the Year who served at the state and local levels, as well as nationally in the ADA. We were saddened by his sudden, unexpected death at such a young age, and reached out to some of his many friends and colleagues for their thoughts. At press time we’d received a few to share with you. We will share more as we receive them.
dad news 2018 dad in pictures
2018 DENTAL ACTION DAY IN PICTURES
CLINICS IN WASHINGTO Even in a year with fewer pressing dental issues before the Legislature, Dental Action Day remains a vital touchpoint for dentists and their legislators. This year, about 200 dentists, students, and members of the Washington State Dental Laboratory Association converged in Olympia on January 24 for a day of productive meetings. Topics discussed during legislator meetings included dental benefits legislation, the University of Washington School of Dentistry, opioids, the prescription monitoring program, and the dental safety net. Thank you for to everyone who attended. We look forward to seeing everyone again on Thursday, January 31, 2019.
HOW NON PROFIT CLINICS ACRO THE STATE ARE PROVIDING CARE
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Photography by Craig Mitchelldyer
dad dad news news 2018 2018 dad dad in in pictures pictures
CLINICS IN WASHINGTO
HOW NON PROFIT CLINICS ACRO THE STATE ARE PROVIDING CARE
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cover stor y non-profit clinics across the state need you
CLINICS IN WASHINGTO
HOW NON PROFIT CLINICS ACRO THE STATE ARE PROVIDING CARE
Photo: A patient at the Puget Sound Christian Clinic has a pano taken while a staff member looks on
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HOW NON-PROFIT CLINICS ACROSS THE STATE HELP FILL GAPS IN CARE
Washington’s dentists are committed to reducing barriers to care for everyone in the state. Collectively, we have built a robust safety net for our state’s vulnerable children. However, Washington’s dental safety net for adults is not as vigorous and is chronically and persistently underfunded. To help bolster the state’s weak safety net for adults, many dentists provide uncompensated care to Medicaid-eligible, uninsured or undocumented patients across our state. Charitable care is not a sustainable solution that can solve our state’s access issues, but it can make a significant difference for individuals, families, and communities across the state. The WSDA News reached out to four charitable care clinics across the state to discuss their needs, how they connect into their communities, and how interested dentists can become involved. ththee wsda wsdane newws s · · issue issue4, 4,march march· ·2018 2018· ·www.wsda.org www.wsda.org· ·15 15
cover stor y non-profit clinics across the state need you
ONCHARITABLE CARE IN WASHINGTON
cover stor y non-profit clinics across the state need you
Clinics across Washington address the needs of uninsured patients in various ways. There are free clinics that address emergent needs for people in pain but do little, if any, restorative care; there are sliding fee clinics that seek to become the dental home for their patients, but don’t see any emergent/urgent care cases or homeless people. Some have paid dental staff, others rely solely on volunteers to staff their clinics. Some clinics are state-of-the art, others fledgling and reliant on organizations like Medical Teams International to offer dental services at all. And finally, some are faith-based, and others agnostic in their service. No model will address every need, of course, and we’re appreciative for the work they do in their communities. The WSDA News reached out to management staff at four Washington clinics to find out how they’re making ends meet, what their patient base looks like, what their needs are, and most importantly, how we can help. We spoke with Scott Brandon, Development and Operations Director of the Volunteers in Medicine of the Olympics (VIMO) Clinic in Port Angeles; Angie Love, Executive Director of the Open Door Clinic in Ellensburg; Carolyn Noack, Program Manager for the Free Clinic of Southwest Washington in Vancouver; and Alexandra Hendgen, Executive Director of the Puget Sound Christian Clinic (PSCC) in Lynnwood. All of these clinics offer a medical component as well as dental, and the PSCC and VIMO clinics offer mental health services.
VIMO Clinic · Port Angeles
“In Clallam County,” Scott Brandon explained, “there are barriers to care. There is a minimum of 10,000 adult patients here who have not seen a dentist in the past three years, so they’re considered out of care. There are many reasons why they haven’t seen a dentist. We live in an aging county, and Medicare doesn’t have a dental component, so there are many senior residents of this county who forego dental care until it is an emergency. Access is another issue.” Because the need is so great, VIMO is the dental home for many of the patients in this area. The clinic does surgical and restorative, and is exploring endo. “We will do whatever the patient needs within our equipment capabilities and those of the dentist,” Brandon explained. “We have relationships with local physicians and our ER, and if they have a patient in dental pain,they will refer straight over to us. We have dentists we can call and have them treat in either our clinic or theirs, and get patients taken care of.” The VIMO clinic is funded through donations and grants. It has a contract with the county to see homeless patients, which helps offset the cost. Additionally, the clinic is equipped to bill Medicaid for patients with the version of Medicaid that includes a dental plan, so it can recoup a small reimbursement for those patients. The clinic has been open for two years, but it operated on a MASH basis for a little more than a year before that, and ran a makeshift dental clinic using other clinics and volunteers for about three years prior to that. Today, it operates as a gap clinic, as close as possible to any normal practice, but without a staff dentist. “We use XLDent, so we have their patient records online, and we can import from others,” explained Brandon. “We have fully integrated medical, dental, and behavioral health, and we coordinate between the three clinics. We also have specialty clinics, and we will coordinate with all of our clinics to get patients any care they need. We have many patients who come to us for gap coverage while waiting to obtain care at our local FQHC, and even after they’re able to get into the FQHC, we have patients who prefer to come back to us.”
The need hasn’t changed in the last five years. If anything it has grown. He explained, “Too many people aren’t in care, wait until the problems are acute, and then there is only a surgical solution. If we could get more people into a dental home and give them the preventive care that they need, then I think we could see a greater shift in the community. That’s really our focus going forward, that people have an opportunity to have a dental home.”
Outreach for volunteers
Brandon and his team search for dental volunteers every day. He said, “I’m out speaking to dentists in the community, as is Marcy Regan, our clinic manager. On days that we don’t have clinics here, we have Marcy and Mischa Levis, our dental assistant, available to other offices to help out. So we do a lot of sharing that way. We’ve told a number of dentists here that if they help us out, we’ll help them out, too. And it has worked pretty well.” VIMO is a practice location for EFDAs, which helps, especially for those who need to fulfill their amalgam requirement. “We have patients who need restorative work, and amalgam is fine, and we have EFDAs come in and get their 20 fillings,” Brandon said. The VIMO clinic serves Clallam and Jefferson counties primarily, but has seen patients from as far away as Mukilteo, and has good support from retired dentists. Last year 12 dentists volunteered in the clinic, which has five chairs. The number of patients seen depends on the number of clinics they can run. “For instance,” Brandon said, “(recently) we had three dentists in house, and it’s great when that happens! It’s wonderful, they work together, everyone has a good time, and the stress is off when you have enough dentists. If such a thing exists, it’s dentistry for fun, and it helps the community. I would say in any given week, we’ll have probably 30 to 40 patients seen, just depending on the clinics. Because we don’t have a staff dentist, we’re only open when we have a dentist or hygienist on premises.” Brandon would love to have three full clinic days a week. “Actually, I would love to have five full days, but we realize that the bulk of our volunteers are also running their own practices,” he said. “If we could have three full days a week, we could make a pretty big dent in the county’s needs. As it is, we ask dentists to come in for whatever time they can allot. We have some that come in for three hours, some for four, some six, and some 10, but we’ll take whatever shifts they can give us. Days, evenings or weekends, we can be very flexible” The clinic could also use people from all walks of life and with many skills, Brandon said. VIMO’s medical and behavioral clinics operate with just seven paid employees. They need a full flight of volunteers, including secretarial, janitorial, and skilled labor. What can WSDA members do to help? Brandon explained, “The biggest way that WSDA members can help is by being aware that there is a problem being addressed by clinics like ours. No matter where you are in the state, even four hours a month of your time will make a huge and sometimes lifesaving difference in the dental health of patients. Honestly, I’d take four hours a quarter. When someone who hasn’t been engaged in this type of work starts, it becomes addictive. I have one dentist who comes in once a month to volunteer, brings a donation, and brings his son along to shred documents for us. He does it because he loves the feel of the clinic, and wants to get his family involved, and feel that same exhilaration helping out.”
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HOW NON PROFIT CLINICS ACRO THE STATE ARE PROVIDING CARE
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At the Open Door Clinic in Ellensburg, Angie Love is trying to get dental care off the ground. Although the clinic itself has been around since 1999, it just started offering limited dental services last year, partnering with MTI vans six times, and providing much needed dental care to roughly 20 patients per clinic. It’s not much, but every bit helps. Currently, the clinic’s standard of care on the dental side is meeting emergent needs and getting patients out of pain, but Love would like to do more. Open Door is a free clinic, and on the medical side the staff sees many patients with hypertension, diabetes, and UTIs. They do a lot of lab work, prescription refills, and the like — things typically seen in populations without access to healthcare. If patients are insured, they are referred out. The clinic also sees some children, but there are a lot of resources for them in the county, so if they’re not being seen routinely, it’s because they’re undocumented and fearful, Love said. Love used to work in the dental field, and knows the need is great in Kittatas County. She said, “We work closely with hospitals because so many patients end up in the ER with dental issues. Other than the dental vans, we’re fortunate to have a few dentists who partner with us informally. We send patients their way whenever possible, but we don’t want to overwhelm them because we appreciate the support they provide. I’m in the process of doing more research, writing more grants so we can make a clinic happen. For the short term, we could always use more dental partners in the community.” Many patients seeking care in her area are the working poor. Often undocumented, their fear of deportation supersedes their pain. There is often a language barrier, as well, which only exacerbates the problem, Love said.
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Because Open Door lacks the physical space for a dental clinic, Love has started to work up a budget to build one, but there’s likely a long road ahead. “I’m working with the dentists I partner with in the area, as well as with stakeholders from the Union Gospel Mission in Yakima because they already have a clinic set up and have invaluable input about the process,” she said. Patients have already signed up for her next dental van visit in April, though Love will try to refer then out before then. Much depends on their needs, and what her small cadre of volunteers can accommodate. Additionally, she fields 10 to 12 referrals a month from the ER, a number that’s increasing because word is getting out that Open Door is working to provide care to those in need. “I feel like in the last six months, I’ve been getting a lot more calls and interest from community members and the hospital,” she said. “There really aren’t other options for the uninsured in our area. I’ve tried to refer some to the Union Gospel Mission, but they operate on a sliding scale and Yakima is 45 minutes away, which isn’t convenient.” Love said patients typically try to work through the pain until she can help them find care locally. She said, “I’m in the process of reaching out to medical and dental providers. We just sent letters asking them to partner with us, even if it means seeing a couple of patients a year. If I could get six to 12 dentists to volunteer a day a year it would help us tremendously.”
Free Clinic of Southwest Washington
The Free Clinic of Southwest Washington in Vancouver, provides care for uninsured, and about 60 to 70 percent of dental patients are undocumented and uninsured, Carolyn Noack said.
Most of the remainder of the patients are older, disabled, or both; have Medicare but no dental benefit; or, if they’re disabled, have a “spend down” they must reach before becoming eligible for dental benefits. “I’m not entirely sure how the spend down works, but it’s about showing that you’re spending money. When you hit a threshold of out-of-pocket costs, then you would be eligible for dental benefits, but I’ve never seen anyone reach it,” Noack explained. “So basically, we consider them uninsured also.” While the services are free, every patient is asked to donate some money toward their care. Many donate between $5 and $50, depending on the services. Patient donations are so strong that a small but significant part of the clinic’s budget is based on them. Noack said, “Even though our patients are really good about making donations, it costs a lot to serve people. We’ve seen so many changes in the last couple of years, especially as it relates to the changing population and serving the working poor. They’re extremely kind, grateful, and appreciative of what we do, and they own a part of it when they donate.” To that end – creating a sense of ownership in their care – every person who receives dental services at the facility gets a printout of their treatment plan with its value. Noack explained, “We talk about it as a team. How do you get people to value their appointments? We’re still small enough that we’re able to create relationships with people, and I think that’s a lot of it. And then when they know us, if an emergency does arise, we find that they call us to let us know. People in pain usually don’t miss their appointments. But when we reschedule them for a filling, we know they may or may not show up. We have a variety of ways that we work with our clients by first identifying their personality type and how likely we think they are to miss appointments, and we’ve had success.” The clinic gets its patients through word of mouth and partners with other community organizations, like the Latino Community Resource Group, to identify needs and match patients with care. “Free Clinic managers go to community meetings, and we’re always looking at ways to reach out so that people know there is a place for the uninsured,” Noack said.”
When is urgent care primary care?
Noack admits that some patients utilize the clinic for chronic care issues, which is outside its scope of practice. “When people have nowhere else to go, what do they do? We will refer them to Clark College for a cleaning and a checkup, but when they have another urgent need they’ll come back,” Noack said. “So we have to ask what is urgent care, and how long do you provide it before it becomes chronic care? When I do an assessment, I try and take a look at all of the needs. Our first criteria is getting people out of pain and infection. However, we can work on cavities that could become a problem down the road. That is within the framework of the criteria that was set initially. If they have a tiny cavity, that’s something we’d refer out to another community provider because we have too many other people waiting for more urgent needs. And even though we refer them, we have no idea if they follow up on the care.” However, unlike a primary care practice, prevention isn’t part of the messaging, which Noack admits she struggles with. She said, “Our waitlist is long. I’ll have a three-hour screening clinic, and in that time have 30 minutes per patient, so I need to get to business when I’m with them. We almost always refer them to Clark College or Battleground Health Care for a cleaning, and I know that if they go, oral hygiene instruction will be addressed.”
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cover stor y non-profit clinics across the state need you
Open Door Clinic · Ellensburg
cover stor y non-profit clinics across the state need you
Prescreening to expedite the process
Prior to the rollout of the Affordable Care Act, the clinic had a waitlist of 600 patients. After that, the number dropped to 300. And while the 50 percent reduction was helpful, there were still many patients waiting for services. One of Noack’s employees had a great idea: prescreening all patients over the phone right off the bat. Noack said, “If they have insurance we can refer them. If they need services outside the scope of our practice, we can match them with a community partner who can perform the service. This way they’re not sitting on our waitlist, only to find we can’t provide what they need. We actually have our new patient waitlist down to about 100 people.” Additionally, Noack has an urgent waitlist, a group she percolates to the top of the list for faster care. And while the Free Clinic has a brick-and-mortar facility for the medical services it provides, dental clinics are held in a van. Noack, a hygienist, performs pre-screenings in the hallway dental chair, while patients wait to be seen in the van for procedures. It’s less than ideal. Recently, when the van broke down, the clinic had to cancel all appointments. Noack hopes that one day the dental clinic will have a permanent space.
Helping the homeless and others through the community partnerships
“When the ACA went into effect, the homeless population was able to take advantage of Medicaid and were no longer eligible to be seen in our facility,” Noack said. However, one of the Free Clinic’s many partnerships is a relationship with MTI and Sharehouse, a homeless resource center, to address the need among the homeless. Noack explained, “Part of our strategic plan at the Free Clinic was to take a look at delivering care in an outside setting for the homeless. We forged a relationship with MTI on the fourth Wednesday of each month. The Free Clinic and MTI vans meet at Sharehouse, delivering dental and medical care to the homeless community.” For seven years, the clinic and MTI have worked together on scores of programs, including Project Homeless Connect and Veterans Stand Down. Additionally, the Free Clinic has a partnership with Kaiser Permanente, providing offsite clinics at Kaiser’s Salmon Creek and Cascade Park campuses. “We prescreen the patients here, we take X-rays, and do an assessment. They then give us five hours on a Saturday morning, and they will see anywhere from 45 to 60 patients. Sometimes they’ll have a periodontist do an extraction, sometimes they’ll have an endodontist for root canals. I often get a bunch of hygienists who will provide gross debridement, but that’s okay because it is a start to periodontal procedures. We did $34,000 worth of care in one five-hour clinic,” Noack said. Lastly, the clinic partners with local dentists and specialists in the community who see patients in their own practice. Noack explained, “We screen the patients here, and send them out in the community to receive care. That’s a tremendous program because we’re able to provide procedures that we don’t have the tools or equipment to provide onsite. What we’re seeing is that it takes all of these options to provide care to the community. The clinic alone isn’t enough. We have to have these partnerships.” We wondered, with all the services Noack and her community partners provide, do people still slip through the cracks? “If we refer someone for treatment with one of our community partners and they don’t go, you might consider that slipping through the cracks, but I can’t control it if a patient doesn’t follow through on our recommendation,” Noack said. “Or if they have a scheduled appointment and they don’t show up, that’s on them also. We’ll
give people an opportunity, but they have to take advantage of it.” But the Free Clinic’s partnerships aren’t just about providing dental care. One such arrangement matches Spanish-speaking patients in need of translation services with Spanish students and instructors from Washington State University, Vancouver. Another allows pre-dent students from WSU-V to fill support staff positions, doing everything from turning chairs over and escorting patients back and forth from the waiting room. Noack said, “They need volunteer hours, and they get an opportunity to meet dentists, network, and get some experience in the clinic. In turn, we can book more patients because we have the support we need.”
Funding, a critical component
Funding is an obvious concern, especially for a free clinic. Luckily, Noack said, “Our executive director, Barbe West, writes all of our grants, and she does a phenomenal job. She works with our Manager of Communications, Development & Outreach, Beth Quartarolo, and together they look for grants. We get a fair amount because of their efforts, and we also have a couple of fundraisers every year. Additionally, we have people who support us through donations, either on their own or through our Sam Beall Society. And, about $40,000 a year comes in through patient donations, so that’s not a small amount.”
CLINICS IN WASHINGTO
Puget Sound Christian Clinic · Lynnwood
Alexandra Hengden, Executive Director of Puget Sound Christian Clinic (PSCC), came to dentistry through the healthcare industry, specifically nursing, most of it in the non-profit sector. She tried for-profit work, but didn’t find it challenging enough for her taste, and went right back to serving the community. PSCC is a faith-based clinic that opened in 2003 as part of a vision to help out locally. Physicians from a local congregation likened it to overseas medical missions where so many people were in need of healthcare, but one serving their neighbors and parishioners. They first opened a medical clinic at North Seattle Alliance Church, but soon realized they wanted their efforts to encompass more because their patients had many other needs, including dental and mental health. Once they added dental to the mix, the need quickly overwhelmed the capacity, and they began to search for a new space. As luck would have it, The Northwest Church in Lynnwood had envisioned building a community center with their church, and had the space to house a dental clinic. The two entities partnered to build a 3,200 square foot state-of-the-art dental clinic with five operatories. The clinic recently finished its first year of operations in the space. Because it is mostly a volunteer-driven model (with a part-time staff dentist), the clinic sees about 100 patients a month. The sliding-scale clinic doesn’t bill any insurance or see homeless patients, although the staff will refer them to other agencies. They see the uninsured, the working poor and anyone under 300% of the federal poverty level. Currently, the clinic is in talks to try and provide services to the homeless community.
HOW NON PROFIT CLINICS ACRO THE STATE ARE PROVIDING CARE
The role of faith in care
We wondered what role, if any, faith plays in the clinic’s delivery of care? Two churches host its fixed sites (the other facility handles medical and mental health needs), and it has affiliations with churches throughout the region who donate to the facilities. However, Hendgen said the clinic doesn’t have a direct affiliation with any single congregation or denomination, and people of all denominations (or none) are welcome in their clinics. Still, reli-
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PSCC is a well-oiled machine that raised money for the facility in just four years with grants from Murdock Trust, Boeing Employees Community Fund, Verdant Health Commission, and individual donors in the church community. Additionally, other churches affiliated with PSCC continue to provide volunteers and contribute financially by giving monthly, a committed donation for a year, or by taking up special offerings as needed. The clinic is run like any practice, and is equipped with a lab, a sterilization room, a reception area, and treatment planning rooms. “The patients that we’re seeing in this clinic are generally the ones who would otherwise go to the ER or walk-in dental clinics,” Hendgen explained, “but we want to be their dental home. We have a relationship with MTI and the UW ER. When our patients are in critical need, they may start there, but then we want them to be referred back to us for continuing care. We want to create a treatment plan for them. Our deepest discount and most common payment for a crown right now is $200. We have a donated Cerec machine, and we’re increasing our use of that. When our patients come here instead of having an extraction or staying in chronic pain, we want to provide them access to care they need to save their teeth and keep a healthy mouth, just as they would in any practice.”
Volunteer needs
Like everyone in the free/low-cost clinic business, PSCC has a hard time when it comes to staffing. Hendgen said, “Our most pressing issue is getting volunteers to engage and provide care. We’re building our volunteer base slowly, but because the clinic went from two chairs operating a few times a year to five chairs trying to operate five days a week, it can be a challenge. Some weeks we’re operating five days a week, others just three.” PSCC finds volunteers through networking, other nonprofits it partners with, and
through the church congregations that support it. The staff posts notices on the clinic’s website, runs classified ads when necessary, and are connected to the Snohomish County Dental Society and its foundation. Across the whole organization, the clinic has about $500,000 in care a year donated by volunteers, Hendgen said. “We wouldn’t be able to do it without them,” she said. “I recently spoke to my dental clinic administrator, and we realized that if I had just 60 dentists commit to four shifts a year, we would be totally staffed as a dental clinic. It really doesn’t take a large commitment when everyone volunteers for just a short time.”
Clinics across the state need your help
These four clinics – and scores more across the state, could use your help. As their directors and managers said, even four hours a quarter would help them staff their facility to capacity. If you’re not in one of these areas and would like to find out about local clinics that could use your help, visit the Washington Healthcare Alliance online at wahealthcareaccessalliance.org/volunteers/volunteering, or read about the Volunteer and Retired Providers (VRP) Program on this page. And if you don’t have the time in your life to volunteer, consider giving! Every one of these clinics could use money to fund services, buy equipment and supplies, and pay bills. Every effort is appreciated!
Volunteer and Retired Providers Program Are you interested in volunteering your skills as a healthcare provider? Join the network of licensed healthcare professionals that provide free care to patients left out of the healthcare system. The Washington State legislature created the Volunteer and Retired Providers (VRP) Program in 1992 to expand healthcare access for underserved. The VRP supports healthcare volunteerism in Washington State by paying malpractice insurance premiums for licensed healthcare volunteers providing care to underserved patients. Volunteers who use their Washington State professional license only for volunteer work are also eligible for license renewal. All professional license costs are covered (other than late fees and testing fees). Additionally, WSDA members who participate with the VRP can register for the PNDC at no cost. What’s Covered? The VRP program provides coverage for non-invasive care. Non-invasive dental care includes diagnosis, oral hygiene, restoration and extraction. Orthodontia and surgical treatments are not covered by VRP malpractice insurance. The insurance is claims made and covers $1,000,000 per incident, $5,000,000 aggregate. Professionally employed healthcare providers with site-specific malpractice insurance coverage are eligible for this benefit. If you are only using your professional license for unpaid work, the Department of Health will renew it at no cost to you. Please join the more than 2,400 VRP-covered volunteers across Washington State providing much-needed healthcare to underserved patients. All healthcare providers with a Washington State active or retired active license, or providers licensed in the U.S. who wish to volunteer at a VRP-approved site in Washington State, are eligible. There is no minimum volunteer time commitment.
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gion does influence their work to a degree. PSCC has intentionally built a holistic care model, and sometimes for patients spiritual care is a part of that care. She explained, “We see our patients through the same lens of Christian faith that we believe – that lens of love, a different view, and one that respects each individual for who they are and where they’ve come from.” To that end, the clinic intentionally plans longer appointment times for patients, opening up time and resources to build relationships with patients and determine all their needs, such as food, housing, and medical and mental health issues. “Once we start to build a relationship with our patients and listen to them, they feel more comfortable and will often tell us that they’re cared for in a way they haven’t been before,” Hendgen said. And yes, part of that time is spent ministering to some patients about the Christian faith, mostly in the form of prayer, although patients are not required to pray. Hengden said, “As we build relationships with our patients, they share their needs with both staff and volunteers, who in turn will ask permission to pray over the patient’s treatment. Sometimes pray before we start or when the patients leave. And we pray for the other needs of our patients, like finding a job, or a good week. We pray frequently, but it’s based on the relationship we have with the patients. If we have a volunteer or staff who isn’t comfortable praying, or if we feel it’s not an appropriate time, it may not happen in an appointment. Most of our patients are willing to accept prayer as part of the service they receive, and many of our patients turn around and pray for our volunteers and staff. It isn’t a checkbox in our system, like, ‘Did we pray for the patient?’ It’s part of our relationship-based process.”
pndc news new and emerging speaker series
CLINICS IN WASHINGTO
HOW NON PROFIT CLINICS ACRO THE STATE ARE PROVIDING CARE
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PNDC NEW AND EMERGING SPEAKER SERIES This year at the Pacific Northwest Dental Conference (PNDC), six talented WSDA members will present sessions as part of the newly minted New and Emerging Speaker series: Drs. Kevin Suzuki, Jade Gan, Kris Swanson, Jae Seon Kim, Seung Yu, and Richard Carlile. The series, formerly called the Emerald City Lecture Series, is comprised of 50-minute lectures by talented peers, some new to lecturing, some more experienced, though none have presented at a conference as large as the PNDC before. Each session carries a value of 1 CE credit. Photography by Scott Eklund/Red Box Photography th e wsda ne w s 路 issue 4, march 路 2018 路 www.wsda.org 路 21
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The WSDA News recently reached out to the group to find out more about them, get some insight as to why they chose their session topic, and learn why they decided to brave it.
Dr. Kevin Suzuki: A bit of an advantage
As Dr. Kevin Suzuki said, “Psychologically, it’s a challenge to speak in front of a large group. However, I think it is an important skill to develop, one that builds character, stimulates personal growth, and most importantly, facilitates continued academic learning through preparation for each presentation.” You might argue that Suzuki has something of an advantage. His father, Dr. Jon Suzuki, is a sought-after lecturer who is also presenting at the 2018 PNDC. Suzuki credits his father and his mother, Pamela, with encouragement and mentorship. “I would give the majority of the credit to my father for my initial exposure to, motivation for, and support during my experiences with speaking and academic opportunities,” Suzuki said. “He has mentored me throughout my short speaking career, heard my lecture a number of times, and continues to serve as a source of motivation and inspiration. It is gratifying for me to be able to be so intimately involved in academics with my dad.” Suzuki is a periodontist who attended Nova Southeastern University, followed by a residency at Temple University. He has been practicing for eight years. He is currently on the faculty at the UW Periodontology department, and has lectured on topics including periodontal disease and surgery, tissue grafting, crown lengthening, bone grafting, and dental implants. Additionally, he has presented at study clubs in the area, conference workshops, and state dental society functions. This will be his first time as a conference speaker. “I like lecturing because it motivates and requires me to stay current in pertinent dental research and treatments,” he said. “Also, I like speaking about things that challenge me. That way I can share knowledge about treatment solutions or relevant patient issues with other professionals.”
Peri-implantitis on the rise
Suzuki will present a session on peri-implantitis, one of the emerging fields in dentistry, titled “Peri-implantitis: Diagnosis, Management, and Maintenance Strategies.” Although they have been in use for 50 or more years, implants are changing dramatically, and more general practitioners are placing them. While that’s not a bad thing, said Suzuki, he hasn’t seen many classes dealing with implant problems. “Implants are a great component of dental technology, but they are also challenging to treat when problems arise,” he explained, adding that they can become infected with gum disease similar to teeth. “However, treatments that have traditionally worked well on teeth do not always work well with implants.” And while he cautions that a 50-minute primer is nowhere near enough education on the matter, he’ll shoehorn in a wealth of information, including how to identify the early hallmarks of implant disease, and what can be done to help treat simple implant problems. If time allows, he’ll also present options for problems that are more advanced, discuss some of the techniques that are available with additional training, and review when referring out to an appropriate partner is the best course of action. “This session will benefit any dentist or hygienist who encounters dental implants their practice,” Suzuki said. “It will also benefit practitioners interested in placing implants. If you’re going to start
something new in your practice, it’s always good to know what the problems and pitfalls are. I want attendees to know that dental implants are a fantastic addition to treatment options and patient satisfaction for missing teeth. However, it is important to be aware of their risks and potential complications.”
Dr. Jade Gan: Helpful anesthesia hacks
Dr. Jade Gan is a few years out of dental school, and really psyched for the opportunity to speak in front of a conference audience. Gan’s session, titled “Dental Hacks for Delivering More Comfortable Anesthesia,” partially evolved from her love of YouTube hack videos, where ordinary people show their “hacks” or solutions for everyday and exceptional problems, and from her experience as a public health dentist. Gan explained, “At my work at the Community Health Center of Snohomish County, I get a lot of the patients who are fearful. I know that there are a lot of products on the market that help patients be more comfortable, but it’s not always realistic for every practice to afford those things, including at my Federally Qualified Health Center (FQHC). I was trying to find ways on my own to make things more comfortable for patients because I hate thinking that every time I go in, I’m causing them pain. I’ve made it a personal quest to make my patients comfortable and pain-free. And they respond well to it. They say that was the most comfortable dental experience ever!” Gan said she’d consider branching off into teaching one day. “I get really excited about sharing knowledge,” she explained. “I’ve even thought about starting my own YouTube channel and making my own videos to share. Whether it’s training a new assistant on how to put on a matrix band properly, working with externs, or even helping out first- and second-year students when I was in dental school, I enjoy helping others. For me, taking something that might be tricky or difficult for others to understand, repackaging it, and teaching it to them in a different way that makes sense to them is interesting and fun to me, and I like sharing that.”
CLINICS IN WASHINGTO
HOW NON PROFIT CLINICS ACRO In her session, won’t be ARE covering PROVIDING forms of anesthesia likeCARE THE Gan STATE
Bread and butter anesthetic
Gow Gates or Akinosi. Instead, she’ll focus on what she calls “the bread and butter anesthesia you have to give patients on a daily basis.” Her audience for the session is dentists, hygienists, and even dental students, and she’s thrilled to share her methods of making anesthesia more comfortable for patients. Gan knows there are a lot of fantastic anesthesia sessions in conferences, including the PNDC, but “unless you’ve consolidated all of your notes in one place, my session will be a great reminder of some tried-and-true techniques that are based in chemistry, physics and psychology,” she said. “I know I can make learning fun and interesting!”
Dr. Kris Swanson: Closing black triangles
Dr. Kris Swanson was surprised when he met everyone at the photo shoot for this piece. “Wait, I’m the oldest person here.… by a decade!” he said, feigning horror. Swanson, a UW grad who has been practicing for 30 years, does have a few years on his cohort. In that time, he has amassed plenty of experience, including holding a table clinic at the American Academy of Restorative Dentistry, mentoring Tucker Cast Gold Study Clubs, presenting, and teaching, including being a part-time faculty member at the UWSoD since 1989. Additionally, Swanson was the director of the Tucker Institute from 2008-11. “He was an amazing man,” said
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Closing black triangles: Additive versus subtractive
Swanson’s session focuses on his technique for closing black triangles, the open space at the gingival embrasure that happens between the teeth due to bone loss, where the gum has receded due to orthodontics or aging, creating a black hole in the shape of a triangle. In a population increasingly fixated on appearance, black triangles are a real problem, one some dentists have shied away from addressing because it can be tricky. In a perfect world, Swanson explained, dentists would address it by increasing the amount of gum tissue to hide the space. Unfortunately, we’re not there yet in terms of medical technology. “That’s one of the last things that we still don’t quite have the answer for,” Swanson said. “The gum follows the bone, so ideally if we could place bone in these areas and replace the bone, the gum would follow. The problem is a big aesthetic thing for some people. It makes them look older, and it’s unsightly. I’ve had many patients through the years who have asked me what I can do to address black triangles. In the past the only option was to crown or veneer them. I’ve had many patients get excited to hear about a less-invasive, more cost-effective alternative. The process involves adding composite material to the contour of the tooth to occupy some of that black triangle space. It’s an additive technique, versus the other options, which are subtractive.”
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Attention to detail
Swanson said his process isn’t difficult to do, but it requires some finesse. He explained, “The process I’m going to talk about is one that I just stumbled upon in my years of experience, and I’ve found a simple matrix that makes it much easier to do. But it still requires a great attention to detail, even though the process itself is fairly straightforward.” Much of the fear comes from a lack of knowledge about how to attack the problem, he said, and the key is the matrix, which he didn’t develop. Other than that, shading and bleaching complement the process, and the results can be astounding. He said, “I don’t want to say it’s life-changing, but it is a big deal for my patients. After this session dentists will be able to address the situation with little investment, and provide their patients with a conservative alternative, which is what has been lacking. In my opinion, crowning and veneering are too invasive in most cases. I want to keep it simple. My goal is not to make it an overwhelming task.” Though targeted primarily to dentists, Swanson said, “This would be a great session for assistants to attend with their dentist. It’s always good for them to have first-hand knowledge in a procedure to better assist their dentist, and if they know what vision the dentist hopes to achieve, that helps, too.
Dr. Jae Seon Kim: Improving communication for improved esthetics
Dr. Jae Seon Kim graduated dental school in 2005 from Yonsei University in South Korea, and finished his advanced training in Prosthodontics at the UW in 2011. He has quite a bit of experience
lecturing and teaching small groups, here in Washington and at Augusta University Dental College in Georgia, where he was an assistant professor for four years. Last year, Kim gave a hands-on course on treatment planning and preparation design for anterior restorations to a group of Taiwanese dentists. Kim loves presenting and sharing knowledge with colleagues and dental team members. “When I’m teaching a session, I have to collect myself, and look back on the things I have learned, which gives me an opportunity to organize my knowledge, learn more, and share that with my audience,” he said. In his practical session titled “Shade Communication Tips for the Ultimate Esthetics,” Kim will explore communication between dentists and ceramists, with an eye for clarifying and improving it, as well as digital photography and calibration tips to further enhance color matching. Kim explained, “Whenever we are restoring the dentition in the esthetic zone, color matching can be quite a challenge. Oftentimes, dentists rely on ceramists, but do not provide adequate information to them, creating frustration for both. I’ve discovered a way to reduce frustration utilizing digital photography and precise color calibration, so that dentists and ceramists can all be on the same page.” Attendees will learn how to incorporate digital photography into their daily practice. Kim will review the essential photos that practitioners have to take in order to get a good color match, and review the equipment necessary for precise color matching and photo processing to maximize the information obtained from the photos.
Dr. Seung Yu: Alveolar Ridge grafting techniques
Dr. Seung Yu graduated from the UWSoD in 2014, and then completed a four-year oral and maxillofacial surgery residency there. He has presented at study clubs with 70 in attendance and is comfortable lecturing, in part, because of his role as an affiliate staff member at the UW, where he teaches oral surgery residents. He said, “There’s a lot of interest, and I’ve gotten good feedback from dentists who have heard me speak. They encouraged me to speak at the PNDC, so when I saw the information about the New and Emerging Speaker series, I thought it would be a great opportunity to connect with the dental community.”
Ridge grafting basics
We wondered, could Yu really teach grafting basics in just under an hour? He explained, “Certainly, there are more complicated things that can be involved, but as a general introduction, and an opportunity to talk about options, and techniques that are involved with the surgery, 50 minutes will be enough initially. I’ll be presenting about the background, principles, and science behind ridge grafting. I’ll also cover the different types of materials used, the history of the procedure, the options available, and complicated cases.” The session will target general dentists. Additionally, assistants will get value from the session, especially if the dentist they work for will be doing ridge grafting. Periodontists and oral surgeons will be interested in the in-depth material that Yu will be presenting, as well.
Dr. Richard Carlile: Using ceramics in your practice
Dr. Richard Carlile, a former Army dentist with a practice in Port Angeles, Wash., frequently led CE sessions with 20 to 30 attendees while in the military, so he’s comfortable with the process
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pndc news new and emerging speaker series
Swanson. “I was in one of the study clubs for 25 years. I can’t say enough good things about him.” When Swanson heard about the New and Emerging Speaker series, he thought it sounded interesting, and friends and colleagues encouraged him to submit his session. “I was surprised and happy when it was accepted. I’ve always been passionate about sharing knowledge,” he said.
pndc news new and emerging speaker series
and looking forward to expanding his range at the PNDC. Lecturing is an educational opportunity for him, as well as the attendees. He said, “When I’m preparing to present, I end up learning more about the subject, and I’m better educated to talk to my patients because of the research I’ve done.” Carlile’s presentation is titled “It’s All in the Glass, Dentistry and Ceramics,” and in it he’ll explore which materials work best in a given case. His passion for the topic came from his residency in the Army. “I did a two-year AEGD, and one of my mentors had a very good criteria of deciding what ceramics he would use where. He had a very systematic way of choosing based on strength and aesthetics. I liked his rationale because it wasn’t biased by what was in the dental magazines. It was evidence-based driven, wasn’t product-specific, and that’s what got me interested in learning more about dental ceramics.” Carlile sees his work as a continuation of what his mentor started, saying, “He gave me a great service in my clinical judgment, and I want to do the same.” Carlile bristles at the proliferation of product-driven ads in dental magazines. He explained, “You open any dental magazine, and that’s what most of the ads are touting, labs and manufacturers of ceramics. It’s easy to be swayed by marketing, and that’s not necessarily a good thing. Instead, you need evidence-based criteria to help you choose which product, when, and why.” Another pet peeve of Carlile’s is the lack of transparency in some conference sessions about materials. He said, “I’ve attended sessions in the past where lecturers seem to be advertising a certain manufacturer’s product, and often it’s the sponsor of the lecture. I recall going to one such live surgical event where the lecturer focused only on the implant company, the product he used for the bite registration, and they had all invested and contributed money to creating the course.” Carlile wants those who attend his session to know that it won’t promote one material over another. He explained, “This session is for the dentist who asks the question, “I have to do a crown prep on #3. What’s the best material to use there and why? What rationale can I use to choose the right material?’ I have no financial interest in any company, and I think that’s important because it doesn’t cloud my judgment in the decision-making process.”
Friday, June 22 from 7:30 - 8:20 a.m. CE Credits: 1 Credit Richard Carlile, DDS, MS Dr. Carlile is a native of Hawaii who graduated from the Dental School at Virginia Commonwealth University School of Dentistry in 2011 Dental Hacks for Delivering (More) Comfortable Local Anesthesia Friday, June 22 from 8:30 - 9:20 a.m. CE Credits: 1 Credit Jade Gan, DDS Dr. Gan practices in Edmonds, Wash. She graduated from New York University College of Dentistry. Peri-implantitis: Diagnosis, Management, and Maintenance Strategies
CLINICS IN WASHINGTO
Friday, June 22 from 9:30 - 10:20 a.m.. CE Credits: 1 Credit
Kevin Suzuki, DMD, MS Dr. Suzuki practices as a specialist in Periodontology and Oral Implantology in Federal Way, Bothell, Kirkland, and Seattle, Wash. New and Emerging Speakers: Shade Communication Tips for the Ultimate Esthetics
HOW NON PROFIT CLINICS ACRO THE STATE ARE PROVIDING CARE Friday, June 22 from 1 - 1:50 p.m. CE Credits: 1 Credit
General overview
In his 50-minute session, Carlile will offer a general overview of what ceramics are currently on the market, and how can they be systematically broken up into categories by their advantages and disadvantages. He’ll help dentists develop a rationale for choosing products depending on whether aesthetics or strength are needed. “It will push the time limit, but I think we’ll get there,” he said. The ceramics landscape is ever-changing, and he freely admits he doesn’t know everything. In fact, he’s counting on the audience to offer their insights, too. He said, “I love interacting with peers, and I love hearing different viewpoints, especially when they don’t agree with mine. Even though I’ve done my research, someone else may have had a different experience or seen things differently. That’s what I enjoy about dentistry. There are many ways to do it, and there are many opportunities to learn new things. I’m excited to impart my knowledge and hear the audience’s feedback, as well. It makes me a better practitioner because I’m growing and learning in the process. It excites me!”
Come support your colleagues!
It’s All in the Glass: Dentistry and Ceramics
Come support your colleagues while earning valuable CE at the PNDC’s New and Emerging Speakers series on Friday, June 22. Session times vary, and won’t repeat, so add them to your schedule when you register.
Jae Seon Kim, DDS, MSD, FACP, CDT Dr. Kim is a board-certified Prosthodontist and certified dental technician who practices in Seattle. No-fear, Predictable, Conservative Closure of Black Triangles Friday, June 22 from 2 - 2:50 p.m. CE Credits: 1 Credit Kris Swanson, DDS Dr. Swanson completed his undergraduate and dental school degrees at the University of Washington. He is an AACD member and Kois graduate. Alveolar Ridge Grafting - Options and Techniques Friday, June 22 from 3 - 3:50 p.m. CE Credits: 1 Credit Seung Yu, DDS Dr. Yu graduated from the University of Washington School of Dentistry in 2010, and completed a four-year Oral and Maxillofacial surgery residency there.
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FEATURING | Dr. John Alonge and Dr. Dolphine Oda Thursday, June 21 5:30 pm – 6:30 pm Meydenbauer Center CE Credit: 1 Credit
Dr. John Alonge
Grab a drink and join a small group of dentists at one of two discussions held during the Exhibit Hall Happy Hour on Thursday night. In one discussion, Dr. John Alonge will dive deeper into topics covered during his Thursday oral surgery lecture. In a concurrent discussion, Dr. Dolphine Oda will review cases chosen straight from the audience’s own practice experiences! Questions and audience interaction are encouraged. Don’t miss out on your chance to enhance your PNDC experience with these small group sessions. Details Registration is required, space is limited · Participants of Dr. Oda’s session are encouraged to submit cases for review in advance
Dr. Dolphine Oda
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RETIRED? ATTEND PNDC FREE Are you interested in volunteering attending the PNDC at no cost? If so, The Volunteer and Retired Providers Program (VRP) needs you. Join the network of licensed healthcare professionals that provide free care to patients left out of the healthcare system, and receive great benefits like free malpractice insurance. The Washington State legislature created the Volunteer and Retired Providers (VRP) Program in 1992 to expand healthcare access for underserved.
Free PNDC, licensing, and more
Volunteers who use their Washington State professional license only for volunteer work are also eligible for free license renewal. All professional license costs are covered (other than late fees and testing fees). Additionally, WSDA members who participate with the VRP can register for the PNDC at no cost. To register for the PNDC, contact Rachel McFarlane at rachelj@wsda.org or (206)973-5219. To learn more about the VRP program, visit wahealthcareaccessalliance.org/ volunteers or contact Molly Korav at coordinator@wahealthcareaccessalliance.org.
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pndc news wine down with the experts, attend for free
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Dr. Donald Ausink to Dr. Mo Mahoutchi
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HOW NON PROFIT CLINICS ACRO THE STATE ARE PROVIDING CARE
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A TRADITION OF CARE: DR. JUDSON WERNER AND HIS STAFF PARTNER WITH THE BOYS AND GIRLS CLUB TO DELIVER CARE TO KIDS IN NEED
Dr. Judson Werner of Bellevue, Wash. recently held his 14th annual Give Kids A Smile (GKAS) event at his practice, delivering $5,500 worth of care, including free cleanings, exams, fluoride, and fillings, to 19 children. According to Werner, one 7-year-old girl was making her first visit to the dentist. Another young patient was making her second visit to the dentist – her first was at Werner’s GKAS event last year. We wondered, with such a robust system in place, how were children still not seeing a dentist, especially in an affluent area like Bellevue. It turns out there are many everyday issues that impede access, even when care is available. Werner explained, “The toughest part with children accessing dentistry is that their parents have to prioritize care for their children. The parents have to take time off work or take kids out of school. They might not speak English, and might not know that they can get a translator. They might have drug or alcohol or mental health problems, or they may just be overwhelmed with trying to get by. All of these things can interfere with kids getting care.” The solution? Werner partners with the Boys & Girls Clubs of Bellevue to identify kids who are in the most need of care. The club does the groundwork — obtaining permission from the parents continued on page 27
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Photos courtesy of Dr. Werner
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give kids a smile dr. judson werner
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After more than 30 years of coaching Doctors, Blatchford Solutions is excited to announce a new, full-service brokerage business, Blatchford Transitions, Inc. Blatchford Transitions will offer services nationwide, helping dentists to buy and sell dental practices. We are here to help Doctors prepare for and make rewarding transitions by expanding their thinking beyond what is presently being offered by other brokerage firms.
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We look forward to working with you when it is your time to buy, sell or merge a practice. Please visit our website blatchfordtransitions.com or call us toll-free at (844) 735-7600 to discuss your transition needs.
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HOW NON PROFIT CLINICS ACRO THE STATE ARE PROVIDING CARE
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ahead of time, and using its vans to bring the kids to Werner’s office. “In partnering with (the club),” Werner explained, “we have taken away a ton of the variables that can make it difficult for kids to get care.” In this scenario, everybody wins. The Boys & Girls Clubs continues its mission of helping local children in need, and Werner and his staff love the event because they have fun while serving the community. Werner said, “We have a great time at our Give Kids a Smile event. It is a festive, fun, high-energy day. My staff really looks forward to it, and we even have several former staff members who come back to volunteer. On a normal work day, my office is pretty calm and quiet. We work hard on creating a calm and soothing atmosphere, but on Give Kids A Smile day, it is loud and fun!”
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give kids a smile dr. judson werner
gkas, continued from page 25
wdia news why you need life insurance
CLINICS IN WASHINGTO
HOW NON PROFIT CLINICS ACRO THE STATE ARE PROVIDING CARE
Director of Insurance Services, Matt French · Assistant Director of Insurance Services, Kerri Seims
The Obvious Choice for Washington Dentists
3 0 · th e wsda ne w s · issue 4, march · 2018 · www.wsda.org
LIFE INSURANCE Even if you are experiencing some financial challenges, Life Insurance should never be thought of as a non-essential expense. If a family loses a main breadwinner, the financial consequences could range from simply challenging to totally devastating. Life Insurance is one of the most important things you can have to ensure that your family will be taken care of if something happens to you. Although people are told by their financial planner, spouse and others that they need Life Insurance, they still find reasons for putting off purchasing a policy. But WDIA’s advice is to buy it now. First, the premiums for the same coverage will increase the older you become so it will be less expensive for you to buy it now verses next year. Second, the longer you wait, the more you risk developing health issues that could increase your premium or make you ineligible for coverage at all.
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Here are a few good reasons to purchase Life Insurance: • You are the main income earner for your family and they are dependent on your income. If you were to die tomorrow, your family would have trouble meeting their basic needs. • You have significant debt due to the home mortgage, student loans, practice loan, etc. that you do not want to burden your family with if you passed away tomorrow.
• You do not want your family to be burdened with estate or other taxes that would reduce the estate your family receives when you die. • You have a special needs child who depends on your income for his or her care, probably for the rest of his or her life. You are saving for your children’s private school or college education. If you passed away, the kind of education that you would like to provide for them would be financially out of reach. Over 40 percent of American households would immediately have trouble meeting their basic living expenses if a primary wage earner passed away. Life Insurance coverage is an essential tool for protecting your family and your practice by making sure that your loved ones will be taken care of in the event of your death. Life Insurance ensures that their financial future is not left to chance. Having coverage can mean the difference between your family keeping their family home, your children having money for college and your spouse having a means to retire. If you are ready to look at your life insurance options, please contact Washington Dentists’ Insurance Agency at 206-441-6824 or 1-800-282-9342.
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wdia news why you need life insurance
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We gladly accept these files too: Bellevue | WA www.nakanishidentallab.com 425.822.2245 | 800.735.7231 3 2 路 th e wsda ne w s 路 issue 4, march 路 2018 路 www.wsda.org
New Dates Announced: Free Opioid Prescribing Conference Free half-day conference on Opioid Pre-
scribing will be offered in two locations. Registration is free, however, pre-registration is required. You will learn about the latest recommendations for acute dental pain care, best practices for managing acute dental pain in patients with substance use disorder, emerging federal and state policies on opioids, clinical pearls in opioid prescribing from your peers and much more! All participants will receive up to 4 hours of free dental CE, a copy of the 2017 Bree/ AMDG Dental Guidelines on Prescribing Opioids for Acute Pain Management, and a one-page summary of the guideline! Spokane · DoubleTree Hilton Thursday, April 19 · 8:30 a.m. - 12:30 p.m. 322 N Spokane Falls Ct. Spokane, WA 99201
Special Care Dentistry Association 30th Annual Meeting
Don’t miss your opportunity to learn, network and interact with peers and mentors specializing in a wide range of fields dedicated to promoting oral health and well-being for people with special needs at the Special Care Dentistry Association’s 30th Annual Meeting. This year’s meeting, April 27-29, 2018, is the first time the meeting will be held in our own Pacific Northwest! Enjoy three days of premier events for anyone working with vulnerable elders, people with intellectual and developmental disabilities, or in hospital settings with medically complex patients. Attendees, speakers and sponsors from all over the world come take part in education sessions, networking opportunities and to learn about the latest products and services. Early Bird registration rates are available until February 7, 2018.
Register here: https://www.eiseverywhere. com/ereg/index.php?eventid=302582& Seattle · University of Washington Alder Commons Auditorium Friday, April 20 · 8:30 a.m. - 12:30 p.m. 1315 NE Campus Parkway Seattle, WA 98195
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Register here: https://www.eiseverywhere. com/ereg/index.php?eventid=300818&
Apply to fill vacant DQAC positions
The Dental Quality Assurance Commission (DQAC) is currently seeking applications for three dentist positions. Apply by March 30. Are you interested in applying to be a dentist member of the DQAC? First, read Dr. John Carbery’s Guest Editorial on pages 4-5. Then, visit http://www.wsda.org/ news/blog /2018/02/16/apply-to-fill-vacant-dqac-positions for more information and a link to apply.
Volunteers Needed at the Puget Sound Christian Clinic
The PSCC is looking for dental volunteers Monday - Friday. They ask for a minimum commitment of four volunteer days/ year. Clinic shifts are 8 a.m. - 4:30 p.m., but shorter shift may be available. Volunteers are also scheduled based on the type of dental care they would like to provide. PSCC has a team of staff to support the volunteers when they are on site, including an assistant. Apply online at https://pschristianclinic.org/volunteer. Want more information before you apply? Email Debra Haarberg at volunteer@pschristianclinic. org or call her at (206) 899-4754.
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Recent Cyber coverage notice
For dentists who have a Cyber Protection policy with WDIA/DBC, you may have been confused by recent communications regarding a change in programs. Our intention is to offer our dentists a broader Cyber Security program with Beazley’s Breach Response (BBR) coverage. We aligned with Beazley because we feel this new partnership offers additional coverages, lower retentions (deductibles) and more competitive premiums. If you have any questions about this, or are interested in more information about Cyber protection, please don’t hesitate to contact WDIA at 206-441-6824 to learn more.
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– AUGUST 2016 – 1/4 Page B/W· –www.wsda.org 3.5”(W) x 4.75”(H) 3 4 · th e wsda neWASHINGTON w s · issue 4, march · 2018
As you may recall, during the 2017 legislative session, the Legislature passed a budget proviso, Senate Substitute Bill (SSB) 5883, Section 213 (1)(c), which requires the Health Care Authority (HCA) to contract out the administration of the dental Medicaid program. As directed by the proviso, HCA must contract with at least two licensed health plans or managed health care plans, except in areas where only a single plan is available, to provide carved-out managed care dental services by January 1, 2019. The budget proviso (SSB 5883, Section 213 (1)(c)) also included language that requires: • Dental plans that are awarded the contract to absorb all startup costs associated with moving Washington state’s dental Medicaid program from fee-for-service to managed care and commit to achieving an overall savings to the program based on 2016 fee-forservice experience • HCA to ensure savings offered by dental plans is actuarially sound • Savings achieved by the dental plans beyond the assumed savings in the enacted budget must be used to increase dental Medicaid provider reimbursement rates
(c) $122,244,000 of the general fund—state appropriation for fiscal year 2018 and $116,038,000 of the general fund—state appropriation for fiscal year 2019 are provided solely for the authority through the competitive procurement process, to contract with licensed dental health plans or managed health care plans on a prepaid or fixed-sum risk basis to provide carved-out managed dental care services on a statewide basis that will result in greater efficiency and will facilitate better access and oral health outcomes for Medicaid enrollees. Except in areas where only a single plan is available, the authority must contract with at least two plans. The authority shall include in the contracts: (i) Quarterly reporting requirements to include Medicaid utilization and encounter data by current dental technology (CDT) code; (ii) a direction to increase the dental provider network; (iii) a commitment to retain innovative programs that improve access and care such as the access to baby and child dentistry program; (iv) a program to reduce emergency room use for dental purposes;
• HCA must submit an annual report regarding how the dental plans have met their contractual requirements to the Governor and appropriate legislative committees starting January 2019
(v) a requirement to ensure that dental care is being coordinated with the primary care provider of the patient to ensure integrated care;
[Read the entire budget proviso in the right column]
(vi) a provision that no less than eighty-five percent of the contracting fee be used to directly offset the cost of providing direct patient care as opposed to administrative costs; and
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2017 budget proviso:
The HCA is currently working on the request for proposal (RFP), which is scheduled to be released on May 3, 2018. Following the release of the RFP, plan bids will be due to the HCA by June 29, 2018, and the HCA will announce the apparently successful bidders no later than August 6, 2018. At this time, there appear to be several interested companies that will bid on the contract. Potential bidders will likely be an array of both dental and medical managed care organizations (MCOs). Because a major factor of being a successful bidder will depend on the bidder’s ability to show a strong provider network, bidders have already started contacting providers, asking them to join their network. Even if you are not currently a Medicaid provider, you will probably be contacted by several companies during the next several weeks. While the WSDA cannot provide recommendations regarding which network(s) to join, we strongly encourage our members to carefully read the agreements and raise any questions or concerns you may have with either the organization directly or the HCA at hcamcprograms@hca.wa.gov before signing any provider agreement. Because the RFP has not yet been released, there is currently a great deal of uncertainty surrounding the transition of the dental Medicaid program. In order to stay informed during this important process, please make sure to regularly check the HCA’s website or WSDA’s website for updates and related information. Should you have any questions for the Association, please do not hesitate to contact WSDA’s Director of Government Affairs Mellani McAleenan at mellani@wsda.org or WSDA’s Government Affairs Associate Emily Lovell at emily@wsda.org.
(vii) a provision to ensure the contracting fee shall be sufficient to compensate county health departments and federally qualified health centers for dental patient care. The plan(s) awarded this contract must absorb all start-up costs associated with moving the program from fee-for-service to managed care and shall commit to achieving an overall savings to the program based on 2016 fee-for-service experience. In order to comply with state insurance underwriting standards, the authority shall ensure that savings offered by dental plans are actuarially sound. Starting January 31, 2019, and every year thereafter through December 2024, the authority shall submit an annual report to the governor and the appropriate committees of the legislature detailing how the contracted entities have met the requirements of the contract. The report shall include specific information to include utilization, how the contracted entities have increased their dental provider networks, how the emergency room use for dental purposes has been reduced, and how dental care has been integrated with patients’ primary care providers. If after the end of five years the data reported does not demonstrate sufficient progress to address the stated contracted goals, the legislature will reevaluate whether carved-out dental managed care needs to be replaced with a different delivery model. The authority is authorized to seek any necessary state plan amendments or federal waivers to implement this subsection. Additional dental program savings achieved by the plans beyond those assumed in the 2017-2019 omnibus appropriations act will be used to increase dental provider reimbursement rates.
th e wsda ne w s · issue 4, march · 2018 · www.wsda.org · 35
legislative news dental medicaid program update
Dental Medicaid program update
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THINKING ABOUT SELLING YOUR PRACTICE?
CURRENT LISTINGS HOW NON PROFIT CLINICS ACRO THE STATE ARE PROVIDING CARE LINCOLN COUNTY— 2 practices for sale within 35 miles of Spokane
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3 6 · th e wsda ne w s · issue 4, march · 2018 · www.wsda.org
All Lewis County Dental Society Meetings are held at the Sweet Inspirations Restaurant from 6 - 7:30 p.m.
Monday, April 9, 2018 TMD – non-surgical management Dr. Van der Ven/Nakhjiri
Monday, May 7th, 2018 Oral and parenteral sedation Dr. Charles Weber
Mount Baker Dental Society Tuesday, April 10, 2018 Preservation and reconstruction of the alveolar ridge through biotechnology Dr. Ashoka Subedar Max Dale’s, Mt Vernon
Tuesday, May 8, 2018 Diagnosis and decision makers - The great pretenders Dr. Ryan Wynne Bellingham Golf and Country Club
Pierce County Dental Society Upcoming Meetings
Register Online At: www.pcdentists.org
Tuesday, April 17, 2018 Craniofacial development and pediatric sleep apnea
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Dr. Soliel Roberts General Membership Meeting 5:30 p.m., $41.00, includes dinner Tacoma Country & Golf Club To register: www.pcdentists.org Credits: 2
Friday, May 11, 2018
Judy Kay Mausolf Spring Meeting · Location TBD To learn more about Judy Kay visit her website at: practicesolutionsinc.net
Seattle-King County Dental Society
Snohomish County Dental Society
Visit our website for more details and contact the SCDS office to register. All SCDS General Membership meetings are held at the Mill Creek Country Club starting at 6 p.m with a social hour, followed by dinner at 6:45 p.m. and a one hour CE program at 7:30 p.m. Guests are welcome to attend.
Wednesday, February 21 Periodontal surgical procedures to facilitate orthodontic outcomes Pamela Nicoara, DDS, MSD SCDS General Meeting Credits: 1
Friday, March 9 Methods, materials & madness · The stuff that matters Dr. Michael Fling Annual Seminar co-sponsored with SKCDS & UWSOD. Save $$ with Early-Bird registration by Oct. 31st. For details & registration go to: www.skcds.org Lynnwood Convention Center Credits: 7
Wednesday, March 21 Infection control and maintenance of dental handpieces and related instruments Doug Mayer SCDS General Meeting Credits: 1
Wednesday, April 18 More Chocolate: The Fun Biochemistry of Cavity Prevention Speaker: Dr. Roger Lucas Joint meeting with Snohomish Co. Dental Hygiene Society SCDS General Meeting Dentists & Staff welcome to attend. Credits: 1
Friday, April 27 BLS for healthcare providers & first aid courses
Presented by I Know CPR in Everett BLS is 8:30 - 11:30 a.m., First Aid is Noon - 3 p.m. Advance registration required · Contact the SCDS office.
Wednesday, May 16 WSDA President & special recognition award SCDS General Meeting Credits: 1
Spokane District Dental Society
Tuesday, April 24, 2018 Annual officer installation and member recognition event
Friday and Saturday, February 9 and 10 Ski/CE event
6 – 9 p.m. Salty’s on Alki Credits: 2
Friday, May 18, 2018 Green dentistry: marijuana, opioids and the effects on oral health
Speakers: Dr. Barry Taylor and Dr. Caroline DeVincenzi 8:30 a.m. – 4:30 p.m. Marriott – Seattle Airport Credits: 7
Schweitzer Ski Resort
Thursday-Saturday, April 19-21, 2018 Inland Northwest Dental Conference Northern Quest Resort www.indc-spokane.com
CE AROUND THE STATE
th e wsda ne w s · issue 4, march · 2018 · www.wsda.org · 37
ce news component continuing education
Lewis County Dental Society
WITH OUR SUPPORT, YOUR DENTAL CAREER CAN BE A WALK IN THE PARK. Henry Schein Professional Practice Transitions is with you every step of the way. From the day you graduate and begin your first Associateship, to the day you retire...and every day in between.
www.henryscheinppt.com
15PT3680_PARK_7.3 W x 4.7.indd 1
PRACTICE SALES n VALUATIONS n TRANSITION CONSULTING/ PLANNING n ASSOCIATESHIPS
CLINICS IN WASHINGTO
1-800-988-5674
© 2018 Henry Schein, Inc. No copying without permission. Not responsible for typographical errors.
n
HOW NON PROFIT CLINICS ACRO THE STATE ARE PROVIDING CARE
Since 1968
We are pleased to announce... Paul Roe, D.D.S. has acquired the practice of
Gary E. Heyamoto, D.D.S. Bothell, Washington
Gary A. Wall Jr., D.D.S. Jonathan Huang, D.M.D. & Michiko M. Huang, D.D.S. have merged their practices Edmonds, Washington Call today for a FREE MARKET VALUE ANALYSIS ($5,000 value)
We are pleased to have represented both parties in this transition. 800.232.3826 | www.AFTCO.net Practice Sales & Purchases Over $3.2 Billion
3 8 · th e wsda ne w s · issue 4, march · 2018 · www.wsda.org
OPPORTUNITIES AVAILABLE
OPPORTUNITIES AVAILABLE
ASSOCIATE WANTED — Established Bothell general practice seeking associate for MondaysThursdays for three weeks out of every month. Potential for purchasing in the future, after a 6 - 12 month trial period to establish compatibility and alignment of goals. Bothell is a wonderful community with good middle-class families, bike trails, restaurants, and some of the best schools in the state. Please send your resume to: dr.mep012@ hotmail.com along with a cover letter introducing yourself, and we look forward to meeting you!
ASSOCIATESHIP — Full-time associateship position available. Large, growing, non-corporate, Kirkland practice. Please send resume to info@ kirklandteeth.com.
GENERAL PRACTICE RESIDENCY SITE DIRECTOR — Oregon Health & Science University is seeking a full-time 1.0 FTE General Practice Residency Site Director. Responsibilities include: Provide leadership in the program’s Hospital Clinic, participation in the education of dental students and residents, supervising residents in clinical activities, establishing and maintaining of a program of specific and general scholarly activity, and providing direct patient care. *Please apply online at www.ohsujobs.com, then search using IRC63053. The School of Dentistry shares the mission of the Oregon Health & Science University to provide educational programs, basic and clinical research, and high quality care and community programs. We strive to foster an environment of mutual respect where the free exchange of ideas can flourish. The dental school prepares graduates in general dentistry and the dental specialties to deliver compassionate and ethical oro-facial health care. Required Qualifications: •Dental degree (DDS/ DMD) from a CODA accredited school •Completion of GPR program from CODA accredited school •Current BLS certification from the American Heart Association •Oregon Dental License (or eligibility to obtain prior to employment) •Eligible for hospital privileges at OHSU •Oregon Moderate IV Sedation Permit, parenteral and enteral (or eligibility to obtain upon offer) •Able to perform the essential functions of the position with or without accommodation Preferred Qualifications: •Experience in teaching, research, service, patient care, and academic management •Demonstrated achievement in research including publications in peer reviewed journals •Course director or codirectorship, and •Demonstrated service activities such as committee participation at the school and university level. Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu.
ASSOCIATE OPEN — Associate position available to start working Wednesdays and Thursdays with hours 8-5. Doctor will be working in a family practice with the ability to practice as one desires and is capable of. OS, Endo, Perio, Pros, Rest patients/ cases to work with. Accomodations available. Send resume to uwdentaldoc@hotmail.com. ASSOCIATE WANTED — Growing private practice in Beautiful Northeastern WA is looking for an associate dentist to become a part of our team. We are looking for someone whose love for people equals their passion for quality dentistry. We have a fun, low stress office where people and the community are our focus. We have 11 operatories and new equipment throughout. This is an associate position with a path to partnership, but we are also open to experienced dentists who want to enjoy keeping their focus on patient care without the headaches of the business side. Very competitive pay structure, make full time pay on 3 days per week. Practice the way you want. To learn more please send a cv and contact information. Email browncoppell@gmail.com.
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PART TIME GP ASSOCIATE IN ELLENSBURG — We are looking for a long-term associate in Ellensburg, WA to work 2.5 days Wed-Fri. We are an easy-going office where you will be allowed to treat as you see fit. Please email resume to uwdentaldoc@hotmail.com DENTIST OPPORTUNITY, CENTRAL WASHINGTON — Seeking experienced dentist for a busy, well established, successful, multi-specialty group, fee for service dental practice to work full time with part time options. Come join our professional, modern office and become a part of our wonderful team. Please send resume and direct any inquiries to felixzario509@yahoo.com. GENERAL DENTIST — Spokane’s Dental Providers is looking for a driven, dedicated, and skilled general dentist to join our Maple Street Family Dentistry location in beautiful Eastern Washington. We have multiple privately held practices in the Spokane WA area that specialize in patient focused dentistry. Full schedule immediately in a family friendly environment. There are no management headaches with this well managed private practice. This practice has all the systems and pieces put together for an associate to have tremendous success. All aspects of dentistry here from same day crowns Cerac, restorative, cosmetics, endo, and implants and more. Future partnership and buy out opportunity here if we find the right fit for owner and associate. Generous Compensation Package depending on experience. Send Resume or Contact us! roxie@libertylakefamilydentistry. com. Visit our locations: www.libertylakefamilydentistry.com, www.latahcreekfamilydentisty. com, www.northpointefamilydentistry.com, www.maplestreetfamilydentistry.com.
RESIDENCY DIRECTOR — Oregon Health & Science University is seeking a full-time 1.0 FTE General Practice Residency Director. Responsibilities include directing the daily administration of the General Practice Residency (GPR) Program, developing, evaluating, and implementing program curriculum, supporting and maintaining the standards and accreditation of CODA standards, recruitment and oversight of resident selection process, recruiting and involving community based faculty into program, and supervising residents in clinical activity. *Please apply online at www.ohsujobs.com, then search using IRC58347. The School of Dentistry shares the mission of the Oregon Health & Science University to provide educational programs, basic and clinical research, and high quality care and community programs. We strive to foster an environment of mutual respect where the free exchange of ideas can flourish. The dental school prepares graduates in general dentistry and the dental specialties to deliver compassionate and ethical oro-facial health care. Required Qualifications: • Dental degree (DDS/DMD) from a CODA accredited school • Completion of GPR program from CODA accredited school • Current BLS certification from the American Heart Association • Oregon Dental License (or eligibility to obtain prior to employment) • Eligible for hospital privileges at OHSU • Oregon Moderate IV Sedation Permit, parenteral and enteral (or eligibility to obtain upon offer) • Able to perform the essential functions of the position with or without accommodation Preferred Qualifications: • Experience in teaching, research, service, patient care, and academic management • Demonstrated achievement in research including publications in peer reviewed journals • Course director or co-directorship, and • Demonstrated service activities such as committee participation at the school and university level. Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu. DENTIST — Pedodontist, FT Associate, Eagle River, Alaska. Permanent position, 4-5 day work week, immediately available for an Alaska Licensed pediatric dentist. Discovery Dental Kids is looking for a compassionate, pediatric dentist who will deliver excellent care to children of all ages from infants to teens. We provide a range of preventive and restorative services, oral sedation and GA with an onsite anesthesiologist. All in a beautifully custom designed practice located 15 miles from Anchorage and surrounded by mountain views and Eagle River. Competitive compensation. Contact Leanne 907-351-3459 for more details. GENERAL DENTIST ASSOCIATE POSITION — Option to buy. Existing DDS with is looking to be retired within the next year or sooner. This private practice (30+ year patient base) is open Mon-Thurs (Mon-Wed 8-5, and Thurs 9-3). Prefers someone with at least five years of experience. Part time to start, (3 days) building into full time. Substantial patient base! Salary DOQ. Email: lori.leonarddds@outlook.com.
th e wsda ne w s · issue 4, march · 2018 · www.wsda.org · 39
ASSOCIATE DENTIST — Earn Up to $220,000/ yr.+! Great respect, benefits and bonuses! Fast growing, privately owned dental office seeking additional talented and enthusiastic associate dentist to join us full time: enjoyable, respectful and professional environment. Great income potential and opportunity for advancement! Excellent benefits. educational support and training! Morning, evening and weekend Hours. Earn as high as $220,000/ yr….plus bonuses! $588 restorative production/ exam average, you see 125 hyg. patients/mo., you get 30% of production. No patient cherry picking by senior dentists. Send Resume and Cover Letter to Jason@hildefamilydentistry.com. GENERAL DENTIST NEEDED — We are interviewing for a general dentist position in our growing practice. The dentist should have at least five years of experience and should feel comfortable doing molar root canals and surgical extractions. We have clinics in South Seattle and Kent. We need a dentist that can work 2 to 4 days in a week. Please send us your Resume to jobs@buriendentalcare.com or call 425-647-4318.
classifieds issue 4, march, 2018
OPPORTUNITIES AVAILABLE
clinical corner issue 4, march, 2018
CLINICAL CORNER Large multilocular, expansile radiolucency, right posterior mandible Contributed by:
Dr. John Malan, Owyhee Oral & Facial Surgery, Nampa Idaho.
History of present illness
This is a 20-year-old white male who was referred by his general dentist for a large swelling on the right mandible. The patient reports, “I think my wisdom tooth is coming in and causing a lot of swelling. It has gotten so bad, I can’t put my teeth together.” The patient was seen in 2016 by another general dentist, who took a panoramic radiograph noticing displacement of tooth #32 into the ramus. The tooth displacement was interpreted to be related to “eruption of tooth #32.” Due to a rapid increase in swelling over the last three months, a new panoramic image was obtained, which showed a large multilocular and expansile radiolucency extending from the apex of tooth #28 to the superior right mandibular ramus, displacing tooth #32 posteriorly and superiorly to the coronoid process (Figure 1). The patient’s past medical history is unremarkable.
Have you been injured or are you sick/ill?
CLINICS IN WASHINGTO Figure 1
Test your knowledge!
Visit https://dental.washington.edu/oral-pathology/case-of-the-month/ and see if your assessment of the case is correct.
HOW NON PROFIT CLINICS ACRO THE STATE ARE PROVIDING CARE
We can help. The WSDA is ready to aid dentists and their spouses. Cancer, depression, substance addiction, it doesn’t matter.
Call the Disability Hotline (206) 973-5226 or email info@wsda.org for assistance. 4 0 · th e wsda ne w s · issue 4, march · 2018 · www.wsda.org
OPPORTUNITIES AVAILABLE
OPPORTUNITIES WANTED
DENTIST - General FT Assoc. Eagle River, AK. Fantastic career opportunity! Permanent position 4 to 5 days per week immediately available for an Alaska licensed general dentist. Legacy Dental Arts is looking for a compassionate, general dentist who will deliver excellent care to mainly our adult patients. Our office is staffed by a group of dedicated team members committed to proving a wide range of preventive, restorative services, cosmetic and implant services with Sedation options available, all in a relaxing atmosphere providing the best experience for each and every patient. Located 15 miles from Anchorage, our beautiful practice is designed specifically with adults in mind, is surrounded by scenic mountain views and breathtaking Eagle River. Competitive compensation and benefits. Contact Leanne 907-351-3459 for more details.
MULTI-SPECIALTY GROUP PRACTICE OPPORTUNITIES — With more than 400,000 patients throughout our 50+ practice locations in Oregon, Washington, and Idaho, and a built-in specialty referral network to more than 30 specialists, Willamette Dental Group has been a leader in preventive and proactive dental care since 1970. What makes this multi-specialty group practice unique, and better, is a commitment to proactively facilitating the best possible health outcomes. We currently have openings in Oregon and Washington for general dentists, endodontists, oral surgeons, pediatric dentists, and locum tenens dentists. As a member of the Willamette Dental Group team, we offer a competitive salary commensurate with experience. We are a performance based culture and offer a generous and comprehensive benefit package. Among the many amenities we offer are competitive guaranteed compensation, benefits, paid vacation, malpractice insurance, in-house CEs, and an in-house loan forgiveness program. Please contact Courtney Olson at colson@ willamettedental.com and visit www.willamettedental.com/careers to learn more!
OPPORTUNITY WANTED — 2018 Graduate of Eastman Institute for Oral Health / University of Rochester seeks pediatric dentistry position in Washington or Oregon. View my CV here: https://drive.google.com/ file/d /0B8SwPIVIQ5TfOUtxWFJYNmM3SUE/ view?usp=sharing.
DENTIST NEEDED — Family Health Center, Longview WA is looking for a DDS or DMD with at least 1 yr experience. NonProfit Community Health Center. WA State DEA license. Apply to jobs@cfamhc.org. DENTISTS NEEDED — Dental Professionals is recruiting dentists for temporary and permanent positions throughout western Washington – Vancouver to Bellingham and the Olympic Peninsula. No fee to you and you pick the days and geographic locations that you are available to work. This is a great opportunity to earn supplemental income or find a permanent position. If interested please call Bob at (206) 767-4851.
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ORTHODONTIST NEEDED — We are looking for an orthodontist for 1 to 2 days a week in our Kent clinic. The orthodontist needs to bring his/her team and supplies. We get 10 new ortho patients per week. We provide excellent compensation based on collection. Please send us your resume to jobs@buriendentalcare.com or call 425-647-4318. OPPORTUNITY AVAILABLE PEDIATRIC DENTIST – RENTON Our pediatric dental practice is seeking a friendly associate dentist with excellent clinical skills and the ability to communicate at a high level with both patients and staff. This is an opportunity beginning in June of 2018 to fill in for a pediatric associate who is going on maternity leave for up to eight weeks. This is also a practice purchase opportunity if the candidate is interested and qualified. Our growing office is located in Renton adjacent to Valley Medical Center. We are a professional practice focused on maintaining first class standards with an emphasis on patient care and comprehensive treatment. Presently, we have two pediatric specialists and one orthodontic specialist on staff. We have been established for over thirty five years. If interested, email a personal statement and your curriculum vitae to Chantel at Chantel@OBrienChildrensDentistry.com SPOKANE — We are looking for a full-time general dentist for our fast paced office. The clinic is new, beautiful and state-of-the-art. We are a family practice. We have a network of orthodontists and oral surgeons that work alongside our general dentists. We offer a great guaranteed salary and production bonuses. Position is available immediately, but we can be flexible. jvoie24@yahoo.com SPOKANE — Seeking full-time general dentist, able to work a varied shift schedule including weekends; must be able to do all aspects of general dentistry including molar endodontics and 3rd molar/surgical extractions; able to adapt to new systems and paradigms; great opportunity to grow and learn; 1-5 years experience preferable. Unlimited income potential! Send resume to Dr. Bradley J. Harken; bradharken@hotmail.com.
GP PRACTICE MILL CREEK — Priced to sell four chairs, busy shopping center, 400k ‘15, 700k ‘16, lots of room to grow, Open Dental, low overhead, strong referral, motivated seller, email FVqualitydentalcare@gmail.com DENTIST OPPORTUNITY IN WESTERN WASH. — Seeking experienced dentist for busy, well established, successful, fee for service, group dental practice. Full-time position available. Excellent immediate income opportunity ($180,000 to $375,000 + per year) depending on productive ability and hours worked. Secure, long-term position. You can concentrate on optimum patient treatment without practice management duties. Modern well-equipped office with excellent staff, and lab services provided. If you are bright, energetic with a desire to be productive, very personable, and people oriented, and have great general and specialty clinical skills, Fax resume to Dr. Hanssen at (425) 484-2110. ASSOCIATE — We have a great associate opportunity for a new graduate or a long term home for a seasoned dentist looking to be compensated well with less of the headaches and stress. Group practice composed of general dentists, orthodontists, and oral surgeons. For new grads it’s the perfect opportunity to learn your craft by working side by side with generalists and specialists while being paid very well. Base salary starting at $150,000 plus bonuses. Full benefits package and moving allowance. State of the art clinics and equipment. Mix of children and adult dentistry. Mix of State and private insurance. Come try out the Eastern Washington, where there’s 300+ days of sunshine, beautiful landscaping, the gorgeous Columbia River and family friendly communities! Please send inquiries to jbabka@applesmiles.com. ENDODONTIST SEEKS WORK — Experienced endodontist seeking part-time work. Commuting from Kirkland. Licensed in WA. Review my resume: https://www.dropbox.com/s/pnuhyi43volgxne/Resume.pdf?dl=0.
OPPORTUNITIES WANTED OPPORTUNITY WANTED — 2017 University of Washington SoD graduate looking for a general dentist position in the Tri Cities area. View my CV here: http://docs.google.com/ document/d/1oABbEGKJsaW-X9jzY7bFDbbfHGwfnswRDPX0juWzhE0/edit.
th e wsda ne w s · issue 4, march · 2018 · www.wsda.org · 41
OPPORTUNITY WANTED — 2018 graduate of Arizona School of Dentistry and Health seeks general dentistry position in western Washington. View my CV here: https://drive.google.com/ file/d/1Yd6Q5PIt034w2_HzJoQoE7juix81l72V/ view?usp=sharing. OPPORTUNITY WANTED — 2015 Graduate of Marquette University seeks a general dentistry position in the greater Kitsap County area. View my CV here: https://drive.google.com/file/ d/1cUDpoN5r_rpYWuDdSsNY38wVUvKMrM-J/ view?usp=sharing. OPPORTUNITY WANTED — 2018 Graduate of Midwestern University/Arizona seeks general dentistry position in Western Washington. View my CV here: alexandraquiroz.com. OPPORTUNITY WANTED, SOUTH SOUND — 2018 UWSoD seeks general dentistry position in south Puget Sound. View my CV here: https:// drive.google.com/file/d/1To4YpqLqzzzCR9ROelV qvU0b280ZTDv_/view?usp=sharing. OPPORTUNITY WANTED — 2017 Graduate of Roseman University of Health Sciences seeks general dentistry position in the Tumwater, Olympia, Lacey, Yelm, Elma areas. View my CV here: https:// www.dropbox.com/s/rbs19i1oll5jf9h/Copy%20 of%20LanceCV.pdf?dl=0. OPPORTUNITY WANTED, WESTERN WA — 2017 Graduate of NYU College of Dentistry seeks general dentistry position in Eastern Washington. View my CV here: https://www.dropbox.com/s/ oh4gtxom7gtdi3p/k.zhezherya%20resume%20 PDF%201%20mb.pdf?dl=0 OPPORTUNITY WANTED — 2018 University of Detroit Mercy seeks general and cosmetic dentistry position in Western Washington. View my CV here: https://uptowork.com/mycv/jzhu90. OPPORTUNITY WANTED — 2017 University of Washington School of Dentistry seeks general practice position in Western Washington. View my CV here: https://drive.google.com/file/ d/1ZI5FAYvYNm6dNUOh9I2_hHb3td0IoWhP/ view?usp=sharing. BOOST PRODUCTION — Want to boost your inhouse production by not referring out your patients for treatment? General dentist with over 25 years of experience in private practice with strong skills in oral surgery and endodontics available to see patients in your practice on Fridays and Saturdays.Call (360) 402-9370 or e-mail scubatooth@msn.com.
OFFICES FOR SALE OR LEASE RARE OPPORTUNITY — Dental practice for sale on the island of Haida Gwaii, B.C. in the waterfront village of Queen Charlotte City. Five operatories, well trained staff, booked 1 month in advance, produced $600,000+. Vancouver is a 1.5 hour flight away, world class fishing on the island. 100% financing available as is immigration assistance. Contact Ms. Shauna Lenius at shauna@purtski.com or 778-866.1187.
classifieds issue 4, march, 2018
OPPORTUNITIES AVAILABLE
DG Transitions LLC
DG Advisors
5808 Lake Washington Blvd NE Suite 101
Dental Wealth Advisors LLC
LLC
Kirkland, WA 98033
We’re your Transitions Specialist,CPA,& Wealth Advisor 3 ops > Collecting $583K
KENT
3/6 Ops > Collecting $415K
RENTON
8 ops > Collecting $693K
OLYMPIA
3 Ops > Collecting $2.2M
Specialty Dental Practice Opportunities SOUTHEAST LAKE WASHINGTON
Ortho/Pedo > Collecting $1.9M
425-216-1612
Transitions Done Right
SM
We bring all of our tools and expertise to bear to achieve your desired transition and through tax and other planning, leaving more of your hard earned value in your pocket.
The Dentist’s Advisor
SM
For dentists and specialists who believe that planning, implementation and monitoring are crucial to long-term financial success and quality of life.
The Dentist’s Wealth Advisor
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Comprehensive Financial Planning* Wealth Management Investment Management Retirement Plan—CFO Services
General Dental Practice Opportunities SNOHOMISH COUNTY
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CLINICS IN WASHINGTO *Personal financial planning, Investment & Wealth Management Services provided by Dental Wealth Advisors, LLC a Registered Investment Advisory
HOW NON PROFIT CLINICS ACRO THE STATE ARE PROVIDING CARE
Pending Transitions SHORELINE
General Practice > Collecting $994K
WHIDBEY ISLAND
General Practice > Collecting $1.2M
EASTSIDE - NORTH [CLOSED]
General Practice > Collecting $582K
GREATER OLYMPIA AREA
General Practice > Collecting ---
Coming Soon Many more...watch for details coming soon!
sam@cpa4dds.com
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mmb@cpa4dds.com
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4 2 · th e wsda ne w s · issue 4, march · 2018 · www.wsda.org
Call 425-216-1612 or jennifer@cpa4dds.com us today to see how we can help you!
DG Transitions LLC
The Dental Group
Comprehensive | Professional | Tax Efficient LLC A DENTAL GROUP COMPANY
PANTHER LAKE AREA-KENT: Rare opportunity of a 1250 sq. ft. dental space available in a wellestablished dental building located on a high traffic main road. Ample parking with an attractive lease structure and re-modeling allowance. For further information, please call Dr. Trevor Bryant (360) 468-4252 or email: tbryant@rockisland.com. FOR LEASE — Three-chair practice located in Edmonds Washington. Prime location on a major street. Associate in office 2 days a week. May opportunities to grow and expand. Includes denture laboratory supplies and equipment. Contact Steven Kanzaki at 206-619-9514 or skanzaki@aol.com. MUKILTEO, WA — Custom boutique dental and medical Spa with panoramic views of Puget Sound. Built in 2012, 3 ops, nitrous plumbed, fully digital, with strong patient base for both dentistry and injectables. Practice being sold due to relocation of DDS due to unexpected death in family. An amazing opportunity for the right person. Contact: Donald Kearney (425) 308-1918. GENERAL PRACTICE FOR SALE, SNOHOMISH COUNTY — Charming practice in the heart of thriving community! Collecting $583K. 1,500 sq/ ft-approx. Three fully equipped operatories. TMJ Therapy. Refers out implants, perio and ortho. For more information contact: Jennifer Paine at (425) 216-1612 or email Jennifer@cpa4dds.com. GENERAL/COSMETIC PRACTICE FOR SALE, OLYMPIA — Beautiful, state-of-the-art practice in the heart of the State’s capital! Buy-in/out option available. Eight fully-computerized operatories w/ Adec chairs. Digital radiography & pano. Lasers. Nitrous. Rotary endo /elements obturation. Dexis CariVu. Intra-oral cameras. iTero. Dentrix/ Dexis. 3,900 sq/ft approx. For more information contact: Jennifer Paine at (425) 216-1612 or Jennifer@cpa4dds.com. PEDIATRIC w/ORTHO PRACTICE FOR SALE, SE WASHINGTON — Dual-specialty practice. Large modern facility collecting $1.9M w/ latest computerization, ortho imaging Pan/Ceph & software. Long-term lease available. Staff trained expanded duties, modern premedication techniques & general anesthesia. Eight chairs fully-plumbed for all utilities/N2O. Ample parking near major area hospital. Owner willing to work-back. For more information contact: Jennifer Paine at (425) 2161612 or Jennifer@cpa4dds.com GENERAL PRACTICE FOR SALE, KENT — Excellent opportunity poised for growth! Collecting $415K. Three fully-equipped operatories w/ 3 additional available. Digital radiography. Private office. X-ray. Storage. Lab. 2,370 sq/ft. approx. Currently referring out: Implant placement; Third molar removal & Molar endo. For more information contact: Jennifer Paine at (425) 216-1612 or Jennifer@cpa4dds.com
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GENERAL PRACTICE FOR SALE, RENTON — Tremendous growth potential. Collecting $693K. Priced to sell. Four fully-equipped digital operatories. Referring out: some 3rd molar; endo, implants & gum grafts. Avg. 30 new patients in past 90 days. X-ray. Pano. Priced to sell! For more information contact: Jennifer Paine at (425) 2161612 or emailJennifer@cpa4dds.com. DENTAL PRACTICE FOR SALE — Great location in Lynnwood. Three operatory, fully equipped dental office. Dentist is retiring. Contact Dirk at dirk1@ msn.com for details.
OFFICES FOR SALE OR LEASE
OFFICES FOR SALE OR LEASE
FOR SALE — Periodontal practice for sale in Washington state. Realize your dream and tax advantages of practice ownership. South Puget Sound well established periodontal practice. Established in 1975 with large hygiene following. New office location designed by owner in 2013 with new Adec equipment, multiple implant systems, Piezo surgery units, Waterlase Express hard tissue and Picasso diode lasers. Experienced delightful staff. Owner willing to stay on to assist with transition. Respond to helmstetter.barbara@ gmail.com or 503-799-4743.
OLYMPIC PENINSULA DENTAL PRACTICE FOR SALE — Only dentist within 40 mile radius of town. Annual collections over $900,000 on 3 days per week. Building also for sale. Contact rod@omnipg.com. (WD132)
CLE ELUM — Well established, general practice for sale, located in a fast growing area. 4 complete operatories, 1850 square feet. Option to lease or purchase building. Located 1.5 hours east of Seattle, 10 minutes from Suncadia. Contact Dr. Lorin Peterson at klcehome@msn.com or 509-674-1389. FOR LEASE — High exposure commercial spaces in Sequim Professional medical/dental office spaces within 5th Avenue Medical Specialists complex. Excellent front plaza corner lot exposure in busy area of medical and dental offices in Sequim. Bring your business ideas to this great location. Water, sewer, garbage & grounds maintenance included. Tenant pays all other utilities.1229 SF @ $1600 per monthgross lease. Contact: Dollie Sparks. (360)582-7361 cell. (360)683-6880 office dolliesparks@gmail.com. FOR LEASE — A dental office is available (12/1/2017) for lease. Currently, it is a dental office with three chairs set up. Total square feet is 1100 square feet. Total rent is $3300. Flexible term. Possible signage along busy 148th Avenue in Bellevue. Call (206) 498-3668 for showing. FOR SALE — General practice near downtown Bellevue for sale. Six ops plumbed for 7th. Paperless and all digital. CBCT, Dentrix/Dexis/ two sensors, E4D CAD/CAM. Remodeled in 2016 by DanNix Design. Collected over 1.3 million in 2017. Please contact CarynL1230@gmail.com. SPACE TO SHARE — Looking for another dentist to share a three operatories office in SLU. Current dentist works about 3 days per week and uses only one chair. Great opportunity for someone looking to build patient base without the overhead of your own office. Please call if you are interested. 206-445-2864. FOR LEASE — Last remaining space available in immaculate dental/medical building. Located in Olympia, WA near Providence St Peter Hospital. Great visibility and parking. Approximately 2140 SF. Generous TI allowance for qualified tenant. Contact Quint Newell (360) 688-8333. FOR LEASE — Medical/Dental suites. 1,004 SF - 2,413 SF. Campus setting with other medical professionals located at 2317 SW 320th Federal Way, WA 98023 Contact Brian Clapp at Kidder Mathews (206) 248-7316. BELLINGHAM — Lease turnkey dental suite. Formerly successful pediatric and orthodontic Class-A office space. Save $200,000+ construction costs. Ample parking. Interstate-5 access. High-traffic/visibility location. Customization available. Lincoln Professional Center: 360-739-1421 adengst@gmail.com. NEW! NORTHGATE TURN KEY DENTAL OFFICE FOR SALE/SPACE FOR LEASE — Up to 6 operatories, reception, waiting area, restroom, lab, sterile, doctor office, staff lounge. Four operatories are fully operational with ADEC chairs, CT scanner. No patients, assets only $50,000.00. Email steve@omni-pg.com.
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ISLAND PRACTICE — Annual collections over $300,000. Newer buildout. Great location with tons of room for growth. Contact rod@omni-pg. com. (WD182) CENTRAL WASHINGTON RESORT TOWN — General dental practice for sale. Low stress lifestyle with annual collections of $600,000+. Good patient base with room to grow. Four operatories in newer, beautiful building which is also for sale. Get out of the rat race and practice in peace. Contact rod@ omni-pg.com. (WD184) SOUTH SOUND ORTHO PRACTICE FOR SALE — Annual collections of over $600,000 in six chair office in a stand-alone building. Some DSHS patients. Good visibility. Contact rod@omni-pg.com. (WD169) FEDERAL WAY GENERAL DENTAL PRACTICE FOR SALE — Annual collections over $1 million. Very nice design and well kept modern office. 4 operatories with room to grow. Contact frank@omni-pg.com. (WD170) DES MOINES GENERAL DENTAL PRACTICE FOR SALE — Nice location in newer office. Annual collections over $600,000. Good new patient flow. Four operatories with room to grow. Contact frank@omni-pg.com. (WD171) SKAGIT COUNTY GENERAL DENTAL PRACTICE Annual Collections over $250,000. Four operatories. If you’re desiring an easy-paced practice and a relaxing, outdoor lifestyle, this may be for you. Contact frank@omni-pg.com. (WD172) WESTERN SKAGIT COUNTY GENERAL DENTAL PRACTICE — Located near the water. Annual collections of approximately $400,000 per year. Four operatories. Downtown practice location. Contact Frank at frank@omni-pg.com. (WD173) GENERAL DENTAL PRACTICE NEAR UNIVERSITY OF WASHINGTON — Three operatories. Annual collections of $350,000 on 3.5 days per week. Area is being regentrified with new restaurants and buildings. Contact frank@omni-pg.com. (WD174) WHATCOM COUNTY — General dental practice for sale. Annual collections of approximately $250,000. Located on a busy street. Building also for sale with another space for rental income. Email rod@omni-pg.com (WD177) NORTH KING COUNTY GENERAL DENTAL PRACTICE FOR SALE — Annual collections of $180,000, three operatories, busy corner lot. 1,000 sq. ft. Building for sale at $650,000. For details, email rod@omni-pg.com. (WD178) NORTH SNOHOMISH COUNTY PRACTICE FOR SALE — Annual collections over $650,000. Great visibility with awesome signage. Located 40 miles north of Seattle. Email frank@omni-pg.comfor more details. (WD179) EAST OF LAKE WASHINGTON PRACTICE FOR SALE — Just off of I-90. Annual collections over $400,000. Great location. Two ops with possible room to grow. Email frank@omni-pg.com for more details. (WD180)
classifieds issue 4, march, 2018
OFFICES FOR SALE OR LEASE
first person dr. brittany dean
first person, continued from page 46
negative financial net worth — but I identified with some of the things that Keltner says powerful people do. Perhaps it’s that dental school Lunch and Learns taught me to never pass up free food, but when I heard about the cookie experiment, I was sure that I would have taken the fourth cookie (and maybe even the fifth, if they were really good cookies). On my commute home recently, I saw a pedestrian on a residential street, tapped the brakes long enough to make sure he wasn’t going to run out in front of me, and then zoomed past him. These actions are tough to admit because I have always considered one of my core values to be doing good for others. Indeed, I think many young dentists and dental students would cite the opportunity to improve the lives of patients as a major driver for their choice to enter the profession. But as I prepare to gain another degree, arguably a marker of increased status, I cannot help but wonder, will any altruism I have left ultimately fade? Towards the end of the podcast, Keltner admits that he has seen changes in himself as he has risen from one social stratum to another. Still, he asserts that changes as we gain power are natural, but not inevitable: “We’ve got to be aware of [power]. It can lead us to do selfish things, and we should try to do the things that make it a force for good.” Keltner’s example of someone who did it right is Abraham Lincoln, whom he says preserved his focus on the greater good after his election. I find it especially difficult to relate to the White House these days, so I’d suggest that we find our heroes closer to home. My personal heroes include my husband, who can be drowning in work responsibilities, but will extend an oral medicine appointment an extra 30 minutes for a patient who needs to feel heard to start to heal. Another shining star is Dr. Nhi Pham. If you were lucky enough to hear her 2017 Citizen of the Year acceptance speech, you would know that her husband encouraged her to be successful so that she could fund her outreach dentistry. We’ve got exceptional examples all around us. My peers and I are not necessarily doomed to becoming less feeling and more self-serving because of our privileged status in society, but I admit it may take effort and focus to avoid it. One way we can do that is to make giving back to our community a focus in our lives. In this issue’s cover story about free clinics, all of the administrators interviewed said they would benefit if more dentists would perform just eight hours of volunteer service a year. To recalibrate our perception and values, it’s a small price to pay.
OFFICES FOR SALE OR LEASE
OFFICES FOR SALE OR LEASE
NE KING COUNTY — Practice for sale in desirable community. Annual collections of $500,000 with three operatories. Contact rod@omni-pg.com. (WD187)
DENTAL OFFICE IN LYNNWOOD — Roughly 1,400 sq. ft. Plumbed for four ops including Nitrous and O2. Visibility from 44th Ave W. $24.00 per sq. ft. + $3.62nnn. Email steve@omni-pg.com.
SOUTH SOUND — General dental practice - Four operatory fee for service general dental practice with annual collections over $800,000. No PPO’s! Contact frank@omni-pg.com. (WD188)
GRANDRIDGE DENTAL/MEDICAL OFFICE FOR LEASE — Opportunity for a start-up or move your existing practice. Fully built out, four equipped operatories, reception, waiting area, lab, sterile, office, staff lounge. Contact steve@omni-pg.com.
LINCOLN COUNTY GENERAL PRACTICE FOR SALE — Owner is selling two separate practices both within 35 miles of Spokane. Excellent cash flow for a practice of this size. Contact rod@omnipg.com. (WD189)
MEDICAL DENTAL BUILDING FOR SALE IN NORTH SEATTLE — Currently built out as an orthodontic office. Twelve parking stalls for the sole use of property. Contact steve@omni-pg.com.
NORTH KING COUNTY GENERAL PRACTICE FOR SALE — Annual collections almost $900,000. Five operatories, Prime location. Low overhead and hi net practice with great cash flow. Contact rod@ omni-pg.com. (WD190)
PRACTICES FOR SALE COMING SOON — Whidbey Island, Lake Chelan, Burlington Perio, Downtown Seattle, Grays Harbor, Raymond, Spokane, West Linn, and Wasilla. Contact Rod to be notified when available – rod@omni-pg.com.
SEATTLE FEE FOR SERVICE PRACTICE FOR SALE 2016 collections of $1,350,000. Four fully equipped operatories, digital X-rays. Selling doctor will mentor purchasing doctor for a limited time. Contact rod@omni-pg.com. (WD191)
FOR SALE — Well-established (40 years) dental office for sale in stand alone building. Othello, Washington. Call (509) 989-1143 for details. PRACTICE FOR SALE — Own a high potential office. Collection at 670K+ at three doctor days with two hygiene days. Growing population/jobs. Work FT to bring office to $1 million. Four fully functional operatories, w/a 5th operatory plumbed. DigitalXray, implants, panorex, electric hand-pieces. contact thuandp@hotmail.com for info.
CLINICS IN WASHINGTO
OREGON DENTAL PRACTICES FOR SALE — Lake Oswego, Willamette Valley and more. Contact megan@omni-pg.com for more info!
BOTHELL PREMIER RETAIL SPACE AVAILABLE — 2,000 SF at North Creek Plaza. Located near UW Bothell, Cascade Community College, and the Bothell Technology Corridor. Contact steve@omni-pg.com. TUKWILA CLASS A MEDICAL/DENTAL OR OFFICE SPACE AVAILABLE — Top floor space available with 5,000 sq. ft. and 2,500 sq. ft. available on second floor. Territorial views. Two blocks from I-5 access and next to Tukwila Park & Ride. Ready for TI improvements.7500-2000 sq. ft. Available$25 per sq. ft. Gross Lease. Contact steve@omni-pg.com
FOR SALE — New practices for sale, located in Bellevue, Burien, Tukwila, Olympia, Tacoma. Also numerous pre-existing dental spaces for lease. Call today. New office development consultants for over 35 years. Annie Miller at REMAX (206) 715-1444.
SPACE FOR LEASE, WENATCHEE — Dentist ACRO HOW NON PROFIT CLINICS moving to new location. 3,504 sq.ft + 300 sf basement. Presently 10 opsPROVIDING can be split-up call 509-421- CARE THE STATE ARE 4914 or email drharveyopenwide@gmail.com.
MAPLE VALLEY, FRONTIER SQUARE — A mix of office and retail uses. There are currently two available spaces - 1,200 SF retail/office space and a 1,524 SF dental/medical office. Contact steve@omni-pg.com. WOODMONT PLACE SHOPPING CENTER IN KENT — High Visibility space. Signage available along Pacific Highway. 1,300 sq. ft. includes three exam rooms, x-ray room, darkroom, lab area, executive office, kitchenette, great signage and plenty of parking. Asking $2,275.00 a month - modified gross. Contact steve@omni-pg.com. LYNNWOOD PLUMBED DENTAL OFFICE — Roughly 2,000 sq. ft., Five ops including Nitrous and O2, plenty of parking with visibility from 196th. Contact Steve Kikikis by email steve@omni-pg.com. MARYSVILLE DENTAL BUILDING — Two additional tax lots for sale. Well-kept 6,600+ medical building with three dental tenants in place. One smaller unit is not rented. Residential home included. Contact steve@omni-pg.com. BELLEVUE MEDICAL CORRIDOR — Newly built in 2016 the Highland Professional Building is the perfect fit for medical, dental, or general office users. The entire second floor is available for lease approx. 3840 sq. ft. Plumbed for 7 plus operatories or medical rooms. Plenty of parking stalls. Rent $30.00 + $6.00 NNN per sq. ft. Contact steve@ omni-pg.com
G/P PRACTICE FOR SALE IN NORTH KING COUNTY — Annual collections almost $900,000. Five operatories, Dexis Digital X-rays w/ two sensors. Office located in the prime location in town. Practice has been in same location since 1975. Well trained and tenured staff will assist with the transition and stay on with the practice. Seller is a Delta Premier Provider. Seller does no endo, oral surgery, or pedo. Low overhead and hi net practice with great cash flow. Contact: Buck Reasor, DMD, Reasor Professional Dental Services, info@reasorprofessionaldental.com, (503) 680-4366. G/P PRACTICE FOR SALE IN GRAYS HARBOR COUNTY — Doctor has two practices that are 30 miles apart. One practice is the only dental office for 30 miles. Annual collections of $580,000. If you are seeking a small community to raise your family and become an active member in the community then this is a great opportunity. The main office has four fully equipped operatories. Well trained and experienced staff will assist and continue in the transition. Well-established practice that has been in the same location for 25 years. Outstanding and productive hygiene program in place. Excellent collection policy. Contact: Buck Reasor, DMD-Practice Transition Broker, Reasor Professional Dental Services. info@reasorprofessionaldental.com, 503-680-4366.
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SERVICES
FEE FOR SERVICE PRACTICE FOR SALE IN SEATTLE — 2016 collections of $1,350,000. Cosmetic/reconstructive in the Kois philosophy. Fee for service practice Great cash flow. Four fully equipped operatories, digital X-Rays, refers out endo and oral surgery. Well trained and experienced staff will continue and assist with the practice transition . Well established practice that has been in the same location for over 20 years. Selling Dr. will mentor purchasing Dr. for a limited time. Buck Reasor, DMD, Reasor Professional Dental Services, info@reasorprofessionaldental. com, (503) 680-4366.
INTRAORAL X-RAY SENSOR REPAIR — We specialize in repairing Kodak/Carestream, Dexis Platinum, Gendex GXS 700. Repair & save thousands over replacement cost. We also buy & sell dental sensors. www.RepairSensor.com / 919-924-8559.
FOR LEASE — Downtown Redmond medical/ dental office space for lease. Up to 2,800 sq ft. of space on the second floor, floor to ceiling windows on all sides. Prime location in City Center Building across the street from City Hall, Library, School, and Bus Stop. Perfect for high visibility. Building currently occupied by two GPs, an endodontist, chiropractor, and physical therapy clinic. Please email redmonddds@gmail.com. BELLEVUE/FACTORIA — Newly renovated (incl hardwood floor & granite reception countertop, etc.) dental office for lease. 1,200 sq. ft. Three-ops (fourth op can be added) in a stylish off bldg. Winner location. Easy I-90/I-405 frwy access. Across the street from Factoria Mall. 15’ pole sign by Factoria Blvd (206) 915-2263 Mark.
DENTAL EQUIPMENT FOR SALE USED/REFURBISHED EQUIPMENT — Adec, Gendex, Pelton Crane, DentalEZ, Porter, Air Tech, Midwest, Midmark and etc. Lab equipment. Parts are also available for almost all equipment. Call Dental Warehouse at 800-488-2446 or http:// cascade-dental.net.
OFFICE CONSTRUCTION CONSTANTINE BUILDERS INC. (CBI) — WSDA endorses CBI as their preferred builder of Dental facilities with over 25 years of experience from ground up buildings, renovations, remodels, and interior tenant improvement projects. All projects are completed on time and within budget. CBI provides the highest level of quality service with integrity that exceeds our client’s expectation. Please see our display ad on page two and website at www.constantinebuilders.com for additional information and how you can become another satisfied client. Telephone (206) 957-4400, O. George Constantine.
Stunning, high tech family practice with excellent visibility, amazing staff and opportunity for growth.
SOUTH SEATTLE Long-established, highly-reviewed practice with loyal patient base and top-notch technology. 2017 collections of $1.2M.
and highly-visible location, with significant opportunity for growth. Collections over $400,000, with strong net income.
DOWNTOWN SEATTLE
D!
SOL
FOR SALE — General practice in Battle Ground, WA. Three fully equipped operatories, busy main street location. Contact Vicki at (360) 521-8057 or lyledkelstrom@gmail.com.
FOR LEASE — Quality professional office space for lease in the heart of the Renton Highlands in the Highlands Professional Plaza medical dental building. Excellent place for an oral surgeon and/ or endodontist to open a satellite office or start up practice. Currently there are two GP dentists, a pedodontist, an orthodontist and a large physical therapy clinic. This building has a proven track record of successful businesses because of its location and quality. The building sits across the street from Bartells, QFC, and Starbucks. There are six elementary schools and four high schools within two miles. Get close to where the people live and enjoy fast practice growth. Call (206) 595-9100.
CENTRAL WASHINGTON/ WENATCHEE
! OLD S Lovely practice in an upscale
FOR IMMEDIATE OCCUPANCY — A fully plumbed dental office. 1,350 sq ft , three operatories, air, water, vacuum, nitrous oxide and oxygen, private office, lab, staff lounge, separate staff entrance. This office has exceptional exposure to the Southcenter Mall traffic. Please call Dr. Jerome Baruffi at Medical Centers Management (206) 575-1551.
FOR SALE — General practice in beautiful Central Washington, same owner since 1979, consistent annual collections: $700,000, 60 percent OH, largely FFS, digital technology, 3,400 sq. ft., five ops, asking $546,000. Email: FredH@arizonaTransitions.com.
Handling dentists’ practices with care for 21 years!
NORTH SEATTLE/MUKILTEO
AVAILABLE, SOUTHCENTER — Just available. 1200 square foot fully equipped four operatory dental space. Cerec , Panoral, four chairs, lights, nitrous, air and vacuum all available and in place. Please call Dr. Jerome Baruffi at Medical Centers Management (206) 575-1551.
ON
OSS
Sales Acquisitions Mergers Valuations
Premier FFS practice opportunity in an iconic building in the heart of Seattle’s financial district. CLASSIFIED ADS IN THE WSDA NEWS Visit wsda.org/news/classifieds/ to place your ad and select the issues you would like your ad to run in. Follow up your submission with a phone call to Rob at (206) 9735220 to submit your credit card information (sorry, no check payments), and your ad will be placed. Sell your practice or fill a position quickly? Don’t worry, you’re only charged for the ads that run. We’re flexible, and the process is painless and cost effective. Pricing is as follows: Members: $50 for the first 30 words, $1 per word for each word over 30. Non-members: $100 for the first 30 words, $1 per word for each word over 30.
th e wsda ne w s · issue 4, march · 2018 · www.wsda.org · 45
SOUTH SEATTLE - UPCOMING State-of-the-art orthodontic practice.
www.practicetransitions.com Visit our website to learn more or call
888.789.1085 Robert Stanbery, Transition Specialist
classifieds issue 4, march, 2018
OFFICES FOR SALE OR LEASE
first person dr. brittany dean
Examining our power
Dr. Brittany Dean Editorial Advisory Board
“Perhaps it’s that dental school Lunch and Learns taught me to never pass up free food, but when I heard about the cookie experiment, I was sure that I would have taken the fourth cookie (and maybe even the fifth if they were really good cookies).”
Some of the best insights about how to live life as a dentist come from outside the dental field. I was reminded of this as I listened to a podcast the other day. In the “Hidden Brain” episode titled “The Power Hour,” Shankar Vedantam, a social science correspondent for National Public Radio, interviewed Dacher Keltner, a psychologist at the University of California, Berkeley and author of the book “The Power Paradox: How We Gain and Lose Influence.” Their conversation introduced me to new ways of thinking about power in our daily interactions. The interview – which aired on Jan. 23 and can be found at npr.org/ hiddenbrain – convinced me that undertones of power exist in (and influence) both our formal and informal relationships, even if we don’t intend them to. As dentists, we may not often think of ourselves as powerful. Those who don’t understand what we do every day even question if we are “real doctors.” But power, by definition “the capacity or ability to direct or influence the behavior of others or the course of events,” depends on our relationships to those around us. Seen in this way, we regularly have power over the patients in our chairs, and we may even subconsciously feel more powerful than a less-educated or less well-off person preparing our morning latte. Keltner argues that these seemingly innocuous power discrepancies can have real and self-serving effects. In one experiment, Keltner and his colleagues watched what happened when power was artificially assigned to one person in a group of three study participants. The group was tasked with crafting university policy proposals, but one member was randomly designated to be the group leader. As the team worked, a plate of five chocolate chip cookies was brought into the room. Each person took one cookie, and then the researchers watched to see who went for a second cookie. Nearly always, it was the group leader. Not only was this individual bold enough to take the second cookie, but they almost flaunted the fact that they were eating it, smacking their lips, and letting crumbs spill across the table. They displayed no remorse for taking more than their fair share. A second study tracked the behavior of drivers at a UC Berkeley pedestrian crossing zone, where the research team planted a man to look as if he were waiting to cross. Though California state law states that drivers must stop for pedestrians and yield the right of way, not everyone did. In fact, the drivers of low-end cars (such as Yugos and Plymouth Satellites) stopped without exception, but those who were driving fancier cars (and presumably feeling more powerful) stopped only 46 percent of the time. Though one might wonder if this behavior is particular to drivers in Northern California, the results have since been replicated in other states. Research by Keely Muscatell at the University of North Carolina at Chapel Hill further supports the concept that an increased sense of power is correlated with a greater disregard for others. Her team described to UNC students the hardships of a hypothetical student. While the students listened, the researchers measured activity in the parts of their brain that register empathy. Brainwave activity revealed that many students were clearly moved by the struggles of their peer. Those students who came from privileged backgrounds however, had no activity in this part of the brain at all. Based on these studies and others, Keltner has concluded that when we interact with the world from a position of little power and privilege, we invest in and care for those around us via “the pro-social tendencies that we are endowed with.” However, if “we feel powerful or we come from a background of privilege and feeling above others, we lose those tendencies.” I find these conclusions depressing and disheartening. Consequently, I’ve been reflecting on them quite a bit since I first heard the podcast. I don’t feel the most powerful lately — I’m back in school, my husband and I share a 2003 Accord that we bought from my parents, and when my home and student loans are factored in, I have a very
CLINICS IN WASHINGTO
HOW NON PROFIT CLINICS ACRO THE STATE ARE PROVIDING CARE
continued on page 44
The views expressed are those of the writer and do not necessarily reflect the opinion or official policy of the WSDA.
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trust
The WDIA Team to find you the right coverage
When Dr. Steven Stanley’s wife Jeanne faced a health crisis, Matt French of WDIA was there to guide him and go to bat for him with the insurance company and the state Insurance Commissioner. Can you say the same about your insurance broker?
Steven M Stanley, DDS
I have had the pleasure of working with Matt French at WDIA for the last 15 years. He has always proven to be both knowledgeable and helpful with our insurance needs. With the constantly changing and confusing array of insurance products out there, Matt has always been very helpful and straight forward in deciphering all these options.
ON
ley ne Stan n a e J d an Steven
OSS
I want to provide very good medical insurance for both my family and my staff, and the resources at WDIA assist me in doing so. Three years ago my wife was diagnosed with Multiple Myeloma and given but 1 to 3 years to live. This diagnosis came at the same time as the renewal of our group medical plan for my office. Just hours before signing on to a new plan, Matt called me to let me know that the plan we were considering did not cover treatment at Seattle Cancer Care Alliance, which was where we were seeking treatment for my wife. Due to Matt’s diligence and foresight, we were able to sign on to a different plan which not only saved me tens of thousands of dollars, but has saved my wife’s life. When the insurance company denied treatment to which my wife was entitled, Matt went to bat for us contacting the Washington State Insurance Commissioner and the insurance company. With his assistance, we were able to get the insurance company to agree that they were responsible to assist paying for the proposed treatment. In addition to assisting me with my office policies, Matt and his staff have always been both gracious and extremely helpful in assisting our kids and former employees as their insurance needs have changed. My wife and I both highly recommended Matt French and his wonderful staff at WDIA. We will always be indebted for the service he provides us. He always exceeds our expectations and for that we will be eternally grateful.
Sincerely,
Steven M. Stanley DDS
The Obvious Matt French · Kerri Seims Choice for 206.441.6824 · 800.282.9342 Washington www.wdiains.com th e A wsda ne w s · issue 4, march · 2018 · www.wsda.org · 47 Dentists WSDA Company
YOUR WDIA TEAM:
Washington State Dental Association 126 NW Canal Street Seattle, WA 98107
PRESORTED STANDARD U.S. POSTAGE PA ID SEATTLE, WA PERMIT NO. 8115
CHANGE SERVICE REQUESTED
We're not the norm… Anytime we discover exposures our doctors are facing beyond professional liability, we work to develop and offer exceptional dentist-specific products. For instance, NORDIC was one of the first northwest companies to offer dentists comprehensive cyber risk coverage.
CLINICS IN WASHINGTO
HOW NON PROFIT CLINICS ACRO THE STATE ARE PROVIDING CARE
Can the big box companies say that? For more information about cyber coverage, call …… NORDIC – the Gold Standard
800-662-4075 nordicins.com melissa.sanchez@nordicins.com
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4 8 · th e wsda ne w s · issue 4, march · 2018 · www.wsda.org