SEATTLE KING COUNTY DENTAL SOCIETY MEMBERSHIP GUIDE FALL 2022

MEMBERSHIP

Quarterly FALL 2022

VOL 21 / ISSUE 1

Member Feature: Dr. Jason Tsai Patient Dismissals: Why, When and How Foundation Impact Report 21-22 1111 Har vard Avenue Seattle, WA 98122-4205 206.448.6620 www.skcds.org 2022 SKCDS FALL QUARTERLY

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FALL 2022 Volume 21, Issue 1

Seattle-King County Dental Society Fall Quarterly

TABLE OF CONTENTS

Contributors: Ms. Angela Bond Dr. Randy Ogata Dr. Christy Kirchner Dr. Jason Tsai

From the Desk of Dr. Ogata ........................................................................4 President’s Message...................................................................................6 New Members...........................................................................................9 Member Feature: Dr. Jason Tsai..................................................................10 Patient Dismissals: Why, When and How.....................................................14 SKCDF Grant Applications ............................................................................16 Foundation Impact Report 21-22........................................................... 19-22

Publisher: Bill Newcomer, Vancouver, WA OFFICERS Dr. Christy Kirchner, President Dr. Harlyn Susarla, President-Elect Dr. Adam Kennedy, Past President Dr. Ryan Lemke, Secretary Dr. Lisa Egbert, Treasurer EXECUTIVE COUNCIL Dr. Elena Andronova, Executive Council Dr. Kate Christian, Executive Council Dr. LeRoy Horton,Executive Council Dr. Mamiko Kuriya, Executive Council Dr. Stephen Pong, Executive Council Dr. Christine Shigaki, Executive Council Dr. Christopher Shyue, Executive Council Dr. Randy Ogata, Executive Director Contact and Change of Address: To ensure continued receipt of issues, change of address must be reported to: SKCDS Central Office , 1111 Harvard Avenue, Seattle, WA 98122-4205, as soon as possible Phone: 206.448.6620 | Fax: 206.443.9308.

Email: skcds@skcds.com | website: www.skcds.org The information in this publication is for the exclusive benefit of Seattle-King County Dental Society members. Neither the Society nor the publisher makes any express or implied warranties as to the information herein, including the contents of any advertising. Opinions in The Quarterly do not necessarily express the official policies of the Seattle-King County Dental Society, nor the opinions of the editor, unless so stated. Publication of advertising is not an endorsement, qualification, approval or guarantee of either advertisers or product.

For advertising and publishing details, contact: Mr. Bill Newcomer, 503.318.5916, bill.newcomer@me.com

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Fall 2022

From the desk of Dr. Randy Ogata Executive Director

Race for Relevancy (or Irrelevancy) Organized Dentistry stands at a crossroads of relevancy vs irrelevancy. We are losing membership at an alarming rate, and in five years we are projected to dip under 50% membership for the first time in the history of the ADA. We cannot allow this to happen to our profession – as our relevancy at Olympia and the other Washington (DC) will be greatly diminished. To be successful you need to set a goal and know where you are going, then plan to get there and execute the plan. Often, we need to apply adaptive leadership to tweak the plan along the way, to make course corrections. The goal didn’t change, the direction the ship was sailing just needed to be adjusted for factors like tide, wind, waves and current. The factors contributing to membership declines are multi-factorial as well – but as the tides and wind change, so must the SKCDS to stay relevant to our dental profession.

How can adaptive leadership meet dentists’ needs?

1. Accepting Drivers of Change. Technological Advancements – think how you watched news growing up vs how you obtain news today? Few wait until 6:20 or 11:20 to get scores for the Mariners, Seahawks or Storm – most will have their notifications tailored for various apps and social media. If you can embrace this ease of advancement in your personal life, why reject the ease these types of advancements can make to the improvement of your practice?

2. Moving from Revolutionary to Evolutionary. Clinging to tradition can be dangerous; SKCDS is nimble enough and has visionary volunteers in leadership who recognize the changes occurring right now. To embrace the evolution of our profession – and if SKCDS is to look like whom we represent – we need to be intentional in our actions.

3. Achieving Strategic Incumbency. “An established firm’s ability to dynamically convert age, size, and tradition into the key advantages of market power, trusted relationships, and deep insights.” (Harvard Business Review). SKCDS can do this better when everyone is involved not only in leadership, but in volunteer activities and attending events.

4. Building Excitement for Our Next-Level Future. Today’s organized dentistry should not look like, nor act like your “Father’s Organized Dentistry” – but who should define what it looks like? The answer is every dentist… regardless of where they graduated from, race, gender, creed, religion, culture, practice type, or any other demographic label that are used to separate people vs. uniting dentists together as one profession.

5. Working Today - Toward Tomorrow. “What got us here… Won’t get us there.”

Honored to Serve SKCDS and all the Dentists of King County

Seattle King County Dental Society Staff

Sincerely,

Dr. Randy Ogata Executive Director: Dr. Randy Ogata randy@skcds.com

Membership and Administrative Manager: Angela Bond angela@skcds.com

CONTACT US

Seattle King County Dental Society Central Office 1111 Harvard Avenue Seattle, WA 98122 | Phone 206.448.6620 • Fax: 206.443.9308 Email: skcds@skcds.com • Website: www.skcds.org

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The

President’s Message

Give Back! It Will Help You Live a Longer and Happier Life In 1938, as the world began to see glimpses of hope that would signal the end of the Great Depression, Harvard scientists began tracking the health of 268 sophomores (all males as the college was not yet co-ed), in the hopes of revealing clues that would lead to healthy and happy lives. The study is ongoing today and has expanded beyond the original 268 participants (a few are still alive today) to include their spouses and offspring. Along with the above, 456 Boston inner city residents were added to the group in the 1970s, and their spouses were added more than a decade ago*.

Over the last 80+ years of research, the most surprising finding has been this: “how happy we are in our relationships has a powerful influence on our health…Taking care of your body is important but tending to your relationships is a form of self-care too.” Now, no one is saying to stop enjoying your Green Goddess smoothies, and you should still aim to “eat the rainbow”. But embracing your community is part of the not-so-secret secret of living a longer, happier, and likely more fulfilling life.

Constantly remaining upbeat in a time of staffing shortages, stagnant third-party reimbursement rates, increasing regulations, and rising inflation can feel downright impossible. We don’t have to look terribly hard to find the negatives in our news cycle, but it’s the positives we seek out that matter. The research mentioned above has offered up the following strategies to finding that positivity: 1) Stay connected - Personal connections create emotional stimulation, which is an automatic mood booster.

2) Volunteer - Volunteering provides a sense of purpose and has been scientifically proven to improve your mood.

3) Perform acts of kindness towards others - SKCDS has a host of volunteer opportunities (MTI Clinics, the Sealant Program, GKAS in February at KidsQuest) and within the Society itself on Committees and helping to connect the Foundation with community partners!

4) Find your inner child and see more green - If you have read any of my previous messages, I encouraged you to get out and try something that has brought you joy…one of the best ways to do this is by exploring the natural beauty around us.

I understand that giving back can come with some major hurdles: you’re tired from the full week of working, shuffling kids around to various activities, and being a dentist. However, remember that by giving back you’re contributing to your own long-term health and happiness! My wish for all of you that are reading this is that we all live long, healthy and happy lives. Not sure where to start? Like point #3 says, SKCDS has a plethora of volunteer opportunities available, both through our partnership organizations and by joining the leadership of the Society and the Foundation. Click around on the website to learn more or reach out directly to your Society team! *For more information on the study mentioned, Google “Harvard Long Term Happiness Study”.

Sincerely,

Dr. Christine Kirchner Dr. Christine Kirchner

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MEMBER FEATURE: Dr. Jason Tsai Pro-athlete seems to be a life goal for many kids growing up, at least for some period of time. Jason was going to be the next Michael Jordan or Tiger Woods. He was flexible like that, didn’t matter if he was the best in basketball or in golf, he’d take either one…which is a pretty broad spectrum! Unfortunately, he’s had to settle for being a dentist (something perhaps a few of you reading this can relate to)!

Prior to even applying to dental school, while slogging his way through various pre-requisite courses at UW, Jason volunteered at Seattle Union Gospel Mission as a dental assistant. While this was an eye-opening experience, it was all fairly standard, until one day he can vividly remember assisting a dentist who repaired a traumatic pulp exposure #9 with endo and then freehand composite. Nowadays, it might be fairly common for him to perform such a procedure in his practice, but at the time…it was the coolest thing on Earth. And it solidified that desire to attend dental school and get to do cool things all the time!

After those early days of dipping his toe in the dental pond, Jason attended dental school at the Rutgers School of Dental Medicine in Newark, NJ, graduating as Dr. Tsai, and continued on to his residency at Wichita State University’s AEGD program. He made his way back to the Pacific Northwest where his journey first began and he now proudly owns his practice ‘Complete Family Dentistry’ in Bellevue! Where he estimates he’s been bitten only…maybe a dozen times? Probably?

Since leaving school (not so long ago), one of the most increasingly important changes Dr. Tsai has noticed in the dental field is the need to establish a solid digital presence. This comes from the fact that yes, there are some new patients that come to the practice from internal marketing and referrals (always appreciated), but an almost equal number of new patients cite the practice’s Google reviews and online presence as a reason for making an initial appointment.

Outside of his dental bubble, two of Dr. Tsai’s favorite things about himself happen to both be under two years old: Nicholas, almost at that two-year mark, is rambunctious and starting to string together short sentences; while Heidi, barely touching six months, is sweet, smiley, and likely thinking deep thoughts to solve the world’s problems every time she smiles up at her dad. As the weather starts to turn to crisp autumn air, Dr. Tsai is looking forward to outfitting these two in Seahawks garb, sitting on his comfy couch with his darling wife Colleen, and cheering on his favorite team (who he is sure will have a winning record this year).

Admittedly, Dr. Tsai has accomplished quite a lot in his life, but there’s one big goal he still hasn’t quite gotten started on yet: learning how to fly and getting his pilot’s license. So if anyone has recommendations on where to start learning or has any kind of pointers, reach out!

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Patient Dismissals: Why, When anPatient d How

Dismissals: Why, When and How

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A recent call to the The Dentists Insurance Company’s Risk Management Advice Line showcases the unique complexities of dismissing patients prior to completion of treatment.

Case Study: A Noncompliant Orthodontic Patient Advice Line analysts received a call from an orthodontist regarding a minor patient who was noncompliant with treatment recommendations. The patient was breaking brackets by eating hard foods, failing multiple appointments and otherwise showing up late. The patient’s noncompliance had already caused significant treatment delays.

When the dentist spoke with the minor patient’s parent, the mother refused to accept responsibility for the delay in her son’s case and instead attributed the delay to the office closure during the pandemic. The orthodontist simply requested that they please keep all future appointments and be on time. He also provided a reminder about the acceptable foods to eat to avoid bracket breakage.

The patient was on time for his next appointment. However, the mother refused to wear a mask, becoming more combative by slamming the door and shouting profanities directed at the dentist and staff.

After reviewing the case, the Risk Management analyst advised the orthodontist that he should consider patient dismissal. Even though the patient was still receiving treatment, there were adequate grounds for dismissal due to the patient’s noncompliance and the parent’s escalating abrasive treatment of the orthodontist and staff members. The analyst reminded the orthodontist to fully document the interactions with the mother in the patient file. They also guided the orthodontist in composing a letter to the patient providing a 30-day notice of dismissal, which allowed reasonable time for the patient’s parents to find a new orthodontist.

To Dismiss or Not To Dismiss?

Unsure whether to pursue dismissal? Some common and acceptable indicators that a dentist may need to consider dismissing a patient from care are: • The patient is noncompliant with treatment recommendations.

• The patient tries to take dental care into their own hands through actions such as attempting to make adjustments to a prosthesis or orthodontic appliance.

• The patient has not been in for an extended amount of time.

• The patient demonstrates abrasive behavior or makes inappropriate comments to the dental team or other patients.

When dismissing a patient, provide a formal written notice stating that you are withdrawing care and requiring the patient to find another provider. Mail the confidential written notice to the patient by both first-class and certified mail with a return receipt requested. Risk Management analysts can provide guidance on the dismissal process and letters along with resources to protect dentists before finalizing the separation.

Patients in Midtreatment In situations where orthodontic patients elect to discontinue treatment and establish care elsewhere or there is a behavioral problem with a patient midtreatment, automatic dismissal is not recommended. Allowing the patient to remain in appliances without ensuring the patient will be monitored could expose you to liability risks, such as patient abandonment. Furthermore, there is potential for the patient to increase the likelihood of relapse, broken brackets, loose wires, decay, decalcification, etc.

If the patient dismisses themselves or if the dismissal is a last resort due to nonpayment, then the treating orthodontist should offer to remove the appliances and provide a retainer to maintain existing tooth positions and any orthodontic tooth movement achieved if appropriate.

If you have questions or concerns about a possible dismissal, seek guidance before moving forward. TDIC policyholders benefit from access to the Risk Management Advice Line. Remember that careful patient case selection, thorough or complete documentation and clear communication are essential to minimizing your risks.

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Seattle-King County Dental Foundation is accepting Grant Applications Are you involved with a program or project that can make a difference in the dental health of the community? If so, you might consider encouraging these groups to apply for a grant from the Seattle-King County Dental Foundation.

The grant application process has gone digital to make this easier for all involved so check out the Foundation section of the SKCDS website, peruse the ‘Grant Giving Guide’ and if your group fulfills the outlined requirements, then get to work on an application!

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Foundation Impact Report 21-22 Medical Teams International The Foundation and Medical Teams International entered into a five-year partnership in January 2020, through which the Foundation sponsors fifteen dental vans per calendar year, six of which are staffed directly by members of the Seattle-King County Dental Society.

Jubilee REACH - April 24, 2021 24 adults treated 10 referrals 45 dental procedures completed Total Procedure Value: $10, 462

136 total adults treated

3 total children treated

Renton New Life Church - July 17-18, 2021 43 adults treated 11 referrals 245 dental procedures completed Total Procedure Value: $25,060 Riverton Park United Methodist - October 2, 2021 14 adults treated 2 children treated 6 referrals 104 dental procedures completed Total Procedure Value: $10,985 Page 4

40 referrals made

Medical Teams International Casa Latina - December 4, 2021 22 adults treated 3 referrals 108 dental procedures completed Total Procedure Value: $11,387

666 dental procedures performed

Latina Health Fair- May 14, 2022 8 adults treated 3 referrals 42 dental procedures completed Total Procedure Value: $3,929

Mary's Place - July 9-10, 2022 25 adults treated 1 child treated 7 referrals 122 dental procedures completed Total Procedure Value: $9,786

$71,609 overall procedure value

Upcoming Clinics 2022 SKCDS FALL QUARTERLY l South King County Health Fair - September 24, 2022

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SKCDS Sealant Program For the initial launch of this program, the Highline School District was approached to gauge interest in a program to apply sealants to six-year molars and provide dental education in the classroom.

The program launched at Midway Elementary with a focus on the second grade class (107 enrolled) on May 20, 2022. The second, and final, treatment day for this school year took place on June 8, 2022. Discussions have already begun with principals at other elementary schools in the district who are excited to welcome this program to their own campuses during the next school year.

May 20, 2022 7 children screened 5 received fluoride varnish 15 sealants placed

June 8, 2022 6 children screened 5 received fluoride varnish 12 sealants placed

Planned Schools for 2022-2023 Midway Elementary - 92 second graders enrolled McMicken Elementary - 85 second graders enrolled Cedarhurst Elementary - 67 second graders enrolled Hilltop Elementary - 78 second graders enrolled Mount View Elementary - 71 second graders enrolled Bow Lake Elementary - 77 second graders enrolled Page 20 l 9 2022 SKCDS FALL QUARTERLY

KidsQuest Children's Museum The Foundation provided a grant to the KidsQuest Children's Museum to celebrate National Children's Dental Health Month in February 2022. This grant made dental themed programming possible all month long to promote the importance of oral health to all museum visitors.

28 Dental Themed Museum Programs 110 people attended Engineering Hour Programs 165 people attended StoryTime Programs 133 people attended Play with Paint Programs 197 people attended Play with Clay Programs 231 people attended Weekend Playshop Programs 64 people attended Science Hour Programs 66 children received free oral exams 400 Dental Kit Giveaways

60 Volunteer Hours Page 7

29 Volunteer Shifts

Priority Populations Reached 892 'Museums for All' Visitors 33 low sensory visitors

966 people reached through Dental Health Programs 2022 SKCDS FALL QUARTERLY

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Swedish Foundation In 2021, the Swedish Foundation applied for a grant from the Seattle-King County Dental Foundation for the final amount needed to purchase a new Sirona Cone Beam CT for the Swedish Community Specialty Clinic.

The new CBCT was installed on July 11, 2022 and has already had profound impacts on the quality of care delivered to patients. This new machine allows the doctors and staff to take real time, high-quality three dimensional imaging in order to rapidly facilitate surgical planning and diagnosis of pathology. With the three-dimensional imaging, the providers at the Clinic can obtain a precise view of the patient’s hard tissue structure to allow for surgeries to occur more quickly and safely.

Prior to the installation of this unit, the patients were required to obtain three-dimensional imaging from the medical radiology unit at Swedish First Hill. This process was lengthy and tedious for these patients and significantly disrupted their access to care.

Community Oral Health Advocate Program

age 6

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The Community Oral Health Advocate Program (COHA) by the Office of Educational Partnerships and Diversity in the University of Washington School of Dentistry intends to develop and implement curriculum to reduce oral health disparities by assisting individuals with lack of access to professional dental care to find dental home and improve their oral health literacy and oral health self-efficacy. Another goal of the program is to train students from underrepresented minority communities to be the COHA’s in their own communities with the goal of supporting their pathways to the health professions.

Unfortunately, the program start date was delayed due to pandemic complications, but the curriculum has been under development and a website prototype has been created. The program administrators will be hiring Master’s level dental hygienists for program coordination and have already had meetings with the Office of Superintendent of Public Instruction Migrant Educations Programs to engage high school counselors and administrators.

COHA scholar selection will begin in November 2022, with online and in-person training starting this same month.

Clinical internships with patients will run from April 2023 to September 2023.

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