GDA Action April 2013 by Delaine Hall

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ACT ION

THE JOURNAL OF THE GEORGIA DENTAL ASSOCIATION

APRIL 2013

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VOLUME 32, NUMBER 4 • APRIL 2013

ACTION

on the cover

ACT ION

THE JOURNAL OF THE GEORGIA DENTAL ASSOCIATION

GDA ACTION (ISSN 0273-5989) The official publication of the Georgia Dental Association (GDA) is published monthly. POSTMASTER: Send address changes to GDA Action at 7000 Peachtree Dunwoody Road N.E., Suite 200, Building 17, Atlanta, GA 30328. Phone numbers in state are (404) 636-7553 and (800) 432-4357. www.gadental.org. Closing date for copy: first of the month preceding publication month. Subscriptions: $17 of membership dues is for the newsletter; all others, $75 per year. Periodicals postage paid at Atlanta, GA. Dr. David Bradberry GDA Editor 1070 Woodlawn Dr NE Suite 250 Marietta, GA 30068

Delaine Hall GDA Managing Editor 7000 Peachtree Dunwoody Rd NE Suite 200, Building 17 Atlanta, GA 30328

2012-13 Georgia Dental Association Officers Sidney R. Tourial, DDS, President Marshall H. Mann, DDS, President Elect Douglas B. Torbush, DDS, Vice President James B. Hall III, DDS, Secretary / Treasurer R. David Bradberry, DMD, Editor

GDA/GDIS Executive Office Staff Members Martha S. Phillips, Executive Director Nelda Greene, MBA, Associate Executive Director Delaine Hall, Director of Communications Skip Jones, Director of Marketing (GDIS) Courtney Layfield, Director of Member Services Victoria LeMaire, Medical Accounts Manager Judy Lively, Administrative Assistant (PT) Melana Kopman McClatchey, General Counsel Denis Mucha, Director of Operations (GDIS) Margo Null, Property and Casualty Accounts Manager Meg Robinson, Director of Governmental Affairs Patrice Williams, Administrative Assistant Phyllis Willich, Administrative Assistant Pamela Yungk, Director of Membership & Finance

Fun is on the way! The GDA Annual Meeting is July 25-28, 2013 in Hilton Head Island, South Carolina. Registration is now open for the meeting that will be headquartered at The Hilton Head Marriott Resort & Spa. Turn to page 16 to read about the Esthetic Extravaganza continuing education event as well as the fantastically popular Family Night (this year features a State Fair and GDA Pie Eating Contest) and President’s Dinner Dance featuring the fun band Yacht Rock Revue. Early registration pays big! See what you could win if you register by July 1. Use the form in this issue to register for the meeting and buy event tickets, or register at www.gadental.org.

APRIL 2013

other features

sections

Infection Control Procedures: Encourage Patients to Ask Questions

Parting Shots

Editorial

Give Kids a Smile Day and Children’s Dental Health Month: Shining Stars

News and Views

Calendar of Events

Classifieds

12 22

Don’t Be Like Starbucks: Implementing Practice Changes Effectively

GDA Action seeks to be an issues-driven journal focusing on current matters affecting Georgia dentists, patients, and their treatment, accomplished through disseminating information and providing a forum for member commentary. © Copyright 2013 by the Georgia Dental Association. All rights reserved. No part of this publication may be reproduced without written permission. Publication of any article or advertisement should not be deemed an endorsement of the opinions expressed or products advertised. The Association expressly reserves the right to refuse publication of any article, photograph, or advertisement.

Member Publication American Association of Dental Editors

index of advertisers Note: Publication of an advertisement is not to be construed as an endorsement or approval by the GDA or any of its subsidiaries, committees, or task forces of the product or service offered in the Atlanta Age Management . . . . . . . . . . . . . . . . .2 Atlanta Dental Imaging . . . . . . . . . . . . . . . . . . .8 AFTCO Transition Consultants . . . . . . . . . . . .26 Center for TMJ Therapy . . . . . . . . . . . . . . . . .27 Craniofacial Pain Center of Georgia . . . . . . .22 Dental Care Alliance . . . . . . . . . . . . . . . . . . . .11 Fidelity Bank . . . . . . . . . . . . . . . . . . . . . . . . . .29

advertisement unless the advertisement specifically includes an authorized statement that such approval or endorsement has been granted.

GDA Dental Recovery Network . . . . . . . . . . .25 Georgia Academy of Cosmetic Dentistry . . .30 Georgia Dental Insurance Services . . . . . . .32 Georgia Denture & Implant Specialists . . . . .23 Georgia Mission of Mercy . . . . . . . . . . . . . . .31 Great Expressions Dental Centers . . . . . . . .27 Hospital Dentistry—Dr. Kurtzman . . . . . . . . .24

Law Office of Stuart J. Oberman . . . . . . . . . . .7 National Practice Transitions, LLC . . . . . . . .28 Dr. Mark Padolsky—TMD Dentist . . . . . . . . . .9 Paragon Dental Practice Transitions . . . . . . .24 Professional Practice Management . . . . . . . .30 Southeast Transitions . . . . . . . . . . . . . . . . . . .28 UBS Financial Services . . . . . . . . . . . . . . . . .11

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editorial perspective Letters, Letters, Lots of Letters

R. David Bradberry, DMD

What happened? Often throughout my career I have asked this question of myself. What makes me continue to work as a dentist when it appears more and more that our profession is not as well liked as we would prefer to believe? How many times have we heard from a patient, “I don’t like going to the dentist?” On a daily basis we provide quality care in a confined environment and try to make the experience as pleasant as possible. We funnel years and years of dental education and continuing training into performing complex care in a small, humid space. But it is my experience that patients primarily base their perception of the care they receive on how much they like the dentist, not on the science of the encounter. I could count on one hand how many times I have been asked about my percentage of successful outcomes for a particular treatment. People want to trust, and that trust builds from their first impression of whether or not they like you. Gives you pause to think. After you work hard and complete your dental education you are rewarded with letters. That’s right, letters that you can write after your name. Over time, given your professional direction, level of involvement, and continuing education path, you can accumulate yet more letters to place after your name. You can even hang certificates on your walls attesting to how you earned your letters for your patients to see—DMD, DDS, FAP, MAGD, and FICD, just to name just a few. It can look like a game of dental Scrabble. But these letters are important because they can contribute to a patient’s first impression. For that reason, we must use these letters with care and accuracy because they are a part of what earns a patient’s trust. We also have other letters that add complexity to our practices on an almost daily basis. I am sure you will recognize many of them—PPACA, HITECH, HIPAA, and of course OSHA. We spend almost as much time dealing with these letters as we did with our dental education, but no pretty certificates on our walls commemorate our strenuous efforts. In my opinion, these letters don’t directly contribute

to our ability to provide excellent patient care, and they don’t necessarily contribute to our ability to make a good first impression. Though they are acronyms and not actual words, the punch they carry is far stronger than most any words. Government intervention in our practices is not going away, so these sets of letters and probably more like them will remain as much a part of our practices as our DMD or DDS degrees. So, we have our education and training letters, and we have those regulatory letters that make my stomach hurt. (If yours doesn’t hurt yet, you need to read more about the government’s alphabet soup.) However, we do have a third set of letters—think ADA and GDA—that we can call on to help us protect the good letters and battle those government acronyms. The ADA and GDA are our best hope to help us maintain the high educational standards that make us dentists. They are the organizations promoting the message that only a dentist is properly trained to diagnose and provide treatment plans for dental patients because of those high educational standards. They are the ones fighting to ensure that the letters after our names give patients the impression of an eminently qualified professional who stands committed to delivering the best care possible for every patient. Why do I continue to work as a dentist despite the challenges our profession faces? The satisfaction I get every time my patients trust me and respect my knowledge and my judgment. The satisfaction I receive from knowing their oral health care is in my hands and I have the education and skill to provide them with a lifetime of healthy smiles. There is one more acronym I have not mentioned yet—GMOM. This event is an opportunity for all of us to use our education and skills and judgment and knowledge to make a great first impression on the entire state. Join me in giving back—trust me, afterward you and your patients will feel AOK.

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general news NORTHWESTERN

NORTHERN

Food Drive

Dr. Allen

The dental office of Dr. Ronnie Hold in Blue Ridge held its fourth annual food drive for the Fannin County food bank earlier this year. This program, which initially began as a means to resupply food stocks which had been severely depleted during the recession in North Georgia, consists of patients bringing 25 non-perishable food items to the office in exchange for a $100 voucher for dental services. Dr. Hold plans so that the event occurs each year during the week of Valentine’s Day. Dr. Hold’s theory is that the program gives the staff and the patients of the office an opportunity to show their love for their community by giving back to those individuals who are the most needy. The 2013 food drive generated over 15,000 food items for the food bank.

GDA Past President Dr. David Allen was recently honored by the Georgia Natural Resources Foundation for his efforts as Founding Chairman of that group. Steve Levetan, the current chairman, presented Dr. Allen an original hand carved glass sculpture by Larry Mayse of an endangered orchid native to Georgia entitled “A Lady’s Slipper.” The item was engraved: “In grateful appreciation to Dr. J. David Allen for his tireless service as the Founding Chairman of the Georgia Natural Resources Foundation, 2010-2012, and on being elected Chairman Emeritus of the Board.” The Georgia Natural Resources Foundation has awarded more than $170,000 in grants in its first two years to support projects such as the production of

Northwestern District members Dr. Joe Dufresne, Dr. Ronnie Hold, and Dr. Daniel Chung with dental staff members and helpers Jodie, Lily, Kim, Stephanie, Laura Michelle, Davia, Karie, Rhonda, Betty Jo, Kristy, Jessica, Laura, and Janene with some of the 15,000 food items raised during Dr. Ronnie Hold’s fourth annual food drive.

GDA ACTION APRIL 2013

the Georgia Public Broadcasting television series “Georgia Outdoors,” much needed equipment for the state’s Search & Rescue team, restoration of Georgia’s oyster habitat and deployment of artificial reef structures, and funding to support an educational project at Camp Lawton, a Civil War prison camp in Magnolia Springs State Park. Members may visit www.georgianrf.org to find out more information on the Georgia Natural Resources Foundation or contact Executive Director Ben Stowers at bstowers@georgianrf.org.

MEDICAID Fluoride Code The GDA office has been in constant contact with HP Enterprises, DentaQuest, Avesis, and Scion Dental regarding the denials that were occurring for the new D1208 Fluoride Code. The state’s fiscal agent, HP Enterprises, finally has the fix in place so that all claims for the D1208 code will now process and pay. In addition, the issue of a Pre-Authorization requirement for this code has also been addressed and will no longer be an issue or requirement. Unfortunately though, the Department of Community Health (DCH) has opted NOT to automatically reprocess the denied claims for D1208. The GDA vigorously tried to convince them to re-consider, especially when DCH assured us early on that they would re-process, but the agency is sticking firm. All dental offices with denied claims for D1208 will need to resubmit these claims to HP (or GHP as many refer to them) for processing. Take action as soon as possible so as not to encounter timely-filing issues. To our knowledge, the CMOs have all corrected this issue and are paying on all previously denied and current claims for D1208. We know this is a tremendous inconvenience to your offices and had hoped to convince DCH to re-process all claims. If any dental offices encounter difficulties in the reprocessing of claims, please contact Courtney Layfield at the GDA office at

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layfield@gadental.org. Please provide your provider Medicaid number, ICNs for affected claims, and Date(s) of Service to help expedite the process.

GDA Officer Visit

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ADA HIPAA Manual (From ada.org) The American Dental Association will provide comprehensive updates of The ADA Practical Guide to HIPAA Compliance Privacy and Security Kit this year to dentist subscribers of the

The GDA president and executive director visit every district annually to give speeches about current GDA events and answer questions. Other state officers attend district meetings as they are able. Here, President Sidney Tourial, Executive Director Martha Phillips, and Editor David Bradberry visit with Southwestern District President Keith Crummey (far right) and President Elect Greg Morris (second from left) before a district membership meeting in Tifton.

guide. The Association is providing the updates in light of the fact that most covered entity dental practices will need to review and revise their HIPAA compliance policies, procedures, and documents to comply by September 23 with new regulations. The GDA published an overview of the new regulations in the March 2013 GDA Action, which is available at www.gadental.org. “HIPAA requirements have changed,” says the catalog description for the ADA guide, Product Code J594. “The ADA has updated and combined its best-selling HIPAA Privacy and Security Manuals. It includes up-to-date information on HIPAA Privacy and Security regulations, including HITECH Act requirements for encryption, breach notification, business associate agreements, disclosure and use of Protected Health Information, increased compliance enforcement by the Office for Civil Rights, and significantly higher fines for non-compliance. GDA members may order the guide at www.adacatalog.org or by calling 1-(800) 947-4746. NEWS AND VIEWS Continued on page 8

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NEWS AND VIEWS Continued from page 7

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the GDA Alliance with a plaque for her leadership in the Dental Health Education arena.

ALLIANCE

ADA

DHE Pioneer

Join Us Campaign

Margaret “Pegg” Hyder Callahan passed away in January. The wife of Dr. William Callahan Jr., now deceased, and mother of former Atlanta dentist Dr. William Callahan (he now lives in South Carolina) was also the “mom” of the Wanda Wondersmile puppet show. The oral health education show, written by Pegg and Dr. Jack Rousso, was staged around the state by GDA Alliance dental spouses in the late 1960s and early 1970s. In 1972, a specially produced version of the show aired on public television’s WETV in Atlanta to 57,000 schoolchildren around the state. Some 30 years later, the GDA Alliance updated the puppets of Wanda Wondersmile, Benny Badtooth, Tartar Pete the Terrible, and Dr. Dan and again toured the state to educate school audiences. Pegg was honored in 2004 by

The new ADA Member-Get-A-Member Campaign provides active members an opportunity to share your satisfaction with organized dentistry by encouraging your non-member colleagues to join. A growing ADA means greater recognition for the dental profession, more resources and support for members, and a louder voice in Washington and in state capitols across the country. For every new, active, eligible member (up to five) that you as an active member recruit to membership, you can win a $100 American Express gift card. Or you may decline the incentive and the ADA will contribute $100 to the ADA Foundation. The campaign runs from now through September 30, 2013. There are some restrictions on what dentists are eligible for recruitment. Before you start calling up colleagues, visit http://ada.org/8185.aspx

GDA ACTION APRIL 2013

Recruit an eligible non-member dentist to join the ADA and GDA and you could win $100! See details at www.ada.org.

for campaign rules. The web site also contains handy tips you can use to help you promote membership.

WATER Flattens Soda According to a recent report from Beverage Digest, for the first time in nearly three decades, more Americans are drinking

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water than soft drinks. In 1998, Americans were consuming 54 gallons of soft drinks per person compared to 42 gallons of water. Americans are now drinking an average of 58 gallons of water a year versus

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consuming 44 gallons of soft drinks. The drop seems to come from an increased attention to the nationâ&#x20AC;&#x2122;s obesity epidemic and an examination of the potential role played in that epidemic by sugar-laden

drinks. The news is not bad for soft drink manufacturers, however, as the leading producers also dominate the bottled water market. Pepsi bottles the Aquafina water brand, and The Coca-Cola Company produces Dasani.

Upcoming GDA / Dental Events MAY 2013 Wed, May 1: Northwestern District Membership Meeting, Marietta Country Club. Fri, May 3: GDA Officer Visit, Southeastern District Membership Meeting, Savannah. Sat, May 4: GDA Forensic Dentistry Course, GDA Office. Email greene@gadental.org to RSVP. Mon, May 6: Northern District Executive Committee Meeting, GDA Office. Thu, May 9: Central District Executive Council Meeting, Macon.

Fri, June 21: LEAP Course, GDA Office. Sat, June 22: GDA Board of Trustees Meeting, GDA Office. Sat, June 22: Emile T. Fisher Foundation for Dental Education Board Meeting, GDA Office.

JULY 2013 Wed, July 4: GDA Office Closed for Independence Day Holiday. Thurs, July 25: GDA House of Delegates, Hilton Head, South Carolina.

Thurs-Sun, July 25-28: GDA Annual Meeting, Hilton Head, South Carolina. See www.gadental.org for registration details.

AUGUST 2013 Fri-Sat, Aug 9-10: GDA Expanded Duties Assistants Course, West Georgia Technical College, Newnan. See www.gadental.org for registration details. Sat, Aug 10: GDA Board of Trustees Meeting / Committee Orientation, GDA Office.

Mon-Wed, May 13-15: ADA Washington Leadership Conference, DC. Fri, May 17: Southwestern District Membership Meeting, Tifton. Fri, May 17: Georgia Association of Orthodontists Certification Course for Dental Assistants, Columbus, 9AM â&#x20AC;&#x201C; Noon. Register at gaortho.org/assistants. Sat, May 18: Special Smiles Dental Screenings, Emory University Campus, Atlanta. Mon, May 27: GDA Office Closed for Memorial Day Holiday. Fri, May 31: GDA Finance Committee Meeting, GDA Office. Fri, May 31: GDIS, GDHC, GFOH board meetings, GDA Office.

JUNE 2013 Thurs-Sun, June 13-16: Georgia Mission of Mercy, North Atlanta Trade Center, Norcross. Fri-Sat, June 14-15: GDA Expanded Duties Assistants Course, Athens. See www.gadental.org for registration details.

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Infection Control Procedures: Encourage Patients to Ask Questions You have probably seen the extensive media coverage surrounding the situation in Oklahoma where a Tulsa-area oral surgeon is under investigation for failing to follow proper infection control procedures and improperly delegating procedures to personnel in the office. Complaints against the dentist include concerns that a device ostensibly used to sterilize instruments was not working properly and had not been tested in at least six years, that the office used bleach to clean instruments, that some instruments in active use were rusty, and that supplies included outdated drugs, including a vial with an expiration date of 1993. Patients of record are appearing on news broadcasts to discuss their disappointment with the doctor. One patient who spent part of her 18th birthday at the Tulsa Public Health Department being tested for HIV, Hepatitis B, and Hepatitis C because she had her wisdom teeth removed by the oral surgeon in question described being ‘angry’ at the doctor who had seemed ‘like a really nice guy.’ The American Dental Association has provided extensive information to media outlets about infection control procedures that dental offices are required to follow and expressed at every opportunity how unusual this case is. As ADA spokesperson Dr. Matt Messina told CNN, “This is exceedingly rare. I’m just angry, because this is a case, I think, so far outside of the bounds of normal that it makes it remarkable.” You may have already received, or may yet receive, questions from patients about infection control in general or the Tulsa story in particular because of the sensational nature of the case. The ADA has prepared a set of talking points that you may use with patients to help address their concerns and provide them with peace of mind. Use this opportunity to convey to your patients your gratitude for their trust and your commitment to ensuring your patients receive appropriate care in a safe and clean environment. The talking points are available on the ADA.org

GDA ACTION APRIL 2013

web site and are included here for your reference:

How to Help Your Patients Feel Comfortable About Infection Control in Your Dental Office • I’m glad you asked me about infection control because I want to assure you that in my dental practice, we follow stringent infection control procedures. • As your doctor, I would only delegate procedures to my staff that they are licensed or qualified to perform per Georgia regulations. I care about my patients and your health and safety are my foremost priorities. • Studies show that following proper infection control procedures greatly reduces risk to patients to the point of an extremely remote possibility. • The Centers for Disease Control and Prevention (CDC) has developed special recommendations for use in dental offices. The Georgia Board of Dentistry which licenses Georgia dentists requires that I adhere to those recommendations. (If patients wish to review these recommendations, you can print a copy from the ADA web site at www.ada.org/sections/professionalResources/pdfs/guidelines_cdc_infection.pdf.)

• Before you entered the dental care room, we cleaned and decontaminated all surfaces, such as the dental chair, instrument tray, dental light, drawer handles, and countertops. • We clean and sterilize our non-disposable dental instruments between patients. In my office we sterilize instruments using [describe in simple terms whether you use an autoclave which involves steam under pressure, dry heat, or chemical sterilization]. • We place disposable items like needles or gauze in special bags or containers for special, monitored disposal. Encourage patients to visit the ADA web site at www.mouthhealthy.org and use the search term “infection control” to watch an instructive video on this topic. If you wish, you may want to do more than talk to your patients. You could offer to show patients your sterilization or setup area. You could show them what a sterilized instrument packet looks like and tell them why the packet looks like it does and what that means in terms of patient safety. The key is to welcome questions about your office procedures. The more answers a patient receives and the more comfortable and safe a patient feels in your office means a greater peace of mind.

• Let me describe just a few of the things that we do in my practice in terms of infection control: • All our dental staff involved in patient care scrub their hands before each and every patient and use appropriate protective garb such as gloves, masks, gowns, and eyewear. • We use a new set of gloves and masks for each patient.

Encourage patients to visit www.mouthhealthy.org, the ADA consumer education web site, and search for “infection control” to view a video on how dental offices protect patient health. This image shows a screen capture of the video, which packs powerful information in a one-minute easy to handle bite.

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GDA ACTION APRIL 2013

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Dentistry at Its Finest: Children’s Dental Health Month and Give Kids a Smile Day Dentists and staff members from across the state provided free dental care and oral health education to Georgia’s children during Children’s Dental Health Month in February. The signature event of the month was the 11th annual Give Kids A Smile (GKAS) Day on February 1. Thirtyone programs registered with the ADA to provide GKAS events in Georgia alone, with free care and services to be delivered at an estimated $61,000 in value in just one day! Several of these programs are spotlighted below.* The GDA Council on Dental Health distributed over 10,000 toothbrushes, toothpaste tubes, and goody bags across all seven of the GDA districts. A big thank you to all the GDA member dentist, dental staff, Alliance member, dental hygiene school, and community volunteers who helped to make Children’s Dental Health Month and GKAS Day a tremendous success in Georgia. The GDA members involved in the activities are named below, but behind every bold name are spouses, dental hygienists, dental assistants, front office personnel, family members, and community helpers who worked hard and with love for Georgia’s children.

dren valued at $17,000. The volunteers also provided follow-up appointments for several children who needed space maintainers

Eastern District Oral health educational programs abounded in and around Augusta during Children’s Dental Health Month. Dr. Celia Dunn visited 150 students at Blue Ridge and Wheeler Pines Preschool; Dr. Greg Griffin presented to 85 students at Lincoln County Elementary; Dr. Judson Hickey went to several elementary schools teaching 95 students about good oral health; Dr. Eddie Johnson went to three schools reaching 225 students; Dr. Tina Moses went to Windsor Spring Elementary School and gave presentations to 600 students; Dr. Tommy Neal visited two schools and presented to 90 students; Dr. Ted Oellerich educated 50 local children on good oral health; and Dr. Barbara Utermark enjoyed visiting Baker Place, Cedar Ridge, and Lewiston elementary schools, reaching a total of 1,700 children. Dr. William Morang

Dr. Janice Wilmot (r) with front office coordinator Kelly Starr and teacher’s aide Haley Keith at an elementary school in Atlanta.

shared videos and dental trivia with third graders at Oconee Elementary with plans to visit many more schools. He thanks Debra Newman for helping to arrange the visit. Drs. Thomas McDonald, Ericka Edmonds, and Carolye Mason volunteered with the Pierre Fauchard GKAS Program in Greensboro. See his reflections on the event on page 13.

Central District Dr. Shirley Fisher introduced a class of 21 kindergartners to what a dentist is, what they do, and taught them how to brush and floss. Dr. Steve Holcomb visited a Byron elementary school and gave presentations to some 300 7- and 8-year olds. Dr. Jennifer Roberson went to Stratford Academy in Macon to give a presentation to approximately 220 children. The kids watched a Dudley the Dinosaur Goes to the Dentist movie, learned about brushing and flossing, and asked questions about the dentist and their teeth. Drs. Nitsa Gilbert, Barbara Jansen, Ched Smaha, Robert Wright, and Temiko Braswell participated in a GKAS event at Middle Georgia Technical College in Warner Robins. Also on GKAS Day, Drs. Katie Garvin, Amber Lawson, Marilyn Murphy, Kara Moore, and Margaret Moore provided comprehensive exams, cleanings, x-rays, and treatment to 22 chil-

GDA ACTION APRIL 2013

Dr. William Morang with teacher Kathy Little, front office coordinator Kelli Smith, dental hygienist Gailya Lundy, and Oconee County Media Specialist Debra Newman during an Eastern District CDHM event.

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Drs. David Brantley, Andy Chandler, Kelly Hughes, Amber Perry, John Spratling, and Tara Schafer rose to the occasion at the GRU College of Dental Medicine and provided treatment ranging from prophys to stainless steel crowns to 82 low-income children.

Northern District Dr. Diane Kelly had a great Children’s Dental Health Month. Her team members visited 13 schools, with help from the Tooth Fairy and Tigger, and taught 1,200 students the importance of a healthy diet and proper dental hygiene. Dr. Troy Schulman discussed healthy snacks, the importance of going to the dentist, answered dental questions, and taught proper brushing and flossing to 22 third graders at High Point Elementary School in Sandy Springs. Dr. Janice Wilmot celebrated CDHM at Camp Creek Elementary with 180 first graders who

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learned about proper brushing and flossing habits. Several other doctors stepped up and conducted educational programs at schools, including: Dr. Ryan Vaughn (550 children); Dr. Sam Kwon (1,920 children); and Dr. Tom Weyrich (550 children). Dr. George MacMaster and associates visited the Boys and Girls Club of Hall County, providing free dental screenings and education on brushing and flossing to 114 children for GKAS Day. GKAS was big in Gainesville, when Drs. Ryan Vaughn, Heather Perry McGee, Tom Weyrich, Michael Thornton, W. Jones Phillips, Cindy Greene, Del Mixon, Tom Field, Darlene Davis, James Hicks, Anna Vu, Patrick Toms, Ben Hawkins, Mollie Winston, Meredith Dempsey, Mike Vetter, Michael Phelan, Jack Bickford, GIVE KIDS A SMILE Continued on page 14

Dr. Tom Henson and dental assistant Melinda Smith of Eastern District during CDHM.

Serving Needy Children on Give Kids a Smile Day Thomas R. McDonald, DMD

I have enjoyed the blessing of participating in the Give Kids a Smile Day program for a number of years. This service outreach by the GDA and groups such as the Georgia Section of the Pierre Fauchard Academy has served many children throughout Georgia. There are untold numbers of individuals that donate their time and talents in these charitable efforts and I have observed some incredible acts of selfless dedication to the health of needy children. In recent years, my experience has been volunteering at Greensboro Elementary School through the PFA. Dr. Mark Shurett has donated the use of his dental vans, which are equipped and stocked to provide care in this setting. Additionally, many of his staff dentists and staff donate their time for service on that day. These folks are so dedicated and talented that I am humbled to work along-side them. On February 1 I had the pleasure of working with Drs. Ericka Edmonds and Carolye Mason along with Eddie Juwara, ChiQuita Haliburton, Jennifer Field, and Angie Pickel. Three dentists, two dental hygienists, one screener / radiologist, and one dental assistant working (literally) shoulder-to-shoulder inside that van could hardly be considered a well-oiled

machine but proved to be a wonderful way to serve these children. In our profession, clinicians can choose their niche and move toward the style of practice that is best suited for them. Choosing to serve children on a daily basis inside a mobile clinic is definitely not the “easy way out.” The most unsung hero of our day was school nurse Sally Boswell. She spent months setting up the logistics, securing permission for treatment, and even providing transportation for some of the children. “Nurse Sally” considers the opportunity for dental care to be one of the best chances to improve the overall health of these children. My late father was a lifetime church member, Rotarian, and school mentor. When faced with a service opportunity that required travel for a great distance, he would often say, “Don’t we have some needy people in our area?” His theory was proven when our church went to Montana to help a church rebuild. A couple of months later, a church from Montana came to help rebuild a church in Social Circle, Georgia. I think that my father would say the GDA’s efforts with Give Kids a Smile Day, as well as the Georgia Mission of Mercy, are definitely serving the needy in our area.

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GIVE KIDS A SMILE Continued from page 13

Dr. Melanie Tang and several other Northwestern District members took part in GKAS Day events.

William Couch and many other volunteers came together at two locations to provide free exams, prophys, fluoride, sealants, and needed extractions to 295 children. Some 140 children traveled from Hall County schools via busses. The Tooth Fairy, aka “Bubble Gum” (Renee Woodall) entertained the waiting kids. Volunteers also gave more than 200 bags of food to the Georgia Mountain Food Bank.

Dr. Bo Broadfoot with GDA mascot Gabby and excited members of a Valdosta Pre-K class that visited his office.

Northwestern District Dr. Sean O’Rourke and his team reached seven children on GKAS Day, providing cleanings, exams, x-rays, and needed treatment to each child. Drs. Denise Hall, Faith Bates, Chris Shim, Lechandre Wadley, Melanie Tang, Kay Kalantari, Brenda Fritz, David Bradberry, and Julius Park along with numerous support volunteers provided education and screenings to 57 children.

Pre-K students from Mrs. Connie’s and Mrs. Renee’s classes in Adel visited Dr. Chris Hilliard in February to celebrate CDHM. They learned about good oral health from Dr. Hilliard and dental hygienists Tracy Jaramillo and Judy Ingram and dental assistant Christy McDaniel.

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Most children also received at least one dental procedure, including prophys, xrays, fluoride, and sealants, with care delivered valued at over $22,000. Every child also received a goody bag and enjoyed a balloon animal artist while they waited for care.

Southeastern District Dr. Glenn Sasser invited the McIntosh County Pre-K classes to his office for a tour and demonstration of how things work in a dental office. The children were shown how x-rays are taken, the equipment used for cleanings, and a light curing demonstration, and received oral hygiene instruction. Dr. Sasser also went to the McIntosh Head Start program to demonstrate home care, including brushing and flossing. In total, Dr. Sasser and his team reached 135 children. Dr. Billy Jamerson gave oral hygiene instruction, nutritional counseling, and brushing and flossing demonstrations to 95 children at Chatham Academy, Heard Elementary, and Rambum Day School. Dr. Stanley Prince went to St. Mary’s Elementary to visit with 108 kindergarteners. Dr. Larry Schmitz and numerous other volunteers went to Pooler Elementary and Ash Tree Academy to teach oral health and nutrition. They also held a Kid’s Health Day on February 16, offering exams, x-rays, and restorative treatment. In total, the group saw 430 children. Dr. Thomas Sayer visited with 59 children in St. Simons giving an educational program on nutrition and oral hygiene. Dr.

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Paul LaSala visited with several schools across Bryan, Evans, Tattnall, and Bulloch counties, educating 1,259 students on the importance of brushing, flossing, and making healthy food choices. Dr. Julie Howard gave presentations to 100 students in grades K4, K5, Kindergarten, second, and third at St. Andrews and Lanier Primary. Dr. Mark Dusek made oral health presentations to 200 children at Hess Elementary. Dr. Stephanie Skinner instructed 112 students at St. Francis Cabrini School on oral hygiene, brushing, and flossing. On GKAS Day, Drs. Stanley Prince, Lester Harris, and Richard Spencer along with their support teams treated 40 children with free dental care valued at just over $8,000. All children received an oral health screening and panorex x-ray. Those that needed additional services, like extractions or fillings, also received care.

Southwestern District In recognition of CDHM, the office of Dr. Chris Hilliard hosted their annual visit from all the Pre-K classes at Cook County Primary School in Adel. Dr. Hilliard has hosted this event for over a decade to show his community support and help educate the youth in his area. Dr. Hilliard’s team members helped to show the children around the dental office, showed how the equipment works, and answered lots of questions from curious little ones. Dr. Bo Broadfoot hosted a Pre-K class in his office where students sprayed Silly String on oversized cardboard teeth and used a giant toothbrush to clean the teeth and rope to floss.

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Drs. Amanda Merritt, Jessica Watson, Charles Sauls, Larry Perkins, Robert Lane, and Stacey Marshall volunteered their time and talents at the Darton College of Dental Hygiene in Albany. Fully 100 children received dental screenings, cleanings, fillings, and oral health education.

* This article contains information reported to the GDA office as of March 15, 2013. If your event is not listed here, please contact Courtney Layfield at layfield@gadental.org with the details of your event.

Western District Dr. Alex Cranford visited the Boys and Girls Club of Newnan to give oral health education and goody bags to 125 children. Dr. Paul Garcia was busy throughout February and early March giving oral health educational programs at several schools, including St. Mary Road Magnet Academy (55 kids), Edgewood Elementary School (30 kids), TSYS Learning Center (125 kids), Gentian Magnet Academy (48 kids), and Wynnton Arts Academy (52 kids), as well as educating 6 children at the Damascus Way Shelter in Columbus. Dr. Sean O’Rourke with dental hygienist Marybel Carlisle on Give Kids a Smile Day in Cumming.

Dr. Jennifer Roberson and dental assistant Michelle Mercer at Stratford Academy in Macon during Children’s Dental Health Month.

Dr. Julie Howard and dental hygienist Angie Carpenter with a Pre-K class in Savannah during CDHM.

Dr. Troy Schulman with dental hygienist Evelyn Maguschak and dental assistant Stephanie Chavez at High Point Elementary in Sandy Springs.

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Prepping Your Team for Organizational Changes: Don’t Be Like Starbucks Did you start 2013 with plans to institute new services or processes in your practice? Perhaps you have plans to buy a new digital x-ray system at the GDA Annual Meeting. As you consider making changes, also take time to plan on how those changes will become an integral part of your practice. Saying, “we need to make a change” is often the easy part. Educating staff members about the need for change, and training staff to implement changes for the benefit of the patient and the business is complex. Without proper attention to effective implementation, an expensive purchase or new procedure can go to waste. Consider what happened when the coffee chain Starbucks recently implemented a new payment system in 7,000 of their stores. Customers heard from social media advertisements that they could pay

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with Square Wallet—that is, place their order at a Starbucks, open the Square Wallet app on their mobile device, and make their payment with a few taps and scans. A sticky issue cropped up at some locations as the service was rolled out, however—management had not trained staff to assist customers who wanted to use the payment system. One writer for Fast Company, a technology magazine, reported a personal experience at a large New York City Starbucks: “The Starbucks clerk was at a loss. I had just ordered a mocha Frappuccino and asked to pay with Square, a service that allows customers to purchase goods at the coffeehouse chain via their smart phone. “What? Square?” the clerk asks me, as she turns to another Starbucks employee behind the counter. “Can we pay with Square?”

“I don’t know,” the other employee responds. “No.” “But there’s [a Square] option here,” the clerk says, as the two huddle close to the register’s screen. The clerk tries to scan my iPhone with her barcode reader, repeatedly tracing it up and down over the surface of the device, which is running Square’s Wallet app. A minute or two passes. No luck. “I don’t know how it works,” she says. “It won’t scan. It’s weird.” Starbucks and Square both touted seamless customer service as the reason they implemented this change. They failed, however, to properly train the team members who held the key to making this service matter to customers. In many instances, they even failed to make those team members aware of the service itself. Your average dental practice does not face

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the challenge of implementing a new system across hundreds of locations that employ thousands of baristas who face questions from hundreds of individuals daily. But picture your staff members telling patients, “I am sorry for the delay in checking you out. We are still getting used to the new system” or “Sometimes the printer works and sometimes not—we don’t know why. Do you need your receipt today?” There are five steps a dentist may want to take as he or she starts the process of implementing change. These might just be easier to follow than learning how to make a perfect iced skim upside down caramel macchiato. 1) Establish your own vision of what change and success mean. Can you state the reason for your desire to change in 25 words or less? For example, “To boost profitability ___ percent, we must educate ___ percentage of our current patients on the value of accepting the entirety of their treatment plan.” Once you have your vision and your goal, you can plan what steps you need to take for accomplishment.

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2) Talk to your team about your vision for change before you invest. Don’t create an office-wide case of nerves by calling a staff meeting after a shiny new piece of equipment is delivered. Forget white coat hypertension—brown box paranoia is more damaging. Staff members will resist change when they feel rushed into accepting something new or fear how a new procedure or service will affect their job responsibilities or employment. 3) Conduct thorough training. Answer all questions that staff may be afraid to answer. If staff members will be using a new piece of equipment, for example, show them the equipment in active, correct use. If they cannot visit in person, find a video showing what happens when everything works correctly. Then find a way to show staff what happens when the thing stops cold and what they can do about that. Empower staff members to feel confident about a new process. One idea—have them role play and introduce the new product or service to a fellow staff person as if they were a patient. Will they say, “This is our new software. We installed it so that we can complain to each other

about why something won’t print while you stand there tapping your credit card?” Or, will they say, “We have a new system that allows us to present you with this complete record of your visit today, and notes the additional treatment you discussed with the dentist?” 4) Don’t think that once training is delivered in one two-hour or 10-hour chunk that you can move on to other things and expect your team to immediately use new procedures or products correctly every time. Follow up to see what staff “workarounds” or shortcuts may have crept into the mix. Coach employees who need help complying with new procedures. 5) Celebrate milestones the team makes in progressing toward change. This can include a lunch following a successfully completed training session or gift cards distributed to staff members who are thanked by patients for implementing a new service or procedure well. Show your staff that their hard work has made an impact on the success of the practice.

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classified ads Dental Related Services How GDA members can place classified ads AD FORM: Submit all ads on a GDA Classified Advertisement Form. To obtain a form, call Skip Jones at (800) 432-4357 or (404) 636-7553, or email jones@gadental.org. (Note: The GDA may accept or reject any ad for any reason and in its sole discretion.)

AD DEADLINE: Ads and ad check payments are due by the first of the month before the publication month (i.e., Dec. 1 for January).

AD RATES: ADA member dentists pay $75.00 per 60-word ad per month. There is a 25 cents per-word charge for each word over 60. Non-dentist-owned companies (real estate firms, etc.) pay $195 per 60-word ad per month (additional word charges as above). Non-member dentists may not place ads.

LATE FEE: Ads for which full prepayment is not received by the first day of the ad’s publication month (i.e.; Nov. 1 for a November ad) will incur a $25 late fee in addition to the ad rate.

FORMS OF PAYMENT: Submit a check or money order with the ad form. (Make checks payable to GDA.) Credit cards are not accepted as payment.

WEB SITE PLACEMENT: Prepaid ads will appear on the GDA Web site www.gadental.org for the month the ad appears in print. Non-prepaid ads will NOT be placed online.

X-RAY SAFETY COURSE FOR DENTAL ASSISTANTS: Special $99.95 for limited time. Save $60.00! Taken ONLINE in the convenience of home! Also great for RDH Continuing Education credit recognized by the Georgia Board of Dentistry. Make sure your assistants are legal. Don’t risk a possible spot inspection and citation. Order at www.gaxray.com using Coupon Code “gda” when checking out. Hands On Extraction Class: Saturday August 31, 2013, Myrtle Beach, South Carolina. Participants will learn about crane picks, 301 elevators, extraction techniques, elevating flaps, and suturing. Eight hours accepted for FAGD / MAGD credit. For complete information call or email Dr. Murph (843) 488-4357 or drtommymurph@yahoo.com. Also offering 40 hour Hands on Classes in Guatemala.

Dentist will fill in for illness, vacation, or continuing education. Licensed, insured, DEA #. Call (404) 786-0229 or email breighard@gmail.com. Dentist available during emergencies, vacation, CDE courses. I have a current license, DEA certificate, and insurance. Contact me at (706) 291-2254 or cell (706) 802-7760. I hope I can be of service to you. Patrick A. Parrino, DDS, MAGD.

Positions Available General Dentist needed with caring, patient focused approach to join our busy practice. Associateship and buy in opportunity available. Baldwin County, AL, near beach and bay. Email inquiries to gchamblinv@aol.com. CLASSIFIEDS Continued on page 26

Dental Equipment for Sale For Sale: Panoramic machine, PC-1000 Panoramic Corporation and developer. Schick Intra Oral sensors with USB connectors (2/4) 3. Ader 3045 Perception Units (2). Apollo Suction 1.5 HP. Call (404) 2292998 or email: ljmseaside@gmail.com.

Dentists Available for Locum Tenens Dentist available daily for illness, CE, etc to check hygiene and emergencies. Buckhead, Sandy Springs, Dunwoody, all of North Fulton, Cobb County. Reasonable daily rate. Call PETE TRAGER (404) 3031204 or (404) 226-6457. DENTIST: Need Part Time Fill In? Vacation, Illness, Maternity? GENERAL DENTIST SOLD LONG ESTABLISHED PRACTICE. GA & DEA LICENSED. (Available Expanded Atlanta Area.) Cell: (404) 219-4097. Home: (404) 842-1196. Jesse Hader, DDS.

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Need help: Ready to retire after 43 years. Need a dentist to work for salary or percentage until he / she can take over the practice. I will continue to work a few days a week during the transition period. Financing is available. Located in South Central GA, in Fitzgerald. Call Fri-Mon (229) 424-5888. Associate Dentist Needed: Busy general dentistry practice NW of Atlanta is looking for an associate to add to our practice. Immediate full time employment; must be skilled and practice all aspects of general dentistry. Our office is a beautiful, modern facility with an experienced staff. Come join us! Please email beiges66960@mypocks.net or call (770) 546-2775.

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Well established and productive Dental Practice in the North Atlanta area looking for an Associate Dentist to join our team in a PT / FT position. We practice general dentistry with a wide variety of procedures. We have a great office team and are looking for a Dentist to join our loving and compassionate staff. We are soon to be expanding with Orthodontics, and a new additional location. Please fax resume to (770) 889-6687. Associateâ&#x20AC;&#x201D;Atlanta: Lucrative opportunity for an experienced general dentist. Large patient base, well-established practice, high income area. Extensive crown and bridge, CAD / CAM, implant restorative, composite operative, esthetic dentistry including DaVinci Veneers. Ability to perform rotary endo a plus. Excellent compensation package. Please email resumes to 1careerinfo@gmail.com or fax to (770) 926-8483.

Savannah, Georgia: Take advantage of this awesome opportunity! Cutting edge dental practice in Coastal Georgia seeking highly motivated dentist. Our dentists have outstanding clinical skills and a chair side manner that makes every patient feel comfortable. Our dentists are leaders in the office working to develop and foster a team environment so their practice can grow and mature, achieving financial success. Our operating model provides you with great earning potential. In addition, our office offers an outstanding opportunity for growth and the support to make it all happen. Minimum Education and Experience: * Must hold degree from accredited dental school. * General practice residency experience preferred but not required. * Experience with implant placement, surgical procedures, and / or endodontic procedures strongly desired. * IV sedation certification strongly desired. Contact: rachaeldering@yahoo.com. Please email your resume to the above address in .doc or .pdf format.

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Coast Dental is one of the largest providers of general and specialty dental care in the United States with practices in California, Florida, Georgia, Nevada and Texas. Coast Dental is currently looking for General Dentists and Specialist to practice in the greater Atlanta area. We have full and part-time opportunities available for experienced dentists to practice where contributions are valued and the sky is the limit on opportunities to grow. Coast Dental offers competitive wages with sign-on bonuses available for select locations, a great benefits package and a chance to work with advanced technology and devoted people who take a visionary approach to making every patients smile a work of art. If you are interested in an opportunity in one of our practices, please email psherberg@coastdental.com or apply online at www.coastdental.com/careers/dentists. NORTH ATLANTA #8902 Associate needed for Norcross general practice. Prefer experienced dentist capable of most skills. Practice is fee for service. For more information, call Dr. Earl Douglas (770) 664-1982 or email earl@adssouth.com. ASSOCIATES NEEDED: SAVANNAH ASSOCIATE NEEDED: AWESOME OPPORTUNITY #8903; STOCKBRIDGE ASSOCIATE NEEDED #8894. Call Dr. Earl Douglas (770) 664-1982 or email earl@adssouth.com. Pediatric Dentist Needed: We have an outstanding full time opportunity for a Pediatric Dentist in our successful, wellrespected, quality oriented private pediatric dental practice for the right candidate. We are seeking a special, motivated, personable full time pediatric dentist to join in our success. We are a booming practice with tremendous growth and earning potential. We offer in office sedation. We offer excellent compensation and benefits. For more information, please contact Dr. Vishant Nath at (678) 763-2600 or email drnath@kidshappyteeth.com or you can contact Amanda at (678) 352-1090 or (678) 429-9931.

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ATLANTA / DUNWOODY AREA ASSOCIATE #8887. Board certified / eligible OMS needed immediately. For more information, call Dr. Earl Douglas (770) 664-1982 or email earl@adssouth.com. Charleston, South Carolina: Join a pediatric practice with multiple offices. Join a fun, well-respected, paperless pediatric practice and live in a great city on the beach. The position is for someone looking for a great place to work in a friendly and comfortable working environment, competitive salary & benefits. Email CV drisabel@coastalkidsdental.com or call 843.816.KIDS (5437). Visit coastalkidsdental.com.

Practices / Office Space Available Available Dental Spaces for Specialist! Stockbridge, Fayetteville, Duluth, and Riverdale locations. Ideal for Pediatric Dentist, Periodontist, Endodontist, or Oral Surgeon looking to add satellite location or new startup. Already plumbed & fully equipped with 4 operatories and room for 2-3 more. Save time and money by sharing space in these new multi-specialty locations. Contact us at: dentalspecialist2@gmail.com.

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Available: CANTON: Beautiful office grossing $393,000, 4 operatories. LAKE OCONEE AREA: Exceptional opportunity, grossing $823K. NORTH ATLANTA: Gorgeous new facility with 6 operatories, grossing $1.4 with high volume of cosmetics and implants. WOODSTOCK: Beautiful 5 operatory office grossing $400K. Richane Swedenburg, New South Dental Transitions: (770) 630-0436 or info@newsouthdental.com. Check new listings: www.newsouthdental.com. DALTON: If you would like to make some money this is the practice for you. Average annual collection are more than $2 Million. 5 total operatories equipped with Adec and all of the best technology. Excellent location! The selling doctor would like to stay for 3 years. Asking price $1.6 Million, must be pre-approved with a bank. The real estate is also for sale. Please call or email for details using reference #GA1025. For more information call (678) 482-7305, email amanda@southeasttransitions.com.

GWINNETT COUNTY: This is the type of practice every dentist dreams of! Excellent location, all FFS practice with very high quality dentistry, 7 operatories, collected $1.3M+ in 2012 with a strong hygiene department. Please call or email for details using reference #GA1028. For more information call (678) 482-7305, email amanda@southeasttransitions.com. PAULDING COUNTY: Well established practice with room to grow! All FFS patients. The practice collected $300K in 2011 with 50% overhead. There are 3 ops with an additional room plumbed. Seller is ready to retire. Please call or email for details using reference #GA1008. For more information call (678) 482-7305, email amanda@southeasttransitions.com. *NEW* COBB COUNTY PRACTICE FOR SALE: Beautiful, 10 operatory, state of the art facility with ADEC equipment, collecting over $2M annually in a great location. Don’t miss out on this opportunity! Please call or email for details using reference # GA 1029. For more information call (678) 482-7305 or email amanda@southeasttransitions.com.

Dental Space Available! Duluth, GA. Already built-out and plumbed with dental equipment! Convenient location off Sugarloaf Parkway near I-85. Built in 2007, 3-6 operatories, sterilization, consultation room, kitchen. Front office and private doctor office. Split design dental space, perfect for new dentist or specialist satellite office. Upscale building in a high growth area with excellent demographics. Move in ready! Contact Suellyn at (770) 623-4840. Practices for Sale: AUGUSTA #8747— Gross collections $1.26M; COLUMBUS AREA #8824—Gross Collections $389K. For more information, call Dr. Earl Douglas (770) 664-1982 or email earl@adssouth.com.

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Inside This Issue • Give Kids a Smile Day and Children’s Dental Health Month Shining Stars • Don’t Be Like Starbucks: How to Implement Change Effectively in Your Practice DATED MATERIAL PLEASE DELIVER AS SOON AS POSSIBLE

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Suite 200, Building 17, 7000 Peachtree Dunwoody Road Atlanta, Georgia 30328-1655 www.gadental.org