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Volume 94

Number 2

Spring 2009 Www.ksdental.org

A Publication of the Kansas Dental Association

Rou f s S u c c e e ds Herw i g as K DA President Hale Elected Vice President

At the 138th meeting of the KDA General Assembly on Saturday, April 18, Dr. Brett Roufs (Seventh District) became the 132nd President (some early KDA Presidents served for multiple years) of the Kansas Dental Association. In his comments after accepting the gavel, Dr. Roufs thanked the membership for the opportunity to serve as KDA President. He also thanked KDA Past President Dr. Jon Tilton who first encouraged him to become involved in the KDA leadership. Dr. Roufs’ comments can be viewed on the KDA website at www.ksdental.org. In the KDA officer elections, Dr. Hal Hale (Wichita District) was elected Vice President. Having served a term as the KDA Treasurer, Dr. Hale will now move

Left: Dr. Robert Herwig passes the gavel and KDA presidency to Dr. Brett Roufs during the 138th KDA General Assembly in April Inset: Members of the KDA Executive Committee congratulate newly elected Vice President, Dr. Hal Hale

Secretary and Dr. Craig Herre (Fifth District) was elected KDA Treasurer. Dr. Herre served as KDA Secretary this past year. Congratulations!

up the officer chairs and will serve as the 2011-12 President of the KDA. Dr. Jason Wagle (Wichita District) was elected KDA

Dr. Dave Hamel (Northeast District) is now President-elect while Dr. Robert Herwig (Fifth District) completes his duties on the Executive Committee as Immediate Past President.

I dentity Theft Accomplished scholar brings experience, leadership to top spot at dental school The University of Missouri-Kansas City (UMKC) has announced the appointment of Marsha A. Pyle, D.D.S., M.Ed., as the new dean of the UMKC School of Dentistry. Dr. Pyle is currently the Vice Dean of the School of Dental Medicine at Case Western Reserve University [CWRU], Cleveland, Ohio. At CWRU, Dr. Pyle has served as Associate Dean for Education at the School of Dental

In This Issue... Red Flag Rules on Hold

1

President’s Message

2

2009 Dentist of the Year

5

New ADA Executive Director

6

Providing a Dental Home

8

Editorial

9

KDCF Update

10

KDA Leadership Meeting Planned 10 KHPA Cuts 14 Staff Positions

11

Classified Advertisements

18

“Red Fl ag”

Medicine and is Professor in the Department of Oral Diagnosis and Radiology.

Rules

“I am extremely pleased that we were able to attract someone of Dr. Pyle’s stature and experience as Dean of our outstanding School of Dentistry,” said Gail Hackett, Ph.D., UMKC executive vice chancellor and provost. “I have every confidence that Dr. Pyle will be able to lead the School to even higher levels of distinction.” In addition to her academic work, Dr. Pyle has worked as Consultant to government and corporate entities and, in 2008,

The Kansas Dental Board will hold a hearing on Friday, July 24 in Topeka on new rules and regulations which define teeth whitening as a dental procedure. In June 2008 the Kansas Attorney rendered opinion 2008-13 which dealt with the teeth whitening services performed by non dental offices. That opinion, in part, stated that teeth whitening was not clearly defined as a “dental service of any kind,” but gave direction that this definition could be clarified within

Hold

The FTC recently announced that it would delay enforcement of the new “Red Flags Rule” until August 1, 2009, to give creditors and financial institutions more time to develop and implement written identity theft prevention programs. For entities that have a low risk of identity theft, such as businesses that know their customers personally (dental offices), the Commission will soon release a template to help them comply with the law. This announcement does not affect other federal agencies’ enforcement of the original November 1, 2008 compliance

continued on page 10

Kansas Dental Board to Hold Public Hearing on Whitening

on

continued on page 7

administrative rules and regulations. In response, the KDA formed a task force to define teeth whitening as a dental procedure and submit the recommendation to the Kansas Dental Board for their consideration. The Kansas Dental Board has successfully advanced the new proposed language through the Kansas Attorney General. The proposed language is as follows: 71-1-1. Practice of Dentistry. Each non-licensed person who provides any service or procedure meeting either of the following conditions shall be deemed to be practicing dentistry, unless the person provides the service of procedure under the direct supervision of a dentist licensed and practicing in Kansas. a. Alters the color or physical condition of natural, restored or prosthetic teeth; or b. Requires the positioning and adjustment of equipment or appliances for the purpose of altering the color or physical condition of natural, restored or prosthetic teeth. Any dentist interested in providing comments to the Kansas Dental Board are encouraged to do so in writing or in person by attending the July 24 hearing in Topeka.

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Dr. Robert V. Herwig KDA President

President’s Message For those of you who did not make it to the KDA Annual Meeting in Wichita, you missed a great meeting and a lot of fun. The continuing education program was excellent. Thanks go to Dr. Trotter and his committee for their hard work providing a great program for a reasonable fee. The President’s Dinner was really special with a motivational program by the Voice of Big Twelve Basketball, “Mr. Wow” Dave Armstrong. Please make plans to be in Branson next June for our last Heart of America Dental Symposium with the Missouri Dental Association. In 2011 we will be in Overland Park for our regular KDA Annual Meeting. Congratulations to our newly elected executive committee Dr. Jason Wagle-

Secretary, Dr. Craig Herre-Treasurer, Dr. Hal Hale-Vice President, Dr. Dave Hamel-President Elect and Dr. Brett Roufs-President. I will become Immediate Past President and look forward to a great year to come. We are continuing to have a hard time getting our elected delegates and alternate delegates to our KDA Board of Delegates meetings. We need to “jump through hoops” to have enough representatives to have a quorum and the ability to conduct business. For our organization to function the best it can, we need greater representation and participation from our elected individuals. District leaders please be sure your delegates understand their commitment when elected. Delegates please keep your commitment. Thanks to all who give their valuable time and talents to our organization. The last year has flown by. It just seems like yesterday when I was elected President in Branson. Thanks to the executive committee, KDA staff, and all the committee and council members for helping me make this last year work. Without

you and many others in the KDA, we could not help and support the dentists and people of Kansas. You all are in great hands with the election of Dr. Brett Roufs as your new KDA President. The more I am around Brett the more I am impressed with his leadership skills. Along with the rest of the executive committee and their gifts, 2009-2010 will be a year to remember. I hope I have left the KDA at least somewhat better than when I became its leader. Hope to see you all around Kansas. Sincerely, Robert V. Herwig, D.D.S.

KDA Establishes Scholarship Through the Rinehart Foundation At its March meeting, the KDA Board of Delegates established the Kansas Dental Association UMKC Rinehart Foundation Scholarship Fund. Once endowed with $10,000, this fund will provide a scholarship to an eligible student who is: • • • • • •

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Be a fourth year UMKC dental student Be a graduate of a Kansas high school Be an active student member of the KDA. Intend to practice dentistry in Kansas upon graduation Have a letter of recommendation from a KDA member dentist In addition, special consideration will be given to a student who:

• Intend to practice dentistry in a less populated or underserved area • Shows financial need • Has shown superior academic performance The KDA asks its members to consider a contribution to the new KDA scholarship fund. If you are currently making a contribution to the UMKC Rinehart Foundation, the KDA asks that you consider designating the KDA scholarship with their next contribution. Contributions may be made to the UMKC School of Dentistry Rinehart Foundation, 650 E. 25th St., Kansas City, Mo. 64108. Be sure to designate “KDA Fund” in the Memo.


KDA Holds

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st

Real World Transition Brunch

The evolution of the past KDA Comin’ and Goin’ Brunch and Career Opportunity Fair continued at the Midwest Dental Conference in March with the new Real World Transition Brunch. Similar in objective to the former events, the goal of the Real World Transition Brunch is to help students identify practice opportunities and learn about the business aspects of dentistry that they might not learn in dental school. It also provides an opportunity for the KDA to build a relationship with students so they understand and experience the val-

Minute Briefs Board of Delegates Kansas City, Missouri March 26, 2009

• Approved the agenda as distributed.

• It was moved and seconded to approve the January 25, 2008 minutes as distributed. Motion passed. • Approved the endorsement of Arch Enterprises for a precious metal recovery program for members. • It was moved and seconded to direct the Executive Committee to investigate a Kansas residency scholarship for dental students.

• Approved the 2009-10 as presented.

J K DA

Journal of the Kansas Dental Association ISSN# 08887063

• Approved a motion to gather information on potential endorsement of a KDA-sponsored prescription drug discount card.

Board of Delegates Hotel at Old Town - Wichita, Kansas April 16, 2009

• Approved the Executive Director Agreement between the KDA and Mr. Kevin J. Robertson be renewed and amended by rewording the termination and other sections and increasing the salary from $91,350 to $96,600. Dental students had the opportunity to ask questions at the stations set up at the KDA Real World Transition Brunch

Council on Dental Care Programs to allow the Turnock Companies to use the KDA name, logo and member list for a single mailing to market Dental Benefits for 1. The Council further recommends that the KDA work with the Turnock Companies and DB for 1 to formalize an endorsement relationship.

• Referred the motion back to the ue of organized dentistry that they will continue throughout their entire career. In all, 65 UMKC dental students participated in the event that included seven separate stations. The number and topics of the stations was determined by ques-

PUBLISHED QUARTERLY BY Kansas Dental Association 5200 SW Huntoon Topeka, KS 66604-2398

• Approved the March 26, 2009 minutes as distributed.

Board of Delegates Hotel at Old Town - Wichita, Kansas April 18, 2009 • Approved the agenda as distributed. • Elected Dr. Robert Herwig to the ADA Alternate Delegate/Delegate (2+2 Position) expiring on April 30, 2013).

KDA General Assembly Hotel at Old Town - Wichita, Kansas April 18, 2009 • Approved the minutes of the June 28, 2008 Annual Meeting as distributed. • Accepted 18 members as Active Life Members. • Approved the 2009-10 budget as presented. • Elected Dr. Hal E. Hale Vice President of the KDA. • Elected Dr. Jason Wagle Secretary of the KDA. • Elected Dr. Craig W. Herre Treasurer of the KDA. tions that had been submitted by students prior to the event and then categorized. Each student received a chance to win a Nintendo Wii game console for each question submitted. These stations covered the general topics of practice finance, transition consulting/brokerage, liability and disability insurance, public health opportunities, ADA/KDA membership, 19 dentists seeking associates and/or selling their practices, and video interviews with dentists providing insight on the transition to practice. The KDA invited hosts to represent and provide information within each of these stations. Input from member dentists and students has been very positive to the new format. The KDA has submitted an ADA Golden Apple Award application for ‘Achievement in Dental School/Student Involvement in Organized Dentistry’ for our efforts with the Real World Transition Brunch entitled, Making the Connection: A Real World Experience.

EDITOR Eugene F. McGill, D.D.S. MANAGING EDITOR Kevin J. Robertson, CAE PRINTING Jostens 4000 SE Adams Topeka, KS 66609

June 13 ADA 150th Anniversary Gala 26-27 Flint Oak Leadership Workshop

PRODUCTION Niki Gustafson KDA Executive Committee

July

PRESIDENT Dr. Robert Herwig PRESIDENT-ELECT Dr. Brett Roufs VICE PRESIDENT Dr. David Hamel SECRETARY Dr. Craig Herre TREASURER Dr. Hal Hale IMM. PAST PRESIDENT Dr. Glenn Hemberger Although the KDA publishes authoratative news, committee reports, articles and essays, it is in no respect responsible for contents or opinions of the writers. Advertising rates and circulation data will be furnished by request. Annual subscription price is $5.00 for member dentists, $25.00 for non-members, and $40.00 for Canada and foreign mailings. Single issue price is $10.00.

KDA Calendar of Events

21-23 ADA Management Conference, Chicago 23-25 Mid State Dental Leaders Conference, Chicago

August 29-30 ADA District 12 Caucus, Dallas

September Local District Meetings

October 1-6

ADA Annual Session, Honolulu

November 6 7

KDA Board of Delegates Meeting, Manahttan KDA Sunflower Showdown Tailgate, Manhattan

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W I C H I TA O LD T O W N H O S T S K DA A N N U AL M EE T I N G The 2009 KDA Annual Meeting was held April 16-18 at the incomparable Hotel at Old Town in the historic Old Town area of Wichita. With excellent shopping, dining and night-life within just walking distance, Old Town provided the perfect setting for socializing with old friends and colleagues. Over 200 attendees including 100 dentists attended the meeting and if you weren’t one of them, you’ve probably heard by now that you missed a good time! The two and a half day event kicked off on Thursday, April 16 with a welcome social in the exhibit hall where 23 vendors displayed the latest and greatest in dental technology and services. What a great way to get re-acquainted with friends and colleagues not seen for a while and thank the vendors

Top - Dr. Rob Herwig takes a swing at the longest drive challenge Bottom - Dr. Matt Krische tries to keep it off the wall in turn #1 at the Kansas Speedway

and sponsors for supporting our meeting. We couldn’t do it without them!

activities at their booths to boost their traffic.

This year’s tradeshow not only provided face-to-face interaction with our exhibitors; we added entertainment Above - A steady to the mix! This flow of traffic kept the Exhibit Hall year, we added busy during breaks to the traditional Left - Dr. Will Baker tradeshow, the visits with exhibitors energy of a gaming experience and competition. While meeting attendees learned about the exciting dental products our exhibitors had to offer, they got the chance to win a Nintendo Wii game console by testing their skills at the Tiger Woods Longest Drive Golf Challenge sponsored by KDA endorsed insurance companies McInnes Group Inc and Johnston Fiss Insurance. Dr. Robert Colt hit the longest drive at 344 yards for the Wii game console; Dr. Bert Oettmeier took second place with 331 yards, winning a Nike putter; and Dr. Sean McReynolds was a close third place with 330 yards and received a box of Nike Platinum golf balls for his efforts.

A stellar line-up of speakers was slated for the two days of continuing education covering a variety of topics. Meeting go’ers had 27 hours of continuing education to choose from covering topics such as cavity preparations, effective memory skills, dental office emergencies, dental trauma, impression materials, risk management, ergonomics, OSHA, dental technology and removable partial dentures. With this vast array, the Council on Annual Session and Events put together a phenomenal program providing something for the entire dental staff. Following tradition, Friday evening featured the President’s Dinner Party honoring outgoing KDA President, Dr. Rob Herwig for his year of service to the association. Close to 100 people turned out for this annual gala where Dave Armstrong, the Voice of Big 12 Basketball, was welcomed continued on page 5

However, for those who don’t favor the game of golf, the KDA sponsored an EA Sports NASCAR Racing Competition where having the fastest lap time earned the top prize, and ‘not’ hitting the wall was harder than you’d think! Dr. Sean McReynolds locked in the top spot for a $50 gift card. A few other exhibiting companies got in the spirit of the game and provided some interactive Guest speaker, Dave Armstrong, Voice of Big 12 Basketball, entertained KDA President’s Dinner guests

Dr. Harry M. Klenda Award For Outstanding Council/Committee Service

Dr. James Trotter

Jim Trotter was born in Phoenix, Arizona and spent his high school days in the Kansas City area. Jim is the oldest of four boys, two of whom became dentists and two became pharmacists. He attended Harding University in Searcy, Arkansas and graduated from UMKC School of Dentistry in 1976. He spent 30 years in private practice in Overland Park and Leawood, KS.

services as song leader. Sandy and he have been active in leading Dynamic Marriage seminars. He is also an accomplished musician singing in various church groups and men’s quartets.

Jim married Sandy Ensley in 1974 and they have two children. His son, David, 25 and daughter, Leslee, 23, live in the Overland Park area. He has a grandson, Johnathan who is almost three.

Jim was in the Overland Park Rotary Club for 19 years and was awarded the Paul Harris Fellow for his medical mission work in Guyana. The Overland Park Rotary supplied much needed equipment to expand the range of dental treatment provided. Jim was one of the founding Board members of Christian Family Services of Kansas City, an adoption, child care and counseling agency. This agency is now in its 26th year of assisting families and placing children in loving homes.

Jim is a member of the Fifth District Dental Society, KDA and ADA. He served on and chaired the Peer review committee, and the Danforth Task Force for the Fifth District. He served as president of the Fifth District Dental Society in 2006 and was awarded the Fifth District “Dentist of the Year” award. He was awarded his Fellow in the Academy of General Dentistry 2002 and Fellow in the American College of Dentists in 2006. He is currently chairman, of the KDA Council on Annual Session and Events and a member of the Finance and Budget Committee. In 2006 and 2007, he served as Adjunct Faculty at the Olathe Health Partnership serving low-income populations in Johnson County. Jim and Sandy have been active in their church for over 35 years. Jim led three medical mission teams to Guyana, South America. Recently, he visited Tanzania and Thailand for other mission work. He is currently serving his congregation in the capacity of church elder and for many years, he led the worship

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Jim has always enjoyed sharing his experiences and teaching when possible. After selling his practice in 2006, he joined the Johnson Community College Dental Hygiene Department as a part time staff dentist and currently serves on its Advisory Committee for the Hygiene Department. He prepared for his second career in dental education by being part of the nationwide inaugural class of 2006 of the Institute for Teaching and Learning (ITL), a new concept developed by the American Dental Education Association (ADEA) and now is a full time Clinical Assistant Professor at UMKC School of Dentistry. Sandy and Jim enjoy travel, music, the arts and spending time with their grandson.


KDA Dentist of the Year

Dr. Max McReynolds

Max A McReynolds is a native Kansan, born in Wichita in 1940 to parents Max and Leora. He grew up in Wichita, graduating from North High School in 1958. Max pursued his education at Kansas State University and received his Bachelor of Science degree in 1962. Having decided he wanted to become a dentist when he was 11 years of age, he fulfilled that dream in 1965, graduating from The University of Missouri at Kansas City with his DDS degree. In 1967 Max and his wife Mary Jo were married and they moved to Humboldt to start their life and a new dental practice. Max practiced in Humboldt for 33 years. For ten of those years he was fortunate to be able to share the practice with his son Sean. Mary Jo also worked in the front office and retired with Max in 2000. Max is a member of the KDA and ADA. He was secretary/treasurer of the Southeast district for 12 years and served two terms as president in 1975 and 2003. He is a member and has served as president of the Neosho Valley Dental Study Club. He was formerly a member of The Academy of General Dentistry, The Greater Kansas City Dental Society and The Fifth District Study Club. KMOM is something very special to Max. He was a co-chair for the Pittsburg KMOM and is currently chairman of the KMOM advisory committee. He has been fortunate to have been able to participate in three MOMs outside of Kansas, going to Nebraska twice and to Arkansas for their initial project. Mary Jo shares his passion for KMOM and it is a family affair with Sean and his wife Christie also heavily involved. As an Eagle Scout, Max is a proponent of Scouting and was scoutmaster in Humboldt and later a troop committee member. He helped organize and served as an advisor to The Wyandotte County Youth Council. He served on the board as vice president and also as president of Humboldt Community Growth

(a non-profit economic development corporation). He has served as a member of the advisory board of Pinecrest Nursing Home, on the Humboldt PRIDE committee, on the advisory board of the Head Start program and as chairman of Humboldt’s Biblesta committee. He currently serves as a board member of Friends of Tri Valley Foundation. The foundation is an arm of Tri Valley Developmental Services that serves clients with developmental disabilities in a four county area, providing daycare, housing, training and jobs. After retirement, Max and Mary Jo moved to the country with a ten-acre pond 75 yards from the house. Max enjoys fishing especially with granddaughter Kira (“This is sure fun Grampa.”) (Yes it is!). They love to work in the dirt, planting trees, shrubs and gardens, both flower and vegetable. They have worked to improve the wildlife habitat on their farm by reestablishing native grasses and forbs, planting shelterbelts and food plots. In 2002, they were presented with the Wildlife Habitat Conservation Award from The Kansas Department of Wildlife and Parks. Unlike many dentists, Max doesn’t golf. He prefers a bowling ball. It’s easier to see and it comes back to you. Max feels that dentistry in general and KMOM in particular have been very rewarding. The smiles and friendships made and shared continue to make life truly happy and tomorrow something to look forward to.

Herwig Elected ADA Alternate Delegate

continued from page 4

as the guest speaker. Two member dentists were also honored for their contributions to dentistry. Dr. Max McReynolds has been tirelessly serving dentistry for over thirty years. For his diligent efforts with the Kansas Dental Charitable Foundation and the Kansas Mission of Mercy in particular, Dr. McReynolds was presented with the Dentist of the Year award. Dr. Jim Trotter was in attendance as well to accept the Dr. Harry M. Klenda Award for Outstanding Council/Committee Service for his hard work and dedication as chairperson of the Council on Annual Session and Events. As the old saying goes, ‘No rest for the weary”, the Council on Annual Session and Events is actively planning next year’s KDA Annual

New Dentists met on Thursday afternoon during the Annual Meeting for the KDA New Member Orientation

The KDA Board of Delegates elected Dr. Robert Herwig as KDA Alternate Delegate and Delegate to the American Dental Association House of Delegates. Dr. Herwig was elected to a first term as an ADA Alternate Delegate/Delegate (2+2 Position) expiring on April 30, 2013. Dr. Herwig previously served as an ADA Alternate Delegate/Delegate from 1999-2004. Kansas’ ADA Delegation representing the KDA at the 2009 ADA House of Delegates Annual Session in Honolulu is as follows: Meeting. It will be held at the magnificent Chateau on the Lake Resort in Branson on June 24-27, 2010 where the Kansas and Missouri Dental Associations will join one last time for the FINAL Heart of America Dental Symposium! The KDA Annual Meeting, in Kansas or out-of-state, would not be possible without the sponsors and vendors who support our association. If you know a representative of any of the participating companies, please extend another thank-you to them for their support and generosity; then, invite them to Branson!

Delegates: Dr. Brett Roufs, Dr. Bert Oettmeier, Dr. Glenn Hemberger and Dr. Kevin Cassidy Alternate Delegates: Dr. Dave Hamel, Dr. Greg Peppes and Dr. Robert Herwig ADA Secretary: Dr. Dave Hamel Kansas is allotted four ADA delegates based on membership size to serve in the ADA House of Delegates and is in the ADA’s Twelfth Trustee District along with Arkansas, Louisiana and Oklahoma. Kansas’ 2+2 delegates are somewhat unique as delegates are elected to a four-year term…serving the first and second years of the term as an alternate delegate to the ADA and the third and fourth years of the term as a full delegate.

Thirteen Past Presidents of the KDA came together for their annual breakfast. From Left to Right: Front Row - Drs. Robert Herwig, Ray Parsons, Howard Schneider, Randy Thomason, L. Thane Frazier; Back Row - Drs. A. Edward Hall, Terry Duncan, Jon Tilton, Philip Zivnuska, Bert Oettmeier, Jeff Stasch, Glenn Hemberger, and Harold Scheer.

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Dr. Kathleen O’Loughlin Named ADA Executive Director Assumes duties June 1 at ADA Chicago Headquarters CHICAGO, May 5, 2009—Kathleen T. O’Loughlin, D.M.D., M.P.H, of Medford, Mass., has been selected by the Board of Trustees of the American Dental Association to serve as the next ADA Executive Director/Chief Operating Officer, effective June 1. Dr. O’Loughlin becomes the first female executive director in the ADA’s 150-year history. The announcement marked the end of an 11-month search for a new executive director. “Dr. O’Loughlin’s background represents the right mix of experiences we sought in an executive director,” said ADA President John S. Findley, D.D.S. “She has 20 years in private dental practice and public health dentistry plus 10 years’ experience in dental education and a decade of key leadership roles in management, strategic planning and business operations.” Prior to joining the ADA staff, Dr. O’Loughlin worked briefly for United Healthcare as its chief dental officer after having served as a consultant to Tufts University School of Dental Medicine on curriculum development in preparation for expansion of the dental school facility and the Massachusetts College of Pharmacy and Health Science, Forsyth School of Dental Hygiene in preparation for their 2009 Accreditation. She received her dental degree (summa cum laude) from Tufts in 1981 and a master’s degree in public health and health care management from Harvard University School of Public Health in 1998. After starting in nursing school at Massachusetts General Hospital, she switched to Boston University, where she received her bachelor’s degree in biology (cum laude) in 1973.

“I am incredibly honored to accept this position,” Dr. O’Loughlin said. “It represents the pinnacle of my professional career. What a great opportunity to serve the profession I have loved for 30 years and what a tribute to my deceased father, who as a socially conscious practicing dentist was my role model and inspiration.” From 2002–2007, Dr. O’Loughlin served as president and chief executive officer of Dental Services of Massachusetts, Inc. (d.b.a. Delta Dental of Massachusetts) where, through her leadership, the company doubled its reserves, increased membership by 400 percent and executed a successful five-year growth plan. Also during her leadership, Dental Services of Massachusetts made charitable contributions of $53 million, which included endowed professorships at Tufts University School of Dental Medicine, Harvard School of Dental Medicine, Boston University School of Dental Medicine and the Massachusetts College of Pharmacy and Health Science. She also served as the president of the Oral Health Foundation of Massachu-

setts (now called DentaQuest Foundation) and is an assistant clinical professor in the Tufts Department of General Dentistry. She is a member of the Tufts University Board of Trustees. For more than 25 years, Dr. O’Loughlin has been an active member in the American Dental Association and the Massachusetts Dental Society (MDS). She is a member of the American College of Dentists and editor of its New England Section. Other memberships include the International College of Dentists, the Santa Fe Group, Pierre Fauchard Academy, American Association of Women Dentists and the Tufts University School of Dental Medicine Alumni Association. She has served as a member of the ADA Workforce Models National Coordinating and Development Committee, the MDS Council on Public Affairs, the Massachusetts Oral Health Advocacy Task Force and Health Care For All: For the People, campaign co-chair.

KANSAS DENTAL LABORATORY ASSOCIATION AMERICAN DENTAL ARTS, INC (D/P) 3015 N St. Clair Wichita, KS 67204 (316) 838-5533 ARIES DENTAL PROSTHETICS LLC (F) 2930 SW Wanamaker Dr PO Box 4476 Topeka, KS 66614 (785) 272-6703 (800) 279-1761 James L. Eddy, CDT

*MIDWEST ORTHODONTIC LAB, CDL (O) STEVE’S PRECISION DENTAL LAB (F) 5755 Foxridge Dr 4567 W Central PO Box 2731 Wichita, KS 67212 Shawnee Mission, KS 66202 (316) 942-8703 (913) 432-6951 Jerry C. Anderson, CDT Stephen C. Hansen, CDT Kent Nye MODERN METHODS DENTAL LAB (C) PO Box 2925 Wichita, KS 67202 (316) 686-6391 Rick Capps

DENTEK, INC. (C/B) 8056 Reeder Lenexa, KS 66214 (913) 599-3361 Alex Sokolovsky

MYRON’S DENTAL LAB, INC (F) 200 N 6th St Kansas City, KS 66101 (913) 281-5552 Timothy J. Sigler, CDT

JADLOW DENTAL LAB (C) 7501 Mission Rd Prairie Village, KS 66208 (913) 649-1522 E. Vic Jadlow, CDT

RECONSTRUCTIVE & IMPLANT DENTAL LAB 10801 W 87th St, Ste 100 Shawnee Mission, KS 66214 (913) 492-4515 Chris Uehlin

MEDALLION DENTAL LAB, INC (C/D) 4650 W 90th Terrace Prairie Village, KS 66207 (913) 642-0039 Michael Finley Sharon Finley

RON’S DENTAL LAB, CDT (F) 106 S Ozark Girard, KS 66743 (620) 724-6108 Ron Layden *ROOT LABORATORY, CDL (F) 5201 College Blvd Leawood, KS 66211 (913) 491-3555 Dan Root, CDT

SUNFLOWER DENTAL STUDIO (C) 1527 NW Tyler PO Box 8032 Topeka, KS 66608 (785) 354-1981 Ron Hoffman Aaron Hoffman Troy Gooden Eric Gooden *TOPEKA DENTAL LAB, CDL (F) 10144 NW 46th St Silver Lake, KS 66539 (785) 582-4760 James A. Thompson YOUVAN DENTAL LAB (C) 700 N Highway 69 Pittsburg, KS 66762 (800) 835-0604 Charles F. Youvan, CDT

LEGEND C=Crown, Bridge & Ceramics D=Dentures F=Full Service O=Orthodontic P=Partials *Certified Dental Lab

Dedicated to serving the dentists of the State of Kansas 6

Dr. O’Loughlin also is a member of the boards of directors of Oral Health America, Biomedical Science Careers program at Harvard Medical School, and the Children’s Dental Health Project, Washington, D.C. She is married and the mother of four.

UMKC N e w Students and Plans Unveiled The UMKC School of Dentistry has released information on the entering class for 2009. The class of 2013 will contain 21 Kansas residents compared to the 19 that make up the class of 2012. The KDA is very pleased with this number - as recently as 2005, the UMKC SOD class of graduating students contained only 13 Kansas residents. The 102 member class of 2013 boasts a DAT AA of 18.10. The class has a cumulative GPA of 3.64 and has performed an average of 281 hours shadowing a dentist and 326 hours of community service. In all, 874 students applied for the UMKC class of 2013 with 172 being interviewed.


H emberger , M ilford , S tevens A ppointed Kansas Governor Mark Parkinson has recently appointed three dentists to the Kansas Dental Board: Dr. Roger Stevens is reappointed and succeeds himself – Member at Large Dr. Michael Milford, oral surgeon from Dodge City succeeds Dr. Robert Henson – 1st District Dr. Glenn Hemberger, pedodontist from Overland Park succeeds Dr. Brad Higgerson – 3rd District These appointments fill all the positions on the nine-member Board for the first time in nearly a year due to resignations and unfilled terms. The members of the Kansas Dental Board are:

Red Flag Rules On Hold continued from page 1

deadline for institutions subject to their oversight, the agency stated. The Red Flag program is one of the major ways the government plans to fight the growing identity theft blight. Banks and other financial institutions typically account for about half of the identity theft complaints filed with the FTC and a recent survey showed Bank of America, JP Morgan, Capital One and Citibank topping the FTC list. That’s one of the reasons why under the Red Flags Rules, financial institutions and creditors must develop a written program that identifies and detects the relevant warning signs - or “red flags” - of identity theft. These may include, for example, unusual account activity, fraud alerts on a

to

K ansas D ental B oard

Name

Address

Richard Darnall, DDS At-Large Board President Karen M. Callanan, DDS 4th District

2201 SW Westport Dr, Ste 200 785-273-4300 Topeka, KS 66614 785-273-9654 Fax

April 30, 2010

3500 N Rock Rd, Bldg 2200, Ste 101 Wichita, KS 67226 3621 SW York Way Topeka, KS 66604 8575 W 110th St, Ste 310 Overland Park, KS 66210 122 N Mount Carmel Ave Wichita, KS 67203

316-636-9400 316-636-5518 Fax

June 20, 2011

785-271-8072

April 30, 2010

913-345-0331

April 30, 2013

316-945-8367 316-945-2008 Fax

April 30, 2010

1110 Westport Dr Manhattan, KS 66502 2201 SW Westport Dr, Ste 400 Topeka, KS 66614 200 Ross Blvd Dodge City, KS 67801 1334 N Coach House Wichita, KS 67235

785-539-2314 785-539-1121 Fax 785-228-1280 785-228-1223 Fax 620-225-3131

April 30, 2013

316-721-4780 316-263-3962 Fax

April 30, 2012

Jim Showalter Public Member Glenn Hemberger, DDS 3rd District Jane A. Criser, RDH Hygienist Member Vice President Roger L. Stevens, DDS At-Large Richelle Roy, DDS 2nd District Michael Milford, DDS 1st District Denise Maus, RDH Hygienist Member Secretary

Phone/Fax

Term Expires

April 30, 2012 April 30, 2013

consumer report, or attempted use of suspicious account application documents. The program must also describe appropriate responses that would prevent and mitigate the crime and detail a plan to update the program.

Theft Prevention Program for combating identity theft in connection with new and existing accounts, the FTC said.

The FTC, federal bank regulatory agencies, and the National Credit Union Administration (NCUA) issued the Red Flags Rules as part of the Fair and Accurate Credit Transactions (FACT) Act of 2003. The final rules require financial and credit institutions that hold any consumer account, or other account for which there is a reasonably foreseeable risk of identity theft, to develop and implement an Identity

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Get ting a Head Start on When You Can oWn? P r o v i d i n g a D e n t a l H o m e

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On April 18th, the Kansas Dental Association’s House of Delegates passed the following resolution. Whereas, Head Start programs list access to oral health services as the #1 health issue affecting their enrolled children, and

Whereas, about 90% of Head Start children are Medicaid-eligible and have difficulty accessing dental services, and Whereas, a dental home is defined the ongoing relationship between the dentist who is the primary dental care provider and the patient, which includes comprehensive oral health care, beginning no later than age 1, pursuant to ADA policy. Be it resolved that the Kansas Dental Association supports the Office of Head Start-American Academy of Pediatric Dentistry Dental Home Initiative, which strives to find dental homes for the 8,400 Head Start children in Kansas. The question is, why is this important to dentists in Kansas and how does this affect us.

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Head Start is a national program that promotes school readiness by enhancing the social and cognitive development of children from birth to 5 years of age. During much of the 1990’s Head Start directors, staff and parents, as well as the Administration of Children, Youth, and Families Program Specialists reported that the number one health issue affecting Head Start programs nationwide was access to oral health services. Programs and parents reported that children were suffering in pain, could not eat, or had language and speech delays because they were unable to get the dental treatment they needed. Those able to find a dentist who would accept Medicaid patients would have to wait months for an appointment or travel over thirty miles to keep the appointment. It has taken over ten years, but these unmet needs are finally being confronted nationwide. The American Academy of Pediatric Dentistry has created an initiative to provide a dental home for every child enrolled in Head Start and Early Head Start (HS/EHS) throughout the U.S. The goal of this endeavor is to provide oral health expertise and technical assistance, develop a network of dentists committed to provide dental homes continued on page 17

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NAME: Treena JOB: Regional Manager


Eugene McGill, DDS JKDA Editor

Editorial believe it’s part of why we do what we do. We’re simply driven to help people. For those of you who don’t routinely watch our eloquent and polished Executive Director on the KDA video minute, the Donated Dental Services Program might be in jeopardy. Certainly, you’re aware of a far-reaching fiscal crisis that is playing havoc with government budgets from federal to local. The state of Kansas is not exempt. One of the areas the legislature is considering is the administrative costs of the DDS program. If you have the ear of a legislator in your district, I would ask that you express support for this program. If you are not a participant in this program, please reconsider. This is amazingly rewarding. It’s like KMOM only you get to work in your own office, a generous lab will provide services if needed and you get to finish what you start. You do your best work for someone that can’t possibly afford it and who will think you walk on water. I truly

I’m far from the highest producer among DDS providers. I think Michael Kahn won that award this year. But each teary hug you get makes you feel on top of the world. My most recent patient came my way with a complicated medical history and tragic background. Most are like that. “A” had been a victim of abuse as a small girl and things had deteriorated from there. There was history of drug use and emotional disturbances. She had limited educational successes and was on disability. It would seem that her oral health would not be a prime concern. But it was. And it was treatable. So we did. Actually, A’s case would be very straightforward in a fee-forservice world. But this was the DDS program and you have to make the necessary arrangements. Our coordinator contacted local labs until it was determined that the diagnosed services could be provided. In the meantime, A was treated like any other patient in our practice. She received a prophylaxis and plaque control instruction. Simple operative procedures were carried out and home care was evaluated at each step. Finally, the OK came through and A was ready to proceed. She had a relatively low caries rate and the periodontal status was good. However, she was missing four lower incisors and a maxillary premolar and cuspid. All due to trauma.

Going Non-Par: Weighing the Options Reprinted with permission from the Journal of the Michigan Dental Association, March 2009 issue. With the rough economy in the news every day, many of us are taking stock of our practices and our business goals, reviewing our past performance and trying to find ways to do better in the future. This is definitely a good time for dentists to analyze their practices, looking for ways to do things more effectively, efficiently and profitably. One issue many doctors have considered recently is whether a dental practice should consider dropping participation with insurance companies. “Going non-par” is tempting for many doctors. Changing your participation status can have a huge impact on your business, but there is a lot to consider before you make a final decision.

1

What is the driving force?

Good Questions to Ask Yourself

Do you have an established practice, with a loyal practice base? Or are you just starting out, with patients who are likely to leave?

2

What’s your competition? Are there many other dentists nearby?

3

Do you serve a high-income or lower-income patient base?

4

How dependent are you on insurance right now?

5

Are your motives based on facts, or emotions?

The first thing to do is to examine your main objectives for going non-par. Is it to raise fees, and/or be reimbursed at a higher level? If so, remember that insurance participation is just one of a large number of variables that affect a practice’s bottom line. Simply dropping participation will not automatically raise your profits; there are too many other issues to consider. Another reason some practices consider going non-par is the perceived ability to create a treatment plan based on a patient’s need, rather than his or her coverage. Third party control over treatment creates problems for both doctor and patient, as the insurer decides what’s reimbursable and what isn’t. The yearly policy maximums must be watched closely, since just a single crown on a tooth and a cleaning can sometimes put patients over their yearly limit. Some dentists argue that non-participation would allow them to do the work that needs to be done on someone’s mouth at the time it needs to be done. These are certainly valid reasons for going non-par. However, most doctors I’ve spoken with list escaping from the oftentimes overwhelming hassle of dealing with insurance companies as the main reason they are interested in nonparticipation.

Doctor, know thy practice Before making any decision about going non-par, dentists need to know as much about their practices and patients as possible. First, look at the longevity and relationship aspect of your business. Insurance non-participation usually works best for established practices with solid patient relationships — those that will sustain even if you cease taking insurance and put the financial burden back on the patient. In our experience, it is nearly impossible for a new practice or new owner-doctor to go non-par. They simply don’t have the patient relationships firmly established to stand the test of such an important change. Second, study your competition. If you live in a small town with few other dentists, your decision to continued on page 14

A very generous lab agreed to construct a six-unit fixed bridge for the lower anteriors and still another generous lab signed on to construct a flexible partial to replace the missing maxillary teeth. The treatment appointments were uneventful, stress-free and completely rewarding. She was thrilled with the temporaries! When the big day arrived for delivery and cementation, A was 30 minutes early for her appointment. She came in with a completely different hair style and color. She was ready for a change. All went well. Even with an unfamiliar lab, the shading was nice and the fit was excellent. The partial handled well and was virtually undetectable in her smile line. Every single team member came by the operatory to congratulate A and remark on the great result. She was thrilled. Here’s the part about the big teary hug. There were no long speeches. Just a quiet “Thank you all so very much” and that hug. Boy! That was a good day. That was a great day! Sadly, every case isn’t this dramatic. There are certainly cases of advanced periodontitis, rampant caries and all things just plain ugly. But the rewards are always there, because the patients are so appreciative. We’re their only hope. It’s a good feeling to come through for someone who has no where else to go.

Deceased Dentists 01/14/09

Dr. George R. Brahler Lawrence, KS First District 01/29/09

Dr. Joseph T. Casper Topeka, KS Topeka District 02/09/09

Dr. Jack Shanahan Coffeyville, KS Southeast District 02/25/09

Dr. Hubert C. Hattan Concordia, KS Northwest Golden Belt District 03/12/09

Dr. Richard A. Swenson Salina, KS Northwest Golden Belt District 01/14/09

Dr. William S. Randall Beloit, KS Central District

9


Greg Hill, JD KDCF Executive Director

KDCF Update Visualizing Oral Health in Kansas For much of the past decade, oral health issues have become increasingly noticeable on the national radar. In Kansas, projects and efforts like our very own Kansas Mission of Mercy, the Dental Champions program, Oral Health Kansas, and other programs have helped create greater awareness for oral health and dental access. The Kansas Dental Charitable Foundation has unveiled an innovative new project to help tell the stories of oral health across the state of Kansas through video. It’s an effort to create greater awareness for what is being done and accomplished and to share with other organizations, policy makers and the general public. Our premier episode (scheduled for release on July 1) will

highlight a series of focus group meetings conducted by the Kansas Department of Oral Health. My role is not to draw conclusions based upon the information given, rather to capture the content told by others, much like a documentary filmmaker might.

greater access to dental care. Each episode will run approximately 20 minutes and will be distributed through the internet and made available to other organizations.

Moving forward, the episodes will focus on innovative ways in which dental care is delivered, in particular to underserved or high-risk groups. Our hope is that these video stories will help tell the story of what is going on in the dental profession and how the dental community in Kansas is working to provide

An expanded version of the premier episode will be presented to Oral Health Kansas on May 29th as part of a presentation by the Office of Oral Health. Portions of that video along with the series will be broadcast on the Kansas Dental Charitable Foundation website at www.ksdentalfoundation.org.

“The enemy of great is “good enough.” -Unknown

Marsha Pyle - New Dean of UMKC SOD continued from page 1

Ohio’s Governor Ted Strickland appointed Dr. Pyle for a three-year term to the state’s Dentist Loan Repayment Board. Dr. Pyle is a staff member at the Carl Stokes Veterans’ Hospital. She has held numerous board and leadership positions on national, state and local organizations, including serving in leadership roles for both the American Dental Association and the American Dental Education Association. She currently serves on the editorial board of the Journal of the American College of Dentists. She has been recognized for her work in curriculum innovation. Among her many awards, Dr. Pyle received CWRU School of Dental Medicine’s Distinguished Alumnus Award in 2008. She was also the recipient of the 2006 Presidential Citation for her contributions to the mission of the American Dental Education Association. In 2000, she received the Ohio Dental Association’s Humanitarian Award. KDA President Dr. Brett Roufs and the KDA office are planning a KDA Leadership Workshop Dr. Pyle received her B.S. in 1976 from scheduled for Friday, June 26 and Saturday, June 27 at Flint Oak Hunting Preserve in Fall River. Ashland University in Ohio. She earned This year we will focus on the question: her D.D.S. from CWRU in 1984 and her How Does the KDA Continue to be Relevant to Dentists? Certificate for General Practice Dentistry from the Veterans Administration MediInvitees include all regular KDA BOD Delegates (not alternates) along with the District President or cal Center in 1985. Between 1989 and1991, President-elect if they are not already District BOD Delegates. It is important that at least one repDr. Pyle participated in Fellowship Trainresentative from each District attend the Flint Oak Leadership Workshop. District invitees should ing in Geriatric Dentistry at CWRU and communicate to be sure at least one of them can attend. If none of the District invitees can attend, I completed her M.Ed. at Cleveland State would strongly encourage your District to assign another representative to attend. University in 1997. From 2003 -2004, she The tentative agenda for the Workshop is as follows: participated in the Executive Leadership in Academic Medicine (ELAM) FellowKDA Leadership Workshop ship Program, the nation’s only in-depth June 26-27, 2006 program focusing on preparing senior Flint Oak Hunting Preserve, Fall River women faculty at schools of medicine, dentistry and public health for instituFriday, June 26, 2009 tional leadership positions where they can 12:00 P.M. Executive Committee Meeting New Lodge effect positive change. 3:00 P.M. Welcome/Opening Comments Executive Center “I look forward to joining the dedicated - Dr. Brett Roufs, President group of faculty, staff, students, and 3:15 P.M. KDA Planning Executive Center alumni who have distinguished the 5:30 P.M. Get Acquainted Hospitality Time (Cash Bar) New Lodge School and provided exceptional support. This is a very exciting time for the School 6:45 P.M. Dinner (Provided by the KDA) New Lodge and its programs as we work together Saturday, June 27, 2009 for the continued growth in goals for the 6:30 A.M. Nature Walk/Run Meet Outside Lodge future,” Dr. Pyle said. “The support of the University administration and important 7:30 A.M. Continental Breakfast Executive Center constituents has been evident during the 8:00 A.M. Continue Planning Executive Center search process. I look forward to joining 12:30 P.M. Lunch New Lodge the UMKC campus to help advance the Adjourn Following Lunch mission of the University and the Dental - Enjoy optional sporting clay shooting or swimming in the afternoon School.” The KDA is providing the room accommodations to all participants. Dr. Pyle will begin her duties at UMKC on August 10, 2009.

K DA Le a d e rsh ip

Meeti ng Pl anned

10


Dr. Klein Recognized for Efforts in Dentistry Dr. Kandee Klein, a general dentist in Garden City, was honored with Oral Health Kansas 2008 Excellence in Oral Health award as an outstanding dental clinician. At its recent annual conference, Oral Health Kansas, the statewide oral health coalition with a membership of 200 individuals and organizations, recognized Dr. Klein for her efforts to improve children’s oral health. Klein was nominated for being a force for oral health access for the multicultural population of southwest Kansas. Of her many contributions, Klein created a dental clinic to serve children

without access to dental services. The bilingual staff targets economically disadvantaged children from birth to six years of age, as well as children with special needs. Klein is active in the Southwest Kansas Oral Health Coalition. In 2000, Klein partnered with United Methodist MexicanAmerican Ministries, the United Methodist Health Ministry Fund and the Robert Wood Johnson Foundation to secure and implement a four year, $600,000 program that combines intensive one-on-one and community oral health education, oral health screening in area schools, preventive services, and dental care. She has also developed and presented a “best practice” model for the prevention of early childhood caries for the Southwest Oral Health Coalition. This model was presented to the St.

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Catherine’s Hospital clinical staff as part of their continuing education series. In addition, she partnered with St. Catherine’s to implement hospital dental services for children requiring treatment under anesthesia. Denise Maseman, President of Oral Health Kansas, said, “Dr. Klein is making a difference in her community by developing services to treat young children who previously struggled to find dental care. She served her community and the state in support many oral health initiates.”

K H PA Cu ts 14 S ta ff Posi ti ons By Phil Anderson, Topeka Capital Journal Fourteen staff positions at the Kansas Health Policy Authority are being cut as part of an effort to reduce the agency’s operating budget by 15.5 percent, it was announced Monday. With the staff cuts, KHPA officials said, the organization’s work force will be reduced by 42 positions that have been eliminated or held vacant to meet its budget. On Friday, 13 employees at the Topeka-based organization were informed their jobs would be eliminated effective July 2. An additional executive position is being eliminated with the departure of executive director Marcia Nielsen, who is leaving the organization to return to The University of Kansas Medical Center. Andrew Allison, who has been deputy director of KHPA since December 2005 and the state’s Medicaid director since November 2006, on Monday assumed the title of acting executive director of KHPA. Beyond staffing cuts, KHPA will reduce its contract with fiscal agent contractor EDS by $3.6 million in fiscal year 2010. The reduction amount includes $1.66 million from the state general fund. KHPA officials said EDS is primarily responsible for process-

ing claims for payment under Medicaid and the State Children’s Health Insurance Program. Allison said the remaining executive positions are being realigned, including Doug Farmer, director of the State Employee Health Benefits Plan, will take on the additional role of KHPA deputy director, overseeing legislative relations and communications; Barb Langer, who has headed KHPA’s legislative and policy division, will serve as acting state Medicaid director; and Scott Brunner, chief financial officer and director of operations, will take on added duties of supervising the agency’s human resources and legal services divisions. KHPA, established in 2005, is responsible for managing state health care programs and developing a coordinated health policy agenda for the state. The agency will have its annual strategic planning meeting June 16 and 17.

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With a professional liability policy from The Cincinnati Insurance Companies, you can stay focused on your practice, counting on your policy to: • apply on an “occurrence basis” instead of on a claims made basis • require your consent prior to settling professional liability claims • cover your corporation or partnership, employed and independent contractor hygienists and dental assistants at no additional charge. Separate limits of insurance give each individual insured superior protection • offer optional prior-acts (tail) coverage to facilitate the move from claims-made to our occurrence form. You can also feel confident knowing that Cincinnati is rated A++ by A.M. Best Co., the highest financial strength rating available earned by less than 2 percent of all property casualty insurer groups. For more information, please contact your local independent insurance agent representing The Cincinnati Insurance Companies. Visit www.cinfin.com, or call Mike Terrell at 800-769-0548, to locate an agency near you.

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11


Si x

K e y s for Navigatin g Your Retirement Pl a n T hrough T urbulent Times

By Tim Gaigals, Certified Financial Planner™ For months, Americans have been blasted with negative news. Tight Credit. Layoffs. Declines in home values. Government bailouts. Bankruptcy. We all want the answers to help our fears to subside, and our retirement accounts to stabilize. Although we have little control over what is happening in the macro environment, we can be proactive as plan sponsors and plan participants to help make it through these difficult times. While most are worried about the value of their retirement accounts, the following points may help employers and employees alike be positive and realize the value of your retirement plan both psychologically and monetarily.

Tim Gaigals, CFP

E mp l o y e r s …

Communicate with your employees! Being open and honest will help ensure productivity, foster an overall positive attitude in the workplace and reduce anxiety. For example, let your staff know upfront if you are considering adjusting your match. Discontinuing a match altogether can cause most people to fear for their jobs or question if the company will be around in the future. These fears may lead to discontinuing their own contributions at what may be the wrong time to do so. Your plan advisor should provide relevant information and advice on how to successfully navigate your retirement accounts during regularly scheduled meetings.

Review your plan regularly. It is vitally important that plan sponsors Practice prudence when managing your qualified retirement plan.

review their investment and service offerings, because it can affect long term performance—and most importantly, the law requires it. Are your investment options meeting their benchmarks? Is your service representative showing up and providing the service your group needs to make the right decisions for your long-term objectives? If your current plan isn’t meeting these criteria it may be time to consider making a change that will enable you and your staff to meet your specific goals.

The law requires it and acting in this manner will ultimately benefit you and your employees. This is also known as the “prudent expert” rule. You can use good judgment by maintaining common sense—put investment policies and steps in place that are legally compliant. For example, make sure you have a written investment policy statement, and have regularly scheduled and documented reviews of your plan’s investment offerings, plan provisions and services.

E mp l o y e e s … Be cognizant of your financial goals, now more than ever. Remember, investors often take too much risk when times are good, but are too afraid of risk when times are volatile. What is your personal financial situation? Is it more important to save money in the retirement plan or possibly pay down other debt? How will you be affected if you decide to forgo the company’s matching contributions? Do you have an emergency fund? By reviewing your financial goals, your time-line, appetite for risk and current situation, you can identify opportunities to meet your retirement goals.

Resist making knee-jerk decisions—uninformed, drastic changes can

make things even worse. Carefully review your current investment allocations to see what you can do to “tweak” or adjust your portfolio according to market conditions. Some of the best ways to do this are portfolio rebalancing and dollar cost averaging. Your plan advisor should thoroughly explain the pros and cons of significant changes during a volatile market. Please remember, portfolio adjusting and dollar cost averaging do not guarantee a profit or protect against a loss.

Rebalance your portfolio by returning the asset allocation of your investments to the original percentages that you selected for your portfolio from the outset. A study conducted by T. Rowe Price has shown that over time regularly rebalancing your portfolio may be able to add more than 1% to your performance annually. Review your current investments and benchmark the performance of those options against other options that are available. Dollar cost averaging – at this point many people don’t understand why putting money into their investment accounts at regular intervals when stock prices are depressed makes sense when they see a continuous drop in their account values. We have not seen stock values at these levels since 1996 and if the market does rebound you will be buying at a discount. Markets can be volatile and 2009 will be no exception. We can’t control the market’s ups and downs but we can have an impact on our bottom-line if we stay informed and proactive. Tim Gaigals, Certified Financial Planner™ is a Financial Advisor focusing on qualified retirement plans for businesses with Tax Favored Benefits in Overland Park Kansas. Tim is an investment advisor representative of Ameritas Investment Corp.(AIC). Member FINRA/SIPC Tim can be reached locally at 913-648-5526 or 800-683-3440 or via e-mail tim@taxfavoredbenefits.com AIC is not affiliated with Tax Favored Benefits.

12

NEW MEMBERS Central District

Topeka District

Dr. Chad Ohnmacht, Great Bend

Dr. Sarah Browning, Topeka

Northeast District Dr. Elizabeth Chaloupek, Marysville

Dr. Robert Crittenden, Topeka

Wichita District Dr. Amit Dhameja, Wichita


ADA Washington Leadership Conference KDA Action Team member Dr. Brick Scheer and his two children Brandon (Indiana SOD Class of 2013) and Casey; District 12 Trustee Dr. R. Wayne Thompson and his wife Joyce; Dr. Jeff Stasch and Executive Director Kevin Robertson each visited with Kansas’ six-person congressional delegation including: US Senator Sam Brownback,

US Senator Pat Roberts, Congressman Jerry Moran, Congresswoman Lynn Jenkins, Congressman Dennis Moore and Congressman Todd Tiahrt. All of Kansas’ elected officials were able to meet with the KDA contingent personally except Dennis Moore.

Right - Kevin Robertson, Joyce Thompson, Congresswoman Lynn Jenkins, and Dr. R. Wayne Thompson

During the visits, the KDA stressed the importance of passage of the Essential

Sitting L to R - Joyce Thompson, Dr. R. Wayne Thompson, Casey Scheer

1 8 KDA M e mbe rs E le ct ed to Lif e M e mbership

Standing L to R Kevin Robertson, Dr. Jeff Stasch, Senator Pat Roberts, Brandon Scheer, Dr. Brick Scheer

At the KDA General Assembly on Saturday, April 18, the following KDA members who are at least 65 years old and have 30 consecutive years of KDA membership or 40 total years of KDA membership were elected to Life Membership:

Central

First

• Dr. Bruce W. Albright

Fifth • • • • •

• Dr. Robert W. Jacobs

Northeast

Dr. Jon M. Finley Dr. Terry B. Harris Dr. Nicholas W. Kanakares Dr. Thomas J. Shugel Dr. Norman G. Waitley

• Dr. Barry M. Bongers

Southeast ��� Dr. R. Guy Cleverley

Topeka • • • •

Dr. Richard T. Darnall Dr. Jay Warren Hildreth, Jr. Howard L. Kuhn John S. Stone

Wichita

New Life Member, Dr. Gary Conover accepts his Life Pin during the General Assembly

• • • • •

Dr. Harlan O. Boyce, II Dr. Gary H. Conover Dr. Stephen W. Jones Dr. Harry J. Kouri, Jr. Dr. Larry K. Kuhlman

Oral Health Act, a bill to exempt dentistry from FTC identity theft Red Flag Rules, and the rescission of the McClarenFerguson Act of 1968 which has allowed insurance companies from federal antitrust laws. During his opening address of the Conference, ADA President John S. Findley urged the nation’s dental leaders “to continue pressing the FTC” through their members of Congress to reconsider the Red Flags rule. “We also expect to have legislation introduced on this issue in the very near future,” he told more than 500 dentists, volunteers and staff (including KDA action team leaders) at the May 11-13 Washington Leadership Conference. “Thank you for taking time from your practice and your tripartite activities to advance your profession’s agenda in the nation’s capital,” Dr. Findley said. “Thanks to you and the thousands of grassroots e-mails that went to the (Capitol) Hill,” the FTC temporarily halted enforcement of the red flag rule. “This delay gives us more time to challenge the rule’s application to small business entities like the typical dental practice. We need you to follow-up on the nearly 11,000 emails sent to the Hill and ask Congress to continue pressing the FTC to reconsider that regulation.”

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“This article, which was published in the May 2009 issue of ASDA News, is reprinted with permission from the American Student Dental Association.” by Andrew Reynolds, ADA Office of Student Affairs

Fine

Pr i n t & Hidden Meanings:

When was the last time you signed a contract? Maybe you got a new wireless plan, or leased an apartment, or took out a student loan when you signed your name on the dotted line. You’ve probably heard you shouldn’t sign anything you haven’t read and understood, and that’s good advice. But a recent study suggests many don’t follow that advice. The study asked students to fill out bogus three-page consent forms. Buried inside were unacceptable provisions—for instance, the signer promised to shock his fellow participants, even if they screamed, cried, or requested medical attention. Out of the 91 participants in the study, 87 signed the phony forms. The study goes on to state, “Very few read any provisions or even skimmed enough to get a vague idea of those provisions. The average time that these participants spent looking at the bogus consent form was 2.0 seconds.” Explore the results yourself by checking out Debra Pogrund Stark’s and Jessica M. Choplin’s article, A License to Deceive: Enforcing Contractual Myths Despite Consumer Psychological Realities, NYU Journal of Law & Business (2009).

Going Non-Par

Perhaps someone has offered you a scholarship or loan in exchange for a work commitment after graduation. Or maybe you’ve considered signing up as a provider for a discount dental plan or insurance carrier. Even if you may have skimmed over other agreements, contracts related to your career in dentistry deserve full attention. “The Council on Dental Benefits hears from members who are unhappy with the outcome of some contracts they’ve signed,” says Dr. Joe Hagenbruch, chair of the ADA Council on Dental Benefit Programs. “We’re confident if dentists had a stronger understanding of the contracts they were signing, there would be far fewer unhappy surprises down the road.” The ADA offers a Contract Analysis Service, to its members at no charge as a membership benefit. The service isn’t a substitute for professional legal advice (and neither is this article)— you are always strongly urged to consult your personal attorney before signing any contract. But if you are looking

“By signing, what are you promising to do?” asks Dr. Hagenbruch, “And, in return, what is the other party promising to you? And if something goes wrong, what happens then? You should know the answers to these questions before signing a contract.”

The service isn’t for every legal agreement you may consider— the service addresses a narrow range of contracts, primarily those with dental providers, business associates, dental management service organizations (“DMSO”) and entities offering money or loans in exchange for a work agreement after graduation. To take advantage of the service at no charge, student members may call the ADA toll-free number and request extension 7476. Members who have graduated and have begun practicing may submit unsigned

Read Before You Sign

continued from page 9

not accept insurance is less complicated than if you live in a metro area with dozens of other practices in close range. Typically, more successful non-par practices are in smaller or midsized towns with well-run offices and solid collections policies. These doctors know that what they may lose in volume because of non-participation can be made up with stronger marketing efforts. In metro areas, patients have considerably more options for their dental care, making it easier for them to find another practice that does accept their insurance. Finally, analyze your patient data. Does your practice serve high- or low-socio-economic areas and patients? How sensitive is your patient base to co-pays? What percentage of patients carries dental insurance? As a rule, in a practice with a low percentage of insured patients, or alternatively, people who don’t worry much about co-pays, you’re in a better position to go non-par than a practice where the opposite holds true.

Pump up the volume Patient volumes in many areas of the state are declining radically. Along the I-75 corridor, some practices are seeing anywhere between a 10 and 20 percent drop in revenue due to the harsh economic times. For practices in these areas, dropping insurance participation would be a hugely risky venture. Count on losing a greater proportion of your insurance patients to your competitors, especially if you are expecting to raise fees more than 10 percent. Some dentists argue that to make up for the lost volume, they would increase their fees; they argue that in going non-par they may lose some patients, but the remainder would make up the revenue by paying higher costs. In some cases, based on the competition in the area, that could work. But for most, raising fees is chancy. When you raise fees and no longer take insurance, some patients are likely to go looking for an alternate provider -- bringing you right back to the question of making up lost volume. In a typical Catch-22 fashion, it’s often this initial loss of revenue that spurs many dentists to consider going non-par. Their thinking is that if they could get reimbursed at their regular rate (and not the insurance-set rate), they would be able to reap the same revenue with a smaller patient base. Unfortunately, that’s too incomplete of an analysis for a proposition with so many variables.

Financial policies and collections Regardless of whether or not you go non-par, your office should have a solid financial and collections policy. If you don’t have one, you need one -- soon -- especially if you’re suffering from declining revenue. Too often, a dental office’s “financial policy” is just a patchwork of procedures and rules developed on the fly by front office workers. A good financial policy sets in place expectations for payment schedules, details how you will work with patients who need financing and how you will handle those who haven’t paid their bills within a specified time frame. A good policy sets expectations and lays down rules, and can increase your collections rate significantly. Having a financial policy is essential for those practices that do not participate with insurance, because all the money for their fees comes directly from the patient. While it is true that the insurer will reimburse the patient if the paperwork is completed and filed correctly, that

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for clear language about an unsigned agreement, the contract analysis service can be useful.

continued on page 18

and non-returnable photocopies of contracts to their local or state dental societies, who will forward them to the ADA. The analysis of the contract will be returned directly to the member.


A Great Resource: The ADA’s Contract Analysis Service Reprinted with permission from the Journal of the Michigan Dental Association, March 2009 issue. In these turbulent economic times it makes sense to do all we can to protect our existing patient base and attract patients to our practice. To accomplish this, many practitioners are considering participation with dental benefit plans, but they may be uncertain about all the issues these decisions can bring. This is where the American Dental Association’s Contract Analysis Service can empower you to make the right decision for your practice. Knowing the terms of a contract before you sign can help you avoid unpleasant surprises and decide if participating with such a plan is best for you and your patients. Many dentists across the nation were shocked last year when Delta Dental Plans instituted a policy

on “non-covered services,” where Delta can dictate to participating dentists just what they Can charge their insureds -- even when Delta isn’t providing coverage for the service in question. Dentists complained that this policy created an inequity where they had to absorb the cost of care by writing off charges when Delta and the employer weren’t assuming any of the expense. How could Delta impose such terms? The answer is simple: It was within their rights as dictated by the provider agreement signed by the dentist.

In essence, it provides food for thought, before you sign on the dotted line.

The time to learn the facts about whether to participate with a dental benefit plan is before you sign it. Knowledge, after all, is power. Get the facts you need with the ADA’s free Contract Analysis Service. It’s a great benefit of membership.

Free contract analysis. Any contract will create rights and obligations that are legally binding. Contract analysis will help the you, as the provider, make an educated decision about the proposed contract. If you have an agreement you are considering, you can request analysis of the contract by contacting the ADA Contract Analysis Service directly at a fee of $50. However, there is no charge for this service if you submit contract analysis requests through the KDA. To obtain this free analysis of a contract you may be considering, simply contact the KDA at (785) 272-7360. Or, email kevin@ksdental.org.

Don’t be surprised. The ADA’s Contract Analysis Service is intended to help you avoid being surprised by terms of a provider agreement. It is not intended to be legal advice, but should be used in consultation with your legal and financial advisers.

Inconsistency Consistently Irks Your Staff Sally McKenzie, CMC

“But you approved my vacation three months ago. I can’t help it that you don’t remember.”

“If the office doesn’t open until 8 am, why do I have to be here earlier for a meeting?”

“Why can’t I wear “Are we paid overtime for this?” flip-flops? The patients don’t notice my feet.” “Why does Amy always get away with that?”

Employee questions and issues come up every day in the dental practice. And too often dentists find they’ve positioned themselves as the go-to person for all the answers. Although it’s not necessarily a role they want or enjoy, they reason that their practices are small operations. They think they don’t really need formal polices and their staff wouldn’t want them anyway – both incorrect assumptions. More on that later.

Employers and the dental benefits industry are faced with similar economic pressures as the rest of us. They are doing all they can to contain their benefit costs and minimize their financial exposure. As always, it’s up to you to look out for your own business interests.

The ADA service responds frequently to telephone inquiries from members about dental provider contracting issues and offers programs and written information on such matters. The ADA’s Contract Analysis Service has also developed a great member resource entitled, “What Every Dentist Should Know Before Signing a Dental Provider Contract.” It’s available on the ADA Web site at http://www.ada.org/members/law/issues_business.asp#cas. Or, contact the ADA toll-free for a copy, by calling 800) 621-8099 Ext. 7476.

The dentist, meanwhile, is dealing with matters on a case-by-case basis, thereby digging her/his way into the biggest practice policy hole of all – inconsistency. Without established policies or documented procedures for even the most fundamental management issues, the doctor sets him/ herself up for a multitude of personnel headaches, not to mention possible litigation. Oftentimes, when consistency is lacking, the staff perceive the doctor to be perpetually waffling. One person asks him/her what the policy is on this and he/she says one thing, the next time there’s a different answer. Or “special circumstances” will warrant an exception but nowhere is it spelled out what those “special circumstances” might be – employees are left to guess how the doctor will respond. Situations become extremely stressful and frustrating for both doctors and team members when there are few if any clearly established guidelines for handling day-to-day concerns such as time off, dress code, vacation policy, sick time, work hours, etc.

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The average hourly wage for an occupation, also referred to as the mean hourly wage, is the total wages that all workers in the occupation earn in an hour divided by the total employment of the occupation.

Dental Specialties Rank High in Kansas Wage Survey and $10.21 an hour more than Missouri.

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Five Highest Paying Occupations

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When examining the rankings of the five highest paying occupations in Kansas, it is important to note this survey does not include self-employed individuals.

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The Kansas Department of Labor collects occupation and wage data in conjunction with the US Bureau of Labor Statistics. The data in this report assists Kansas employers in the hiring process to set comparable wages. Educators and government agencies also use this data to design education and training programs to provide employers with the skilled workers they need. Kansas’ average hourly wage was estimated at $17.45 in May 2007, $2.11 less than the national average wage of $19.56. When compared with surrounding states, Kansas wages fall in the middle, paying higher average hourly wage than Nebraska and Oklahoma, but less than Missouri and Colorado. These estimates are calculated by the Bureau of Labor Statistics using data collected from employers in all industry sectors in metropolitan and non-metropolitan areas in Kansas.

Four of the top five highest paying occupations in Kansas pay more than the national average, as shown in the table below. Oral and maxillofacial surgeons make up the highest paid occupation in Kansas with an average hourly wage of $98.66, $12.77 higher than the national average. Compared to states surrounding Kansas, oral and maxillofacial surgeons in Missouri receive and average hourly wage of $87.06, while Nebraska pays $83.16.

Among the top five occupations there seems to be a substantial variation in wages among different areas in the state. For example, anesthesiologists in the Wichita Metropolitan Statistical Area (MSA) make $91.80 per hour, 15.7 percent more than anesthesiologists in the Balance of the sate, who make $79.31 an hour. Similarly, physicians and surgeons, all other in the Lawrence MSA make $86.47 an hour while the same occupation recorded an average hourly wage of $84.32 in the Topeka MSA. The factors in determining wages for these occupations are complex and driven by market demand and supply, experience, educational obtainment, population density and specialization. For example, when considering population density in the Balance of State, there is one physician or surgeon for every 3,601 people in the area. In the Kansas City geographic area, there is only one physician or surgeon for every 2,053 people. This means that physicians and surgeons in the balance of the State provide services to more people than those in the Kansas City geographic area. This may be one of the reasons a higher wage is paid to those physicians and surgeons in the Balance of the State.

However, some occupations do not follow this pattern, For example, family and general practitioners in the Wichita MSA received average hourly wages of $93.55. In the Wichita MSA, there were 1,864 people for every family and general practitioner. In contrast, the same occupation in the Balance of State received average hourly wages of $80.61, with 2,460 people for each The next highest paid occupation family and general practitioner. in Kansas is orthodontists who Despite serving more people, famare paid $98.61 an hour, also more ily and general practitioners in the than the national average of $89.11. Balance of State are paid a lower Similarly, Kansas paid orthodontists average hourly wage than those in $5.32 an hour more than Oklahoma the Wichita MSA.


P r a c t ici n g

in the August issue of the Journal of the Michigan Dental Association, notes that having a negative emotion, or a bad reaction to a problem doesn’t make you emotionally unintelligent. Emotional intelligence, he says, is about what you do with the emotion you are experiencing.

Emotional Intelligence

“It is your willingness to step back and observe what is happening,” he writes.

Letting your emotions get the upper hand can have devastating consequences on your business as well as your private life. To be successful at home and at work, it is important to practice what is commonly known as “emotional intelligence.” Author and public speaker William Frank Diedrich, writing

Providing a Dental Home

Emotion is the body’s response to thought, Mr. Diedrich says. What this means is, no outside person or situation can actually make you feel anything. What you feel is a response to what your mind is telling you about a particular person or situation. Emotional intelligence is grasping this fact and turning it to your advantage. “When I experience a worrisome or

other fearful thought I get silent,” Mr. Diedrich notes. “I stop thinking about people and situations, and I focus my thoughts on the physiological symptoms that I am experiencing.” He writes that recognizing the physical symptoms of bad emotions helps you focus on the thoughts that brought them on, and this in turn helps you focus on other thoughts. “Once I am calm, I turn my thoughts toward potential solutions,” he says. By practicing emotional intelligence, Mr. Diedrich says, you can move through times of distress much more quickly, and that will limit the impact that stress has on your personal life and your practice. :-)

continued from page 8

and a full range of pediatric dental services for HS/EHS children, train dentists and dental office staff, and enhance HS/ EHS staff training and parent education programs. Head Start Dental Home Leadership teams are to provide administration and organizational support so that oral health. This initiative, in partnership with Johnson and Johnson was funded in September 2007 with a 5 year, 10 million dollar contract. Six states were chosen to begin this endeavor: Connecticut, Maryland, Michigan, Tennessee, Texas and Washington. Twelve more states will enter the network development phase to provide quality dental homes to Head Start children this year. It is unknown when Kansas will be called upon for action, but steps are already taking place to get things rolling. Dr. Nick Rogers, a general dentist in Arkansas City, has been chosen to be the Region VII Oral Health Consultant for the midwestern states of Missouri, Kansas, Nebraska, and Iowa. The initiative will be asking dentists in the state to help provide a dental home for the Head Start children in their communities. Dr. Jim Crall, the AAPD Head Start Project Director acknowledges that “this nation-wide program will be a huge step

towards overcoming a problem that has plagued Head Start programs across the country”. It will take more than a handful of dentists to meet this need. Efforts will be underway soon to create a network throughout Kansas involving general and pediatric dentists who feel comfortable screening HS children by age 1 so that those with existing dental needs can receive a definitive diagnosis, restorative, and rehabilitative treatment. General dentists may not feel comfortable restoring caries in young children, but all should be able to perform an oral health evaluation. In the next several months, the initiative will be identifying individual dentists who want to help, but assistance is needed right now. Dr. Rogers is asking

for assistance in communities that are specifically in need of help. For more information on the AAPD/OHS Initiative, go to www.AAPD.org/headstart/. If you are interested in helping or learning more about this undertaking, you are requested to contact Dr. Rogers directly at nrogersdds@aol.com. In the meantime, think of what the future of oral health needs will be in the state if dental disease in children is identified and treated in these youngest patients. Research has shown that there is a correlation between caries in adults and their caries rate as a child. Things have to start somewhere, we may as well get an early head start on things and make a difference in the lives of our youngest Kansans.

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Can Sugarless Lollipops An article in the November issue of the Journal of the Michigan Dental Association reports that there is research currently underway at a number of institutions to determine if ingredients in a special sugar-free lollipop actively target and kill bacteria that causes cavities. Scientists at the University of Michigan, the University of California-Los Angeles and the Beaumont Hospital division of Geriatric Medicine (Detroit), in a study funded by Delta

Inconsistency

If the doctor appears to be making up the rules as he/she goes along, or if the doctor seems to repeatedly make exceptions for some employees and not others, morale plummets. Backbiting, bickering, and a culture of distrust and ineffectiveness permeate the office. This is not an environment in which many employees can succeed and few will stick around for long. Teams want clear guidelines in writing that are easily accessed, and study after study confirms that fact. Staffs seek structure and an understanding of what policies and procedures are to be followed in the office. And they want it in writing and easily accessed in an employee policy handbook. By the way, not only should your personnel procedures be documented, but all of the critical systems in your practice should receive the same scrutiny. Scheduling procedures, new patient processes, financial policies and CareCredit continued from page 14

doesn’t necessarily mean the patient will pay what he or she owes. In many cases, going non-par increases collections activity and bad debts, which will mean a greater effort by your office staff to recoup payment. Fortunately, there are several payment options dental practices can offer their patients to help finance procedures. Options include recurring credit card payments, monthly automatic withdrawals from checking accounts, and even outside financing offered through your office. Some offices may need to consider offering different in-house financing plans based on their relationship with the patient if they do not already do so.

Putting the burden on the patient By not participating with dental insurance, you must be aware that you are putting the burden of payment solidly on the patient. And while many patients have the best of intentions, they are not as familiar with insurance forms and policies as you and your office staff. One of the best options for practitioners who go non-par is to continue to draft the paperwork for the insurance companies, and submit it to the third party carrier as well. Make it clear that it’s the patient’s responsibility to pay for dental care regardless of what his insurer reimburses. You and your staff will still have to handle the initial paperwork, but you no longer have to make follow up calls and work through their system. That’s left to the patient. In conclusion, going non-par is a big decision, and not one to be made lightly. Look closely at your underlying reasons for wanting to go non-par. Examine your practice, its competition, and financial policy. Determine how far you’re willing to go to attract and keep new patients. It’s not a decision to take lightly. Think it through, and base any decision on facts, not emotion or your “gut.” Only then will you be able to determine if going non-par is right for your practice. Dr. Alan Laing, a licensed dentist, is a principal with The Rehmann Group - Healthcare Management Advisors. Specializing in dental practice valuations, practice buy-ins and buy-outs, practice profitability and clinical systems, he also assists dental practices in ownership transitional processes and consults on structuring associateships and partnerships.

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Dental, are looking at lollipops manufactured by Dr. John’s Candies of Grand Rapids, Mich., that contain extract of licorice root (Glycyrrhiza uralensis), which is thought to kill the bacterial agent primarily responsible for tooth decay. The study, says Jed Jacobson, Delta Dental’s chief science officer, is intended to help find effective regimens that will encourage prevention and control of dental disease in nursing home residents and children.

continued from page 15

Moreover, most employees walk into a job wanting to be successful, seeking to understand the expectations so that they can effectively meet or exceed them. But without clear policies and established expectations, employees are at the mercy of the doctor’s whims. Consequently, the practice becomes fertile ground for insecurity. That insecurity breeds secondary issues, in particular, fear. If employees do not have the guidelines in place to know exactly what they are responsible for, how their performance is evaluated, or how to bring concerns, problems, and issues to the attention of the doctor they will be far less likely to raise issues that need to be addressed for fear of a negative reaction.

Going Non-Par

Reduce Tooth Decay?

patient financing, training and new hire procedures, etc. should all be carefully outlined. Rather than serving as a laundry list of rigid rules and requirements, a human resources policy manual sets up guidelines that reflect good business practices and builds strong employer/employee relationships. It can be used to articulate the doctor’s philosophy for the practice and general goals for the team as a whole. It’s an effective means of conveying a positive message of teamwork and encouragement. But most importantly, the handbook enables employees to know what is expected. With a clearly defined human resources policy manual in place, employees don’t feel as if the ground is always shifting beneath them. They aren’t strategizing and mentally calculating when would be the best time to ask for the doctor’s ruling on this or that issue because the answers are already part of well-established practice policies. Remember your employees, as members of your team, in most cases, simply want to know and understand the rules of the

game and how they are to proceed when questions and concerns arise. Expecting teams to be fully functioning and successful without a policy manual in writing and accessible to everyone is a bit like taking your instruments away and expecting you to successfully perform surgery. You might be able to figure out a way to do it. But the results won’t be acceptable to anyone. Sally McKenzie, Certified Management Consultant, is a nationally known lecturer and author. She is CEO of McKenzie Management, which has provided highly successful and proven management services to dentistry since 1980. McKenzie Management offers a full line of educational and management products, which are available on its website, www.mckenziemgmt.com. Ms. McKenzie is the editor of the e-Management newsletter and The Dentist’s Network newsletter sent complimentary to practices nationwide. To subscribe visit www.mckenziemgmt.com and www. thedentistsnetwork.net. Ms. McKenzie welcomes specific practice questions and can be reached toll free at 877-777-6151 or at sallymck@mckenziemgmt.com.

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AD INDEX AFTCO Associates, Inc - 12 Blue Cross Blue Shield of Kansas - 8 Butler & Associates - 14 Cincinnati Companies - 11 Donated Dental Services - 16 Dynamic Mgmt Solutions (Classified) - 18 EMA Dental Practice Sales - 7 EMA Dental Practice Sales (Classified) - 18 Forest Irons & Associates (Classified) - 18 Healthcare Practice Mgmt. (Classified) - 18 Johnston Fiss Insurance - 2 Kansas City Property Company - 8 Kansas Dental Lab Association - 6 Kaylor Dental Lab - 15 McInnes Group, Inc. - 2 EuGene F. McKenzie, DDS (Classified) - 18 Medical Protective - 13 Modern Methods - 10 Paragon, Inc. - 15

We’re In To Win

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On any given day, the American Dental Association (ADA) is tracking or lobbying for more than 30 issues that affect dental practices and oral health. With a new administration committed to “change,” the association is proactively providing input to legislators, where helpful, or monitoring events taking shape and preparing responses to ensure that neither dentists nor their patients are adversely affected—or forgotten.

impact we can have,” Dr. US Dental Corp - 16 Triftshauser explained. “PAC money assures us of open doors so can have a fair hearensure that dentists who do accept ing on our issues. We need financial support for ADPAC from Medicaid can continue to provide these every state in the union.” services and get reasonable reimburse“Let me make clear at the outset, in case there is any doubt ment,” Dr. Triftshauser said. or confusion, that ADPAC does not advocate to candidates— Of course, not all dentists accept, or can that is not our job,” Dr. Triftshauser explained. “Our focus afford to accept, Medicaid patients. But is solely upon fundraising and financially supporting candiby standing together, we can have an dates who listen to dentistry, and I mean candidates on both impact on the future of our profession sides of the aisle. We would not be effective as an organizaand the ability of dentists to provide While the American Dental Political tion if we focused on one party. We need to build friendships, care to the underserved. Action Committee (ADPAC) does not not reward ideological soul-mates. That’s why we give to canlobby on issues, its role is just as signifi- didates, usually incumbents, who understand and are willing Dr. Triftshauser points out to the current trend to create new dental care cant: without the contributions made by to learn more about oral health and dental practice issues.” positions which is becoming a ADPAC, elected representapopular concept in state legtives would not see dentistry “... ADPAC does not advocate to candidates—that is not our islatures. “It is not out of the as “a player” on the Hill, nor realm of possibility that federal job,” Dr. Triftshauser explained. “Our focus is solely upon would they take our advocacy health reform efforts might issues as seriously. fundraising and financially supporting candidates who adopt or encourage this model,” listen to dentistry, and I mean candidates on both sides of “We need to focus on developDr. Triftshauser points out. ing positive relationships—we the aisle. “Naturally, we are more effecsimply can’t afford to sit on the tive when we have more hard sidelines and not be players,” dollars to donate. Right now, between said ADPAC Chairman Dr. Roger W. ADPAC takes a double-pronged approach, Dr. Triftshauser 20 and 25 percent of dentists do. Just Triftshauser. “An awful lot of decisions explained. First, it works to collect funds that are used to will be made that could have a negative support candidates for congress. “This is all about developing think what we can do if we double our participation.” impact on dentistry. The question we a good relationship with your representative and your senaeach need to answer is: “Do I want to tors.” ADPAC wants to demonstrate the dental community’s “Hard dollars” are monies donated make long-term, ongoing investments ability and willingness to support candidate who have good by individuals against their personal in my practice?” relationships with dentists in their home districts and who account or the account of their wholly are committed to improving oral health. “Many of our memowned small business. This money can Dr. Triftshauser explained the imporbers are called by their representatives before a vote comes up be given to candidates seeking office tant role that ADPAC plays in providing to ask their take on an issue. They want to hear from us, their or re-election. Money from corporate what he termed “preventive care for constituents.” Second, ADPAC is building its grassroots proaccounts is termed “soft dollars.” These dental practices.” gram that will mobilize state dentists when important policies funds can be used to pay for expenses Among the key issues that we can see are being debated or before an vote comes up on legislation or issue advocacy but may not be affecting dental practices are health that can significantly improve—or hamper—dentists and our donated to a candidate. care reform, increased regulations from patients’ health. Through a software program named CapDr. Triftshauser concluded: “The main federal agencies, the creation of more WIZ, the ADPAC grassroots staff are able to send out timely message I want to pass on to dentists DHAT-style provider proposals, and alerts to dentists along with a clear explanation of the issue is the importance of collective action more. and the action requested, along with contact information for which makes our voice strong and clear. “The ADA lobbying team does an excel- their representative and senators. In politics, you’re either at the table or lent job in making our case on Capitol “Let’s say that a vote is coming up in the House on legislation on the menu. We’re at the table, and Hill, but when our members can call to increase state Medicaid reimbursements for dental care, we’re in the game to win. But we need on the personal relationships they have ADA via CapWIZ, can alert interested dentists about where to get even stronger. Each dentist’s with their elected representatives, we their legislator stands on the issue so that we can mobilize contribution and personal effort amplify by an order of magnitude the dentists in all 50 states to write to their representatives to counts.”

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JKDA Spring 2009