Issuu

SUMMER ISSUE 2016 VOL. 48, NO. 3

Bulletin

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Editor

Dr. Stephanie Rashewsky

Advertising Editor Elaine Fleming Executive Secretary WMDDS 161 Ottawa Avenue NW Suite 301 Grand Rapids, MI 49503 (616) 234-5605 efwmdds@aol.com West Michigan District Dental Society Executive Board 2015-2016 President Dr. Leonard Bartoszewicz President-Elect Dr. Brian Mulder Vice President Dr. Lathe Miller Secretary-Treasurer Dr. James Papp Editor Immediate Past Dr. Steve Conlon President Directors Dr. Kevin Rebhan Dr. Kathryn Swan Dr. Sarah Masterson Area Representatives Kent County Dr. Chris Leja Ionia-Montcalm Dr. Scott Ribitch County Mecosta County Dr. Erick Perroud Ottawa County Dr. Thomas Anderson Big Rapids Dental Study Club Officers President Dr. Erick Perroud Vice President Dr. Christa Stern Secretary Dr. Christa Stern Treasurer Dr. Erick Perroud Holland-Zeeland Dental Society Officers President Dr. Thomas Anderson Treasurer Secretary Immediate Past President

Contents President’s Message...................................................................................................... 2 Guest Editorial.............................................................................................................. 4 Trustee Report.............................................................................................................. 6 WMDF Golf Outing..................................................................................................... 8 MDA News....................................................................................................................10 Every Employer Should Have An Employee Handbook............................................12 In Memoriam................................................................................................................15 Using Finanal Statements to Enhance and Improve Financial Performance...........16 Technically Speaking....................................................................................................18 Classified Ads................................................................................................................20 Advertiser Index............................................................................................................23 2016-2017 WMDDS Continuing Education Programs.............................................24

About the Cover Looking down the Chicago River from atop LondonHouse Chicago. Photo by Dr. Colette Smiley.

Ionia-Montcalm Dental Study Club Officers President Treasurer Dr. Kirkwood Faber Kent County Dental Society Officers President Dr. Kathleen Eisin Vice President Dr. Chris Leja Secretary Dr. Veronica Hamilton Treasurer Dr. Sarah Masterson West Michigan Dental Foundation Officers President Dr. Steven Mancewicz Vice President Secretary Mr. Nicholas Vander Veen Treasurer Mr. Tim Van Laan The Bulletin of the West Michigan Dental Society is published six times a year (the winter issue, spring issue, summer issue, directory issue, fall issue, and holiday issue). The opinions expressed in The Bulletin are not necessarily the opinions of the West Michigan District Dental Society. Contributions to The Bulletin are welcome and should be addressed to West Michigan District Dental Society, 161 Ottawa Avenue NW, Suite 301, Grand Rapids, MI 49503. Requests for purchase of advertising space should be directed to the Advertising Editor, Elaine Fleming, 616.234.5605. The deadline is the 1st of the month prior to publication. © 2016-2017 West Michigan District Dental Society Bulletin

Mission Statement The Bulletin is the newsletter of the WMDDS and its mission is to inform the membership of upcoming and recent events, state & local issues related to dentistry, and as a forum for its officers, representatives, and members to discuss appropriate topics of interest to the membership. Communication & Advertising Policy The Bulletin will publish submitted articles from members and others that relate to the practice of dentistry, small business, social, or political issues affecting dentists, or other subjects of interest to the membership. All published items are subject to space restrictions and the community standards of the WMDDS. The editors reserve the right to reject any article or advertisement deemed inappropriate and to edit submissions as they see fit. Submission & Publication Policy: Articles and advertisements must be submitted no later than the 1st of the month preceding p ublication date. The Bulletin has six publications: the winter issue, spring issue, summer issue, directory issue, fall issue, holiday issue. Direct submissions or correspondences to: West Michigan District Dental Society • 161 Ottawa Ave. NW, Ste. 301, Grand Rapids, MI 49503 Phone: 616.234.5605 • FAX 616.454.6549 • Email: efwmdds@aol.com Include “Newsletter” in the subject line

WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2016

PRESIDENT’S MESSAGE

Would You Do It All Over Again? By Leonard Bartoszewicz, DDS, WMDDS President

o be or not to be (a dentist) all over again, that is the question. With apologies to Shakespeare for altering his quote from Hamlet’s soliloquy, this is a question that comes up from time to time, especially from some of my patients that are in college and considering a career in a health profession. Coming upon my 30th anniversary as a dentist (Northwestern University Dental School class of 1986), I even ask myself the same question periodically. Some of you may also ponder the thought – would you do it all over again? This question normally pops up after a day where you just finished fighting with an insurance company because they denied coverage of a crown because their visually-challenged consultant couldn’t see the decay or crack undermining the world’s largest forty-year-old amalgam. Or perhaps you had a few doubts about your career choice when that four-year-old child in your chair is protecting his mouth like a guard in front of Buckingham palace and won’t open up despite all your best psychological tricks and distraction techniques. Maybe you’ve had one of those days when your two-hour bridge prep patient shows up twenty minutes late and announces that he/ she forgot to take their pre-med. It’s probably on the same day when your hygienist calls in sick and your regular patients aren’t pleased to have a sub clean their teeth. So you get home after a long day, (first stopping in for your regular chiropractic adjustment), and realize you haven’t cut the grass in two weeks. You pull the chord to start the lawn mower, and then you remember how your neck and lower back remind you that nine hours a day leaning over patients isn’t usually good for your health. You also notice that doing some of the dayto-day tasks become a bit more challenging. You have learned to live with soreness and it’s your “new normal.”

Obviously, the world of dentistry has changed a lot. Some of you may remember the expression of being a “wetfingered” dentist and knowing it was because you really did get your fingers wet as you were practicing without the feel of latex on your hands. It’s likely you were sharing the same air with your patients as masks were never too comfortable and seemed to get in the way. The words OSHA and HIPPA were names of kids from a foreign land. I have days where I long to be full of paper instead of “paperless” as I’m replacing my server again to accommodate all the space I need in my computer from digital images and mega amounts of data. But then I remember why I became a dentist in the first place. As a young boy I enjoyed going into my Dad’s office (University of Detroit, class of ’53) and playing with the plaster, and checking out all the shiny and sharp instruments. I could push that button on the cuspidor to make the water rinse around the bowl for hours. I can still see the concentration on his face while he was working on his patients and the look of satisfaction after he finished, knowing he had done something good to help them. I also remember his patients asking him about his family and how they smiled when they left his office and actually paid their bills with cash! There were no insurance companies to deal with in the early sixties; no need for insurance coordinators. My Dad put nine kids through college, rarely worked nights or weekends, and still had some time to travel with my Mom or show up at one of the kids’ baseball games or music concerts. He was a happy man (not suicidal) and lived a long, good life. The positives of being a professional and an independent business owner were pretty obvious, even to a young boy such as myself. I didn’t really tell my parents I wanted to be a dentist until midway through college in Ann Arbor. Truthfully, I decided my career path when I was about seven years old. I was just a bit too stubborn at the time to let them know I was following in my father’s footsteps. I wanted to have the same joy and satisfaction my dad experienced and the pride of being called a doctor. Ultimately, the decision to be a dentist was an easy one. Despite the slings and arrows that I face daily in the office, my mild (not outrageous) fortune (sorry again, Shakespeare) and the feeling I get from helping people and fixing their smiles is more than worth it. Answering the question is simple: Yes! WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2016

PRESIDENT’S MESSAGE

I would gladly do it all over again. Even if my out-of-school debt load seems like crazy money and even having to face future uncertainties in our profession (mid-level providers, insurance company hassles, etc.) and even with the chronic pain issues, I would do it in a heartbeat. Perhaps the better question might be: not that I would do it all over again, but how could I improve things along the way? Certainly, I would do more volunteering (The MOM project coming to Grand Rapids in 2018 is a good start). I would be better at promoting our profession. I would take a more active role in our dental society, and wouldn’t wait to have someone “invite” me to come to a meeting. I would take more continuing education classes so I could work smarter and more efficiently, thus allowing me more time to spend with my family and friends. I would strive to lead my peers, WMDDS ad Zac 2016revFINAL.pdf

12/17/15

encourage my younger colleagues, and do whatever I could to be the kind of dentist and man my dad wanted me to be. These are now my goals as I begin my year as President of the West Michigan District Dental Society. I cannot change the past, I can’t start over. But I would do it all over again – and just be better at it. How about you? What are your goals for the upcoming year? Together, let’s make it the best year ever!

1:18 PM

WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2016

GUEST EDITORIAL

The Times They Are A Changin’ By Erick Rupprecht, DDS, West Michigan District Dental Society Bulletin Editor 1983-1985

“Then you better start swimmin’; you could sink like a stone. For the times, they are a changin’.”

Swim to your local legislator. Let them hear what concerns you have about the practice of dentistry both now and for the future. Sure, there will be change. By voicing your issues to legislators, you can help direct that change to the benefit of your patients and the viability of your ability to care for them. If you aren’t engaged in dialogue, you aren’t swimming. Our WMDDS officers will be calling to ask for volunteers to fill positions on committees of our dental society. Say “yes” to the call and then participate and help craft the changes in our profession for the positive. There is no such thing as passive participation. Be active. Swim to the Michigan Dental Association. They have a multitude of volunteer opportunities that can affect change through volunteerism. Each of us has at least one unique skill that can aid us in directing change. Staff at the MDA can help channel that skill set to its fullest potential. The MDA is, along with the ADA, a marvelous resource of knowledge and materials. Materials to educate policy makers and materials to educate patients can act as a life preserver as you swim. Swim, don’t sink. Make a difference!

– Bob Dylan

fter reading Chris Smiley’s great guest editorial, “My Back Pages,” in our Spring Bulletin, I was inspired. I was inspired to go back and listen to some Bob Dylan. It seems that Dylan’s lyrics are a deep well of inspiration and like a former editor colleague, I too took a drink from the well. “Then you better start swimming, you could sink like a stone. For the times, they are a changin’.” I guess the essential allegory in Dylan’s lyric is change or be left behind. More basically, it is saying, sink or swim. I read a bit more into it. Be active in your profession outside of the day-to-day practice of dentistry. This is swimming. Don’t just settle and let others swim for you. By swimming yourself, you can affect and direct change so you don’t sink like a stone. It is imperative that we all start swimming, start volunteering and start participating in the shaping of our profession as it (inevitably) changes. 4

West Michigan District Dental Society is now on Facebook Check us out and we’re sure you’ll “Like” us! WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2016

The 26th Annual New Dentist Forum Golf Outing The West Michigan New Dentist Forum invites you to join the fun in supporting the Robert Mitus Scholarship Fund Four Person Scramble Format | 9 am Shotgun Start Registration & Range open at 8 am Friday, August 26, 2016 | Quail Ridge Golf Club 8375 - 36th Street SE | Ada, Michigan 49301 $100 per player – includes 18 holes of golf, beverages on the course, bloody mary bar, and raffle immediately after golf. Great Contests and Raffle Prizes! All proceeds benefit the Robert Mitus Scholarship Fund at the West Michigan District Dental Foundation Golf: $100 per player | Hole Sponsor: $200 | Raffle Tickets: 5 for $20 4 PERSON SCRAMBLE – Enter as an Individual or as a Team Thank you for supporting West Michigan Dentistry and the Robert Mitus Scholarship Fund | Entry deadline: August 19th Player 1 __________________________________

Player 3 __________________________________

Player 2 __________________________________

Player 4 __________________________________

Please make checks payable to “New Dentist Forum” c/o Matt Lieto, 255 Washington St SE, Grand Rapids, MI 49503 Questions and sponsorship information: Call 616-451-2336 Email: LietoDMD@gmail.com

TRUSTEE REPORT

MDA Board of Trustees Meeting Highlights By Margaret Gingrich, DDS New Delta Dental Policy Regarding Medicare Participation Last week, many of you may have received a letter from Delta Dental. If you are a Delta provider and did not receive one, be looking for it. There is a new Delta Dental policy regarding the opt-in/opt-out of Medicare participation. Basically it outlines Delta’s expectations regarding Medicare opt-in/opt-out going forward. If you have already made your designation of opting out, you will be required to take a CMS online training class during the 2017 calendar year. If you have not chosen to opt-out of Medicaid and do so after June 20, 2016, you will no longer be able to be a Delta provider. There is an amendment to the provider agreement that is included with the letter, as well as some explanatory attachments. Dentists in Ohio and Indiana also received these letters. Look in the July edition of the MDA Journal for more information on this.

reetings from Alaska! I hope this trustee update finds WMDDS dentists enjoying their vacations and rounds of golf during this nice summer. This summer has turned out to be a busy one for dentistry.

Public Relations As has been previously published, the Public Relations Committee has been working on a new campaign during the last year. The new ads include: AdWords/Search campaign, “Your MDA Dentist Can,” James Whitmore Songify, and most recently, “I am an MDA Dentist.” The media mix for this campaign will include cable TV, HULU, radio (Pandora), digital video, Facebook, display ads, and retargeting ads. The goal of these ads is to drive traffic directly to the “Find a Dentist” page on the MDA website. For those dentists that attended the MDA Annual Session, you may recall the casting call for “I am an MDA Dentist.” If you haven’t had the chance to see any of these clips, take a few minutes to look them up – you may see some faces you know. Every person in these ads are MDA members. If you have a Facebook page (either personal or professional) and are interested in posting or sharing some of these ads, they can be found on the Smile Michigan Facebook page. Copy the link and paste it to your page. We appreciate any shares.

New Editor of the MDA Journal Congratulation to Dr. Steve Conlon, our Immediate Past President of WMDDS, for being elected the editor of the MDA Journal. He is replacing Dr. Virginia Merchant, who is stepping down due to retirement. Along with the election of Steve, Drs. Vince Benivegna, Steve Meraw, and Curles Colbert were elected to three-year trustee positions. Mission of Mercy The 2016 MOM Event was held at Macomb Community College in Warren on June 9–12. There were 1,244 volunteers that helped complete 4,986 dental procedures to 968 patients – totaling $988,768 worth of services. Not bad for two days of dentistry! If you were at the event, THANK YOU for making it a success. If you were not able to attend, please don’t forget to thank a volunteer if you get a chance. The Mission of Mercy would not be a success without all the dentists, hygienists, assistants, lab techs, general volunteers and students. As many of you may know, the 2018 Mission of Mercy will be held in Grand Rapids. We will need approximately 250 dentists. Are you willing to help? Our WMDDS President, Dr. Lenny Bartoszewicz will be a local lead. Stay tuned for more information on the future MOM event.

Mid-Level Provider As most of you are aware, Senate Bill No. 1013 was introduced by Senators Shirkey, Booher, Warren, Emmons, and Hertel in early June. This bill is aimed at adding another tier of dental providers in Michigan. It is being funded by the Pew

WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2016

TRUSTEE REPORT

and Kellogg Foundations. The bill states a person may apply for a dental therapist (DT) licensure if s/he has graduated from an accredited three-year dental therapist program, has a bachelor’s degree (this does not have to be an RDH degree), 500 hours of supervised clinical practice under a supervised dentist, and has passed all exams. The dental therapist is to practice under the general supervision of a dentist who is licensed in this state. The patients are not required to have seen the supervising dentist first as long as there are written protocols on how the DT will handle these patients. The DT may provide any of the following care: 1. Identify oral and systemic conditions that require treatment by dentists, physicians, or other health care providers; 2. Comprehensive charting of the oral cavity; 3. Providing oral health instruction and disease prevention education, and including nutritional counseling and dietary analysis; 4. Dental prophylaxis including subgingival scaling or polishing procedures; 5. Dispensing and administering via the oral or topical route non-narcotic analgesics and anti-inflammatory and antibiotic medications as prescribed by a health care professional; 6. Applying topical preventative or prophylactic agents, including fluoride varnish, antimicrobial agents, and pit and fissure sealants; 7. Pulp vitality testing; 8. Applying desensitizing medication or resin; 9. Fabrication of athletic mouth guards; 10. Changing periodontal dressings; 11. Administering local anesthetic and nitrous oxide analgesia; 12. Simple extractions of erupted primary teeth; 13. Emergency palliative treatment of dental pain related to a care or service described in the subsection; 14. Preparation and placement of direct restoration in primary and permanent teeth; 15. Fabrication and placement of single-tooth temporary crowns; 16. Preparation and placement of pre-formed crowns and primary teeth; 17. Indirect and direct pulp capping of permanent teeth; 18. Indirect pulp capping on primary teeth; 19. Suturing and suture removal; WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2016

20. Minor adjustments and repairs on removable prostheses; 21. Removal of space maintainers; 22. Nonsurgical extractions of periodontally diseased permanent teeth with tooth mobility +3 and +4. However, a Dental Therapist shall not extract a tooth for any patient if the tooth is unerupted, impacted, or fractured or needs to be sectioned for removal; 23. Performing other related services and functions authorized by the supervising dentist and for which the dental therapist is trained; 24. A dental therapist may supervise dental assistants and dental hygienists to the extent permitted in a written practice agreement. However, a dental therapist shall not supervise more than three dental assistants and two dental hygienists in any one practice setting; 25. A dental therapist shall not prescribe a controlled substance that is included in schedules 2 to 5 of part 72. After reading this shortened edition of the new law, you will hopefully see many faults. The use of terms like “general supervision” when the writers are expecting DTs to practice in underserved areas that dentists will not practice in. How cost-effective can a DT be when they have seven years of schooling? Being able to provide care on our most vulnerable population, kids and the underserved, with less education. Being able to supervise all members of a dental team except a dentist, and the list goes on. I do encourage every dentist to read the new law. The changes are easily seen because they are bolded in the law. After reading the law, please reach out to your Senators and Congressmen. The most recent “News Action Alert” that was sent by the MDA only had 21% of member dentists clicking through to send the letters. Of all the laws that have been put before our legislators, this bill WILL CHANGE HOW WE PRACTICE DENTISTRY FOREVER. There are great resources if you are interested – Bill Sullivan and Lynn Aronoff can help you with contacting them. If you would like a copy of the bill, please contact Bill, Lynn or myself. This concludes my trustee report for this issue. As always, if you have any questions or concerns. please feel free to contact me at: drmargaret04@gmail.com or by phone at 231-796-8715. Now I am off to the Arctic Circle!

WMDF NEWS

Annual West Michigan Dental Foundation Golf Outing Raises over $17,000 Submitted by Nicholas VanderVeen, 2016 WMDF Golf Committee Chairperson

unny skies greeted golfers at the annual golf outing at Railside Golf Club on Monday, May 16th. Sixty-five golfers participated in either the “Scramble” or “Play Your Own Ball” format. A special thanks to the WMDF Golf Committee for organizing the event: Nick Vander Veen, chair Dr. Larissa Bishop Dr. Matt Gietzen Dr. Steve Mancewicz Dr. Tim Meade Dr. Brent Medema Dr. Devin Norman Dr. Michael Palaszek Dr. Mark Powell Dr. Ryan Zolman

Left to right: Dan VanderBaan, Becky VanderBaan, Larissa Bishop, and Matt Bishop.

Here are the winners at this year’s event: Scramble: Gary Mancewicz, Maryann Mancewicz, Dave Phillips, and Kim Jones Play Your Own Ball: Tom Nykamp, Don Vander Linde, Pete Zwier, and Scott Ptak Men’s Longest Drive: Andy VanHaren Women’s Longest Drive: Becky Vander Baan Men’s Medalist: Kim Jones Putting Challenge: Gary Mancewicz Special thanks to our sponsors for supporting our outing with their generous sponsorships: Beverage Sponsor: Bredeweg & Zylstra, PLC Raffle Prize Sponsor: Dr. James Papp and Dr. Chris Leja Eagle Sponsors: Davis Dental Laboratory Grandville Dental Health Center Grand River Endodontics Mac Dental Lab Meade and Zolman Family Dentistry Medema Endodontics OMSA of Western Michigan, PLC Oral Surgery Associates Patterson Dental Supply West Michigan Oral and Maxillofacial Surgery, PC Birdie Sponsors: Caldwell & Christopherson Orthodontics Chase Bank DDS Integration Henry Schein Dental Herremans Orthodontics Dr. Bruce Jackson MDA Insurance MDA Services Dr. Thomas Nykamp Old National Bank Partners in Dental Care, PC Dr. Mark Powell Professional Consulting and Accounting Group Smith Haughey Rice and Roegge Swan Orthodontics Valleau & Van Deven Pediatric Dentistry WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2016

WMDF NEWS

Major Patron Sponsors: Dental Arts Laboratories Dr. James Hur

NEXT YEAR’S OUTING

Thank you, also, to the following golf courses who generously donated items for the raffle: The Meadows at GVSU, Maple Hill Golf, Ironwood Golf Course, The Rogue, Gleneagle Golf Club, and Treetops. Finally, thanks to the volunteers who worked at the contest holes during the event: Dental assisting students from GRCC, employees from Old National Bank, Chase Bank, and Patterson Dental. We appreciate your help!

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WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2016

MDA NEWS

News from the Michigan Dental Association June 2016 Don’t Miss these Money-Saving, Members-Only Benefits from MDA Insurance and MDA Services Editor’s Note: MDA Insurance & Financial Group, parent company of MDA Insurance and MDA Services, is celebrating its 30th anniversary this year! To help celebrate, we’re including in this issue of Bulletin some news and notes about many of the money-saving MDA Insurance and MDA Services programs. Remember, as a WMDDS/MDA member you are eligible to participate in these great programs. The quality is high and the cost is low. Read more – and start saving. For complete information, visit www.mdaprograms.com. Choose the Insurance Program that Grows with Your Dental Career During each stage of your dental career, your professional insurance needs will continue to change. Whether you are a student, recent graduate, well-established in your practice or winding down in your career, MDA Insurance will guide you from start to finish. If you haven’t reviewed your professional liability insurance and property insurance policies recently or compared premiums, now is the time. Detroit District members receive a 10 percent discount on the Professional Protector Plan, and you may also qualify for a number of other credits. To begin the process, call MDA Insurance at 800-860-2272 and speak with Misty Haigh or Tina Croley. You may also submit a quote form online at mdaprograms.com. MDA Insurance & Financial Group Celebrates 30 Years of Delivering Value to Members In 1986, the Michigan Dental Association Board of Trustees envisioned that one day the MDA would be seeking innovative ways to attract and benefit members, as well as new revenue streams to fund new programs. Unforeseen was just how fruitful this vision would become. MDA Insurance and MDA Services now offer 39 MDA-endorsed programs, including the award-winning MDA Health Plan with 4,000 participants, and the MDA Services Glove program, serving 24 dental and medical associations nationwide. MDA Insurance and MDA Services continue to give significant sums each year to the MDA, helping to save you money on membership. And the rigorous vetting process produces the best product and service selections to help you succeed 10

and save you precious time and resources. For a complete list of MDA-endorsed products and services, visit mdaprograms. com or call 800-860-2272. MDA Endorses DBS Investment Advisers for Wealth Management, Retirement Planning Services After a rigorous and thorough review process, DBS Investment Advisers (DBSIA) is the new MDA-endorsed provider of investment and retirement planning services. MDA members receive a discount on DBS Investment Adviser fees, and as your portfolio grows, the fee discount increases. To contact DBSIA, visit mdaprograms.com or call financial adviser Ted Schumann II at 989-686-6222 for a one-on-one appointment. Register Now to ‘Get the Big Picture on Health Plans’ for 2017; Earn Three Free CE Credits Get the big picture on the best health care plans in Michigan by attending the MDA Insurance health plan workshop, held in various locations beginning in September. MDA Insurance has the most popular plans available and is the only source for the MDA Health Plan. This interactive seminar will help you select a health plan for 2017. The seminar will review MDA Health Plan options, Blue Cross Blue Shield of Michigan (BCBSM) small group plans, BCBSM individual plans, and eligibility for subsidized Marketplace plans. Register online at smilemichigan.com/pro and choose CE Courses. Then click on MDA Courses and Special Seminars/Events. WMDDS District members and staff are welcome to register. Space is limited, so please secure your seats early. Earn three FREE CE credits! Thursday, Sept. 8, 2016 — Marquette, 6 – 9 p.m., Northern Michigan University Friday, Sept. 16 — Dearborn, 9 a.m. – noon, Doubletree Hotel Detroit-Dearborn Friday, Sept. 30 — Gaylord, 9 a.m. – noon, Treetops Resort Friday, Oct. 7 — Bay City, 9 a.m. – noon, Bay Valley Resort Friday, Oct. 14 — Okemos, 9 a.m. – noon, MDA Headquarters Friday, Oct. 28 — Grand Rapids, 9 a.m. – noon, Eberhard Center, Grand Valley State University Friday, Nov. 11 — Troy, 9 a.m. – noon, MSU Management Education Center WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2016

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WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2016

LEGALLY SPEAKING

Every Employer Should Have an Employee Handbook Submitted by Nicholas H. Vander Veen, Attorney, Keller & Almassian, PLC

very business that has employees needs to have an employee handbook. It is an important truth that many small business owners fail to acknowledge. An employee handbook serves to benefit the employer and the employee, as well as foster an excellent working relationship between the parties. This handbook should contain the expectations and standards that both sides of the employeremployee relationship will be held to and clarifies disagreements. The following list contains a number of the policies and issues an effective handbook should address. • Hours: The business hours and expected working hours of full-time and part-time staff needs to be clearly laid out. • Remuneration: Clarity in how you pay employees and how employees can advance their pay scale need to be clearly defined along with any bonus programs. • Benefits: Explain the rules relating to benefits, including vacation pay, sick pay, unpaid leave, and any other programs available. • Substance Abuse: This is especially important for health care professions. Clearly outline that use or abuse of substance in the workplace is forbidden and state if there will be a drug testing program in place along with the penalties for failures under the policy. • Harassment: Sexual and other types of harassment (physical or verbal) have no place in a business and are illegal. Be firm in your position that all harassment claims will be taken seriously and define the punishments. Additionally, outline how employees should go about voicing such complaints and to whom in order to make sure that those who suffer attacks feel safe in reporting them. • Attendance: While this should go without saying, employees need to be aware that habitual tardiness or absenteeism will result in reprimand and termination.

• Safety: Outline and document the safety measures that employees need to observe in order to keep themselves, customers, and fellow employees safe in all situations. Adhering to health department standards and infectious disease protocols is important in the dental setting. • Discipline: Most employers follow some form of progressive discipline for performance problems or misconduct. Often this starts with a verbal warning, followed by a written warning for a second offense, followed by a probationary period or suspension, then termination for subsequent problems. Whatever system you implement, make sure to make it easy for employees to understand and that it is evenly applied. • Internet and Electronics Policies: Be clear that visiting sites unrelated to work is restricted and set guidelines on how employees should behave in their social media presence. Your policy must also tell employees that their communications may be read and are not private if on company email accounts or messaging systems. If you monitor employee communications, say so. • Workplace Environment: Make it clear that ALL employees (including you, the boss) need to treat each other with respect. The success of the business depends on that. • Catchall: Wrap the handbook up with a statement that while you wish you could anticipate all issues, the handbook is only a starting point for employee conduct and may not cover everything. • Acknowledgement: The last page of the handbook should be an acknowledgement form that the employee signs stating when they received the handbook, that they read it, understand it, and agree to follow it. Keep for you records. This is not an exhaustive list and it may vary from practice to practice, but it is a good start. Additionally, employer should be mindful that the handbook should be drafted with straight-forward and simple language as well as be continuously updated. An excellent Employee Handbook prepared by a professional brings the employer and employees together on the same page about how a job needs to be done and what to expect when doing so. It informs your employee of their rights while at the same time defends your business against lawsuits arising out of misconduct. There is no time like the present to talk to a legal or human resources professional about either updating or creating an employee handbook.

WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2016

Your Practice Companions

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WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2016

The West Michigan District Dental Society was saddened by the passing of our colleague: Dr. Richard Stern â€“ May 14, 2016 Those wishing to make a memorial donation to the West Michigan Dental Foundation in his memory should contact Elaine Fleming at the WMDDS office at 616.234.5605, or checks may be sent made payable to: West Michigan Dental Foundation, 161 Ottawa Avenue NW, Suite 301, Grand Rapids, Michigan 49503

MARK YOUR CALENDAR West Michigan Dental Foundation Annual Golf Outing

Friday May 19, 2017 NEW LOCATION:

The Meadows on the Allendale Campus of Grand Valley State University 9:00 am shotgun start Watch for more information about the golf outing in future issues of the WMDDS Bulletin. Questions? Contact Elaine Fleming at 616.234.5605 | efwmdds@aol.com Mission Statement: An organization dedicated to the improvement of oral health through the financial support of education and service programs to address the needs identified by the dental profession and the communities it serves in Kent, Ottawa, Ionia, Mecosta and Montcalm counties.

WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2016

FINANCIAL NEWS

Using Financial Statements to Enhance and Improve Financial Performance By Brian LaFrenier, CPA

our accountant provides you with a tax return at year-end, which fulfills your compliance reporting needs, but are you receiving any consultation on how to make your practice more profitable? Capturing financial performance through the use of a financial statement can be a useful tool for managing your practice success. Typically, the components of a compiled financial statement for a dental practice include a balance sheet and statement of operations along with supporting schedules for various personnel and administrative costs. The balance sheet captures the assets and liabilities (debt) of the practice at a given point in time. The statement of operations will capture the profitability of the practice for a period of time. The supporting schedules for personnel and administrative costs should break these costs down into major categories such as clinical wages, clerical wages, other employee benefits, and costs. Other cost categories should be segregated to include advertising, office supplies, insurance categories, rent, repairs, lab, and various dental supply items. The level of detail provided in a financial statement will allow your accountant to benchmark the practice against others of similar size and specialties. The process of benchmarking is important because it could identify areas of weakness or areas where cost controls and spending need to be reviewed. Dental practice financial statements are almost always presented on the cash basis. This means the numbers reflect cash received less cash expended. On the statement of operations (profit and loss statement) the revenue number really reflects cash collections. This leaves out an important component of

practice management, which is production. Consideration should be given to presenting a supplemental schedule detailing production totals with reconciliation of practice collections after factoring in various adjustments. This can be a useful tool to identify problems with managed care participation and write-offs. Traditionally, a set of financial statements provided by your accountant will not include a cash flow statement. Dentists often tell me that itâ€™s difficult to understand the relationship between production, collections, and profitability. The inclusion of a cash flow statement will enable you to see principal paid on debt, impact of depreciation, and the purchase of equipment on the cash position of the practice. The cash flow statement can be a helpful tool in measuring liquidity and future cash flow needs of the practice. The relationship with your accountant is an important one that should reach beyond a simple compliance function. Consider requesting compiled financial statements at least annually from your accountant and using their expertise to provide benchmarking information and high-level analysis of the overall health of your practice. Used properly, financial statements can be a tool to guide the practice to financial success.

CPR/First Aid Instruction Cheryl Johnson 1722 Rahn Drive NE Grand Rapids, MI 49525 (616) 821-0298 johnscs@sbcglobal.net

WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2016

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WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2016

TECHNICALLY SPEAKING

Spending to Save Submitted by Greg Feutz, President, DDS Integration

Greg Feutz is President of DDS Integration, a Grand Rapids based dental technology company.

In each WMDDS Bulletin, I will be fielding your questions about technology, its place in the dental practice, and beyond. Send your questions to askgreg@ddsintegration.com and I’ll answer them on my blog, Facebook, YouTube and in each Bulletin.

ne of the lessons I hope I can pass down to my kids (because you know they’ll listen to their elders in a way no other generation has thus far) is that sometimes spending is saving. How is this possible? Your time has value. Simple as that. Side-note: This is not really a techy specific topic. I’d say I’m equally passionate about running my business and being productive/effective as I am techy stuff so sometimes this type of thing leaks into my various videos/blogs/articles/conversations/myspace pages. I remember when I first started making good money, like $11/hr. I started to see the balance between fixing things myself versus paying someone to fix them. I loved to ride my bike. I strongly disliked fixing my bike. Because I was not a bike mechanic, what might have taken me three hours would take a shop 30 minutes and cost me $35. So, now it was a question of what would I rather spend my time doing? Fixing my bike versus work? In that case, work. Fixing computers versus work? In that case, computers. The important part is understanding this choice. Spending your time and spending your money both have a cost. Now that my time is even more valuable and hard to come by, this is incredibly important. I am always looking for ways to tip this scale in my favor. I always find it interesting to find out where other people are on this spectrum in their lives as well. For me, the goal is to other-source (because outsource has a bad connotation) anything that I don’t enjoy that I can

reasonably justify from a cost perspective. For example; I mostly enjoy creating content for our Youtube channel. I don’t enjoy when editing becomes a bottleneck and I’m perhaps generally not too excited about a specific bit of content we’re producing (some are more useful than fun). So, I outsource editing on some of our videos. If: a) the videos will somehow create revenue; and b) me spending time doing other aspects of my job will somehow create revenue, then having someone else edit for me makes sense. Whether its outsourcing or delegating, I’ve come to realize that yes, I could indeed do every single task that is required to own and operate a business, but why not just do the ones I’m really good at and am passionate about? Then, let other people do the same? You know what? I can tie this in to tech! Here goes. One of our efforts as an IT company is to be that outsourcing … source. For our customers who value spending their time on their passion and their best income source, they’re interest is very much to spend money so they can make money. They’ve learned how much value their time and their staff’s time is worth. They may be able to fix certain problems that creep up, but at what cost? Do you enjoy it? Is it actually saving you money? We are very fortunate now to have technology that can really take the tasks and headaches of IT away from dentists and let them focus on the things that positively affect their bottom line. When IT can be a tool that helps rather than get in the way it’s a very cool scenario. Almost like that’s how it’s supposed to be! Dentists do dentistry. We do dentist’s IT. It’s not right for everyone and the ways of “call when it’s broken” are still very much alive, but again it’s simply very nice to have the choice. Back to my kids. Once their time has enough value to make these types of choices, I hope they can see the implication of spending to save vs fixing to save. For me it was a revelation that got me doing a lot less of what I dislike and a lot more of what I’m passionate about and good at. What are your thoughts? Comment on our blog or Facebook article. We’d love to hear your opinions on Spending to Save, or any other topic. Facebook: facebook.com/ddsintegration Blog: ddsintegration.com/blog Youtube: https://goo.gl/iQjrYm WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2016

WMDDS CPAs good ideas7.5X3.25.pdf 1 3/5/2015 2:27:22 PM

CPAs BRINGING NEW C

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TO YOUR PRACTICE.

CMY

RICK CHRISMAN, CPA MANAGING SHAREHOLDER rchrisman@hungerfordnichols.com (616) 949-3200

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We educate you on selecting the right stroke: n Save thousands of dollars with lifetime discount n Remove exclusions with advanced underwriting n Longer benefit periods, higher benefit amounts n Learn new features on today’s insurance options

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Protection with Strategy Building the long game by designing a protection strategy that maximizes your income and safeguards your most valuable asset. GLFIA is an ongoing supporter of WMDDS, serving new, growing and retiring dentists. 833 Kenmoor Ave SE, Suite F n Grand Rapids, MI 49546 616.301.2599 n molly.murray@glfia.com www.theinsuranceforprofessionals.com

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WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2016

If you would like more information regarding our project or would like to register as a participant, please visit our website at: pointsoflightonline.org. 19

CLASSIFIED ADS

The classified ad rate is $10.00 up to and including 30 words; additional words 15¢ each. Space permitting, WMDDS members may place ads free of charge as a membership service. Ads should be submitted in writing and sent with payment to Elaine Fleming, WMDDS, 301 Waters Building, Grand Rapids, MI 49503. Telephone numbers and hyphenations count as two words, abbreviations count as one word. Ads received after the first of the month prior to publication may appear in the following issue. For Sale – Family practice in Grand Rapids NE that is part time with great potential, located in an excellent highvisibility location. There is 2050 sq.ft. with 5 ops and a 6th op is plumbed in. Opportunity for more footage if desired. Call 616.485.4884 for details. Holland, Michigan – Associate dentist needed for busy practice one or two days a week. Would prefer Fridays. A bit early but will be retiring in three to five years. Fee-for-service practice with no medicare/medicaid. Please contact Kate at 616.399.4490. Exciting Opportunities – for dentists, hygienists, and assistants to provide children with quality dental care in schools in Southeast and Western Michigan. No evenings or weekends. Email resumes to: jobs@smileprograms.com. Dental Equipment for Sale – After merging my two offices – I have four rooms full of dental equipment for sale. Everything is in excellent shape and working conditions (no junk). All equipment is still installed and can be tested before you buy it. Dental chairs, delivery units, lights, x-rays, cabinets, panoramic, Dent-X 9000 zoom, compressor, separate air dryer unit, suction, lab equipment and much more. Just ask and there is a chance I have it. Please email your questions to hanyb@juno.com. General Dentists Needed – In busy Dental Dreams Michigan offices. Includes signing bonus of $15-25K. 20

Full-time dentists earn an average of $230k. Associates enjoy freedom over treatment planning in modern, digital offices with established patient bases. Benefits include free dental care, paid vacation, continuing education, and Medical, life, vision & malpractice insurance. Visa & permanent resident sponsorship is available. Please call 312.274.4580 or email kanderson@ kosservices.com for more information. Full time, part time, and Saturday only positions are available and new grads and residents are encouraged to apply.

Looking for Motivated, Energetic General Dentist Focused on Patient Care – Needed for growing dental office in Traverse City area. Utilizing 2 Cerec units for single day dentistry. Also, general dentistry including lab fabricated crowns and bridges, fills, extractions, and root canals. Four hygienists, great staff. Fun environment. Please send resume to 202 West 17th Street, Traverse City, Michigan 49684. Required experience: Experienced preferred, or new grad if comfortable being alone in office. Required license or certification: DDS.

Dental Dreams desires motivated, quality-oriented Endodontists for our busy offices throughout Michigan – Specialists are provided with a top-tier compensation package, all resources necessary to focus on patient care, and supported by experienced support staff in a modern, technologically-advanced setting. Benefits include health & malpractice insurance, CE, Paid Vacation. Doctors have complete freedom over treatment planning and discretion over dental supplies and instruments. Make Dental Dreams a reality for you. We offer full-time, part-time, and Saturday only schedules. Please email Recruiting@DentalDreams.com.

Opening for a Part-Time Dental Associate – in Grand Rapids, MI. Looking for an associate two to three days a week for our beautiful general dentistry office. Well established practice with a large patient base and high earning potential. Excellent working environment, high-tech equipment, wonderful staff and fee-for-service! This is the perfect opportunity for an established dentist looking to add an extra day to their schedule or a dentist just interested in a part-time schedule. If interested please contact Hilary Tien: Hilary@proveerpm.com or 616.309.4567.

Trial Partner Dentist – In $1.5 million, 2 location fee for service office in Grand Rapids Area. Expect $300,000 net per year. All inquiries to Regional Manager Rachel at hiring1621@gmail.com.

Dental Office Condominium for Sale in Zeeland – 3,975 SF professionally designed and decorated office space with premium finishes includes; eight treatment rooms and two doctors’ offices. Facility is suitable for endodontists, orthodontists, oral surgeon or a periodontists group. Sellers are a successful general dentistry group

WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2016

CLASSIFIED ADS

looking to rebuild nearby and would be a great source of referrals for a specialist. 427 Centerstone Court is conveniently located with high visibility from Chicago Drive. Office photos are available online at www.nelsonsmile.com/office-tour. Dreams is actively seeking motivated, quality-oriented associate Dreams is actively Dental seeking motivated, quality-oriented associate dentists for our offices through Please contact Kris Dental DePree at dentists for our offices throughout IL, LA, MA, MD, MI, NM, PA, SC, LA, MA, MD, MI, NM, PA, SC, TX, VA, and DC. We provide the ultimate in quality general dentistry 616.355.3141 or kris.depree@colliers.com TX, VA, and DC. We provide the ultimate in quality general dentistry entire family in a modern, technologically advanced setting with experienced support staff. Our highly for more information. to the entire family in a modern, technologically advanced setting with Associates enjoy top tier compensation. experienced support staff. Our highly valued Associates enjoy top tier Dental Office Available – in Rockford compensation. Compensation on 10 Mile Road. Available about

 Sign3100 on Bonus April 2015. Approximately ft of up to $30,000  ftAverage compensationCompensation of full-time dentists in excess of $220,000/ per annum office space and 1500 of basement. Call 616.866.0921.  Guaranteed base pay • Sign on Bonus up to $30,000 • Average compensation of full-time dentists in excess of $220,000/per annum Clinical Practice • Guaranteed pay  Complete autonomy over treatmentbase planning 

Mentoring by top rated, experienced clinicians

Clinical Practice • Complete autonomy over treatment planning • Mentoring by top rated, experienced clinicians

Benefits  Health insurance  Malpractice insurance Benefits  Three weeks' vacation • Health insurance  Continuing Education • Malpractice insurance  Relocation expenses • Three weeks’ vacation  Visa and permanent residency sponsorship • Continuing Education  Dental coverage for associates andexpenses immediate family members • Relocation • Visa and permanent residency sponsorship

Make Dental Dreams a reality for you. Please contact and us toimmediate learn more about rewarding associate den • Dental coverage for associates family members opportunities with Dental Dreams. We offer full-time, part-time, and Saturday only schedules. Make Dental Dreams a reality for you. Please contact us to learn more

Phone: (312)274-4598 about rewarding associate dentist opportunities with Dental Dreams. Email: Recruiting@DentalDreams.com We offer full-time, part-time, and Saturday only schedules. Website: www.dentaldreams.com Phone: (312) 274-4598 Email: Recruiting@DentalDreams.com Website: www.dentaldreams.com

WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2016

CLASSIFIED ADS

Mercy Health Physician Partners has an excellent full-time Dentist opportunity in Grand Rapids, Michigan. We share Mercy’s Health commitment to provide health care for all persons, regardless of their ability to pay. We believe that no one should go without needed dental care because they cannot afford it. We are committed to providing the highest standard of health care with hospitality, respect and compassion. A growing economy, outstanding health care, low cost of living, award-winning schools and diverse cultural options are just a few reasons why Grand Rapids is a great place to live and work. We are a full-service dental facility. Office hours: Monday–Friday 8:00am–4:30pm. For further information please contact: Camille VanDyk, Physician Recruiter Email: vandykca@mercyhealth.com Phone: (616) 685-6814 | Fax: (616) 685-1496

Your bank. For business. Old National proudly supports the West Michigan Dental Community. Specialties Include: • Equipment financing • Financing of partner buy-in and practice purchase • Flexible loan payments • Practice start-up loans • Real Estate Financing • Working Capital Lines of Credit

616-228-6000 22

Member FDIC

WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2016

CLASSIFIED ADS

Endodontic Instruments – Recently graduated dental student that is starting my orthodontic residency in the fall...needless to say I do not need my endo equipment anymore. The Endo motor and apex locator were used only a handful of times and were well cared for. Here is a list of what I have: Dentsply E3 Rotary Control Motor with handpiece Root ZX Apex Locator – in original box with lip clips Hu Friedy Endo Instruments: all unopened in packaging Endo Pliers (#1) DE Endo Excavator (#32) – 2 of these DE Endo Excavator (#31L) Mirror with mm Calibration (#1) SE Root Canal Spreader (#D11TNT) Expro #6 (#23) Kelly Hemostat (#1) DE Root Canal Plugger (#9/11) DE Glick Plastic Plugger (#1) Endo Ring – plastic blue, used a handful of times Endo M Bloc Measuring Device – used a handful of times Plastic Rubber Dam Frame - box is opened, but never used Pro System GT Organizer Therma Sealer Plus – 1 package 30 G Pro Lube Rinse Needle Tips – 1 package Pro Lube Root Canal Conditioner – 1 box

ADVERTISER INDEX

The Bulletin wishes to thank our valued advertisers who support organized dentistry by helping to defray the cost of printing and mailing. Advertising in the Bulletin is seen by over 90% of the dentists in the West Michigan District. This includes five of the fastest growing counties in the state: Kent, Ottawa, Ionia, Montcalm and Mecosta. For information on advertising rates, call Elaine Fleming, WMDDS Executive Secretary at 234-5605. Target your Market – advertise in the Bulletin!

Beene Garter.......................................17 DDS Integration..... outside back cover

Files and Gutta Percha (brand new) WaveOne 25mm Reciprocating Files – 25 files WaveOne Gutta Percha Points – 6 boxes (30 GP/box) Lexicon K Files 015-040 assorted file box (21 and 25mm) – 29 boxes 010 25mm files – 17 boxes 015 25mm files – 3 files Lexicon Gutta Percha Points .04 taper – 3 boxes Lexicon Paper Points 20-35 – 4 boxes Lexicon Paper Points 45-60 – 6 boxes Pathfile 013/016/019 assorted pack – 2 box (6 files/box) 013 – 1 box 016 – 1 box 019 – 1 box Vortex Files: .04 taper 20 – 6 boxes (3 21mm, 3 25mm) 25 – 4 boxes (.10 taper, 16mm) 30 – 6 boxes (3 21mm, 3 25mm) 35 – 6 boxes (3 21mm, 3 25mm) 40 – 6 boxes (3 21mm, 3 25mm)

Davis Dental Laboratory................ inside front cover

Asking $2,350 for the entire lot, OBO. 517-862-9821 or corydcoe@gmail.com for pictures or further information

Studio 2 Dental..................................11

WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2016

Great Lakes Financial........................19 Henry Schein.............inside back cover Hungerford Nichols ..........................19 Innovative Anesthesia Services.........27 Keller & Almassian............................13 Lake Michigan Credit Union..............3 MDA IFG............................................14 Old National Bank.............................22 Professional Solutions.........................9

2016–2017 WMDDS CONTINUING EDUCATION PROGRAMS

F R I D AY, O C T O B E R 1 4 , 2 0 1 6

A DAY IN THE LIFE OF A TOP GUN DENTAL TEAM! Presented by Dr. John Hyman Frederik Meijer Gardens & Sculpture Park | 8:00 AM — 4:00 PM | 7 CEU’s For information, call Elaine Fleming at 616.234.5605 or email at efwmdds@aol.com

F R I D AY, J A N U A R Y 1 3 , 2 0 1 7

MEDICAL URGENCIES AND EMERGENCIES IN THE DENTAL PRACTICE AND PHARMACOTHERAPEUTICS IN DENTAL PRACTICE* Presented by Dr. Daniel Becker *Fulfills the pain management requirement for license renewal. Frederik Meijer Gardens & Sculpture Park | 8:00 AM — 4:00 PM | 7 CEU’s For information, call Elaine Fleming at 616.234.5605 or email at efwmdds@aol.com

F R I D AY, M A R C H 2 4 , 2 0 1 7

DIAGNOSIS OF OCCLUSAL PROBLEMS, APPLIANCE THERAPY, OCCLUSAL DESIGN, ESTHETICS, WEAR, PRACTICE MANAGEMENT, ETC. Presented by Dr. Gary DeWood Frederik Meijer Gardens & Sculpture Park | 8:00 AM — 4:00 PM | 7 CEU’s For information, call Elaine Fleming at 616.234.5605 or email at efwmdds@aol.com

Registration forms will be mailed 2 months prior to each course and will also be available online at www.wmdds.org. 24

WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2016

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