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The voice of the Washington State Dental Association
2015 LEGISLATIVE SESSION IN REVIEW th e wsda ne w s · issue 6, may · 2015 · www.wsda.org · 1
news
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Governor Jay Inslee signs HB 5606 addressing impression issues and licensure reciprocity. Left to right: Dr. Greg Ogata, Kiana Ogata, Carson Ogata, Bracken Killpack, Gov. Jay Inslee, Dr. Bryan Edgar, James Johnson, Melissa Johnson, Anna Johnson, Sen. Pramila Jayapal, Yasmin Christopher
WSDA news
4
guest editorial
5
lifemap update
6-13
cover story
14-15
pndc news
16-17
preferred lender program
18-19
hipaa compliance
20-21
source news
issue 6 · may 2015
24-25
wdia news
27-31
wohf news
35
in memoriam
37
membership marketplace
41, 43, 45 46
classifieds parrish or perish
23 newsflash
Like us on Facebook: www.facebook.com/WashingtonStateDentalAssociation WSDA News Editor Dr. Mar y Jennings Editorial Advisor y Board Dr. Victor Barry Dr. Richard Mielke Dr. Jeffrey Parrish Dr. Rhonda Savage Dr. Robert Shaw Dr. Mary Krempasky Smith Dr. Timothy Wandell Washington State Dental Association Dr. Gregory Y. Ogata, President Dr. Bryan C. Edgar, President-elect Dr. D. Michael Buehler, Secretary-Treasurer Dr. David M. Minahan, Immediate Past President Board of Directors Dr. Theodore M. Baer Dr. Marissa N. Bender Dr. Dennis L. Bradshaw Dr. Ronald D. Dahl Dr. Christopher Delecki Dr. Gary E. Heyamoto Dr. Eric J. Kvinsland
Dr. Dr. Dr. Dr. Dr.
Bernard J. Larson Cynthia R. Pauley Lorin D. Peterson James W. Reid Ashley L. Ulmer
WSDA Staff: Executive Director Bracken Killpack Senior Vice President/ Assistant Executive Director Amanda Tran
Vice President of Government Affairs Anne Burkland
Association Of fice: (206) 448 -1914 Fax: (206) 443 -9266 Toll Free Number: (800) 448 - 3368 E- mail: info@ wsda.org/w w w.wsda.org
Art Director/Managing Editor Robert Bahnsen
In the event of a natural disaster that takes down the WSDA web site and email accounts, the WSDA has established a separate email address. Should an emergency occur, members can contact washstatedental@gmail.com.
Manager of Continuing Education and Speaker Ser vices Craig Mathews Government Affairs Coordinator Michael Walsh
Vice President/Chief Financial Officer Peter Aaron
Public Policy Coordinator Emily Lovell
General Counsel Alan Wicks
Membership Manager Laura Rohlman
Vice President of Operations Brenda Berlin
Exhibits and Sponsorship Ser vices Coordinator Katie Olson
Vice President of Communications Kainoa Trotter
Bookkeeper Joline Hartman
th ee wsda wsda ne ne w w ss ·· issue issue 6, 6, may· may ·2015 2015· ·www.wsda.org www.wsda.org· ·33 th
The WSDA News is published 8 times yearly by the Washington State Dental Association. Copyright © 2015 by the Washington State Dental Association, all rights reserved. No part of this publication may be reproduced without permission of the editor. Statements of fact or opinion are the responsibilit y of the authors alone and do not express the opinions of the WSDA, unless the Association has adopted such statements or opinions. Subscription price is $65 plus sales tax per year for 8 issues of the News. Foreign rate is $97.92 per year. Advertising is published as a service to readers; the editor reserves the right to accept, reject, discontinue or edit any advertising offered for publication. Publication of advertising materials is not an endorsement, qualification, approval or guarantee of either the advertiser or product. Communications intended for publication, business matters and advertising should be sent to the WSDA Office, 126 NW Canal Street, Seattle, Wash. 98107. ISSN 1064-0835 Member Publication American Association of Dental Editors. Winner: 2014: ADA Golden Apple Award for Outstanding Achievement in the Promotion of Diversity and Inclusion, 2013: Journalism Award, Platinum Pencil, 2012: Journalism Award, Best Newsletter, Division 1, 2012: Platinum Pencil Award Honorable Mention (2), 2008: Best Newsletter, Division 1, 2007 Platinum Pen Award, 2006 Honorable Mention, 2005 Platinum Pencil Award, 2005 Publication Award; International College of Dentists
table of contents issue 6, may 2015
a day in the life
guest editorial dr. robert shaw
Why should I care about the DQAC rule-making process? (What is that about anyway?) As most of us know, the rules about life in Washington change from time to time. The avenues for change can come from many different directions. The Legislature is one avenue of change; the people, the federal government, the courts, and stakeholders are others. As new laws are passed, old laws (or their intent) may change or be revised. What was allowed or not allowed may change. Think of the scope of dentistry, and its changes over the past 40 years. We call this collection of laws enacted by the Legislature the Revised Code of Washington (RCW). Changes or additions to the RCW may require the Dental Quality Assurance Commission (Commission) to issue new rules as well. In addition, the Commission has the authority to define how to implement these rules and to revise them from time to time. These rules become part of the Washington Administrative Code (WAC). The Commission may also issue less formal rulings called “interpretive statements,” which do not carry the same authority as the WAC. Interpretive statements are used to further define WAC. Bills are introduced to the Legislature to create law. They eventually are voted on and either passed or rejected. Bills that pass the House and the Senate and are signed by the governor become part of the RCW and are given an effective date of implementation. After this date, all those affected by the new rule, or rule change, must abide by the law. Laws that are passed often do not spell out their intention of the law with sufficient detail to guide us in implementation. The Commission is often asked to fashion a more detailed interpretation with in-depth instruction. Rules (WAC) are created or modified to provide these details. This is done through the formal rule-making process. Each of these pathways for change follows specific preset steps. Why should you care about the rule-making process? Well, for one, you as a dentist, hygienist, expanded function dental auxiliary (EFDA), or dental assistant are required to follow the rules. You are required to be up to date on these changes and incorporate them into your daily professional life. You are required to follow the rules even if you are unaware that the rules have changed. You could be cited for not knowing or not following the rules. The rule-making process can take years to complete. At specific times, the rule-making process calls upon the public for input. This includes all of us. Before rules are changed, the Commission must go through specific steps. This may include focus groups, stakeholders’ input (those affected by the potential changes), public hearings, and the Commission. The Commission is charged with formulating new rules. Although this can be done by the members of the Commission alone, the process always receives stakeholder input. The best time for your point of view to be heard is at the beginning of and during the process, not at the end. The Commission often invites stakeholders to help craft these rules, either by giving their testimony at public meetings or through correspondence. You do not need to be an expert to testify or to attend these public meetings. The Commission encourages all stakeholders (you!) to give input about their concerns early in the process, rather than at the end, and to participate in the process so that the end result is a set of rules that addresses public safety, legislative requirements, and stakeholder needs. The Dental Quality Assurance Commission is an agent for change in dentistry. Our committees review existing rules and try to update them as practice changes. We help clarify rules when we find inconsistencies in them or in response to a request by the public or stakeholders to make a change. So why should you care about the Commission and the rule-making process? Because everything the Commission does affects you. If you want to know more about what’s going on, look for articles in The WSDA News about Commission business, read our newsletter, or, better yet, sign up for our interested parties list (listserv) to be kept informed about potential changes. Contact Jennifer Santiago at jennifer. santiago@doh.wa.gov for any assistance.
Dr. Robert Shaw Chair, Dental Quality Assurance Commission
“The best time for your point of view to be heard is in the beginning, and during the process, not at the end of the process. The Commission often invites stakeholders to help craft these rules, either by their testimony at public meetings or through correspondence.”
Dr. Mary Jennings will return in the next issue of the WSDA News. Jennings, WSDA News editor, welcomes comments and letters from readers. Contact her at her email address:mjenningsdds@gmail.com.
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Over the last several months, the leadership of WSDA has been discussing a new type of dental benefit called “Dollar Based Dental,” which the Association has been working on with LifeMap, an insurance company based in Portland, Ore. The January issue of the WSDA News featured an article on this plan. Due to recent developments, WSDA has decided to remove its formal endorsement of LifeMap’s Open Access Dollar Based Dental product. The following explains why, and provides information about the next steps. The concept behind the Dollar Based Dental product is that a patient’s insurance benefits will be paid based on a set dollar amount and not service codes, allowing the patient and dentist to determine the best treatment. There are no pre-authorizations to create delays in care and most of the traditional limitations and exclusions are eliminated. All covered services are paid on a simple dollar amount benefit structure that can be administered as an Open Access product, which means there is no participating provider network (or provider agreement) and patients may see any dentist they want. Dentists also utilize their own fee schedule. This was the product WSDA agreed to endorse. Earlier this year, LifeMap decided to diversify its Dollar Based Dental offering by including a PPO Network Dollar Based Dental product along with its Open Access Dollar Based Dental product. LifeMap’s decision to include a PPO network option with Dollar Based Dental created great concern for the Association and caused us to reconsider WSDA’s formal endorsement of the product. After thorough discussion with LifeMap’s leadership, the WSDA Advisory Board to LifeMap and the WSDA Board of Directors determined it is in the best interest of our membership to rescind our formal endorsement of any version of LifeMap’s Dollar Based Dental products. The Association never endorsed the PPO network option for Dollar Based Dental, and WSDA’s leadership feels its inclusion, as well as its proximity to Open Access Dollar Based Dental, created too much confusion. Restrictions of PPO Networks inherently limit the care options that a dentist may provide and can erode the patient-doctor relationship. As an Association, we decided we could not support a dental benefit product with our highest level of approval if it is associated with a PPO network. We will not compromise on our core values. Although WSDA no longer endorses LifeMap’s Dollar Based Dental, it still maintains that the product can be beneficial to dentists and their patients, especially since the Open Access Dollar Based Dental product will still be available in Washington. Dollar Based Dental will be administratively less complex, and will not require prior authorizations. Most importantly, it is a benefit that is easy to understand. In the coming months, the WSDA Board of Directors will continue to assess the extent to which the Association will partner with LifeMap on Dollar Based Dental products with open networks for all dental providers. WSDA’s intent in working on dental benefits over the last several years has been to diversify the insurance marketplace in Washington and return the discussion of care to the doctor and patient. While we do not yet have a dental benefit product that we can wholeheartedly endorse, we do believe that the insurance marketplace will be better as a result of the Open Access Dollar Based Dental product. The Association will continue this important work in the months and years ahead. We encourage you to send your feedback to Bracken Killpack, Executive Director, at bracken@wsda.org. Sincerely,
Dr. David Minahan Immediate Past President
Dr. Chris Pickel Chair, Advisory Board to LifeMap
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“Earlier this year, LifeMap decided to diversify its Dollar Based Dental offering by including a PPO Network Dollar Based Dental product along with its Open Access Dollar Based Dental product. LifeMap’s decision to include a PPO network option with Dollar Based Dental created great concern for the Association and caused us to reconsider WSDA’s formal endorsement of the product.”
membership news board removes endorsement of lifemap product
Board Removes Endorsement of LifeMap’s Open Access Dollar Based Dental Product
cover stor y president’s thanks
PRESIDENT’S THANKS WSDA President Dr. Greg Ogata
The 2015 legislative session was one for the books. The dental profession as we know it was on the line. With the session coming to a close, I’m happy to report that we fought off corporate practice and the various midlevel provider models. We have made strides in our efforts to make the insurance industry more transparent and practical in how it treats emergency visits. And we have a lot of people, who worked hard and tirelessly, to thank for these developments.
Speaking out
A hearty thank you to the WSDA testimony teams who spoke before committees in both the House and Senate. This is a daunting task, and everyone did a great job clearly articulating WSDA’s legislative positions. Dr. Vic Barry and dental student Halee Hyatt spoke of the ethical quagmire that dentists practicing in corporate settings can face when they testified against House Bill 1514, which would have opened the door to non-dentist ownership of a dental practice. Dr. Chris Delecki and Dr. Mary Jennings testified against legislation that would have allowed for midlevel providers on tribal lands before the House Community Development & Tribal Committee and the Senate Health Care & Wellness Committee. One of these hearings was particularly heated. Dr. Delecki and Dr. Jennings kept their cool and articulately stated their concerns about this legislation.
Insurance transparency
Our entire profession owes Dr. Cindy Pauley, Dr. Amy Cook, and Representative Richard DeBolt a debt of gratitude for their efforts to bring transparency to the insurance industry. Dr. Pauley and Dr.
Cook saw a problem and got to work to fix it. As a result, insurance companies can no longer deny coverage for same-day emergency dental treatment. And standalone dental insurance carriers will have to provide loss ratio information to the Office of the Insurance Commissioner. This information will be available to the public.
One of our own on the hill
We now have a dentist in the Legislature, and it has been been invaluable. Representative Michelle Caldier worked with WSDA at every step this session. Her passion for dentistry and patients resonated with everyone in Olympia. Representative Caldier provided priceless guidance on how to communicate with her peers and served as a tireless advocate on all of dentistry’s issues. We look forward to many years of working with her!
In Olympia
We had support from senators and representatives from both sides of the aisle. A majority of the House Health Care & Wellness Committee, Representatives Michelle Caldier, Richard DeBolt, Paul Harris, Norm Johnson, Jay Rodne, Joe Schmick, Shelly Short and Kevin Van De Wege, supported an amendment to substantially revise the original version of House Bill 1514. Several other legislators went above and beyond on behalf of dentistry in Washington at multiple steps along the legislative process including Representative Pat Sullivan, Senator Mark Schoesler, Senator Joe Fain, Senator Ann Rivers, and Senator Annette Cleveland. We also could not have done what we did without all of you! As part of Dental Action Day, more than 250 dentists came to Olym-
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cover stor y president’s thanks Opposite page: Dr. Greg Ogata kicks of the 2015 Legislative session at this year’s dental Action Day ev ent. This page: Once again, UWSoD students were a huge presence at DAD
pia to lobby their legislators. More than 1,000 dentists emailed the House Health Care & Wellness Committee asking legislators to oppose the corporate practice of dentistry. Hundreds more answered calls to action and contacted their legislators on a variety of issues ranging from midlevel providers to the proposed increase of the B&O Service Tax.
Member thanks
Thank you to Dr. Julia Richman, Dr. Ellen Polsky and Dr. Todd Hillyard for spending a day in Olympia talking about how to improve the Medicaid audits process. UW dental students Mahfuzur Rahman and Jonathan Everett spent an afternoon speaking with legislators about the importance of loan repayment programs. Dean Joel Berg traveled to Olympia a few times to advocate for the RIDE program. And finally, Dr. Amy Winston, Dr. Mark Koday and Dr. Scott Howell toured the Capitol and spoke to legislators about how residencies are a superior alternative to midlevel providers. Thank you all!
Thanks to our lobbyists
A big thank you to our new lobbyists Brad Boswell and Vicki Christophersen for their hard work on behalf of our profession. You all know that this year has been a year of change for the Association. We started the session with new lobbyists for the first time in decades. Vicki and Brad’s legislative relationships and political savvy helped us navigate some very difficult subjects this year. We are in good hands in Olympia. And I was constantly impressed by how much they care and respect our profession.
Staff thanks
I’d also like to thank our great staff. Emily Lovell took the lead on the Medicaid audits legislation and continues to support dentists as they work within that system. Katie Olson and Mike Walsh’s hard work helped to make this year’s Dental Action Day one of the smoothest run in recent memory. Anne Burkland, our new VP of Government Affairs, dove right in and used her experience in Olympia to help guide WSDA’s strategic decisions. And a special note of “Thanks” goes out to Bracken Killpack, our brand new Executive Director, Bracken worked hard to keep everything moving through all of the Association’s transitions and the “craziness” that defined this legislative session. He was the glue that kept everything and everyone together. Dentists’ willingness to get involved is why we have a successful record in Olympia. Grassroots works. Organized dentistry has, time and time again, shown it is at its best when we are one. Thanks to all for your support. I truly believe we have the best profession in the world, and I could not be prouder to be your president. Arigatou gozaimasu,
Gregory Y. Ogata
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cover stor y legislative session in review
2015 LEGISLATIVE SESSION IN REVIEW
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Regular Session Concludes Without a Budget
The Washington State Legislature’s regular 2015 session adjourned sine die on April 24. Budget negotiations began again April 29, when the first three-day special session began. Governor Inslee stated that the purpose of the special session was to address transportation funding, carbon emissions and oil transportation. These issues were in addition to reaching an agreement on the general fund budget. As part of the regular session budget negotiations, the House proposed increasing the B&O service tax rate by .3 percent. This is a particularly onerous tax since it is calculated based on gross receipts and doesn’t take into account expenses. WSDA is on record opposing these efforts, and more than 100 dentists have reached out to their legislators, asking them to oppose this tax increase. This issue remains alive during special session. Little progress has been made during the special session, and it is expected that the Legislature will enter into a second special session. “Unlike the federal government, the state must pass a balanced budget. The Legislature has until June 30 to do so before Washington will face a government shutdown,” said Mr. Brad Boswell, one of WSDA’s contract lobbyists.
Legislative Victories for Dentists, Staff, and Patients
The close of the regular session signals the end of many of the policy issues important to dentistry. We are happy to report that House Bill 1002 and Senate Bill 5606 have been signed into law by Governor Inslee. House Bill 1002 was developed by Dr. Cindy Pauley and Dr.
Amy Cook, along with former Representative Cathy Dahlquist and Representative Richard DeBolt. It’s no secret that insurance plans have made providing some aspects of dental care difficult. This new law does two important to things to make this better. First, it prohibits insurance companies from denying same-day treatment for an emergency condition. Second, standalone dental carriers now will be required to submit loss ratio statements to the Office of the Insurance Commissioner. A loss ratio is the percentage of premium dollars spent on patient care. Washington is only the second state in the nation to require dental loss ratio disclosure; similar legislation was passed in California. “Representative DeBolt brought together a diverse set of stakeholders early in the legislative session to work to find consensus on a new version of the bill. The bill language that came from these conversations had no opposition as it moved through the legislative process,” Mr. Bracken Killpack explained. “This was tremendous work done by Representative DeBolt, and I want to thank him for his efforts.” Passing loss ratio legislation has long been a priority for WSDA. In 2014, the WSDA House of Delegates passed HD9-2014, which called on the Association to work with legislators, insurance carriers, advocacy organizations, and other stakeholders to support legislation requiring all dental plans to meet a minimum loss ratio standard. Throughout the last year, WSDA held a series of meetings with the Office of the Insurance Commissioner and others to draft legislative language concerning loss ratios, which proved very useful as the final language for House Bill 1002 was determined. continued on page 11
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cover stor y legislative session in review
Organized dentistry successfully defended against midlevel providers and non-dentist ownership of dental practices during the 2015 legislative session. Not every item of WSDA’s legislative agenda moved forward this year, so the Association will continue to advocate for the policies important to its membership in upcoming legislative sessions. Read on to learn more about the issues dentistry faced during this year and about our advocates and allies in Olympia.
cover stor y legislative session in review
Governor Jay Inslee signs HB 1002 addressing dental insurance practices. Left to right: Former Rep. Cathy Dahlquist, John Cook, Dr. Amy Cook, Rep. Richard DeBolt, Governor Jay Inslee, Rep. Michelle Caldier and Dr. Cindy Pauley.
2015 Session Bill Status House Bill 1002 WSDA Position: Support · Signed by Governor
House Bills 1027 & 1441, Senate Bill 5159 WSDA Position: Oppose · Did not pass
Prohibits insurance companies from denying same day treatment for emergency dental conditions. Requires standalone dental carriers to submit loss ratio statements to the Office of the Insurance Commissioner.
Authorizes federally recognized tribes, tribal organizations and urban tribal organizations to train, employ or contract with or for the services of a dental health aide, including a dental health aide therapist, in practice settings operated by an Indian Health Program or tribal organizations.
Senate Bill 5606 WSDA Position: Support · Signed by Governor
House Bill 1421, Senate Bill 5465 WSDA Position: Oppose · Did not pass
Permits dental hygienists and dental assistants to take impressions under certain circumstances. Authorizes the issuance of a limited license to dental hygienists who actively practice and are licensed in Canada.
Creates new midlevel dental professions.
House Bill 1514 WSDA Position: Oppose · Did not pass Addresses dental support organizations in Washington.
House Bill 1080, Senate Bill 5010 WSDA Position: Support · Funding allocated in budget proposals Restores funding to the Health Professional Loan Repayment and Scholarship Fund to help incentivize medical and dental providers working in rural and underserved areas.
House Bill 1712 WSDA Position: Support · Did not pass Makes changes to the Medicaid audit process to help providers be in compliance with regulations.
House Bill 1852 WSDA Position: Support · Did not pass Allows embedded and stand-alone dental coverage inside the exchange. Requires preventive care be paid for before a deductible is reached.
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Rep. Richard DeBolt
Rep. Paul Harris
Rep. Kevin Van De Wege
WSDA would like to thank the legislators who rallied to help us reach our goals this year — our very own Representative Michelle Caldier, along with Representatives Richard DeBolt, Paul Harris and Kevin Van De Wege.
continued from page 9
Senate Bill 5606 was developed in conjunction with the Washington State Dental Hygienists’ Association. This legislation is a technical fix to better align statute with rule concerning what impressions dental assistants and dental hygienists can take. The bill also extends the same licensure reciprocity that dentists who have trained and practiced in Canada enjoy to dental hygienists who have trained and practiced in Canada but now would like to work in Washington. The bill addressed a concern raised by the Dental Quality Assurance Commission’s work group currently reviewing dental assistant and EFDA delegation of duties rules.
Washington do struggle from a lack of access to care. We believe we can help find a solution that provides high-quality care, but first we must better understand the problem. That’s why WSDA, led by President Dr. Greg Ogata and Mr. Killpack, has begun to undertake a series of tribal visits throughout our state. This “listening tour” will help WSDA understand the problems faced by Washington tribes, so that we can help develop solutions and improve oral health. This tribal outreach is made possible with the help of the ADA’s State Public Affairs program.
Dental Midlevel Providers
WSDA entered the 2015 session prepared to vigorously oppose any attempts to change who could own and operate a dental practice in Washington. Our state has a long-standing commitment to ensuring dental treatment decisions are made by a patient and their dentist. That’s why we strongly support current state law which allows only licensed dentists to own, operate and maintain dental practices. WSDA has serious concerns about non-dentists acquiring ownership stakes in dental practices as this could allow outside forces to intrude on a dentist’s diagnosis and professional judgment. House Bill 1514, as introduced, would allow nondentist ownership of dental practices. In February, University of Washington dental student Halee Hyatt, Dr. Vic Barry and Mr. Killpack testified against HB 1514 during its hearing in the House Health Care & Wellness Committee. The Dental Quality Assurance Commission (DQAC) also submitted a letter to Eileen Cody, Chair of the House Health Care & Wellness Committee, articulating its opposition to the proposed legislation. DQAC stated that the bill “does not provide increased access to oral care nor improve patient safety.” Following the bill hearing, a substitute version of HB 1514, sponsored by Representative Richard DeBolt, was voted out of the Committee. This substitute replaced the original bill language with language supported by WSDA, and was strongly opposed by the original proponents of HB 1514. The Association maintained its opposition to the legislation for the remainder of session, stating that an agreement had to be reached with all parties before WSDA would support any version of HB 1514.
This session WSDA opposed five midlevel provider bills. Three bills aimed to allow midlevel providers on tribal lands and authorized tribes to bill the Federal government for these services. Two bills were introduced that mirrored the midlevel provider legislation we’ve seen for the past five years. All five bills failed to make it out of committee (the first step for a bill to become a law). This legislative session marked the first time in five years that a dental midlevel provider bill did not have a hearing in the House Health Care & Wellness Committee. Two midlevel provider bills received hearings: House Bill 1441 and Senate Bill 5159. These bills pertained to midlevel providers on tribal lands. Dr. Chris Delecki, Dr. Mary Jennings, and Mr. Killpack provided testimony at the bill hearings. Collectively, they argued that this legislation would create a two-tiered system of care in Washington. Under this system, it would be acceptable for tribal communities to receive dental care from providers with less training than a licensed dental hygienist. While the bills failed to be voted out of committee, this legislation was reintroduced several times throughout the session as amendments to other bills. First, it was introduced as amendment to Senate Bill 5606 on the Senate Floor, and then it was introduced as an amendment to the budget. Fortunately, the amendment failed to be adopted on both occasions. Nationally, there has been a strategic shift by proponents of dental therapists who are now focusing on authorizing midlevel providers on tribal lands. WSDA recognizes that some tribes in
Dental Practice Ownership
continued on page 13
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cover stor y legislative session in review
Rep. Michelle Caldier
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“The efforts of grassroots dentists were unprecedented concerning this bill,” said Vicki Christophersen, a WSDA contract lobbyist. “Legislators heard from more than 1,000 dentists across our state asking them to oppose the legislation.” Dentists from across the state also made personal appeals to oppose HB 1514 with inperson meetings and phone calls to their legislators. Ultimately, HB 1514 died in the Rules Committee, where bills move after being approved by their assigned committees. The Rules Committee decides what legislation will move to the floor to be considered by an entire chamber of the Legislature. While organized dentistry and our legislative champions successfully defended against attempts to change who can own, operate and maintain a dental practice in Washington, it was a difficult fight. Proponents of the corporate practice of dentistry are wellfunded and politically sophisticated, so WSDA expects to face a similar challenge next year. In preparation for the 2016 session, WSDA has retained outside legal counsel to help develop its own legislative proposal, which will maintain dentist ownership of a dental practice and clarify what supportive services can be provided by a non-dentist entity. “During the legislative interim, it is vital that WSDA become more informed about how practice ownership works in medicine as well as how ownership works in dentistry in other states,” said Ms. Anne Burkland, WSDA’s Vice President of Government Affairs. “This work is underway and is being guided by the WSDA Board of Directors and the Committee on Government Affairs.” More information on developments in this area will be shared with the membership as the 2016 legislative session nears.
Medicaid Audits Legislation
Prior to the 2015 legislative session, WSDA worked with member dentists to develop legislation to address the problems Medicaid audits are causing some providers. While WSDA strongly supports the investigation and prosecution of Medicaid fraud, a growing number of providers have found that the way Medicaid audits are conducted is making them question if they can continue providing Medicaid-reimbursed care. House Bill 1712, sponsored by Representative Paul Harris, aimed to make simple, reasonable reforms to the Medicaid audit process. These reforms included requiring the Washington Health Care Authority (HCA) to create and publish audit protocols to help providers be in compliance with state and federal laws. The legislation also required that any entity HCA contracts with for audits have a licensed dental professional on staff who has education equal to that of the provider being audited. And finally, it required a faster audit process by placing time restrictions on the process. While this bill failed to move forward this session, WSDA is working with budget negotiators to require the state to conduct a study on audit findings and their impact. This information will help WSDA and its allies build an argument for legislative action next session.
Pediatric Dental Benefits Legislation
WSDA also continued its work on how to improve pediatric dental benefits, which now are required through the Affordable Care Act. In 2015, WSDA worked with Representative Michelle Caldier, the Legislature’s only dentist, on HB 1852. The bill would have allowed both embedded and stand-alone pediatric dental products to be sold inside of the Washington Health Benefit Exchange. This would simply extend the same flexibility that consumers have outside of the Exchange to those using Washington Healthplanfinder. The legislation also prioritized preventive care by requiring that these services be paid for prior to a large deduct-
ible being met – making preventive care more financially feasible for families throughout Washington. The legislation was approved by the House Health Care & Wellness Committee but died in the Rules Committee.
Loan Repayment, RIDE Expansion, and Dental Residencies
As part of the final budget negotiations, WSDA continues to advocate for loan repayment programs which are a key component to ensuring that rural and underserved areas have access to high-quality oral health care. Both the House and Senate’s proposed budgets allocated money to loan repayment programs, but prioritized these dollars for professions other than dentistry. We are hopeful that this will be fixed in the final budget. WSDA is disappointed that two other programs that help increase access to care in Washington likely will not be funded by the state this year: the Regional Initiatives in Dental Education (RIDE) program and dental residency programs. First, the RIDE program. WSDA actively worked with the UW School of Dentistry Dean Joel Berg to advocate for increasing the number of slots in the program from eight to 30. Programs like RIDE, which train new dentists in rural and traditionally underserved areas, increase the likelihood that they will practice in these communities. This program has a proven record of returning graduates to rural and underserved communities to provide culturally-competent dental care. Of the RIDE graduates who are practicing, 94 percent are practicing in rural and/or underserved areas. From Chewelah to Coleville, RIDE graduates are bringing care to those who previously struggled to find it. Coordinating the priorities of the many different universities involved in RIDE when state dollars are in such high demand has been difficult. This spending request didn’t rise to the top of some schools’ priorities which is why it appears that it won’t be funded this year. WSDA is committed to working with Dean Berg on this issue in the future. It’s an important component of expanding access to care. WSDA also requested the state help cover the start-up costs associated with dental residency programs. Residencies are another important part of improving our dental safety net. They provide full-scope dental care to complex patient populations. The federal Graduate Medical Education partially pays for the first two years of a residency program and completely funds its third year. WSDA requested that the state cover the remainder of the cost of the first two years. This equates to about $600,000 per two-year budget cycle. This had been contemplated by WSDA’s Task Force on Public Policy Development and was reviewed by our dental residency directors Dr. Amy Winston and Dr. Mark Koday. Given that this funding was in neither the House nor Senate’s proposed budgets, it is unlikely that it will be part of the final budget compromise. While it’s frustrating that these important programs to increase access to care aren’t receiving state funding, it’s important to remember that the Legislature is grappling with a State Supreme Court decision requiring the full funding of basic education in Washington. The estimates of the fiscal impact of this ruling range between $3.5 billion and $7 billion. In fiscal environments such as these, it often takes several years to secure funding for important project. WSDA will continue to advocate for these issues in the coming sessions. In conclusion, we had a year of successes and disappointments. While we can celebrate our victories, we must forge ahead and continue our work on the issues we are concerned about: funding for educational programs like RIDE, the specific wording of legislation regarding corporate practices, and midlevel providers.
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cover stor y legislative session in review
continued from page 11
pndc news rregister to win!
REGISTER FOR THE PNDC TO WIN! US OPEN TICKETS UP FOR GRABS FOR PNDC REGISTRANTS REGISTER TODAY · WSDA.ORG/PNDC If you haven’t already registered for the PNDC, it’s not too late. Many of the workshops are still open, and lectures are first-come, first-served while on site. In case you need an extra enticement to sign up, everyone who registers online before June 5 will be automatically entered to win four tickets to the 2015 U.S. Open Championship on Sunday, June 21 at Chambers Bay. WSDA members will get a shot at winning for every staff member registered for the PNDC from your office, so feel free to register additional staff members now for more chances to win. If you are already registered, please call Katie Olson at (206) 973-5219. Special Tickets The tickets, valued at $200 each, are for Sunday’s finals and include entrance to the tournament’s Trophy Club, a climatecontrolled pavilion offering seating for dining and live network coverage of the Open in a sports bar-like setting. Additionally, the tickets come with parking for a single vehicle in the blue lot.
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pndc news new medicaid lecture announced
JUST ADDED: This Medicare lecture will bring you and your staff up to date on all Medicare issues! Medicare · New Lecture! Medicare Regulations and Your Practice Staff, Noridian Healthcare Solutions
Friday, June 12 from 1:00 p.m. - 2:30 p.m. CDE Credit: 1.5 hours Room: Hyatt, Grand EF
As of Dec. 1, 2015, dentists will need to have made a decision regarding their status as a Medicare provider. New regulations from the Centers for Medicare & Medicaid Services (CMS) will require dentists to either be enrolled in Medicare or have formally opted out in order for a Medicare beneficiary to be reimbursed for services provided by clinical laboratories, imaging service companies, or DMEPOS. Additionally, all physicians and eligible professionals who prescribe covered Part D drugs must either enroll or formally opt out of Medicare. Deciding whether to opt-in, opt-out, or enroll as an ordering and referring provider can be confusing. This presentation will provide you with a better understanding of these regulations and enable you to make the most informed decision for you and your practice. Learning Objectives: • Learn about Medicare policies in relation to dentistry • Learn more about the enrollment or opting-out process • Understand the implications of each decision This presentation will be given by staff members from Washington’s Medicare Administrative Contractor, Noridian Healthcare Solutions.
Ali Vincent will be there to talk about her struggle with weight — come hear her best tips!
Shopping at the PNDC: Support the exhibitors who support your conference! As always, we’ve hand-picked the exhibitors at the 2015 PNDC, where you’ll find a complete selection of goods and services under one roof. But more than that, the Exhibition Hall at the 2015 PNDC is a place to meet up with friends and colleagues, enjoy a snack and beverage at the outrageously fun Sip & Save Reception on Thursday, June 11 from 5:30 to 7 p.m. This year, the Exhibit Hall also will be the place to get a massage in the Wellness Lounge, grab an espresso or latté at the Comcast Business coffee cart, and meet Ali Vincent, winner of Season 5 of “The Biggest Loser.”
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source news preferred lender program
Scott Cassidy
Vice President, Business Banker scassidy@bannerbank.com (253) 478-5211
Kyle Ham
Relationship Manager kham@bannerbank.com (509) 892-4505 PNDC Booth #201
Diana Ortega
Vice President, Relationship Manager dortega@bannerbank.com (425) 339-6394
Matt D. Green
SVP & Manager, Business Banking matt.green@firstcitizens.com (425) 301-1896
Luz Cooper
PNDC Booth #105
Vice President, Business Banker luz.cooper@firstcitizens.com (206) 326-9887
Marc Mohagen
Vice President marc.mohagen@homestreet.com (206) 280-7409 PNDC Booth #121
Leigh Sinni
Vice President leigh.sinni@homestreet.com (206) 375-5994
PREFERRED LENDER PROGRAM TAKING THE GUESSWORK
OUT OF CHOOSING A BANK WSDASOURCE.ORG/PRACTICE-FINANCING 1 16 6 ·· th thee wsda wsda ne new wss ·· issue issue 6, 6, may may ·· 2015 2015 ·· www.wsda.org www.wsda.org
working in his division have close to 70 years of combined service in the dental marketplace, so you know they’re knowledgeable. “HomeStreet is really committed to the industry, and it’s a niche that really works for me, personally,” says Mohagen. “The dental marketplace is my specialty, so I know the dental language well, and I can help in determining which practices are good to buy and which ones might have shortcomings that make them less appealing.” HomeStreet – a Seattle-based bank with $4 billion in assets – has been in business for more than 90 years. The bank offers more than 20 branches in the Puget Sound area and additional branches in Oregon, Idaho, and California.
Vetting banks for you
All three bankers we spoke with know that the challenges new dentists face — such as enormous debt and a dearth of equity — can hinder the loan process for a typical business, but they have more leeway with dentists, mostly because dentists are a good investment. “Statistically speaking,” says Cooper, “we know dentists will be successful in their careers. We recently financed 100% of a 26-year-old’s practice buy. If we’re talking about new dentists, we need financial projections, a business plan, and production reports that show what they’ve been producing where they are currently practicing. With an experienced dentist who is refinancing or doing a buyout, we’ll need the usual information, tax returns and other information from their CPA. Regardless, it’s nice when they’re referred to us by their CPA because we know everything will be organized.” Mohagen says that one of the biggest problems dentists face is approaching a bank that is not familiar with the dental industry. “Dental lending falls outside the box for many banks and because of that, it can become a very time-consuming process that ends unsuccessfully. Inexperienced lenders at other banks don’t understand the intricacies of the dental marketplace as well, and by the time they collect all the information and the dentist’s loan request is rejected, they’ve already spent a lot of time in the process,” he says. Working with a lender who is experienced in the marketplace can often yield better results in less time. “Because we’re local and we’re all in the same office, I can just walk around the corner to talk with the person in charge of signing off on the loan, so I can generally get answers very quickly,” Mohagen says.
Armed with that knowledge, WSDA has been carefully curating a list of the banks in the state who are interested in cultivating relationships with dentists, distilling down the list, and fully vetting them — so that you don’t have to. Trotter says, “It’s another benefit that we think will have real value to our members — we’re trying to help take the guesswork out of one of the most important professional relationships of your career.” Matt French, Director of Insurance Services for the Washington Dentists’ Insurance Agency, knows how important finding the right bank can be for first time buyers and those refinancing their practices, saying, “No matter who you choose, you want to find a lender who understands the dental business well, treats you like family, and takes the time to figure out what’s important to you.”
A family business — First Citizens Bank
You might not think of a top-ranked bank as being family owned, but that’s just exactly what First Citizens bank is. In fact, according to Luz Cooper, VP & Business Banker for First Citizens Bank, it’s what really sets it apart from the competition, “At 117 years old, we are the oldest family-controlled bank in the United States, and one of the top 30 banks in size, with $30 billion in assets. The way that we do banking is a lot different than any other bank – we’re here to serve the needs of our clients, not our stockholders.” Cooper has been in banking for ten years, cutting her teeth in the dental industry while with two other local banks. She explains, “It’s a niche that I picked because I like the people. I specialize in the medical/dental profession – I understand the industry and how it works, and I’ve come to know the dentists and how to listen to them.”
Connecting in the community — Banner Bank
For Craig Sievertsen, Senior VP and Manager of Small Business Lending with Banner Bank, working with dentists dovetails nicely with the bank’s core values. Headquartered in Walla Walla, Wash., Banner has 103 branches with $5.2 billion in assets. “We enjoy working with dental professionals because we believe they are a key component in the communities we serve. We’re committed to our communities and dentists are a meaningful part of that,” he says. “We’ve found that dentists subscribe to some of the same values that we do,” always doing the right thing and supporting the communities where we live and work.” Seivertsen continues, saying, “We’re connected to dentistry through our association with the WSDA, but also because we have bankers in our markets who are dedicated to supporting the dental industry with their business development efforts and their time. We’re knowledgeable, and we hire staff who have taken the time to educate themselves through their personal networks. From a knowledge perspective, it’s equally important for our bankers to have ongoing relationships with brokers, consultants, and CPAs who dentists routinely use.”
At home with HomeStreet Bank
Marc Mohagen, Vice President of HomeStreet Bank, has been working in the dental community for 22 years. The other lenders
Common pitfalls of new dentists
Getting started
Plan, plan, plan! Our three dental lending experts couldn’t agree more on this point. Planning ahead for when you will buy a practice helps tremendously. “Be diligent, look for the right practice, and find one that really fits you, including the culture, the staff, the style of the practice,and the ability for growth,” says Cooper. “All of those elements are going to work in concert to create success.” Having the prior owner stay on to help in the transition can be key, he adds. Sievertsen says, “It’s highly important for dentists to understand the business requirements that come along with starting and running a practice. They get great training for dentistry, but they don’t get enough training in business administration, running and managing a staff and a business. Those moving parts that come along with the administration of a business is what they need to start talking about early on, even if they’re just considering a practice partnership.” Mohagen reminds us that the devil is in the details. “A lot of young dentists buying practices don’t realize that they have to have life insurance in place in order to close a sale, which can take as long as six weeks. We always recommend that dentists who are considering buying a practice get a jump on it by gathering a team together — an attorney, a CPA, and an insurance broker — to make sure that the small details are all attended to,” he says. The good news is that if you choose any one of these three banks, they’ll know all the details already, and have professionals who are primed to serve as your advocates in the lending process.
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source news preferred lending program
These days, a lot of banks seem to want your business, but very few really understand the vagaries of the dental industry. And while some bankers might talk a good game, we’ve heard from a number of dentists who felt more like walking ATMs than business partners. The WSDA knows that making a decision about which bank to work with can be outside your realm of experience, especially if you’re a new dentist. “We’re fortunate,” says Kainoa Trotter, Vice President of Communications, “because of our relationship with the Washington Dentists’ Insurance Agency and some of the best practice brokers in the state, we know which banks have a history of lending to dentists and which of those are ready to advocate on behalf of our members.”
nordic news hipaa compliance
Last summer Jocelyn Samuels assumed the role of Director of the Health and Human Services, Office for Civil Rights when Leon Rodriquez resigned from the position. Samuels wasted no time putting her stamp on the office’s already tough stance to enforce HIPAA compliance, stating, “We continue to see a lack of comprehensive and enterprise-wide risk analysis and risk management that leads to major breaches and other compliance problems. That is why enforcement is a critical part of our arsenal of tools to ensure compliance.” Samuels went on
ing (or not destroying) patient records, including information stored on equipment with memories, such as photocopiers. Cyber risk can also mean malicious intent from an employee who tries to sell or fraudulently use patient information. Don Jackson, Director of Threat Intelligence at PhishLabs, a cybercrime protection company, says stolen health information can sell for $10 each on the black market, which is about 10 or 20 times the value of a U.S. credit card number. (This data was obtained by monitoring underground exchanges where such
“You should be conducting staff training at least annually, documenting when the training took place, what was discussed, and who attended. Any changes to the policy, whether implemented by you or the government, or new staff hiring, requires additional training.” to say, “Resolution agreements that include a monetary settlement are only a small fraction of complaint and compliance reviews we undertake. These enforcements send out an important message about compliance issues and the need for covered entities and business associates to take their obligations seriously.” So, how seriously are you taking your HIPAA compliance obligations? Cyber attacks continue to increase, particularly in the medical and dental industries. They rose more than 40 percent in 2013, significantly higher than the business sector. The words “cyber risk” immediately conjure images of a practice’s computer system getting hacked, and this can often be the case. But cyber risk also includes an employee mistake wherein patient data is unintentionally shared with an unauthorized party. It can mean the theft or loss of a mobile device (laptop, smart phone, memory stick) that contains patient Protected Health Information (PHI). It can be improperly destroy-
information was being sold by hackers.) To add insult to injury, HIPAA requires that you self-report breaches involving fewer than 500 people on an annual basis to the Office for Civil Rights (OCR). Breaches of 500 or more must be reported to the OCR within 60 days of the event. Penalties can range from $100 to $50,000 per violation, capped at $1.5 million. Expect that the OCR will want copies of your policies and procedures, including but not limited to: your Notice of Privacy Practices; your policies and procedures for protecting PHI; employee training; copies of your complete risk analysis before and after a breach; a detailed description of the breach; disciplinary measures (if it involved an employee); and remedial measures taken following the breach. You should be conducting staff compliance training at least annually, and documenting when the training took place, what was discussed, and who attended. Any changes to the policy, whether implemented by you or the government, or new staff
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citizen the year for nominations nordicofnews hipaacall compliance
hiring, requires additional training. HIPAA breaches are time consuming and expensive. Costs associated with a breach, not including fines, can easily balloon into six figures. The Experian Data Breach Industry Forecast for 2015 predicts the healthcare industry will be “plagued” with data breaches, and states that “the potential cost of breaches for the healthcare industry could be as much as $5.6 billion annually.” Some of the expenses include: letters (printing) and postage for patient notification; establishing a Call Center to handle patient’s phone inquiries; ID theft or credit monitoring services; forensics investigations; and legal costs including defense and judgements. To be HIPAA compliant, you are required to assess your practice’s vulnerabilities concerning the safekeeping of PHI. You must identify where PHI is received, maintained, stored or transmitted; identify and assess the risks for each of those areas; rank and prioritize the risks; and then create and implement policies and procedures to safeguard the PHI. Document each step. Create policies and procedures for responding to a breach and document. Regularly review, and when necessary, update your policies and procedures, and document. Make sure computers are encrypted and security patches are current. Every step should be thoroughly documented for referencing, or in the event you need to produce information for the OCR. Did I say document?! To be HIPAA compliant is, without a doubt, a time-consuming undertaking. However, not being compliant could eventually create larger headaches and expenses further down the road. NORDIC is pleased to offer a complimentary HIPAA Compliance Packet complete with HIPAA forms and step-by-step tools to complete a practice assessment for all of our insureds. We also offer cyber insurance designed specifically for dentists, and you don’t have to have your malpractice policy with NORDIC to be eligible. It’s all part of the gold standard of service we offer to all of our clients. For more information, please contact us at (800) 662-4075.
TO BE OR NOT TO BE:
HIPAA COMPLIANCE
By: Melissa Moore Sanchez, Manager, Sales & Marketing NORDIC
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the source three financial mistakes to avoid
Don’t let the weight of debt drag you down — SoFi shows you three ways to manage debt more effectively
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Mistake #1: Using income-driven repayment for too long
Because of its flexible structure, some student loan borrowers continue to use income-driven repayment plans like IncomeBased Repayment (IBR) and Pay As You Earn (PAYE) beyond their cash-strapped early years – with potentially costly results. The reduced monthly payments typically aren’t large enough to cover interest, which continues to accrue, and all or part of it (depending on which plan you’re on) is added to the loan’s principal as soon as you switch to a standard repayment plan. Essentially, the longer you take advantage of the lower payments, the higher your total debt will be – and it doesn’t take long for that debt to spiral out of control.
Mistake #2: Neglecting to refinance dental school loans
As your income grows and your student loan payments become manageable, it’s usually a good idea to consider moving on from income-driven repayment plans. In fact, at this point you may be eligible to refinance your student loans at a lower interest rate. Refinancing can have big benefits, such as lower monthly payments or a reduced payment term, and can save you a significant amount of interest over the remaining life of the loan. Having one lender and one bill will also save you the time and hassle of multiple monthly payments. Need the hard numbers? Let’s say you have $200,000 in dental school loans at a 6.8% weighted average interest rate and a 10year term (6.8% was the going rate for federal unsubsidized loans from 2006 to 2013). Your monthly loan payment would be about $2,300 per month, and you’d pay about $76,000 in interest over
the life of the loan. If you refinance and cut that rate by even 1 percentage point to 5.8%, your monthly payment goes down by $100per month, and you save about $12,000 in total interest. Cut it even more, and you save even more. Not sure where to begin exploring your refinance options? Check out SoFi, a leading marketplace lender and the largest provider of student loan refinancing. The company’s low interest rates and easy application process are two reasons why the WSDA endorses SoFi to help its members with their student loans. WSDA members also receive a 0.125% rate discount when they refinance through sofi.com/WSDA. This discount is worth $680 for every $100,000 refinanced.
Mistake #3: Holding off on owning a home
When you have six figures in student loan debt, buying a home can feel like an unattainable fantasy. How can you save for a down payment when your income is being eaten up by loan payments? And what lender would give you a home loan given the amount of debt you already have on your plate? Fortunately, there are a growing number of lenders who cater to this exact demographic. SoFi, for example, offers a mortgage that allows for as little as 10% down on loans up to $3 million (no expensive private mortgage insurance required). And with a unique underwriting approach that allows for more flexible debtto-income limits, even people with student loans can potentially qualify for greater financing than they would with a traditional lender. Ready to learn more about accelerating your financial success? Check out SoFi today on The Source at http://tinyurl.com/lv8be5k.
About SoFi
SoFi is a leader in marketplace lending, with more than $2 billion in loans issued to date. We help early-stage professionals accelerate their success with student loan refinancing, mortgages, mortgage refinancing, and personal loans. Our nontraditional underwriting approach takes into account merit and employment history, among other factors, so we offer products that can’t be found elsewhere.
THREE FINANCIAL MISTAKES TO AVOID By: Dan Macklin, SoFi
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the source three financial mistakes to avoid
With the average dental school graduate accumulating more than $241,000 in student loans, smart financial management can mean the difference between a life well lived and one spent chasing down debt. At SoFi, we can show you ways to pay off your debt efficiently so that you can achieve your financial goals and make the most of the income you are bringing in. Managing debt can feel like an impossible task – especially when you’re trying to balance a growing practice with personal goals like purchasing a home. But if you can avoid the following common slip-ups, you’ll be in a much better position to do so.
BRUSH 2 MINUTES, TWICE A DAY BRUSH 2 MINUTES, TWICE A DAY ©2013 Healthy Mouths, Healthy Lives
©2013 Healthy Mouths, Healthy Lives
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Chan
Dr. Daniel C.N. Chan to lead key UW dental school department
Dr. Daniel C.N. Chan has been named Chair of the Department of Restorative Dentistry at the University of Washington School of Dentistry, effective June 1, 2015, the school has announced. Chan succeeds Dr. E. Ricardo Schwedhelm, who had served as Acting Chair since 2012. Chan will oversee the school’s largest department, which includes the Graduate Prosthodontics program for dentists who are studying to earn certification in this specialty. “I’m delighted that Dr. Chan will lead our largest department as we continue our transformation of the school to produce a true dentist of the future,” School of Dentistry Dean Joel Berg said. “Not only does he have superb credentials in academic and operative dentistry, but he is also a noted researcher. I also believe his collegial temperament will be a great asset in this critical position.” The school also announced two related appointments. Schwedhelm, who has served as the Restorative Dentistry clinic director, was named to direct the school’s new fourth-year practice program. The program, which will be phased in during the 2015-16 academic year and fully implemented in the succeeding year, will be significantly more intensive than the current model. With students seeing many more patients in their final pre-doctoral year of training, it will be designed to duplicate the private practice experience as closely as possible. Dr. Natasha Flake, a member of the Department of Endodontics faculty, was named to chair the school’s Clerkship Committee. Starting this summer, the school will implement a new system of “clerkships,” a series of intensive third-year rotations in the various disciplines of general dentistry. Chan had held that post since the beginning of 2015, but will now yield it to focus on his new duties as Restorative Dentistry chair. However, he will retain oversight of one clerkship, Operative Dentistry. “It’s a testament to the strength of our school that we have such able faculty members,” Dean Berg said in a message to faculty, staff, and students. Chan came to the UW in 2008 from the Medical College of Georgia School of Dentistry to become Associate Dean for Clinical Services, a post he relinquished at the beginning of 2015 to take up oversight of the clerkship program. He holds the Washington Dental Service Endowed Chair in Dentistry at the UW and is immediate past president of the national [Is national needed?] Academy of Operative Dentistry. He is also a widely respected researcher, and in 2013 was part of a research team that received a patent for antibacterial applications of titanium-based material, which holds wide dental and medical potential for preventing infection without the use of antibiotics. Chan received a DMD from the University of the Philippines and a DDS from the University of Iowa. He had postgraduate train-
Schwedhelm
Flake
ing at the UW, the University of Iowa and the University of Texas Health Science Center at San Antonio. Chan has held faculty appointments at the University of Texas Health Science Center at San Antonio and the University of Iowa and served on several journal editorial boards. He is a member of the American Dental Association, the International Association for Dental Research, the American Association of Dental Schools Operative and Biomaterials Division, the Academy of Dental Materials, the Academy of Operative Dentistry, the Washington State Dental Association, and the Seattle King County Dental Society.
Study participants needed
You’re invited to volunteer for a research study designed to guide the development of an online course for dental professionals – practicing dentists, practicing dental hygienists, dentistry students, and dental hygiene students. Once completed, this course will be offered to dental professionals and students interested in learning more about the dental and oral health needs of people with intellectual and developmental disabilities (I/DD), including practical methods for improving patients’ treatment experience, treatment outcomes, and oral health practices at home. The course is educational in nature and is not intended to function as a clinical training program, which would include skillsbased practice. Organizers are seeking practicing dentists and dental hygienists with limited experience in treating persons with I/DD to complete a three-to-four-hour (estimated average time) secure videobased online course, on behavioral supports and related aspects of treating this population. Your exposure to specific comprehensive courses on the use of behavioral supports with people with I/DD should also be limited. Your experience in these areas will be assessed further with a brief secure online screening survey. If you qualify and participate in this study, you will be asked to complete a demographic survey, knowledge pre- and post-test, brief self-efficacy questionnaire (confidence in treating patients with I/DD), brief intention to treat (patents with I/DD) questionnaire, and post-course satisfaction survey. All survey, test and questionnaire information will be kept strictly confidential. Data from all of these sources will be coded so that your name and any other identifying information is removed. You will be compensated with a $100 gift card upon the completion of your participation in this study. If you are interested in participating in this study, please complete the screening survey at https://arcsapps.umassmed.edu/redcap/surveys/?s=Nd9fXsKd6C. If you would like more information on this study, please contact Helen Hendrickson at DentistryOnline@umassmed.edu.
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newsflash uwsod appointments, study participants needed
newsflash
wdia insurance for ever y stage of your career
As a dentist, you’re the expert on teeth, gums, and how the mouth works in concert with the body in terms of overall health.
And while you know just about everything there is to know about the mouth, you may not know what your insurance needs are and, more importantly, how those needs will change depending on where you are in your career arc.
The stages of your career
As part of its commitment to the gold standard of service, the Washington Dentists’ Insurance Agency (WDIA), a wholly owned subsidiary of WSDA, has worked diligently to develop an insurance road map for dentists based upon four distinct stages of need: new graduates and associates; purchasing a practice; growing your practice; and protecting your family, and focus on retirement. In delineating the four stages, WDIA has identified those products and services most valuable to its clients. The stages more closely relate to where you are in your career, rather than your age. So, someone opting for early retirement might move more quickly into stage three. In the following three issues of the WSDA News, we’ll investigate the specific needs of the remaining stages. “Because WDIA’s entire focus is on insurance for dentists, we can advise you on myriad insurance products that protect your assets, grow your business, and eliminate many of the worries for you and your family no matter what stage your career is in,” said Matt French, Director of Insurance Services for WDIA.
Stage One: New Graduates and Associates
Whether you’re still a student, a new graduate, or have just accepted an associateship, you’re in the start of your career arc, and
INSURANCE FOR EVERY STAGE OF YOUR CAREER
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Getting started
Insurance can be confusing and tedious. With so many products and companies to choose from, it’s tough to know what’s really best for you. That’s why having a solid relationship with your WDIA insurance broker is so important. We’ll wade through the morass for you, focusing in on what you must have in your career and practice, and let you know options for additional coverages if you choose them. We are here to help uncover any exposed areas in your insurance portfolio from the beginning stages throughout your career and life.
Insurance: What you need • NORDIC Professional Liability
Professional liability (malpractice) insurance protects a dentist from incurring liability in the course of their work. In the event of a malpractice claim against you, NORDIC will assist in your defense against the claim. Without dental malpractice insurance, if you’re ruled against in court, you will be
responsible for the award. These awards can be large, and there is a risk that the practice might have to be downsized or sold to pay the expenses. Personal property can also be seized to cover the amount of the damages if the dentist fails to pay them in full. This exposes people to losses and can make it difficult to continue practicing. Dental malpractice insurance provides protection so this doesn’t happen.
• Disability Insurance
Disability insurance is one of the most important insurance products available to dentists. Disability insurance protects you in the event you’re not able to practice due to illness or injury. Personal disability insurance provides benefits that replace part of your lost income when you become unable to work due to illness or injury. It is important to obtain coverage that is true own occupation. With this policy, if you become totally disabled as a practicing dentist, you’ll continue to receive your disability benefits, even if you work in another occupation.
• Term Life
Term life is a very cost-effective level premium that provides a lump sum benefit to your beneficiaries in the event that you die within a specific time frame, ie, 10, 20 or 30 years. Term life is important to have when you have a family or liabilities that may be passed on to them upon your death.
• Individual Medical Insurance This policy covers you and your family for medical costs
including preventive care, major medical, and catastrophic coverage.
Policy or Coverage questions? We’re here to help! In Western Washington Matt French · (206) 441-6824 · matt@wsda.org Kerri Seims · (206) 441-6824 · kerri@wsda.org In Eastern Washington Heath Johnson · (206) 441-6824 · heath@wsda.org Left to right: Matt French, Director of Insurance Services, WDIA; Kerri Seims, Assistant Director of Insurance Services, WDIA; Heath Johnson, Assistant Director of Insurance Services, WDIA
th e wsda ne w s · issue 6, may · 2015 · www.wsda.org · 25
wdia insurance for ever y stage of your career
what is most important is building a solid foundation for your career. “There are some insurance policies that are vital for those just starting out,” said Kerri Seims, Assistant Director of Insurance Services, “and those are malpractice insurance and disability. While disability insurance may seem an unlikely choice when you’re young and healthy, it protects you in the event that you can’t practice, and is one of the most important policies to have in your portfolio.” French and Seims have seen first hand how having the proper disability policy —even at a young age — can be vitally important.
2 6 路 th e wsda ne w s 路 issue 6, may 路 2015 路 www.wsda.org
wohf adopt-a-school program
Dr. Sue Weishaar Inset: Jodi Pennington’s thank you letter
WOHF’S ADOPT-ASCHOOL PROGRAM
On February 26, Jodi Pennington received a call from Christi Malsam, Spokane District School Nurse Supervisor — the kind that every parent worries about — her 10 year old son Gauge was in pain with a sore, swollen face from a loose tooth. Pennington was at a loss – she no longer had dental insurance and without it, she simply didn’t have the means to take her son to the dentist. Malsam knew exactly what to do: contact staff at the Washington Oral Health Foundation’s Adopt-A-School program to see who had “adopted” Seth Woodard Elementary School and was available to see Gauge. Dr. Susan Weishaar, former WSDA Board member, was happy to see the young boy in her practice. Within two hours of seeing the school nurse, Gauge was in the dentist chair, and was out of pain shortly after! His grateful mother sent Dr. Weishaar a letter of thanks after the experience, saying, “Dr. Weishaar and her assistant were so amazing and distracting that before Gauge knew it the bad tooth was out and we were on our way. He was really thankful for their kindness and generosity.” If you would like to adopt a school in your community, or if you are a school nurse and would like to find out more about this innovative program, please contact Aisha at (206) 973-5240 or email her at Aisha@wsda.org.
thee wsda wsda ne new wss ·· issue issue 6, 6, may may ·· 2015 2015 ·· www.wsda.org www.wsda.org ·· 27 27 th
Dr. Weishaar’s photo by www.bigpixr.com
Eradicating pain, one child at a time
wohf phoneathon thanks
GENEROSITY FROM ACROSS THE STATE Thanks to your generous donations, WOHF raised more than $111,000 in this year’s Phonathon. WOHF Phonathon team members will keep working to reach their goal of $135,000. Because of you, kids across the state will have access to education, oral hygiene kits, and more! 2288 ·· ththee wsda wsda ne newwss ·· issue issue 6, 6, may may ·· 2015 2015 ·· www.wsda.org www.wsda.org
Benton-Franklin Counties Dental Society Team Captains: Drs. Spencer Jilek and Ronald Snyder
Clark County Dental Society and Lower Columbia District Dental Society Team Captain: Dr. Peter Lubisich IV
Grant County Dental Society and North Central District Dental Society
Grays Harbor District Dental Society and Lewis County Dental Society Team Captain: Dr. Timothy Wandell
Kitsap County Dental Society Team Captain: Dr. Sally Hewett
Mount Baker District Dental Society Team Captains: Drs. Ronald Dahl and B.J. Larson
Team Captain: Dr. Chris Dorow
Olympic Peninsula Dental Society
Team members: Dr. Dino Cacchiotti Dr. Heather Ronngren
Team Captain: Dr. Todd Irwin
Pierce County Dental Society Team Captain: Dr. Albert Bird Team members: Dr. Theodore Baer Dr. Lisa Block Dr. Mostafa Norooz
Dr. Rick Taylor Dr. Mark Walker Dr. Carrie York
Spokane District Dental Society Team Captain: Dr. Bradley Jarvis
Seattle-King County Dental Society
Team member: Dr. David Petersen
Team Captain: Dr. Dexter Barnes
Yakima Valley Dental Society Team Captain: Dr. Bruce Kinney
Team members: Dr. Mark DiRe, Dr. Bryan Edgar Dr. Susan Hollinsworth Dr. Keith McDonald Dr. David Minahan Dr. Gregory Ogata Dr. Jeffrey Parrish
Thank you! We couldn’t do it without your generous support! Dr. Kristine Aadland Dr. Brian Alder Dr. Brian Almond Dr. Charles Anderegg Jr. Dr. Loren Anderson Dr. Donald Arima Dr. Michael Aslin Dr. Donald Ausink Dr. Mark Austin Dr. Timothy Bachman Dr. Amrinder Bahia Dr. Theron Baker Dr. David Baker Dr. Dexter Barnes Dr. Daniel Barrett Dr. Patrick Barrett Dr. Ernest Barrett Dr. Victor Barry Dr. Paul Barton Dr. Jerome Baruffi Dr. G D Beck Dr. Marissa Bender Dr. Patrick Bennett Dr. Joel Berg Dr. Bill Bethards Dr. Zachary Bird Dr. Albert Bird Dr. Mary Bisese Dr. Randy Blair Dr. Thomas Blake Dr. Lisa Block Dr. Dale Bloomquist Dr. Daniel Boers
Dr. Jordan Bolles Dr. Dawn Bova Dr. Dennis Bradshaw Dr. Lisamarie Brazeau Dr. Michael Breier Dr. David Brown Dr. Faith Bult Dr. Jacqueline Bunce Dr. Dean Burnett Dr. James Burnham Dr. Lawrence Cacchiotti Dr. Dino Cacchiotti Dr. Michael Campbell Dr. Billy Card Jr. Dr. James Carey Dr. Janette Carroll Dr. Stephen Carstensen Dr. L Alice Chen Dr. H Allen Chen Dr. Roger Chin Dr. Mario Chorak Dr. E H Christopherson Dr. George Church Dr. Grant Chyz Dr. Scott Clough Dr. Bobby Cohanim Dr. James Collette Dr. Ute Collins Dr. Ryan Collins Dr. Keith Collins Dr. Kenneth Collins Dr. Kenneth Collins Dr. Barry Conger
Dr. Todd Cooley Dr. Jared Cottam Dr. Ron Cowles Dr. Richard Crinzi Dr. Neal Curtis Dr. Ronald Dahl Dr. Fred Dahm Dr. Derek Damon Dr. James Davis Dr. Michael Dean Dr. Munib Derhalli Dr. Mark DiRe Dr. Issa Dkeidek Dr. Diane Doppel Dr. Christopher Dorow Dr. Bryan Edgar Dr. Dennis Edmonds Dr. Theron Eichenberger Dr. Hani Eid Dr. Lisa Ellingsen Dr. Michelle Ellingsen Dr. Ronald Ellingsen Dr. David Engen Dr. Ola Englund Dr. Alberto Enrico Dr. Robert Faine Dr. Marcus Fairbanks Dr. F. Farhat Dr. Barry Feder Dr. Gary Feldman Dr. Will Fernyhough Dr. Michael Fey Dr. Brett Fidler Dr. Larry Forsythe
th e wsda ne w s · issue 6, may · 2015 · www.wsda.org · 29
Dr. Ryan Fox Dr. Melissa Freeman Dr. Trevor Frideres Dr. Theodore Fujioka Dr. Willis Gabel Dr. Prashant Gagneja Dr. Chad Galbraith Dr. Sidney Gallegos Dr. Casey Gamache Dr. Andrew Garabedian Dr. Joel Gardner Dr. Scott George Dr. Nolan Gerlach Dr. Mark Germack Dr. Brent Gill Dr. Albert Goerig Dr. Beverly Goodman Dr. Mark Grace Dr. Kristina Grey Dr. Robert Haeger Dr. William Hairfield Dr. Katherine Hakes Dr. Parker Haley Dr. Keri Halgren Dr. Daniel Hamilton Dr. Stephen Hansen Dr. Lowell Hanson Dr. David Haralson Dr. Jordan Harris Dr. Brian Hart Dr. Garth Hatch Dr. Robert Heacox Dr. Stephen Henager Dr. Jerry Han
wohf phoneathon thanks
Special thanks to the following Team Captains and their component members who took time off their busy schedule to participate in the fundraising efforts for WOHF.
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3 0 · th e wsda ne w s · issue 6, may · 2015 · www.wsda.org
Dr. Peter Lubisich III. Dr. Peter Lubisich Jr. Dr. James Lukacs Dr. Elizabeth Lyons Dr. Erika MacDonald Dr. W J Madsen Dr. Thomas Maring Dr. Timothy Marker Dr. Paul Marshall Dr. Lawrence Mast Dr. David Mast Dr. Stephen Matheson Dr. Michael Maxfield Dr. Ronald Maxfield Dr. Keith McDonald Dr. Kara McCulloch Dr. Ryan McNamara Dr. David Mehlhaff Dr. Eric Messinger Dr. Lane Meyer Dr. Dale Miller Jr. Dr. Braden Miller Dr. D Kent Moberly Dr. Jeff Morgan Dr. Darcie Morris Dr. Michael Mulick Dr. Andrew Nalin Dr. Sasidhar Narra Dr. Robert Nau Dr. David Neil Dr. Jeff Nerio Dr. Shane Ness Dr. Robert Nevin Dr. James Ng Dr. Thi Nguyen Dr. Thai Nguyen Dr. Thoa Nguyen Dr. Dzon Nguyen Dr. Arash Niazi-Sharaki Dr. Mostafa Norooz Dr. Brett Nydegger Dr. Gerrarda O’Beirne Dr. Daniel O’Brien Dr. Carol O’Brien Dr. Robert Odegard Dr. David Olausen Dr. Gary Olson Dr. Kyle Ostenson Dr. Merlin Ostler Dr. Michael Oswald Dr. Stephen Ottosen Dr. Sammy Pak Dr. Sonia Pal Dr. Chad Parker Dr. William Parker Dr. Christopher Parkinson Dr. David Parks Dr. Raman Patel Dr. Duane Pegg Dr. David Petersen Dr. Ralph Peterson Dr. Keith Phillips Dr. Christopher Pickel Dr. Ted Pilot Dr. Ronald Pinson
Dr. Eric Powell Dr. Michael Pratt Dr. Jeff Pruiett Dr. Tom Quickstad Dr. James Reid Dr. Frank Repanich Dr. Clara Rhieu Dr. Kelcey Rhodes Dr. Stuart Rich Dr. Angela Richeson Dr. Craig Ritchie Dr. Bartholomew Roach Dr. Heather Ronngren Dr. Robert Rose Dr. Frank Rudey Dr. Richard Rydman Dr. Andrew Schmidt Dr. Cara Schroeder Dr. Robert Sekijima Dr. Joseph Sepe Dr. Chad Sheron Dr. Steven Shiflett Dr. Kirk Shillinger Dr. Goichi Shiotsu Dr. Stephen Shoemaker Dr. Michael Shoff Dr. Cris Simmons Dr. H K Skavdahl Dr. Chad W Smart Ms. Fredda Smith Dr. Curtis Smith Dr. Catherine Smith Dr. Donald Snyder Dr. Ronald Snyder Dr. D C Stevens Dr. Katie Storey Dr. Joseph Stout Dr. Jennifer Strelow Dr. Stephen Stuehling Dr. Ashoka Subedar Dr. Benjamin Sun Dr. Kurt Swanson Dr. Larry Swisher Dr. Darrin Tamanaha Dr. Patrick Taylor Dr. Ashley Tercero Dr. James Thomas Dr. Charles Toillion Dr. David Toillion Dr. J D Troy Dr. Richard Tucker Dr. Richard Tucker Dr. Geoffrey Tupper Dr. Lance Vander Giessen Dr. Ajey Varma Dr. Gregory Vaughn Dr. David Verschueren Dr. Andrew Vorono Dr. Linh Vu Dr. Keiko Wada Dr. Rusty Walker Dr. Mark Walker Dr. Douglas Walsh Ms. Katherine Walsh Dr. Charles Walter
th e wsda ne w s · issue 6, may · 2015 · www.wsda.org · 31
Dr. Timothy Wandell Dr. Michael Warner Dr. Danny Warner Dr. David Weller Dr. Rodney Wentworth Dr. Fredrick Wicknick Dr. Steven Widman Dr. Andrew Wightman Dr. R S Williams Dr. Scott Williams Dr. Debra Willis Dr. Robert Woo Dr. Leah Worstman Dr. Kathryn Wright Dr. Greg Wu Dr. Rolf Wuerch Dr. Andy Wyman Dr. Ryan Wynne Dr. Shaofan Xu Dr. Carrie York Dr. John Young Dr. Mark Young Dr. Rebecca Zerngast Dr. David Zielke Dr. Jay Zuroff
Companies
Access Endodontic Specialist Columbia Basin Pediatric Dentistry Dental Group LLC Braun & Jarvis Family Dentistry JL Computers, LLC Spokane Mount Baker Dental Society Spokane District Dental Society The Knutzen McVay Group, LLC
wohf phoneathon thanks
Dr. Christopher Herzog Dr. Sally Hewett Dr. Dennis Higgins Dr. Jason Hilde Dr. Todd Hillyard Dr. Jeffery Hinckley Dr. Samuel Hinz Dr. Steven Hokett Dr. Tomas Holbrook Dr. Clarence Holden Dr. Susan Hollinsworth Dr. Charles Holtorf Dr. Karen Homitz Dr. William Hooe Dr. Michael Horn Dr. Jack Hou Dr. David Houten Dr. Jurgen Huck Dr. George Hussey Dr. John Iasella Dr. Todd Irwin Dr. Thomas Jacka Dr. Brian Jacobsen Dr. Jay James Dr. Bradley Jarvis Dr. Donald Jayne Dr. Spencer Jilek Dr. Todd Johnson Dr. Doug Johnson Dr. Christine Johnson Dr. Mark Johnson Dr. Carl Johnson Dr. Robert Johnson Dr. Michael Johnson Dr. Michael Jorgenson Dr. Paul Kadzik Dr. Paul Kahlon Dr. Tom Kang Dr. Jeffrey Kashner Dr. Kevin Kay Dr. David Keller Mr. Bracken Killpack Dr. Peter Kim Dr. Kalman Klass Dr. Edward Kleffner Dr. Rory Knapp Dr. Douglas Knight Dr. Robert Knudson Dr. Louis Kramp Dr. Thomas Laney Dr. Charles Lansing Dr. Trevor Larson Dr. Bernard Larson Dr. Christopher LeCuyer Dr. Jenny Lee Dr. Choong Lee Dr. Aaron Lemperes Dr. James Leonard Dr. Paola Leone Dr. Zachary Lester Dr. Edwin Leung Dr. Marijoyce Leynes Dr. Jared Lothyan Dr. Mandy Louis
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3 2 · th e wsda ne w s · issue 6, may · 2015 · www.wsda.org
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th e wsda ne w s · issue 6, may · 2015 · www.wsda.org · 33
Our Commitment is to YOUR success
Over 65 years of expertise, offering short and long-term individual detail practice management, as well as transitions and associateships.
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3 4 路 th e wsda ne w s 路 issue 6, may 路 2015 路 www.wsda.org
Dr. Rebecca Lynn Goll
Dr. Rebecca Lynn Goll passed away on Jan. 14, 2015 after a long struggle with a degenerative neurological condition. She was born to Everett and Zelma Price in 1951 in Dixon, Ill. She studied dentistry at the University of Pennsylvania and after graduating OKU in 1976, went on to serve as a captain in the U.S. Air Force for three years at Pease Air Force Base in New Hampshire. From there she attended the University of Washington, where she received a master’s degree in endodontics and met her future husband, fellow dentist George Goll. At the time of her graduation in 1981, she was only the second female to receive a master’s in Endodontics from the UW. While she loved and thrived at research, she left private practice shortly after the birth of her son and went on to pursue more creative endeavors. Goll had a deep love for music and sang in the St. Stephen’s Episcopal Church choir for more than 25 years. She played the piano very ably and took up the violin later in life. She was often found rocking out to ’60s classics in her car. Later in her life, she began writing short stories and poetry, taking numerous classes in writing and literature and sharing her work with her friends and family. She was an excellent cook, skier, and tennis player and loved to travel and read whatever she could get her hands on. Goll possessed a beautiful wit and positive nature. She is sorely missed by her friends and family. Goll is survived by her husband, George; children Amanda, Emily, and Spencer; sister Pam Sansone; and nieces and nephews Joey, Christina, Andrew and Rachel Laskowski.
ated from the University of Washington School of Dentistry in 1959 and maintained a dental practice in Bellevue for 56 years. His love of dentistry extended far beyond his local practice. He was an instructor at the UWSoD, and, as a member of the Tucker Gold Study Club, mentored American dental students and taught in Italy and Germany. He was generous with his dental skills and volunteered in Hawaii and Kenya, as well as the Union Gospel Mission in Seattle. A friend and colleague summed up the affection and respect with which he was regarded by his many patients and colleagues when he noted that McLean was a person with whom you could share a desert island or a foxhole. A veteran of the Korean War,McLean was honored by the South Korean government for his service. He met his wife, Muriel Hargis McLean, in the eighth grade and remained deeply smitten with her through 62 years of marriage. McLean enjoyed a broad range of interests and hobbies. He loved the outdoors, especially when skiing, fishing, and hunting could be shared with friends and family. He read voraciously and broadly, and would happily open a bottle of “Tuesday” wine and engage in lively discussions about his most recent passion. He was an avid Husky football and basketball fan and was a season ticket holder for both. McLean is survived by his wife, Muriel; daughters Sydney Walters and Shelley McLean; sons Tom and Kevin McLean; grandchildren Dustin, Brandon, Dayle and Lauren; brother Dr. Tom Ware; and sister WA-MAR-2015.pdf Frances Nickel. 1 3/2/15 6:39 AM
Dr. Rollin Lawrence Hurd
Dr. Rollin Lawrence Hurd, 89, of Kirkland, Wash., died on March 31, 2015 surrounded by his four daughters. He was born on July 23, 1925 in Hoquiam, Wash., to the late Rollin Edgar Hurd and Blanche Ada (Coffield) Hurd Crandall. In June 1948, he married his high school sweetheart, Helen Carolyn Cleaver, who preceded him in death in 2007. In his younger years, Hurd enjoyed riding his bike around the Olympic Peninsula loop and running track in high school, where he set a record for the mile and played on the state championship basketball team. Hurd was a U.S. Army veteran of World War II and served as a combat medic with the 42nd Rainbow Division in Europe. At one time during his tour, he was trapped behind enemy lines and reported as missing in action. Hurd graduated from the University of Washington School of Dentistry and practiced in Kirkland for 40 years. He was in the Lions Club of Kirkland and enjoyed basketball, playing bridge, and golfing. He had a passion for writing and authored four books. He enjoyed meeting his family for coffee on Wednesdays, going out for a meal (which most likely included hot chocolate with whipped cream), and spending time at the ocean. Hurd is survived by daughters Nancy Zombro (Jim), Lisa Bate (Brian), Laurie Davies (Roger), and Jane Krpan (Dan); grandchildren, Mark Tellvik (Emily), Michael Tellvik (Laci), Jonathan Bate (Kaitlyn), Mary Phillips (Shannon), Michael Bate, Jeffrey Davies (Victoria), Julianne Diaz (Juan), Nick Krpan, and Adam Krpan; and great-grandchildren Caden, Ashton, Edyn, Tristan, Rosemary, Eli, Elle, Evan, Melia, Kayla, Tiago and Faith. He was preceded in death by his brother, Edgar W. Hurd. C
M
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CM
MY
CY
CMY
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Dr. Kenneth J. “Doc” McLean
Dr. Kenneth J. “Doc” McLean of Bellevue, Wash., passed away peacefully at his home on March 29, 2015 after a battle with cancer. He was born on July 28, 1932 in Lava Hot Springs, Idaho, the oldest son of William A. and Anna Hallinan McLean. He gradu-
th e wsda ne w s · issue 6, may · 2015 · www.wsda.org · 35
in memoriam drs. goll, hurd,mclean
in memoriam
Smiles
Smiles all around
Your patients are like family. So make sure they have plenty to smile about by partnering with the right specialist. David Haralson, D.M.D., M.D. is a board-certified professional ready to step in and help with your patients’ oral and maxillofacial surgical needs. As an experienced oral surgeon, Dr. Haralson will complement your practice’s services with a compassionate approach
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to every procedure. Partner with Dr. Haralson today, and we’ll all have something to smile about—especially your patients!
3 6 · th e wsda ne w s · issue 6, may · 2015 · www.wsda.org ®
CURRENT LISTINGS Olympia
General practice in Olympia, three operatories, recently remodeled, state of the art facility, a unique practice with some of its patients.
GENERAL DENTIST – Seeking long term associate position in greater Seattle area. Compassionate, patient-focused and enjoy doing dentistry. 2 years experience in private practice. Please email shan0313@u.washington.edu for resume and CV. GENERAL DENTIST – Seeking long-term associate position in a family practice in the Greater Seattle area. UWSoD Graduate 2014. Currently finishing AEGD Residency in Seattle, WA. CV: http://tinyurl.com/racheldds. Email at racheldds05@gmail.com. 253-576-5565. GENERAL DENTIST – Seeking private practice or public health position in greater Seattle area and other cities within WA. Comfortable with anterior/posterior RCTs and EXTs. Contact me at dwang@student.roseman.edu or 908-922-1881. ASSOCIATE — New graduate looking for an associate position in the greater Seattle area. Additional experience working with children and with simple/surgical extractions from community health clinic experience and dental service projects. Resume with contact information: http://tinyurl.com/lzr5h6o
Redmond
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Call 888-327-2265 ext. 94595 | Visit usbank.com/ADA94595 We may change APRs, fees, and other Account terms in the future based on your experience with U.S. Bank National Association and is affiliates as provided under the Cardmember Agreement and applicable law. (1) Subject to credit approval. Accounts must be open and in good standing (not past due) to redeem points. (2) Your 0% introductory APR applies to balance transfers made within 30 days of account opening. A Balance Transfer fee of 3% of each transfer ($5 minimum) will apply. The introductory APR does not apply to purchases or cash advances. The rate will end early and increase to the APR for Balance Transfers or to a Penalty Rate APR if you make a late payment, make a payment that is returned, or your account exceeds its credit limit. Thereafter, the APR may vary and as of 1/1/2015, the undiscounted variable APR for Balance Transfers is 9.99%- 23.99% (based on your creditworthiness)]. We apply your payments to balances with lower APRs first. (3) Net purchases are purchases minus credits and returns. (4) Certain restrictions, limitations, and exclusions apply. Cardmembers are responsible for the cost of any goods or services purchased by Visa Signature Concierge on cardmembers’ behalf. The creditor and issuer of the American Dental Association Card is US. Bank National Association, pursuant to a license from Visa U.S.A. Inc © 2015 U. S. Bank National Association. ADA Business ResourcesSM is a service mark of the American Dental Association. ADA Business Resources is a program brought to you by ADA Business Enterprises, Inc.. (ADABEl), a wholly owned subsidiary of the American Dental Association. ADA is a registered trademark of the American Dental Association.
th e wsda ne w s · issue 6, may · 2015 · www.wsda.org · 37
membership membership marketplace
Professional Management Associates, Inc
Each issue, the WSDA News will run up to 30 free classifieds for dental students and new graduates of dental schools who are seeking employment. To qualify, you must be a member of ASDA or the WSDA. Restrictions apply. Please contact Laura Rohlman at laura@wsda.org for more information.
3 8 路 th e wsda ne w s 路 issue 6, may 路 2015 路 www.wsda.org
are constantly crunching that data six ways to Sunday. Dr. Rolf pointed out that the Justice Department declared in 2004 that “there is no federal common law” protecting “physician-patient privilege,” and in modern medical practice, “individuals no longer possess reasonable expectation that their histories will remain completely confidential” Wrap your mind around that concept just a bit: The government has declared this with the confidentiality we assume is, in fact, no longer the case. I don’t recall Congress ever got to vote on that. And the concept has apparently been tested in court to no avail (Citizens for Health, et al v. Leavitt). And, according to Sobel, it does no good to even report a violation (unless you are a Hollywood celebrity and some nurse reveals why you are in UCLA Medical Center) because the feds have never seriously pursued anyone who has allegedly violated HIPAA rules. If patients realize that what they tell us is not protected, how long before they stop giving us the details we need to provide appropriate care? And if we then think we are not getting all the information we need, what “extra” testing will we have to do to determine a proper diagnosis? Do you realize that as a patient, you absolutely cannot keep your PHI private? There were stories early on of folks getting HIV/AIDS treatment under assumed names so as to not reveal their status. I don’t know for sure, but I would bet this is illegal. Self-insured employers can and do receive the PHI of their employees. And there have been cases where this has been used against employment and/or promotion. When we “perfect” the prediction of future disease from our genetic makeup, what’s that going to do for employment?
Notwithstanding all the locks on file cabinets, passwords and fingerprint scanners to access our computers, and diligence in not sending PHI via email, we still cannot represent that we will keep a patient’s PHI secret because we can’t. It would still be bad form to discuss a patient’s PHI on the sidelines at a soccer game, but everyone should be aware that patient information (including yours) is being shared whether consent has been given or not. And just imagine how much easier all that is going to be when we go totally to electronic records –nothing will be sacred. It is sad to see another element of the Hippocratic Oath fall by the wayside: “Whatever I see or hear in the lives of my patients, whether in connection with my professional practice or not, which ought not to be spoken of outside, I will keep secret, as considering all such things to be private.”
For more detailed information: http://forhealthfreedom.org/Publications/Privacy/PrivacyUpdatedMarch2010.html What Every American Needs to Know About the HIPAA Privacy Rule (Updated March 2010) Thank you, Dr. Rolf and Richard Sobel, for the enlightening, albeit scary, information as background for this article. JP
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th e wsda ne w s · issue 6, may · 2015 · www.wsda.org · 39
expressconstruction.net | 206.230.8500 Aaron Lee | alee@expressconstruction.net
parrish or perish continued
continued from page 46
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OPPORTUNITIES AVAILABLE
OPPORTUNITIES AVAILABLE
ASSOCIATE DENTIST REDMOND — Experienced associate dentist needed for a busy, well established, fee for service practice in Downtown Redmond, WA. Long term highly capable staff 4 days a week. Wed-Sat. Great income opportunity. Please email CV campheathern@gmail.com.
A REFRESHING PERSPECTIVE — When you work at Willamette Dental Group, the organization’s progressive approach frees you to do what matters to you — and your patients. What makes this multi-specialty group practice unique, and better, is a commitment to proactively facilitating the best possible health outcomes. Combined with a dedication to leveraging scientific data, skill, and the experience to make them happen, when you embrace the organization’s guiding philosophy, you free yourself to facilitate health outcomes—and open yourself up to a world of professional growth and success. Please visit www.willamettedental.com/careers or send your resume to nlachance@willamettedental.com.
ASSOCIATE DENTIST OPPORTUNITY — in a leading dental office in Clark County, Wash. Join our team in a newer, fee for service, private dental practice. Candidate should be interested in making Vancouver their home and seeking to grow with an established and expanding dental office. The success of our office has been built on customer service and making a connection with the patient. Candidate shall possess leadership skills that can guide and motivate patients to accept recommended treatment. Our office culture is patient centered encompassing quality, comfort, and fun! Support staff is outstanding and all work towards a common goal. Hygiene team is top notch with a heavy emphasis on treating perio. Candidate must: be able to develop treatment plans with all aspects of general dentistry, be able to provide independent care to a pool of patients and be comfortable (or developing skills) with extractions and molar endo. Cerec Crown and Bridge is utilized in office and can be trained. Invisalign experience is a plus. Positive attitude is paramount to the position. If you are looking to increase or develop new skills and want to contribute to improving the oral health of Vancouver, WA, please email your cover letter and resume and we will make contact for interviews. Email to drspitty@gmail.com.
PORTLAND, ORE. — Dentist opportunity. Do the clinical dentistry you want to do. We offer paths in which you can manage or open your own practice with profit sharing. Pdxdentist@yahoo.com. SEEKING ASSOCIATE/PARTNER DENTIST Various locations in Western Washington. We are a small group of private practices in Western Washington dedicated to providing dentistry at the highest level. We are seeking a long term associateship/partnership with someone who is passionate about providing excellent care and has the ability to relate to each and every patient. Please email resume and CV to adam@cramerdentistry.com. RENTON/DESMOINES — Full/Part time position available for experienced dentist. Must be able to perform all phases of dentistry. Good salary .Please contact at 425-2269770 or baljinderbuttar1@gmail.com. SEEKING ASSOCIATE DENTIST — We are a small group of private practices in Western Washington dedicated to providing dentistry at the highest level. We are seeking a long term associate (either part-time or full-time) who is passionate about providing excellent care and has the ability to relate to each and every patient. Ownership/Partnership is a possibility. The facility is modern, digital, and most importantly has an experienced caring staff to support you. Please email CV or resume to adam@cramerdentistry.com. DENTIST NEEDED — Great opportunity in Eastern Washington working alongside other general dentists, orthodontists and oral surgeons in a state-of-the art facility. Great working atmosphere, excellent pay and benefits. Must be friendly, motivated and flexible. Please contact Jolene Babka at jbabka@ applesmiles.com for more information. DENTIST, PER DIEM — Jamestown Family Dental Clinic in beautiful Sequim, Wash. is dedicated to serving our Tribal citizens and community. We are seeking an on-call/fill-in dentist to provide comprehensive oral health care services to our patients. American Indian/Alaska Native preference for qualified candidates. For an overview of the job description and to apply, please visit: http:// jamestowntribe.iapplicants.com.
DENTISTS NEEDED — Dental Professionals is recruiting dentists for temporary and permanent positions throughout western Washington – Vancouver to Bellingham and the Olympic Peninsula. No fee to you and you pick the days and geographic locations that you are available to work. This is a great opportunity to earn supplemental income or find a permanent position. If interested please call Bob at (206) 767-4851. DENTSIST NEEDED — We are a growing organization of multi-doctors, clinics, and disciplines. We are currently looking for an associate/partner to join and grow with us. Opportunities vary depending on your desire and fit with our growing team. Associate, partner, or buy the practice. Email Christian@KoviSolutions.com with your contact info and description of your interest. SPOKANE — Seeking full-time general dentist, able to work a varied shift schedule including weekends; must be able to do all aspects of general dentistry including molar endodontics and 3rd molar/surgical extractions; able to adapt to new systems and paradigms; great opportunity to grow and learn; 3-5 years experience preferable. Send resume to Dr. Bradley J. Harken; bradharken@hotmail.com. FULL-TIME ASSOCIATE IN BELLEVUE — We are looking for full time associate in Bellevue to work 4+ days a week . We are a top office in our area. Beautiful modern office with state of the art technology. Fantastic patients and team. Fully digital. Must be highly skilled and experienced. Ready to learn and be a part of the team. Outstanding earning potential. Please email resume to bellevuedentists@gmail.com. GENERAL DENTIST, SPOKANE — Full time position. Work beside specialists. Offering a great schedule, great compensation and guarantee. Learn as you work or a great opportunity for an experienced dentist. For more information, please contact Jolene Babka at jbabka@applesmiles.com.
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HYGIENISTS/ASSISTANTS WANTED — Large dental corporation seeking hygienist and assistants in Puyallup, Renton and Kirkland. For more information or to apply online contact Ron Brush, BrushR@InterDent.com. DENTIST OPPORTUNITY IN WESTERN WASH. — Seeking experienced dentist for busy, well established, successful, fee for service, group dental practice. Full-time position available. Excellent immediate income opportunity ($180,000 to $375,000 + per year) depending on productive ability and hours worked. Secure, long-term position. You can concentrate on optimum patient treatment without practice management duties. Modern well-equipped office with excellent staff, and lab services provided. If you are bright, energetic with a desire to be productive, very personable, and people oriented, and have great general and specialty clinical skills, Fax resume to Dr. Hanssen at (425) 484-2110. PEDIATRIC DENTIST WANTED — for busy multi-doctor practice. Beginning shifts available Monday 7.30-4.30; Saturday 8.00-3.30 to increase to four days a week. Our office is in beautiful Olympia, Washington. Please contact Dr. Jones directly at (360) 789-4841
classifieds issue 6, may 2015
OPPORTUNITIES AVAILABLE
Call for a FREE PRACTICE APPRAISAL ($5,000 value) (Since 1968)
We are pleased to announce... Thomas M. Markeson, D.D.S. has acquired the practice of
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4 2 · th e wsda ne w s · issue 6, may · 2015 · www.wsda.org
OFFICES FOR SALE OR LEASE
OFFICES FOR SALE OR LEASE
DENTIST IN EASTERN WASH. — Full Time, Monday-Friday. Excellent patients, federal holidays observed, full time or part time available. Great work/life balance. Send CV to Melani Alper at Melani_Alper@spectrumhealth.com or call her at 800-325-3982 x 4248 for more information.
EXISTING 3,267 SF — Medical/Dental office space available — Building currently occupied by two family practice dentists and is located in a highly visible shopping center. Approximately 25,000 vehicles per day. Anchored by Applebee’s, Office Depot and Kohl’s, as well as other professional, medical, and retail businesses. Situated on the busy corner of SE 270th PL & 172nd Ave SE in the busy and rapidly grow-ing city of Covington, Wash. Contact: Mike Kirkland, MK Property Services, L.L.C. Office: 425.888.2993, Cell: (425) 455-4271, or email: mike@mkps.net.
G/P PRACTICE FOR SALE IN LINCOLN COUNTY — Owner is selling two separate practices both within 35 miles of Spokane, Wash. Annual collections over $430,000. Four operatories. Well trained staff will assist with the transition and will stay with the practice after the transition. Excellent collection policy in place. Excellent cash flow for a practice of this size. Please contact Buck Reasor, DMD. Cell: 503-680-4366, email:info@ reasorprofessionaldental.com, www.reasorprofessionaldental.com.
OPPORTUNITY WANTED ASSOCIATE — Seeking associate or a buyin/buy-out opportunity in the Greater Seattle area. Seven years of experience, including an AEGD. Patient focused care with experience in surgical extractions and CAD/CAM dentistry. Interested in expanding into implants within the next year. Looking for an office that provides the highest quality of care for their patients. Please email alhigginsdds@ gmail.com. OFFICES FOR LEASE OR SALE PRACTICE FOR SALE – Multiple doctor practice, Everett-Snohomish County. Excellent opportunity to purchase a mature wellestablished family general practice! Established 1978, this strong family practice has a thriving loyal patient base built primarily on referral. This one of a kind opportunity is Ideal for a younger dentist who wants a turnkey, well maintained business and facility without the hassles of starting from scratch. This practice is staffed by two full-time dentists, assisted by four full-time dental assistants, four hygienists (11 days of hygiene a week) and three admin team members, consisting of two schedulers and one financial coordinator. We offer our patients the best in materials, technology, procedures and customer service. Our team is well educated and trained in providing the highest standards of patient care. We believe in building longterm, meaningful relationships with our patients for a lifetime of health. We are looking for a buyer(s) with a similar philosophy who have an interest in massive success and continuing a legacy. Owner(s) will stay to ensure a smooth transition and will sign a non-competitive agreement. Buyer(s) will also have the opportunity to purchase the building in addition to the practice or to be determined at a future date. Contact us for more details: dentistrypracticeforsale@gmail.com. BUILDING FOR SALE — Tacoma 2,100 sq. ft. built in 2008, for sale at $299,000. Rent to own option. Email: hughbc@gmail.com. Call (206) 280-4582. FOR LEASE —Vancouver, Wash. Next to Vancouver Mall. Brand new remodel 2,000 sq. ft., just move in equipment. Built-in cabinets, Pano room, private office. Very nice! neilgray@comcast.net.
FOR SALE — West Seattle. Newly upgraded dental practice in West Seattle for sale. $725,500.00. Five+ ops with the latest in imaging upgrades, new computers, software and hand pieces. One of the last fee-forservice practices left. Seller will pay for new floor covering throughout, leave the security deposit for the new buyer on the lease assessment and help with the transition. Call today for a tour. Annie Miller, (206)-715-1444. FEATURED PRACTICE OPPORTUNITIES — General dental practice opportunity near downtown Seattle, three ops, collecting $340k; general dental practice opportunity in Olympia, collecting $975k; general dental practice opportunity in West Seattle, four ops with a fifth possible, collecting $1.6M; general dental practice opportunity in Federal Way, six ops, collecting $850k; general dental practice opportunity in Issaquah, two ops with a third possible, collecting $678k; general dental practice opportunity in Bel-Red, five ops, collecting $745k; periodontal/implant dental practice opportunity in North Seattle, collecting $750k. Pending Transitions: Redmond ortho practice, Lynnwood general practice. Coming Soon: Additional general practices in Bel-Red and Lynnwood. For more details and information please contact: Jennifer Paine at (425) 2161612, or email Jennifer@cpa4dds.com. FEATURED SPECIALTY PRACTICE— Prosthodontic Practice in Olympia Wash. Immaculate, well-established and respected practice specializing in dentures; crown & bridge; implants and veneers. Also featuring custom restorations. The facility features four equipped/ fully-computerized operatories with potential for one or two additional. This beautiful office is approximately 2,300 square feet with an additional 300 square feet in conference room. Excellent parking. Office features digital radiography, digital pan, intra oral cams, lasers and electric handpieces. Exceptional geographic location. No contracted insurance. For more details and information please contact: Jennifer Paine at (425) 216-1612 or email Jennifer@cpa4dds.com
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SPACE SHARING OPPORTUNITY DOWNTOWN SEATTLE – Looking for a dentist with an existing practice to share our office space. This is not an Associate position. Restorative practice with In-House C&B, and denture processing lab, and technician. Modern downtown Seattle 5 chair office. Lease ending soon? Decrease your overhead now! Opportunity to buy into the facility for the right person. drnicolini@hotmail.com. FOR SALE — G/P practice for sale in downtown Seattle. Well established, mature practice for sale collecting over $550,000 annually. Excellent modified start-up practice. Seven fully equipped operatories. Current staff will stay with the practice. Excellent collection policy in place. Practice has been located in downtown Seattle for over 50 years. Contact: Buck Reasor, DMD Reasor Professional Dental Services at info@reasorprofessionaldental services.com, (503) 680-4366. PROSTHODONTIC PRACTICE FOR SALE — Greater Seattle area. Outstanding practice with high gross & high net. Building is in a great location with plenty of parking and visibility. Building could eventually be for sale to prospective buyer. Experienced staff will stay on with the practice. Owner would stay on 1-2 days per week for up to a year to ensure a smooth and complete transition. Contact: Buck Reasor, DMD, Reasor Professional Dental Services, (503) 680-4366, info@reasorprofessionaldental.com NEXT/ANNIE MILLER & ASSOCIATES — Providing consulting services to the dental community for the past 35 years. New practice start-ups, practice transitions, sales and valuations. Dental space planning and architecture; real estate leasing and acquisitions, employment benefits; staffing resources and training; financing. Call today for your free consultation…we can’t mint money for you, but we can sure save what you have now! Annie Miller (206) 715-1444. Email: annie@nextnw.com.
AUBURN – Plumbed five op dental office for lease. Good street visibility. Good general or dental specialist location. Call Steve at Omni Healthcare Real Estate at (425) 905-6920.
classifieds issue 6, may 2015
OPPORTUNITIES AVAILABLE
WSDA NEWS MAY 2015
PROFESSIONAL RACTICE P SPECIALISTS,
INC.
1-800-645-7590
Aaron Pershall - Randy Harrison BELLEVUE, WA –PRICE REDUCED! Highly profitable G/P collecting over $1.5M in 2014. Stylish office, 4 ops and digital x-rays!
TACOMA, WA PROSTH – Well established practice collecting $450K+ in 2013. 7 ops, digital x-rays and a full denture lab. Building is also available!
W. PUGET SOUND PERIO – Wonderful practice with an emphasis on implants. Collected $550K+ in 2013. 4 ops, pano and more.
OREGON – G/P & OMS opportunities!
NEW! BOISE AREA – Wonderful G/P in excellent location. Collected $500K in 2014. 5 ops, digital x-rays, and more. Cone-Beam and Cerec also available. NEW! SPOKANE, WA – Associate wanted for Holistic/ Biocompatible dental practice. Approx. 26 hrs/ week.
KETCHIKAN, AK – G/P collecting $600K. Well established office has 4 ops, updated about 5 years ago. 100% fee-for-service! HOMER, AK – PRICE REDUCED!!! Wonderful, long established G/P collecting around $550K. Includes a pano, digital x-rays and laser!
FAIRBANKS, AK – Associate wanted for busy endodontic practice! ANCHORAGE, AK – Excellent practice collecting $900K+. Practice has a Prosthodontic emphasis, but the production mix is varied. MAT-SU VALLEY, AK – Excellent G/P collecting almost $400K in 2013. Newer equipment, 3 ops, pano and digital x-rays. Seller relocating. KAILUA-KONA, HI – Fee for Service G/P collecting around $400K. Come live, work and play on the Big Island! Seller is motivated!
www.PracticeSales.com Aaron@PracticeSales.com RandyH@PracticeSales.com 4 4 · th e wsda ne w s · issue 6, may · 2015 · www.wsda.org
OFFICES FOR SALE OR LEASE
OFFICE CONSTRUCTION
FOR LEASE — Great location, over 2000 square feet, five operating suites in beautiful Olympia, conveniently located on Martin Way close to St. Peter Hospital. Over 30 years of quality dental care provided here. Contact Don at uncledgh@aol.com.
FOR LEASE — New construction. Professional building in Lynnwood by Alderwood Mall. 2,000-6,000 sq ft available. Ample parking. Private entry. High visibility and high traffic count. Each unit has up to 40 sq ft of signage on main-street. Ideal for specialist and/or group practice. Call Dr. Nguyen at (206) 2503282 or email datman1@mac.com.
CONSTRUCTION INTERNATIONAL, INC. — Providing construction services throughout the region for over 25 years. Architectural services provided as needed. Your project will be tailored to fit your needs, time frame and budget. Contact Essy Mohazzabfar (206) 499-7389.
OFFICE FOR LEASE — 3,267 sq. ft., Builtout orthodontics or other specialty dentist office for lease. Call Steve Kikikis at Omni Healthcare Real Estate: (425) 905-6920. OFFICE FOR SALE — Des Moines, Wash. Fully-equipped dental office/condo for sale. Three ops, reception, panoramic xray, sterilization, shared mechanical room for $160,000. Call Steve Kikikis at Omni Healthcare Real Estate (425) 905-6920. BUILDING FOR SALE — Medical/Dental building in Marysville for sale. Five large dental operatories with wall cabinetry, sterilization area and Lab. Panoramic radiography. Call Steve Kikikis at Omni Healthcare Real Estate: (425) 905-6920. NORTH BEND SPACE FOR LEASE — Excellent location with signage in downtown North Bend, same plaza as Bartell Drugs. High visibility on busy street. Call Steve Kikikis at Omni Healthcare Real Estate (425) 905-6920.
FOR LEASE — 300 Pelly Ave N. Dental suite available in Renton, walking distance to the prestigious Landing, as well as Boeing. 1,361 sq. ft. on 2nd floor, with only two other dentists in building. Three operatories, open configuration, plumbed with electrical, air, vacuum, and plumbing. Corner lot with heavy traffic flow. Rate is $23.26/SF/Y NNN, Triple Net is $5.60 (incl. utilities). Contact Dennis Schmuland (425) 417-1206. G/P PRACTICE FOR SALE — General practice for sale in the Burien area. Annual collections over $775,000. Well trained staff will assist with the transition and stay with the practice. Outstanding hygiene program. Facility located in a great locations with 4 ops and excellent visibility. Outstanding cash flow. Contact Buck Reasor, DMD, Reasor Professional Dental Services at info@reasorprofessionaldental.com or call (503)-680-4366.
USED/REFURBISHED EQUIPMENT — Adec, Gendex, Pelton Crane, DentalEZ, Porter, Air Tech, Midwest, Midmark and etc. Lab equipment. Parts are also available for almost all equipment. Call Dental Warehouse at 800-488-2446 or http://cascade-dental.net.
JUST AVAILABLE — Just available. 1200 square foot fully equipped four operatory dental space. Cerec , Panoral, four chairs, lights, nitrous, air and vacuum all available and in place. Please call Diana at Medical Centers Management (253) 508-1293
SERVICES
FOR LEASE — Available for immediate occupancy. A fully plumbed dental office. 1,350 sq ft, three operatories, air, water, vacuum, nitrous oxide and oxygen, private office, lab, staff lounge, separate staff entrance. This office has exceptional exposure to the Southcenter Mall traffic. Call Diana at Medical Centers Management (253) 508-1293.
ALLIED CLINIC BUILDERS — Premier healthcare contractors in the PNW for over 35 years. On time, on budget and providing quality that you can afford. Call today for consultation George McBee - Allied clinicbuilders@comcast.net (425) 941-3088.
EQUIPMENT FOR SALE
LYNNWOOD — Plumbed four op dental office for lease. Ready for your equipment and staff. Good street visibility. Quick and inexpensive startup location. Call Steve at Omni Healthcare Real Estate at (425) 9056920.
OFFICE SPACE TO SHARE — Excellent opportunity for specialist who wants to work one or two days a week or a start-up practice for any practitioner. Front office support. Contact Breezy at (425) 481-1038 or email office@gentletouchdental.com.
CONSTANTINE BUILDERS INC. (CBI) — WSDA endorses CBI as their preferred builder of Dental facilities with over 25 years of experience from ground up buildings, renovations, remodels, and interior tenant improvement projects. All projects are completed on time and within budget. CBI provides the highest level of quality service with integrity that exceeds our client’s expectation. Please see our display ad on page two and website at www.constantinebuilders.com for additional information and how you can become another satisfied client. Telephone (206) 957-4400, O. George Constantine.
MOBILE IV SEDATION — Have your patients treated in your office with safe and proven techniques. Set your practice apart from others. Attract new patients. Increase quality referrals. Neil E. Bergstrom, DDS (360) 825-6596. INTRAORAL X-RAY SENSOR REPAIR — We specialize in repairing Kodak & Carestream RVG 5100 & 6100 dental X-Ray sensors. Repair & save thousands over replacement cost. www.KodakDentalSensorRepair.com or call (919) 924-8559. FREE RETIREMENT PLANNING SEMINAR — Friday, May 29 at 8:30 a.m. to noon at the Columbia Tower Club. We will share our successful Four-Step Exit Plan to ensure you can sell your practice with enough profit to retire comfortably. Please RSVP to Synergetic Finance at (206) 386-5455.
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Classified ads in the WSDA News is easy to arrange. Simply email your ad, the number of issues you would like the ad to run, your credit card number, expiration date and CVC code to rob@wsda.org and you’ll be set. If you prefer not to send your credit card information via email, you must first email your ad, then follow up with a phone call to provide your credit card information. Without the payment information, your ad will not run. Sorry, we do not bill for classified ads. Pricing is as follows: Members: $50 for the first 30 words, $1 per word for each word over 30. Non-members: $100 for the first 30 words, $1 per word for each word over 30.
classifieds issue 6, may 2015
OFFICES FOR SALE OR LEASE
parrish or perish
HIPAA, HIPAA!*
Dr. Jeffrey Parrish “If everyone is thinking alike, then somebody isn’t thinking.” — George Patton
“I think most of us assumed when HIPAA was passed in 1996 that we were responsible for protecting our patients’ “protected health information (PHI)” from anyone who did not have a legitimate reason to see it. We certainly couldn’t leave a chart lying around the waiting room or tell anyone another’s medical information at a party.”
We’ve all been there: Someone is publicly discussing medical details about a patient and somebody else yells, “HIPAA, HIPAA!”, meaning, “Stop it! You’re violating the law against patient-doctor confidentiality.” I would suggest that our understanding of HIPAA is sadly mistaken. I was educated on the facts of HIPAA recently at an ethics lecture given by Dr. David Rolf, professor at Midwestern University College of Dental Medicine-Arizona. Rolf cited an article entitled “THE HIPAA PARADOX: The Privacy Rule That’s Not,” by Richard Sobel, published by the Hastings Center Report. In his summary of the article, Rolf said, “HIPAA is often described as a privacy rule. It is not. In fact, HIPAA is a disclosure regulation, and it has effectively dismantled the longstanding moral and legal tradition of patient confidentiality. By permitting broad and easy dissemination of patients’ medical information with no audit trails for most disclosures, it has undermined both medical ethics and the effectiveness of medical care.” I think most of us assumed when HIPAA was passed in 1996 that we were responsible for protecting our patients’ “protected health information (PHI)” from anyone who did not have a legitimate reason to see it. We certainly couldn’t leave a chart lying around the waiting room or tell anyone another person’s medical information at a party. Your STDs and pink eye were to be kept between you and me, the provider. And we weren’t even supposed to say, “Yes, Mrs. Jones, we have you scheduled for that filling” at the front desk if anyone else could hear it. But Sobel contends that HIPAA has done exactly the opposite. In fact, it allowed information to be shared with an estimated 600,000 entities in 2003 (and possibly more than 4 million now). How much secrecy do you expect if millions of “entities” can access your PHI? And how much can you expect when it is announced that, even though I might be held accountable to protect your PHI, an entity to which I give it is not. Consider this example from UW Hospital Patient documents: “I understand that once the health information I have authorized to be disclosed reaches the noted recipient, that person or organization may re-disclose it, at which time it may no longer be protected under privacy laws.” We all try to comply with HIPAA and its paperwork requirements within our offices by having our patients sign a document that contains words similar to: ”We will not use or disclose your health information to others without your authorization, except as… required by law.” The wording probably came from your lawyer or some forms company, but what does it really say? When is it “required by law”? Consent is not needed to disclose PHI to healthcare plans, clearinghouses, public health workers, researchers, law enforcement, and the federal government. And disclosure does not have to be associated with payment or treatment as you might expect. What do you think happens to all that data sent to insurance companies for billing purposes? That it’s only used for billing? They continued on page 39
*usually said in a high pitched voice in a scolding manner. The views expressed are those of the writer and do not necessarily reflect the opinion or official policy of the WSDA.
4 6 · th e wsda ne w s · issue 6, may · 2015 · www.wsda.org
INSURANCE FOR EVERY STAGE OF YOUR CAREER:
Stage One: New Grads and Associates Are you covered? • NORDIC Professional Liability • Personal Disability Insurance • Term Life • Individual Medical Insurance As a dentist, you’re the expert on teeth, gums, and how the mouth works in concert with the body in terms of overall health. And while you know just about everything there is to know about the mouth, you may not know what your insurance needs are — and more importantly, how those needs will change depending on where you are in your career arc. Dentists just starting out need NORDIC Professional Liability, personal disability insurance, term life, and individual medical in order to be fully covered. That’s where the expert staff at WDIA comes in. Matt, Kerri and Heath can guide and educate you about the types of coverage you need no matter where you are in your career.
Matt French · Kerri Seims Heath Johnson 206.441.6824 · 800.282.9342 www.wdiains.com
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Sole broker for:
Washington State Dental Association 126 NW Canal Street Seattle, WA 98107
PRESORTED STANDARD U.S. POSTAGE PA ID SEATTLE, WA PERMIT NO. 8115
CHANGE SERVICE REQUESTED
We're not the norm… When we realize our doctors are facing exposures beyond professional liability, we work to develop and offer exceptional dentist-specific products. NORDIC was one of the first northwest companies to offer dentists comprehensive cyber risk coverage. Can the big box companies say that? For more information about cyber coverage, call …… NORDIC – the Gold Standard
800-662-4075 nordicins.com melissa.sanchez@nordicins.com
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4 8 · th e wsda ne w s · issue 6, may · 2015 · www.wsda.org