Best Practice Roundtable Janet Bozzone, DMD, MPH Irene Hilton, DDS, MPH Dan Brody, DMD Ellen Gould, RDH, MPA Jay Anderson, DMD, MHSA Wednesday, October 27, 2010

LEARNING OBJECTIVES  Discuss Best Practice concepts  Implement PDSA cycles for improvement  Locate some Best Practices resources  Evaluate applicability of a Best Practice  Share answers for FAQs  Discover missing resources & links

What is a “Best Practice? Management practices and work processes that lead to world- class, superior performance.”* * Fletcher Challenge Ltd

What is a “Best Practice?  Aligns with strategy  Reduces costs  Improves productivity  Promotes timely execution  Enables better decision making  Leverages/exploits existing/emerging technologies  Ensures acceptable levels of control and risk management  Optimizes the skills and capabilities of the organization  Promotes collaboration across the extended enterprise -Hackett Benchmarking

A Best Practice is NOT…  A cookie cutter solution!  but is a starting recipe that requires adaptation to your facility.

Diets????  Atkins Diet Atkins Diet  Baby Food Diet Baby Food Diet  Belly Fat Cure Belly Fat Cure  Best Life Diet Best Life Diet  Big Breakfast Diet Big Breakfast Diet  Biggest Loser Diet Biggest Loser Diet  Biggest Loser Simple Swaps Biggest Loser Simple Swaps  Body for Life Body for Life  Brown Fat Revolution Brown Fat Revolution  Cabbage Soup Diet Cabbage Soup Diet  The Caveman (Paleo) Diet The Caveman (Paleo) Diet  Cheater's Diet Cheater's Diet  Cookie Diet Cookie Diet  The Diet Solution The Diet Solution  Dr. Phil's Ultimate Weight Solution Dr. Phil's Ultimate Weight Solution  Dukan Diet Dukan Diet  Eat More, Weigh Less? Eat More, Weigh Less?  Eat Right for Your Type Eat Right for Your Type  Eat This, Not That Eat This, Not That  Eat What You Love Eat What You Love  Eco Atkins Diet Eco Atkins Diet  Fast Food Diet Fast Food Diet  Fat Smash Diet Fat Smash Diet  Flat Belly Diet Flat Belly Diet  Flexitarian Diet Flexitarian Diet  5 Factor Diet 5 Factor Diet  Flavor Point Diet Flavor Point Diet  4 Day Diet 4 Day Diet  Fruit Flush Diet Fruit Flush Diet  French Women Don't Get Fat French Women Don't Get Fat  Fresh Diet Fresh Diet  The FullBar Diet The FullBar Diet  G Free Diet G Free Diet  Gene Smart Diet Gene Smart Diet  Glycemic Index Diet Glycemic Index Diet  Grapefruit Diet Grapefruit Diet  Hallelujah Diet Hallelujah Diet  High School Reunion Diet High School Reunion Diet  Instinct Diet Instinct Diet  Jenny Craig Jenny Craig  The Kind Diet The Kind Diet  LA Weight Loss LA Weight Loss  Lemonade Diet Lemonade Diet  Living Low-Carb Living Low-Carb  Macrobiotic Diet Macrobiotic Diet  Martha's Vineyard Diet Detox Martha's Vineyard Diet Detox  Master Your Metabolism Master Your Metabolism  Mayo Clinic Diet Mayo Clinic Diet  Medifast Diet Medifast Diet  Mediterranean Diet Mediterranean Diet  Morning Banana Diet Morning Banana Diet  Naturally Thin Diet Naturally Thin Diet  New Atkins for a New You New Atkins for a New You  New Beverly Hills Diet New Beverly Hills Diet  NutriSystem Diet NutriSystem Diet  02 Diet 02 Diet  Park Avenue Diet Park Avenue Diet  Perricone Diet Perricone Diet  Personality Type Diet Personality Type Diet  Pritikin Principle Pritikin Principle  Protein Power Protein Power  Raw Food Diet Raw Food Diet  Rice Diet Solution Rice Diet Solution  Shangri-La Diet Shangri-La Diet  Skinny Vegan Diet Skinny Vegan Diet  Slim-Fast Plan Slim-Fast Plan  Sonoma Diet Sonoma Diet  South Beach Diet South Beach Diet  South Beach Diet Supercharged South Beach Diet Supercharged  The Spectrum The Spectrum  Step Diet Step Diet  Sugar Busters Sugar Busters  Thin for Life Thin for Life  This Is Why You're Fat This Is Why You're Fat  3 Day Diet 3 Day Diet  3-Hour Diet 3-Hour Diet  UltraMetabolism Diet UltraMetabolism Diet  Volumetrics Volumetrics  What Color is Your Diet? What Color is Your Diet?  The Weigh Down The Weigh Down  Weight Loss Cure Weight Loss Cure  Weight Watchers Weight Watchers  Dr. Andrew Weil Dr. Andrew Weil  You – On a Diet You – On a Diet  The Zone The Zone

Rapid PDSA Cycles *From the Institute for Healthcare Improvement Decide what you can measure and if it is an improvement!

Some Best Practices Online Resources  NNOHA!  ASTDD  DMC  CDN  CDA

Additional Online Resources  Oral Health Care during Pregnancy and Early Childhood - Practice Guidelines  Improving Women and Children’s Oral Health:  "First 5" web-based training for dental providers:  CAMBRA Risk Assessment: Journal of the CDA ur1007/index.html ur1007/index.html

FAQs Frequently Asked Questions You are not alone!

Operational FAQs  Reporting  Grant Allotment  Administrative Time  Provider Scheduling, Open Access  No Shows  Panel Size  Fee Schedules  Nominal Fees  Dental Manuals

Clinical FAQs  Emergency Patients  Radiograph Refusals  Clinical Guidelines (IOH, Prenatal, Geriatrics)  Special Populations  Specialty Care  QA, QI, PI, Dashboards  Standardized Treatment Plans, Protocols  Meaningful Use

No-Shows, DNKAs, and Broken Appointments!  How do I deal with no-shows?  Can we bill patients for no-show appointments?  Can I bill Medicaid for no-shows?

Questions, Comments, or Suggestions?

NNOHA www.nnoha.org THANK YOU Janet Bozzone, DMD, MPH Director of Dental Services Open Door Family Medical Centers Irene Hilton, DDS, MPH SF Department of Public Health Silver Ave Family Health Center Ellen Gould, RDH, MPA Director Forsyth Kids Jay R. Anderson, DMD, MHSA Chief Dental Officer, HRSA Dan Brody, DMD Dental Director Valley Health Systems