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Under One Roof - 2013 Wrap Up

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Under One Roof - 2013 Wrap Up

This section of the DIQ community board will be used for the wrap-up sessions from RDH Under One Roof 2013. Action items from the wrap-up session will be posted here along with reviews/feedback from our attendees.

Website: http://www.rdhunderoneroof.com/index.html
Location: Las Vegas, NV
Members: 8
Latest Activity: Jul 19, 2013

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Comment by Derek on July 19, 2013 at 5:33pm
Betsy Reynolds discussion focused on Bacterial Control vs Bacterial Annihilation via Shear Force
Comment by Chris Page on July 19, 2013 at 5:33pm
Changes occur with gentle pressure relentlessly applied
Comment by Chris Page on July 19, 2013 at 5:32pm
Raise your voice to be heard
Comment by Chris Page on July 19, 2013 at 5:31pm
Challenges can be opportunities
Comment by Kristine A. Hodsdon RDH, MSEC on July 19, 2013 at 5:28pm

Wrap Up Session at UOR 2013 with Stacy McCauley, RDH,MS -thank you Phi

60% SEE OPORTUNITIITES for Improvement in Periodontal Program

Barriers

Starting Points:

  1. Customized Standard of Care/      Standard of Care document
  2. Calibrations
    1. Insurance Driven Mindset of our patients and Clinicians
    2. Insurance Coordinator- Clearly defined role and procedures in an office on who will handle insurance conversations.
    3. Sharing with patients the exact amount of what the patient is responsible for
    4. Patients  deserves a diagnosis, treatment options and -document in the chart
    5. How do you stop yourself from doing what is needed?  Pre-frame the verbal periodontal probe readings.  If a patient does not consent to treatment-then, we cannot provide treatment.
    6. Engage them in their own diagnosis
  3. ifferent Philosophies and Mindset between RDHS/ Disconnected Dr philosophies/ Referring Out/ Little in house Perio/Dr wanting to Handle everything in House( how to handle cases that are failures)
    1.  Standard of Care document
    2.  Map it out-Write it out: because we as a team decide what’s best for your patients
    3. Agreed upon protocols.
    4. Sign off on periodontal agreement
    5. Support harmony with team members and team members and Dr.
    6. Checklists-agreed to Hygiene Exam (consistent delivery of health care in practice)
  4. What do we need to do to hold each other accountable?

       Dr.-Leader

    1.  Monthly Chart audits
  1.  Not seeing the standard of Care Restoratively from the DA
    1. Dr.-Leader

Resources: www.inspired hygiene.com

Coding with Confidience-www.practicebooser.com

lips

Comment by Kevin Henry on July 19, 2013 at 5:19pm

Thoughts from Maria Perno Goldie’s group on HPV and oral cancer…

 

Become involved with the Oral Cancer Foundation. Be able to share information you receive from this organization with patients to raise awareness.

 

Community awareness is very important, for people who are patients and those who aren’t.

 

We shouldn’t feel embarrassed talking to patients about sex. They don’t have to participate, but they need to listen. These are the issues of this generation.

 

You’re not implying the person/teenager is having sex. You are just giving them information that could save their lives.

 

Do we bring the parents in on this conversation? What are the ethical issues of this? Depends entirely on the community that you serve. Working in a very conservative community could cause ripples without talking to the parent about this subject before talking to the teenager is very important.

 

Oral cancer is on the rise with young men between 18-26. We have to figure out ways to get through the barriers of communication.

 

We can talk without insinuating.

 

What about bringing brochures into the schools to give with the “sex talk” that may happen in health classes? What would the parents think?

 

Be innocent, but not ignorant.

 

Will teenagers be more honest with you without their parents in the room? If you have developed that relationship, it’s very possible. Patients are more open to hearing what the hygienist has to say if the parent isn’t in the room.

 

“My child wouldn’t do that?” Do you even know what “that” is?

 

I talk to the parents when they are in my chair as well. They need to be educated as well, not just the teenager.

 

You don’t have to have the big “sex talk” in the office. It can be a part of the health history conversation. Ask “Do you know what the risk factors for oral care are?”

 

What about the vaccine?

 

I ask all of my adult patients who have kids if they have received the vaccine. It lets them be aware and it can prevent so much.

 

This shouldn’t mean that kids can now go have sex. How do we know the kids aren’t already having promiscuous sex?

 

What if you see a wart in the mouth and you think it might be related to HPV? What do you do then?

 

When you see something suspicious, we put it on our screen and talk about why we are concerned. We list risk categories and see if people fall into them. The risk factors have to be explained.

 

We also need to educate other professionals about this. If there is a local hygiene component, this could be a very important part of community service.

 

This isn’t just in younger people. Older people are having sex as well? As people get older, people have a less likely chance of contracting oral cancer.

 

What about those with cheating spouses? Affairs? There are many ways that HPV can be introduced into a seemingly healthy person’s life.

 

Sometimes when you mention “sexually transmitted disease,” people will want to hear more.

 

This is a safe vaccination that saves lives. But, still a lot of people don’t know about it.

 

When you’re doing your intraoral exam, you might talk about the risk factors for oral cancer.

 

Many times, the conversation will cause the patients to ask more questions.

Comment by Chris Page on July 19, 2013 at 4:59pm
Challenges should be seen as opportunities
Comment by Chris Page on July 19, 2013 at 4:58pm
Hygienists should think outside the box and find new directions for career
Comment by Chris Page on July 19, 2013 at 4:56pm
A hygienist aiming her career at helping patients in nursing homes
Comment by Chris Page on July 19, 2013 at 4:55pm
Tricia Osuna leading a discussion about hygiene careers
 

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