ADAVB Practice Plus provides members with a comprehensive range of resources (listed below). These documents are available as individual templates or information sheets. We offer over 140 topic sheets covering all aspects of practice administration. The resources are available for free online, to ADAVB members. To access these resources, click on the links below or go to the ADAVB Practice Plus webpage practiceplus.adavb.org and click on the links in the “Resources List” pdf (scroll down to bottom of page). Hard copies may also be purchased here.
SECTION 1: BUSINESS STRUCTURE & PLANNING Business Structures for a Dental Practice Cessation of Practice Closing or Cessation of a Dental Practice Copyright Protection Designing a Dental Surgery Expert Witness Guidelines
Practice Plus Service Directory Practice Transition and Change of Address Premises Licence Agreement Information Sheet Professional Dental Fees Sale and Purchase of a Dental Practice Tasmanian Compliance Links Victorian Compliance Links
Fee Setting Approval for Shared Practices
SECTION 2: PRACTICE ADMINISTRATION
Jury Service
Better Ordering Considerations
Medico-Legal Report – A Dental Perspective
Complaints Report
New Practice Requirements
Consent to Dental Treatment Form
New Practice Set Up Checklist
Consultation Certificate
Organisational Chart – Associate Option
Debtors Follow-Up
Organisational Chart
Electronic Appointment Reminders or Confirmations
Pathology and Diagnostic Imaging
Green Practice Audit
Practice Accreditation – How to register
HICAPS Quotation Facility
Practice Overview
Informed Consent Audit
© ADAVB Inc. November 2018
List of ADAVB Practice Plus Resources, Version 2.6
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Letter relating to a faulty product
Letter to current patients re sale/transfer/closure of practice
List of Service Suppliers
Letter to dental laboratory requesting commitment to APPs
Patient - Did not attend appointment - Letter Template
Letter to other party requesting access to patient information
Patient – Payment Agreement - Letter Template Patient - Request for payment, Letter Template Option 1 Patient - Request for payment, Letter Template Option 2
Letter to other practice seeking access to patient records, and requesting patient consent Letter to service entities requesting commitment to APPs Notice for Patient Information
Patient Complaint Response Letter Template 1 Patient authority to request records from another practice
Patient Complaint Response Letter Template 2 Patient Record Disclosure – Log Sheet Patient complaints and response to them Patient Feedback Form
Patient representative’s authority to request records from another practice
Patient Feedback Instruction Sheet
Patient request to access records held at the practice
Patient Feedback Form Results
Patient/guardian authority to transfer records to another practice
Patient Records Management and Documentation Audit
Permission to Release Personal Health Information
Patient Registration & Health Summary Form – Information Sheet
Personally Controlled Electronic Health Record PCEHR Security and Access Policy
Patient Registration & Health Summary Form Patient Registration & Health Summary Form LARGE
Photographic Agreement Practice Audit Checklist
Referral & Consent Form Information Sheets
Practice Commitment to Privacy Legislation
Referral Form
Practice Notice re sale/transfer/closure of the practice
Resources to have available in the practice
Practice Privacy Checklist
Response to health fund re: preferred provider
Practice Privacy Complaints Register
SECTION 3: PRIVACY AND CONFIDENTIALITY
Practice Privacy Handling framework
Important information about the Practice and Your Privacy
Practice Privacy Policy Practice Privacy Policy for on-going contact
ISP Privacy Letter
© ADAVB Inc. November 2018
List of ADAVB Practice Plus Resources, Version 2.6
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Practice Privacy Position
SECTION 5: HUMAN RESOURCES
Practice Privacy Program
Application for Leave Form
Practice Privacy Provisions
Appointment of new staff - Letter Template
Practice Record Checklist Privacy and Practice’s Employee Records Exemption
Exit Interview and Checklist Immunisation and Allergy Record of Dental Health Workers
Privacy Complaints Process Interview Questions Privacy Consent Form Job Application Form Privacy Audit Mobile Device Policy Privacy Manual Response to dental practice releasing patient file – Letter Template
Mobile Devices and Remote Access Security Awareness Training New Practitioner Checklist
Response to patient request for file - Letter Template Orientation and Induction of New Staff Sample Privacy Warning for Fax and Email Telephone protocol to confirm identity of person seeking information Video surveillance
Performance Review Personnel File Checklist Position Description
Website Privacy and Policy Statement
Position Description template- Information Security Officer ISO
SECTION 4: INFORMATION TECHNOLOGY
Reference Checks
Data Breach Response Plan Data Breach Response Plan - Template
Staff Details Form – Administration and Dental Assistants
Employee Undertaking for the Protection of Confidential Information
Staff Details Form – Dental Hygienists, Therapists or Oral Health Therapists
Information Technology IT and Computer Administration
Staff Details Form – Dentists Staff Incident Form
For more Human Resources, Industrial Relations and Workplace Health and Safety resources, please visit the “Human Resources Hub” under Membership Services at www.ada.org.au
© ADAVB Inc. November 2018
Training & Professional Development Record - Dental Assistant & Administration
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SECTION 6: INFECTION CONTROL
How to prepare for a WorkSafe Audit Incidents, Complaints and Risk Register
Am I in breach of my Infection Control & Privacy obligations?
Incidents, Complaints, Risks and Quality Improvement
Environmental Cleaning Audit
Medication Safety Audit and Action Plan
Hand Hygiene Compliance Audit
Needlestick and Sharps Injuries
Infection Control Audit / Action Plan
Occupational Violence & Aggression - Checklist
Infection control documents required in dental practices
Occupational Violence & Aggression – Incident Report
Validation of the Sterilisation Process SECTION 7: OCCUPATIONAL HEALTH AND SAFETY (OHS) Blood and Body Fluid Exposure Protocol Dental Amalgam Waste FAQs - Victoria Dental Amalgam Waste FAQs - Tasmania Document and Procedural Review Schedule Electrical Safety Electrical Safety Q&As for Patient Areas Escalation of Care Protocol Fire Safety & Emergency Management Plan
Occupational Violence & Aggression - Policy Patient Incident Report Practice/Staff Meeting Agenda & Minutes Template Quality Improvement Form Radiation Use and Management Licence for OPG and CBCT Radiation Licencing Tasmania Recycling in your Practice Risk Analysis Template Spills Kit Contents and Instructions TGA Medical Device Email Service TGA Monitoring
ADAVB Practice Plus is a practice support service for all members and is designed to provide information to assist you with practice management issues. As an ADAVB member you and your staff receive free resources and support. Practice Plus also offers a range of consulting services on a fee for service basis. Please contact us if you require any further assistance on ph. (03)8825 4600 or practiceplus@adavb.org
Š ADAVB Inc. November 2018
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