September 2011 TDA TODAY by Texas Dental Association

SEPTEMBER JUNE, 2008 2011

VOLUME 12, ISSUE 9 VOLUME 9, ISSUE 6

AVAILABLE ONLINE AT TDA.ORG

Every Member Matters Future Changes to Texas Medicaid Dental ProgramInsideInside On September 12, 2011, theFocus HealthCommittee and Human Services Commission (HHSC) announced the final contract awards for the HHSC Texas Dental Rise’ Lyman, DDS, TDA Future Medicaid in Smiles My Office? TDA Foundation Program to Delta Dental, DentaQuest and MCNA. If you are interested in providing Medicaid/Children’s Health Insurance Program dental services Membership growth is vital to any thriving organization. The Texas Dental Association (TDA) Board is strongly Yes, I Think So! Cards are Here! under the new program, contact the companies directly to begin the credentialing process. Holiday the Membership goal within the “TDA 2009” strategic plan, which addresses continued growth. Richard M. Smith, DDS • Delta Dental Insurance committed Company •to(800) 775-0523 Ext. 3066

I am proud to report that, as evidence of that commitment and for the second year in a row, the TDA received E-mail: PR-Texas@delta.org the following ADA 2008: Medicaid Electronic Health • DentaQuest USA Insurance Company, Inc.awards • (800)in685-9971 TDA Smiles Foundation • Greatest Percentage Membership Net Gain: Texas had a net gain of 198 members in the year 2007. E-mail: dqrecruiters@dentaquest.com TMOM gains ardent advocate Record • Top Constituent Dentaldirector Societyofwith Greatest Percentage of Non-Members to Membership: • MCNA Insurance Company — David L. Brownell, provider relations; Represents a conversion of 4.7 percent of non-members into membership at end of year 2007. website: mcna.net/provider/texas-program/ Ask the President • Top Constituent Dental Society to Improve Retention Rate Percentage in 2007: Represents a 97 DENPAC Additionally, to help participating dentists transition into the new commercial administration of Medicaid, HHSC is beginning statewide provider training Incoming President’s message percent Association retention rate, which is an increase of 7 percent from the previous year. on September 27, 2011. Certain locations will have identical training sessions in both the morning and the afternoon. The schedule is detailed below: Think Political • Greatest Percentage of New Dentist Members: Represents a gain of 111 new dentist members (those Hilton Israelson, DDS dentists who are 1-9 years out of school).

Children’s Dental Services Managed Care Provider Training Schedule

Let’s Talk Another example of the commitment to the growth of our Association is the TDA Externship Program, which builds student awareness TDA Ethics and DateThis innovative Time (AM) Time (PM) in 2007, offers Locations Outgoing President’s message ofCity organized dentistry. program, created students the opportunity to gain insight into the different components September 26governance, - 30, 2011 continuing education, and charitable dentistry and of organized dentistry including legislative and regulatory affairs, membership, A. DavidProfessionalism May, Jr., DDS Survey 09/27/11 9:00 a.m.-noon p.m.-4:00 Texas College, Center Communication Arts toMcAllen gain a better understanding of their role as 1:00 future leadersp.m. of theSouth dental team. TheCooper program is for open to dental students from each of the three the externship program will takeConference Rooms South, 3200 W.at Pecan 78501 dental schools in Texas. This year place June 20 –North June&27 in Austin theBlvd, TDAMcAllen, centralTXoffice. 2008-2009 TDAMatters Board of Directors Money Brownsville 09/29/11 9:00 a.m.-noon 1:00benefits p.m.-4:00ofp.m. Valley Regional Center, 100A E. Alton Gloor Blvd. Texas/Mexico Rm., Brownsville, As an ongoing effort to enhance the value and the Association, theMedical TDA Council on Membership developed a survey that was sentTX 78526 October 3 - 7, 2011 to all members in 2006. The results clearly showed that members have a high satisfaction rating with benefits such as the TEXAS Meeting, TDA Meet Your TDA Staff 9:00 a.m.-noon 1:00 p.m.-4:00inp.m. San Antonio Food Bank, 5200 Old Hwy. 90 W.,ofSanthe Antonio, TX 78227 San Antonio and the10/04/11 publications, ability to participate philanthropically the TDA Smiles Foundation. A great number discounted programs offered to TEXAS Meeting Preview TDA’s new Finance Director Waco through the10/06/11 9:00 a.m.-noon 1:00 p.m.-4:00 Providence members TDA Perks Program also received a highp.m. satisfaction rating. InHealth accordance with the strategic plan, the Membership, Family Center, Auditorium, 1600 Providence Dr., Council Waco, TX on 76707 Dee Dee Delagarza will survey again in 2009. Austin members 10/07/11 9:00 a.m.-noon N/A HHSC Braker Office, 11209 Metric Blvd., Lone Star Rm., Austin, TX 78758 Participation from all members and a collaborative effort between the ADA, October 10 - 14,TDA, 2011 and local component societies are the keys to Preston’s Press Congratulations to TDA successful membership recruitment and retention. We encourage every member to get involved whether is by attending localCounty meetings, Tyler 10/10/11 9:00 a.m.-noon 1:00 p.m.-4:00 p.m. City of Tyler Lake Palestine Water Treatment Plant,itConference Center, 14792 Rd. 192, Tyler, TX 75703 Component Societies taking a Smile! activities, Texas Mission of Mercy, participating inTX TDA Legislative Day activities Dallas part in Give Kids 10/11/11 9:00Day a.m.-noon 1:00volunteering p.m.-4:00 p.m. at aVisiting Nurse Association, 1440or Mockingbird, Dallas, 75247 TDA Perks inFort Austin. matters is essential the continued growthCharities-Main of our Association andW.ofThornhill organized Worth Each member 10/12/11 9:00and a.m.-noon 1:00to p.m.-4:00 p.m. Catholic Building, 249 Dr., dentistry. Ft. Worth, TX 76115 ThisFalls is the seventh and final ina.m.-noon a series of articles focusedp.m. on the Wichita TDA’sFalls accomplishments guided by Rm. the 205, strategic plan. the entire plan, Wichita 10/13/11 9:00 1:00 p.m.-4:00 Public Library, 600 11th St., Wichita Falls,To TXview 76301 Streamline Your Insurance Claims log in at www.tda.org and click on “TDA 2009” under “Current Issues”October on the17 member homepage. For more information, please contact Lyda Creus - 21, 2011 Speeding up confirmation of benefits Evidence-based Tip of the Molanphy, to the Future Focus Committee, at thep.m. TDA Texas central Odessa staff liaison 10/18/11 9:00 a.m.-noon 1:00 p.m.-4:00 Techoffice, Health(512) Science443-3675. Center, Auditorium, 800 W. 4th St., Odessa, TX 79763 and eligibility San Angelo ISD, Boardroom, 1621 University Ave., San Angelo, TX 76904 Month Hendrick Medical Center, 2000 Pine St., Shelton Building, 2nd Floor Conference Rm. A, Abilene, TX 79601 TSBDE Rule Update ission o be The October oice enTisTry in exas 31 -of November 4, 2011 Requirements TSBDEfor dental office Eagle Pass 11/01/11 9:00 a.m.-noon 1:00 p.m.-4:00 p.m. Fort Duncan Regional Medical Center, 3333 N. Foster Maldonado Blvd., Eagle Pass, TX 78852 radiograph machines Laredo 11/03/11 9:00 a.m.-noon 1:00 p.m.-4:00 p.m. City of Laredo Health Department, Auditorium, 2600 Cedar Ave., Laredo, TX 78040 Rule Update Public Organizational November 710, 2011 Development Membership Manpower Advocacy Processing Delays In the News Image Excellence Beaumont 11/08/11 9:00 a.m.-noon 1:00 p.m.-4:00 p.m. HHSC Liberty Street Office, 285 Liberty St., Beaumont, TX 77701 TDA members in the news Houston 11/09/11 9:00 a.m.-noon 1:00 p.m.-4:00 p.m. Harris County CPS, 2525 Murworth, Houston, TX 77054 Membership Corpus Christi 11/10/11 9:00 a.m.-noon 1:00 p.m.-4:00 p.m. Corpus Christi-Nueces County Public Health District, Auditorium, 1702 Horne Rd., Corpus Christi, TX 78416 Dentists will value membership and participation in the TDA. November 14- 18, 2011 Objectives Amarillo 11/15/11 9:00 a.m.-noon 1:00 p.m.-4:00 p.m. Northwest Texas Pavillion, 1501 S. Coulter Rd., Amarillo, TX 79106 1. Improve perceived benefits1:00 of membership Lubbock 11/16/11 value 9:00and a.m.-noon p.m.-4:00 p.m. in TDA. TTUHSC Academic Classroom Building, Classroom ACB 110, 3601 4th St., Lubbock, TX 79430 Tooth Whitening: A Clinical Review members’ knowledge the impact benefits ofCenter, TDADoctors membership. El Paso a. Increase 11/18/11 9:00 a.m.-noon about 1:00 p.m.-4:00 p.m. andSierra Medical Dining Room, 1625 Medical Center Dr., El Paso, TX 79902 San Angelo Abilene

10/19/11 10/20/11

9:00 a.m.-noon 9:00 a.m.-noon

1:00 p.m.-4:00 p.m. 1:00 p.m.-4:00 p.m.

July Journal OctoberNews Journal News

b. Ensure that components are an integral aspect of the membership process. TDA Historical Special Perspectives Issue During the training sessions, dentists will be given an opportunity to ask questions relevant to Medicaid/CHIP dental services. This allows dentists to make an informed c. Create greater awareness of the availability of the Peer Review, Ethics & Judicial, and Risk Management benefits. Dentists, dental hygienists, and the decision on executing contracts with the Managed Care Organizations. There is no cost to attend these trainings. For information on registering, email managedcaredental@ 2011 d. Actively promote adherence to the Code of Ethics. Legislative Landscape dental team hhsc.state.tx.us. For questions, please contact TDA policy manager Ms. Diane Rhodes at (512) 443-3675, diane@tda.org. e. Enhance communication with members and non-members. f. Build student awareness of and interest in organized dentistry and membership in TDA. The 2007 C.T. Rowland Award g. Ensure ongoing contact with students throughout dental school. Orthodontic case report h. Work closely with dental school faculty. i. Evaluate number of nonmember dentists who attend and participate in TDA activities (TEXAS Meeting, TDA Smiles Drs. PaulFoundation A. Kennedy programs, III of Corpus Christi and Risé L. Martin of Lakehills were recently awarded American Dental etc.). The El Paso Dental Conference Association October 28 & 29 Metrics (ADA) Golden Apple Awards for New Dentist Leadership and Outstanding Leadership in Mentoring, respectively. 1.Dr. Seventy Kennedypercent receivedoftheactive New licensed Dentist Leadership at the Newof Dentist Awards of Luncheon dentists inaward TX will be ADA members TDA Committee by 2009 (baseline 68.5% in January 2007); increase Texas Mission of Mercy Chicago membership in June 2011. retention ADA president Dr.97Raymond GistApril presented Outstanding Leadership rate to percent by 2007 the (baseline 96% in 2006). in Mentoring award to Dr. Amarillo Martin ata-d. the San Antonio Society meeting August 2011. Increase the District numberDental of dentists serving on in component peer review and ethics and judicial affairs committees to attain a Dr. participation Kennedy currently serves president to both the total Nueces Valley of District Dental society Society members and the Texas Academy August 14: rate of 2-5 as percent relative to the number component by August 2009. of Pediatric Dentistry. He of is aTX clinical assistant at actively The University of in Texas Center at Sanfive Antonio 2. Ninety percent dental schoolprofessor graduates licensed TXHealth will beScience members of TDA years after graduation (89% TDA Board Meeting Dental School Department Pediatric Dentistry. he promotes dental health to the community dental(UTHSCSA) student conversion fromofthe graduating class Furthermore, of 2005 in Texas). Austin, Texas and3.is a volunteer for economically disadvantaged children the TDA’s Texas by Missions of Mercy. Increase the number of member dentists activelythrough participating in TDA 1 percent a year (as measured by a variety of means Dr. –Martin received at theTX award for demonstrating exemplary achievements as a mentoring leader. Dr. Martin organized day) with annual participation Meeting, TMOM, TXDDS, FSI programs, DENPAC participations, TDA legislative October 15-19: the Greatreport Expectations Program for the UTHSCSA freshmen students in 2009. She was also was instrumental in creating a to TDA Board by the Council on Membership. ADA Annual Session series Leadership Continuum Series seminars. 4. of six Establish baseline of nonmember participation at TDA activities (CAS, TDA Smiles Foundation, Membership) president Dr. Raymond Gist San Antonio, Texas 5. Established baseline of members’ understanding of and satisfaction with the benefits of their TDA membershipADA through Member presents the ADA Golden Apple Award Join us on Facebook Benefits and Services Survey (completed Nov 2006), re-evaluate % increase at that time for 2009. for Leadership in Mentoring to Dr. Risé 6. Sixty-five percent of all full-time faculty will be TDA members by 2009 (2006 baseline = 63%). groups.to/texasdental

Two TDA Members Awarded ADA Golden Apple Awards

Around the State

Click & Connect

L. Martin at the San Antonio District Dental Society meeting in August.

The TDA will update it’s strategic plan with another statewide retreat in August of 2008.

UpdateFollow Profile us on Twitter tda.org – Membership Info Dr. Paul A. Kennedy III of Corpus twitter.com/theTDA Christi receives the ADA Golden Apple Award for New Dentist LeadershipAsk a Colleague – Features in Chicago in June. Pictured are tda.org Get LinkedIn (L-R): ADA New Dentist Committee linkedin.com, search “Texas TEXAS Meeting Photos representative Dr. Sarah Tevis Poteet of Dallas, Merritt and Dr. Paul Kennedy Dental Association” texasmeeting.com/estore

In 2003, Texas Dental Association members from across the state develop TDA’s first strategic plan, TDA 2009.

III of Corpus Christi, Dr. Paul Kennedy, Jr., of Corpus Christi, andVolunteer for ‘08 ADA ADA 15th District Trustee Dr. S. Jerry tda.org/volunteerada08 Long of Houston.

Texas Medicaid Electronic Health Record (EHR) Incentive Program This is the 10 th in a series of articles to keep you informed of the Texas Medicaid Electronic Health Record (EHR) Incentive Program and continuing efforts to implement health information exchange initiatives across Texas. The incentive program provides incentive payments to eligible Medicaid providers for the adoption and meaningful use of certified EHR technology. Future articles will focus on helpful reference websites, health information exchange, meaningful use for dentists, certified EHR technology for dental practices, and other relevant topics of interest to dentists. The American Recovery and Reinvestment Act of 2009 specifies three main components of Meaningful Use: 1. The use of a certified EHR in a meaningful manner, such as e-prescribing. 2. The use of certified EHR technology for electronic exchange of health information to improve quality of health care. 3. The use of certified EHR technology to submit clinical quality and other measures. Simply put, “meaningful use” means eligible professionals (EP), such as dentists, need to show they’re using certified EHR technology in ways that can be measured significantly in quality and in quantity. The criteria for meaningful use will be staged in three steps over the course of the next 5 years: • Stage 1 (2011 and 2012) sets the baseline for electronic data capture and information sharing. • Stage 2 (expected to be implemented in 2014) and Stage 3 (expected to be implemented in 2015) will continue to expand on this baseline and be developed through future rule making.

What are “Clinical Quality Measures”?

For the Medicaid EHR Incentive Program, dentists do not report meaningful use measure during their first payment year. However, in their second payment year, EPs will need to demonstrate meaningful use successfully. EPs are required to report clinical quality measures (CQMs), in addition to meaningful use measures. EPs must report on six total CQMs: three required core measures (substituting alternate core measures where necessary) and three additional measures (selected from a set of 38 clinical quality measures). In August 2011, the Texas Dental Association’s Committee on Access, Medicaid & CHIP gave feedback to the Texas Health and Human Services Commission (HHSC) regarding the federal CQMs as they relate to dentistry. Although, at this time, there are no National Quality Forum -endorsed or other nationally accepted CQMs for dentistry, dentists interested in participating in the Medicaid EHR Incentive Program do have options (1). According to the Centers for Medicare & Medicaid Services (CMS), “In the event that none of the 44 clinical quality measures applies to an EP’s patient population, the EP is still required to report a zero for the denominators for all six of the core and alternate core CQMs. If all of the remaining 44 CQMs included do not apply to the EP, then the EP is still required to report on at least three of the additional CQMs of their choosing (other than the six core/alternative core measures)…” (2). To help dentists understand and report QMS, HHSC plans to offer web-based training opportunities in early 2012. The training will include direction on attestation and utilization of the MU portal. CMS has detailed information for the Medicaid EHR Incentive Program at cms.gov/EHRIncentivePrograms. For help in the Texas enrollment process, visit the EHR Incentive Program website at tmhp.com/Pages/HealthIT/HIT_EHR.aspx, or e-mail HealthIT@tmhp.com or call 1-800-925-9126, Option 4. References 1. Centers for Medicare and Medicaid Services, Meaningful Use Overview, cms.gov/ EHRIncentivePrograms/30_Meaningful_Use.asp. 2. Centers for Medicare and Medicaid Services, Answers to Questions, https://questions. cms.hhs.gov/app/answers/detail/a_id/10144/kw/meaningful%20use.

Money Matters Ron Collins, D.D.S., M.A.G.D., TDA Secretary-Treasurer August of each year begins the TDA budgeting process. As treasurer, I meet with the various departments for our first round of budget talks. TDA finance director Ms. Dee Dee Delagarza asks each department to develop a budget based on its anticipated costs for the fiscal year 18 months in the future. Every aspect of the TDA’s operations and programs are taken into account with a zero based approach as a starting point. We must plan a year and a half in advance because of the timing of the annual meeting in May when the House of Delegates approves the budget. Planning the budget becomes an educated guess because of the uncertainty of items such as travel, hotel expenses, convention space rental, sold exhibitor space, insurance needs, membership numbers, unanticipated contingencies, participation in favored vendor programs, building maintenance, taxes, and a myriad of other considerations. After meeting with all TDA departments, I meet with the TDA Budget Committee to review initial figures and compare previous years’ experiences to the proposed budget revenues and expenses. By the final Budget Committee meeting in February, we have finalized the current year’s proposed budget. If we are fortunate enough to have a surplus of funds, the committee may recommend using the surplus to balance the proposed budget. The Board of Directors makes adjustments and approves the proposed budget and submits it to the House of Delegates for final approval. At the annual meeting in Reference Committee A, any member may and is encouraged to ask questions or make comments about the proposed budget. The reference committee then makes a final report to the House of Delegates with recommendations on the proposed budget. If the House passes new resolutions with additional financial implications, then the budget must be reconsidered in the light of these changes. This entire process ultimately drives the dues structure of the Association. There are basically four areas from which funds can be derived in this lengthy process: budget surplus, member dues, assessments, and reserves. The accumulative surpluses from year to year are now held in a savings account entitled Surplus Savings and a report tracks the funds. Membership dues help achieve a balanced budget, and assessments are usually used for large, occasional projects. The reserves represent 35 percent of the current year’s budget and are generally considered to be the last place to seek funds, using them only for large and unexpected circumstances which insurance would not cover. The process can seem daunting at times but is necessary as a planning tool to maintain the financial strength of the Association. The budget is only a planning tool. Every attempt is made to be as prudent with our expenditures and aggressive in our alternative income streams in order to minimize our dues structure.

Evidence-Based Practice Tip of the Month Stephen R. Matteson, D.D.S., F.I.C.D., TDA Editor Root Resorption with Orthodontics A 2011 abstract on the Cochrane Library describes a systematic review on the subject of root resorption associated with orthodontic treatment. Thirteen articles were identified for analysis. They report, “Evidence suggests that comprehensive orthodontic treatment causes increased incidence and severity of root resorption, and heavy forces might be particularly harmful. Orthodontically induced inflammatory root resorption is unaffected by archwire sequencing, bracket prescription, and selfligation. Previous trauma and tooth morphology are unlikely causative factors. There is some evidence that a 2- to 3-month pause in treatment decreases total root resorption” and state support the use of light forces particularly with incisor intrusion (1). 1.

Walker S. Root resorption during orthodontic treatment. PMID 20938479. Comment on Am J Orthod Dentofacial Orthop. 2010 Apr;137(4):462-76; discussion 12A.

Happy, Healthy Smiles … TDASF Holiday That’s Our Mission!

TDASF’s Donated Dental Services Program Gives Grandmother Reason to Smile Kitty Walford, a mother of three grown sons and grandmother to one “amazing” 6-year-old granddaughter, lives in Austin at a low-income apartment complex. Kitty was in constant pain due to her poor oral health. She had a post exposed in a root canal tooth and was missing most of her teeth in the back, leaving her unable to chew many foods. Without any disposable income, Kitty had resigned herself to the fact that she would be forced to live with the pain and eat soft foods for the rest of her life. Then, she heard about TDA Smiles Foundation Ms. Kitty Walford shows her (TDASF) and the Donated Dental Services (DDS) new smile. Dr. Kavin Kelp program from a neighbor who had received much of Austin provided charitable needed dental care from the DDS program. care to Kitty through the Kitty applied and was accepted into the DDS TDASF DDS program. program and matched with Dr. Kavin Kelp of Austin. Kitty was brought to tears when telling her story, about the pain she had endured for many years, the kindness of Dr. Kelp, and her complete gratitude in the services provided to her. She now has a new crown over her root canal and upper and lower partials. Her joy is palpable, and this is thanks to all of you who donate your time and money to maintain the TDASF’s charitable programs. These programs would not exist without your support. Thank you. September 2011 / TDA Today / 2

Cards are Ready to Order!

Though Texas is experiencing days of 100+ degree heat, the holiday season is quickly approaching! TDASF announces the return of its hand-made holiday cards. This year there are several card options. Send your family, friends, and colleagues a unique card expressing your best wishes for the upcoming holiday season. Also, for the first time, TDASF is offering card and price options. Every dollar goes directly to support the TDASF and the thousands of Texans in need of dental care! Options 1 & 2 have embellishments on the outside of the card, adding eye-catching, 3-D detail. Both of these cards also contain the following quote on the top half of the inside of the card: “We forever thank you. We are sincere in saying thank you so much for giving Daddy his smile and his life back. He hasn’t smiled in 4 years.” Family of Gaston P. Donaho North Zulch, Texas Donated Dental Services Patient

To order any of these cards, please visit tdasf.org or call (512) 448-2441.

Option #1: Holiday Sparkles — One card for $25 or five cards for $100 Inside of card says, “And a year of smiles.”

Outside of Card:

Option #2: Season’s Greetings — One card for $25 or five cards for $100 Inside of card says, “Wishing you a year of smiles.”

Outside of Card:

Option #3: Snow Flake — 10 cards for $30 Inside of card says, “Wishing you a year of smiles.”

Outside of Card:

MK’s Board Notes Mary Kay Linn, TDA Executive Director Below is a summary of actions of the TDA Board of Directors during the August 12, 2011, meeting with TDA president Dr. J. Preston Coleman presiding.

Non-Policy and Board Policy Resolutions

BUDGET 33-2012-B (NP): Approved the following items that are $400 over budget: Salaries-Temporary, Consultants, Human Resources, Access to Care, HOD 50 Year and Life Luncheon for a total of $69,628. 36-2012-B (BP): Approved a one-time $75 registration fee be offered to non-members of the TDA for attendance at the 2012 TEXAS Meeting in an effort to encourage TDA membership. Course fees would still be required for participation in continuing education sessions. Auxiliary staff of the non-member, who registers in the $75 discounted category, are assessed a $50 registration fee. 39-2012-B (NP): Approved the purchase and installation of a new closed circuit cooling tower for the TDA building. 41-2012-B (NP): Approved a $2,000 contribution to the campaign for Dr. Glen D. Hall for Speaker of the House of the American Dental Association (ADA), the election of which will take place at the 2012 ADA Annual Session in San Francisco, California. 43-2012-B (NP): Approved the TDA Building Committee

complete a historical and future analysis review of the cost for maintenance, operating expenses, and capital improvement (3-5 year) to allow the Board to decide on an appropriate amount to be maintained in the Building Fund account. CORRESPONDENCE 37-2012-B (NP): Approved the TDA send the ADA Council on Dental Education and Licensure a letter supporting the ADA’s process for determining specialty recognition within dentistry. MISCELLANEOUS 42-2012-B (NP): Approved the TDA Council on Dental Education, Trade & Ancillaries (DETA) prepare a comprehensive report on the dental hygiene workforce in Texas including education pathways, demographics, and workforce trends and report its findings to the TDA Board of Directors during the April 2012 meeting. OUT-OF-STATE TRAVEL 34-2012-B (NP): Approved out-of-state travel for members of the TDA Council on Annual Session and Department of Annual Session to attend other dental meetings to scout prospective speakers and investigate on-site facilitation activities, exhibits, and social events, as well as participate in professional continuing education.

Referred for Further Study

35-2012-B (NP): Referred to the TDA Council on Dental Economics and to the Committee on Access, Medicaid and CHIP: the TDA, with assistance from The School of Rural Public Health Texas A&M Health Science Center Department of Health Policy and Management, to make recommendations and conduct a survey of state licensed nursing homes to better understand access to care issues and delivery mechanisms currently utilized in this population.

142nd Annual Session of the Texas Dental Association May 3 – 6, 2012 • San Antonio, Texas

It’s All Good Frank Higginbottom, D.D.S., Chair, 2012 TEXAS Meeting What’s in it for me? The TEXAS Meeting will provide you and your staff with enough continuing education to satisfy your yearly State Board of Dental Examiners requirements. You have a great exhibit hall to see the latest from as many as 500 dental vendors in one place. What’s so great about San Antonio? If you’ve never been to San Antonio … or if you’ve never heard of the Riverwalk … then you’re missing out on this amazing city and the exciting tourist attractions. The San Antonio Convention Center and all of the hotels in close proximity are right on the Riverwalk. It’s a great time of the year to be in San Antonio. There’s another big party going on at the same time — Cinco de Mayo! Because of all the exciting events in the city, be sure to book your hotel when housing opens December 1, 2011. I like social events when I go to a meeting. What do you have for me? You are in for a real treat! The “Texas Party” is Thursday evening, and it’s open to everybody with a good attitude! The band The Klocks will help us party into the night. Check them out at theklocks.com. On Friday, the GOLD (Graduate of the

Last Decade) Reception and all of the alumni receptions take place. And, the happy hour in the exhibit hall every afternoon ends your hard day in the classroom. What about the speakers? Do you have anybody I have heard of? Where have you been lately? We have Terry Tanaka, Van Haywood, John Flucke, Gordon Christensen, Harold Crossley, Karen Reisman, Karen Davis, Sam Strong, Pat Allen, Warren Karp, Joel Berg, Steve Ratcliff, Jerry Chiche, Harald Heymann, Bob Margeas, and many more. We have new speakers as well! You will enjoy Ellen Byrne, Joyce Bassett, Tom Wilson, Jim Mckee, David Kumamoto, Martin Trope, Jason Luse, Sonia Leziy, Brahm Miller, Will Martin, Dean Morton, Jim Ruskin, David Weber, John Sorenson, Bo Bruce, and Jason Gillespie. We will have close to 100 speakers and more than 200 classes. You can find a good mix of lectures and workshops. Anything else? Last year, the 2011 TEXAS Meeting chair Dr. Roger Macias introduced the Lab Track, which was a great success. We’ll feature it on Saturday morning this year, and a new attraction in the exhibit hall is the “Glass House,” a classroom with actual workshop sessions. You’ll hear more from us next month! See you in San Antonio!

Preston’s Press J. Preston Coleman, D.D.S., TDA President 2011-12

When you think of Great Expectations, Charles Dickens’ autobiographical novel might come to mind. However, another type of Great Expectations is certainly making a name for itself. Similar to Pip’s revelation of the effects of his good intentions, the Great Expectations mentor program’s secret to success is serving the students in their quest to enter the dental profession. It allows established practicing dentists, dental school faculty, and upper class dental students to provide advice and guidance to young dental students. The program was the 2007 brainchild of Dr. Moody Alexander of Dallas and originated at the Texas A&M Health Science Center--Baylor College of Dentistry as a collaborative effort of the Baylor College of Dentistry, upper-class students, faculty, and Dallas County Dental Society practicing dentists. In 2008, the American Dental Association gave a Golden Apple Award to the Dallas County Dental Society for its work in the mentoring program. In 2010, a group of leaders in the program developed a strategic plan defining the long term mission and core values. The mission is to: “Mentor professionalism by building relationships between dental students, faculty and practicing dentists”. The core values are: Integrity, Personal Accountability, Trust and Respect, Leadership, Professionalism, Camaraderie, Commitment to the Profession, Service to Community, and Lifelong Learning. The Great Expectation Program has spread to all of the Texas dental schools. Teaching ethics in the classroom preserves the integrity and trust of the dental profession. Teaching professionalism by example of the participating faculty and private practicing dentist is the goal of Great Expectations. To date, the program has paired dozens of dental students with mentoring teams of faculty members, practicing dentists, and senior dental students. In June 2011, I had the opportunity to attend a Great Expectations meeting with the University of Texas Health Science Center at San Antonio Dental School (UTHSCSA). You’ll read in this issue of the TDA Today that Dr. Rise’ Martin of San Antonio received the American Dental Association Golden Apple Award for Outstanding Leadership in Mentoring for her work on the Great Expectations program at UTHSCSA. On August 20, 2011, I visited Baylor College of Dentistry in Dallas as the Great Expectations program welcomed the new class of dental students. Dr. Mark Gannaway, program director, moderated the meeting and explained the program, Baylor College of Dentistry Dean Dr. Lawrence E. Wolinsky was introduced and spoke, and I shared my thoughts on the characteristics of the “Greatest Profession.” Then, the mentoring groups broke out to discuss their future plans. As the profession evolves and changes with each generation, it is important for us to remain connected and share our experiences and ethics with each other and especially our new candidates. It’s even more important for us to have a serving heart that’s evident in the Great Expectations program. Serving others is a testament to integrity of our profession.

TEXAS Meeting Post Conference Survey iPad Winner

(L-R) Ms. Annette Wortham, RDA, receives an Apple iPad from the 2013 TEXAS Meeting chair Dr. Victor Rodriguez, both of Houston. Ms. Wortham won the iPad after completing a post conference survey of the 2011 TEXAS Meeting.

Special thanks to all of you who completed the 2011 TEXAS Meeting post conference survey. Your comments will assist the TDA Council on Annual Session to offer continuing education sessions that meet the needs of the TDA membership. When you completed the post conference survey from the 2011 TEXAS Meeting, you were entered in a special drawing for an Apple iPad. The winner of the Apple iPad is Ms. Annette Wortham, RDA, in Dr. Daniel McClain’s dental office in Houston.

Don’t miss out next year! Take a few minutes to complete the post conference survey in 2012. You may be the lucky winner! September 2011 / TDA Today / 3

TSBDE Rule Update

This recurring section is designed to help TDA members keep up with important Texas State Board of Dental Examiners (TSBDE) rules, other regulations, and state law affecting their practices. This TSBDE Update will address Texas State Board of Dental Examiners (TSBDE) Chapter 110 — 22 TAC §110.5 — Moderate Sedation (Level 2) Permit. The TSBDE defines Level 2 Moderate Sedation as, “Drug-induced depression of consciousness during which patients respond purposefully to verbal commands, either alone or accompanied by light tactile stimulation. No interventions are required to maintain a patent airway, and spontaneous ventilation is adequate. Cardiovascular function is usually maintained. A Level 2 Permit is required for moderate sedation limited to enteral routes of administration… (1)”. A Level 2 Permit automatically qualifies an applicant for Nitrous Oxide, Level 1 and Level 2 Permit privileges (2). As a reminder, although Chapter 110 became effective June 1st, the TSBDE will not start enforcing requirements until

References: 1. 22 Texas Administrative Code, §110.1 (17). 2. TSBDE Webpage: New Anesthesia Permit Regulations to be Enforced January 1, 2012!: tsbde.state.tx.us.

TSBDE Licensure Processing Delays

Ethics and Professionalism Survey

The Texas State Board of Dental Examiners (TSBDE) recently began implementing a new computer system that is causing significant unforeseen delays in processing new licenses and license/certification renewals. The TSBDE is aware of the backlog and is taking steps toward recovery. In the meantime, applicants are encouraged to submit their application/renewal as far in advance as possible. Application/renewal may be completed online at: hpc.state.tx.us/message.htm. Because many licensees are required to submit proof of current licensure to organizations such as insurance companies, Medicaid, hospital credentialing departments, etc., the TSBDE is offering a temporary solution until the backlog is resolved. Once a licensee submits fees to activate or renew a license/certification, they may print a copy of the TSBDE’s “notice” and attach it to the expired annual license/ certification, or in the case of a new license, to the letter of authority to practice. The notice, when attached to the renewal paperwork, serves as temporary proof of authority to practice in Texas until the new license/certification is received. Licensees not willing to accept this solution may request by e-mail a verification of initial licensure or renewal by contacting information@tsbde.texas.gov. A copy of the TSBDE’s notice may be accessed from the homepage of the TSBDE’s website at tsbde.state.tx.us.

In May 2011 the Texas Dental Association requested your feedback and participation in a survey about ethics and professionalism. Eighty-seven members responded, and the August 2011 issue of the Texas Dental Journal featured several members’ responses, along with their photographs, providing a great snapshot of what members across the state believe about ethics and professionalism. The Council on Ethics and Judicial Affairs (the council) would still like to hear from you. The survey remains open and available on the TDA website. Please take a few minutes to share your thoughts. The council plans to collect and publish the responses and make them available on the TDA website and as a supplemental handout for ethics and judicial affairs trainings which occur several times throughout each year. To complete the survey please log in to the members side of tda.org and click on the Ethics and Professionalism Survey link under the Current Issues heading. The council looks forward to hearing from you! If you have comments or questions you would like the council to consider, contact the council via TDA program manager Ms. Cassidy Neal at cassidy@tda.org or (512) 4433675 ext. 152.

SEPTEMBER 2011

VOLUME 12, ISSUE 9

January 1, 2012. This delay is intended to allow ample time for dentists to become compliant with all facets of the new regulations such as standards of care and monitoring. A summary of the educational/professional criteria for dentists applying for a Level 2 Moderate Sedation Permit, taken directly from Chapter 110 — 22 TAC §110.5 — Moderate Sedation, is available on the TDA website, tda.org. Space did not permit its inclusion in this publication. For more information, please contact TDA policy manager Ms. Diane Rhodes at (512) 443-3675, diane@tda.org.

AVAILABLE ONLINE AT TDA.ORG

EDITORIAL STAFF Stephen R. Matteson, D.D.S., Editor Nicole Scott, Managing Editor Lauren Oakley, Publications Coordinator Barbara Donovan, Art Director Paul H. Schlesinger, Consultant BOARD OF DIRECTORS J. Preston Coleman, D.D.S., President Michael L. Stuart, D.D.S., President-elect Ronald L. Rhea, D.D.S., Immediate Past President Vice Presidents Lisa B. Masters, D.D.S., Southwest Robert E. Wiggins, D.D.S., Northwest Larry D. Herwig, D.D.S., Northeast Karen E. Frazer, D.D.S., Southeast Senior Directors T. Beth Vance, D.D.S., Southwest Michael J. Goulding, D.D.S., Northwest Arthur C. Morchat, D.D.S., Northeast Rita M. Cammarata, D.D.S., Southeast Directors Yvonne E. Maldonado, D.D.S., Southwest David C. Woodburn, D.D.S., Northwest Jean E. Bainbridge, D.D.S., Northeast Gregory K. Oelfke, D.D.S., Southeast Ron Collins, D.D.S., Secretary-Treasurer Glen D. Hall, D.D.S., Speaker of the House David H. McCarley, D.D.S., Parliamentarian Stephen R. Matteson, D.D.S., Editor Mary Kay Linn, Executive Director William H. Bingham, Legal Counsel TDA Today (USPS 022-007) is published monthly except for December by the Texas Dental Association, 1946 S. IH-35, Ste 400, Austin, Texas 78704-3698, (512) 443-3675. Periodicals Postage Paid at Austin, Texas and at additional mailing offices. POSTMASTER: Send address changes to TDA TODAY, 1946 S. IH-35, Ste 400, Austin, TX 78704-3698. Annual subscriptions: Texas Dental Association (TDA) members, $5. In-state American Dental Association (ADA) affiliated, $15 + tax. Out-of-state ADA affiliated, $15. In-state non-ADA affiliated, $30 + tax. Out-of-state non-ADA affiliated, $30. Single issue price: TDA members $1. In-state ADA affiliated, $3 + tax. Out-of-state ADA affiliated, $3. In-state non-ADA affiliated, $6 + tax. Out-of-state non-ADA affiliated, $6. Contributions: Manuscripts and news items of interest to the membership of the Association are solicited. Manuscripts should be typewritten, double spaced, and the original copy should be submitted. Please refer to Instructions for Contributors in the annual September Directory of the Texas Dental Journal for more information. The Information for Contributors is available at tda. org. All statements of opinion and of supposed facts are published on authority of the writer under whose name they appear and are not to be regarded as the views of the Texas Dental Association, unless such statements have been adopted by the Association. Articles are accepted with the understanding that they have not been published previously. Authors must disclose any financial or other interests they may have in Member Publication products or services described in their articles. Advertisements: Publication of advertisements in this publication does not constitute a guarantee or endorsement by the Association of the quality of value of such product or of the claims made of it by its manufacturer.

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Questions? Call: (512) 443-3675.