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The voice of the Washington State Dental Association
DR. PETER LUBISICH IV WSDA’s 2012 Citizen of the Year th e wsda ne w s · issue 1, october · 2012 · www.wsda.org · 1
WSDA ENDORSED
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Dr. Chris Herzog, Bracken Killpaclk and Dr. Mary Jennings address the House of Delegates
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guest editorial
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membership news · cruise
cover story
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membership news · hod
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regulatory news
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letters to the editor
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membership · leadership institute
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in memoriam
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dad save-the-date
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the source
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TOC photo by Rob Bahnsen
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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. Danny G. Warner, President Dr. David M. Minahan, President-elect Dr. Gregory Y. Ogata, Vice President Dr. Bryan C. Edgar, Secretary-Treasurer Dr. Rodney B. Wentworth, Immediate Past President Board of Directors Dr. Theodore M. Baer Dr. Dennis L. Bradshaw Dr. D. Michael Buehler Dr. Ronald D. Dahl Dr. Christopher Delecki Dr. Christopher W. Herzog
Dr. Dr. Dr. Dr. Dr. Dr.
issue 1 · october 2012
editorial
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Cover story by Rob Bahnsen
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Gary E. Heyamoto Mary S. Jennings Bernard J. Larson Christopher Pickel Lorin D. Peterson Laura Williams
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clinical corner
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parrish or perish
Director of Government Affairs Bracken Killpack Art Director/Managing Editor Robert Bahnsen
In the event of a natural disaster that takes down the WSDA web site a n d e m a i l a c c o u n t s, t h e WS DA has establishe d a sep arat e email address. Should an emergency occur, memb ers can contact wash stat e d ental@gmail.com.
WSDA Staff: Executive Director Stephen Hardymon
Manager of Continuing Education and Speaker Ser vices Craig Mathews
Assistant Executive Director Amanda Tran
Government Affairs Coordinator Michael Walsh
Director of Finance Peter Aaron
Membership Ser vices Coordinator Laura Rohlman
General Counsel Alan Wicks
Bookkeeper Joline Hartman
Director of Operations Brenda Berlin
Office Coordinator Leon Sandall
The WSDA News is published 8 times yearly by the Washington State Dental Association. Copyright © 2012 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
Director of Membership and Comunications Kainoa Trotter
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
Member Publication American Association of Dental Editors. Winner: 2008: Best Newsletter, Division 1, 2007 Platinum Pen Award, 2006 Honorable Mention, 2005 Platinum Pencil Award, 2005 Publication Award; International College of Dentists
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table of contents issue 1, october 2012
a day in the life
editorial dr. mar y jennings
A difficult journey
On September 15, 2012 our WSDA House of Delegates voted 58-20-1 to approve HD132012, our proposal to further expand a supervised dental auxiliary. The provider will be called an “Advanced Function Dental Auxiliary” (AFDA) I can tell you that no dental soul in the building took this task lightly. Hackles were raised and fur flew. Coming to resolution was a difficult journey. Over the past 20+ years, hundreds of us have spent thousands of hours trying to negotiate all kinds of proposals to expand or create a midlevel provider. We have exhausted all reasonable options, and fought very unreasonable options proposed by others. The legislators have spoken, and said it is time to cut bait and produce a provider that will help solve the access to care problem. So here we are. I think this puts us in a very good position. We have respectfully come to the table with a reasonable solution per the legislator’s request. We have insured that our core values are maintained. We have retained supervision and diagnosis. The AFDA will be governed by DQAC. They will be restricted to Federally Qualified Health Centers (FQHC’s). A dentist will directly supervise him or her, and each dentist can only supervise two. My favorite word in the whole resolution is the word “can.” I work in FQHC’s. The word “can” means that each clinic can decide if an AFDA will be of value to their practice. Each dentist can look at a patient’s needs and determine what, if anything, an extender could do to expedite care. We know every provider’s skill set is different. I can, and will, decide who gets to do what to my comfort level. I suspect that in real practice, the bulk of any AFDA’s time will be used doing less controversial procedures than the ones we fretted over at our HOD. I love it when someone anesthetizes my patient. That saves me significant time. With children, it makes me not be the bad guy. Bet you didn’t expect that perk! When I worked in Indian Health in the early 90s, dental assistants were trained by our area periodontist and our hygienists to do supra and sub gingival scaling. Many of our patients had bridging calculus. The assistants would debride the bulk of it with an ultrasonic scaler then send them to the hygienist for root planning. Everyone preached prevention. Many of the children I see have light calculus that is easy to pop off. My assistants loved including this with the prophy. Our IHS perio program worked well for the whole team and our patients. I was quite shocked when I moved here and there was such anxious debate over who gets to scale — in a state where minimally-trained people pierce and tattoo all kinds of things with apparent abandon. One of the things many FQHC’s excel in is training staff. Many centers have contracts with local dental assisting and hygiene programs to help train their students. A.T. Still College of Dentistry, The University of Washington RIDE Program, The Northwest Dental Residency Program, and Lutheran Medical Dental Residency Program all train their doctoral and post docs in many Washington State community health clinics. Training and developing AFDA’s in these clinics is a natural fit. So what happens if we propose this to the legislature and they start changing things? The short answer is that we pull the bill. The WSDA Board of Directors works at the will of the WSDA House of Delegates. None of us have ever taken that responsibility lightly. We have discussed at length at the HOD Meeting what can happen, and what we will do. As the proposers of the bill, we control it through our sponsors. Our lobbyists have been tasked with telling the legislators that this is as far as we will go. Killing the bill does not help them solve the access to care problem, and sends the resolution back to the drawing board. We believe we can negotiate these waters, and are resolute in pulling if needed. As a community health dentist, my worst nightmare is that I might have to sit idly by, while some unsupervised person does a procedure that I am not comfortable with. Bailing them out of trouble, and trying to insure that it does not happen again, would not be pretty. I am proud of WSDA’s Board of Directors, our House of Delegates and our WSDA staff for pouring their hearts and souls into resolving this problem. I hope and pray that what comes out of this difficult journey maintains the dignity of our profession, the safety of our patients and actually helps us expand care to further help the poor.
Dr. Mary Jennings Editor, WSDA News
“The WSDA Board of Directors works at the will of the WSDA House of Delegates. None of us have ever taken that responsibility lightly. We have discussed at length at the HOD Meeting what can happen, and what we will do. As the proposers of the bill, we control it through our sponsors.” Dr. Mary Jennings, WSDA News editor, welcomes comments and letters from readers. Contact her at her email address:mjenningsdds@gmail.com.
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Editor’s note: We asked Dr. Sherwin Shinn, a former WSDA Citizen of the Year, to write about giving back to the community, and what it has meant to him. Congratulations Dr. Lubisich IV! Your commitment to excellence and community outreach is definitely praiseworthy, and you are an outstanding representative for all the many unsung heroes in our profession who have found a way to give back something extra to society. It’s important to celebrate and recognize what you do, because each of us has an inborn, instinctive drive for survival. When you unselfishly reach out beyond yourself to enhance the welfare of humanity, you are a hero! The reward is an immense feeling of satisfaction for all of us, because that’s what we were born to do. When you think about the things we have, you realize we really don’t own anything. You can’t take any of it with you. The only thing we really have is our life, and every day we give part of our life away. The only thing left over at the end are the feelings evoked by how we spent our life. When you work for money, you can have all the things that money can buy. When you give unconditionally, you get to have all the things that money can’t buy. Having a healthy mix of both is where true fulfillment comes from. The profession of dentistry is the perfect place to do this. Becoming a dental professional puts you in the top one percent of the people in the world in educational achievement — you can heal people with your hands! I hope that accomplishment gives you a strong feeling of personal pride, as well as a sense of responsibility to share your unique and special ability with others. When we took the Dental Hypocratic Oath, with our hands over our hearts, we all vowed to share our education, talents and skills with anyone, anywhere, at anytime, for any reason they needed our help. Most of us took that oath seriously. So besides feeling the exhilarating, happiness of fulfillment, why is giving back important? It gives us the opportunity to express our true selves more fully. Giving back or volunteering usually involves stepping outside of our normal comfort zone. This calls for an act of courage to go above and beyond. (If you feel like you’re still looking for something more out of life, chances are you would have found it by now if it was inside your current comfort zone.) Going outside of our box allows us to experience more of what the world has to offer. It builds self-confidence, increases knowledge, and expands the boundaries of our comfort zone wider and wider. Outside the confines of our regular routine, we are unfettered by time schedules, financial obligations and the opinions, expectations and admonishments of the everyday people in our lives. We’re free to let more of our true-selves flow, because nothing is holding us back, telling us not to dance so hard, or laugh so loud, or care so much. We get to experience the fuller capacity of our capabilities as a human being. Others witness our courage and selflessness. This gives them the confidence and motivation and ideas to do something extra with their own unique talents and skills. As more and more people reach out and learn how to pay-it-forward, the world simply becomes a better place. There are so many people who have gone before us who deserve our respect, esteem and reverence; veterans who gave life and limb to win and maintain our freedom. The best way to honor them is to use that freedom to do something great with our lives. There are so many other people today, here and abroad, who can use our help. They may have no one else to turn to. If we each give them just a little bit of our knowledge, time, talent, care and compassion we all become winners in the human race. The Dalai Lama said, “I believe that we must consciously develop a greater sense of Universal Responsibility. We must learn to work not just for our own individual self, family or nation, but for the benefit of mankind.” So we thank you Dr. Lubisich IV, and all the others like you, whose real-life examples of courage and commitment inspire us to be like you, too, and go the extra mile. It’s that extra mile that makes the whole rest of our journey here so incredibly worthwhile.
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Dr. Sherwin Shinn Former winner, WSDA Citizen of the Year
“When you work for money, you can have all the things that money can buy. When you give unconditionally, you get to have all the things that money can’t buy. Having a healthy mix of both is where true fulfillment comes from. The profession of dentistry is the perfect place to do this.”
guest editorial dr. sher win shinn
Giving unconditionally
cover stor y dr. peter lubisich IV, citizen of the year
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cover stor y dr. peter lubisich IV, citizen of the year “I would like my legacy to be that of teamwork: of motivating my fellow dentists in the state to protect the quality and excellence in dentistry, to focus on the right objectives, to be men and women who serve our communities because it’s the right thing to do.”
DR. PETER LUBISICH IV WSDA’s 2012 Citizen of the Year
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cover stor y dr. peter lubisich IV citizen of the year
“I don’t know how he does it. He gives so much back to the community. In part, because of what he does, we really don’t have a significant access to care issue for children here in the county. He is amazing.” — Melody Scheer
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Like so many dentists, WSDA’s 2012 Citizen of the Year, Dr. Peter Lubisich IV, gives back to his community, donating services and time to causes close to his heart in Clark County. But Lubisich is different; he’s a juggernaut, balancing the demands of a thriving pediatric practice and a growing young family that includes wife, Michelle, and their three children Peter V, 6, Jacob, 4, and 1 year-old Brooklynn — while still earmarking time to provide dental care with a number of projects in the county. While those commitments alone might tire someone out, for Lubisich it’s just the beginning — he also teaches pediatric dentistry at Oregon Health and Sciences University (OHSU), serves on the Board of Directors of the Free Clinic of SW Washington (where he is also the Dental Director); chairs Clark County’s Children’s Dental Health Day, serves as the administrator for the Lubisich Foundation at OHSU, and recently helped spearhead an initiative to battle access to care issues in the county called OHI, or Oral Health Initiative. Furthermore, Lubisich runs oral health educational programs for children and young mothers in Clark County. “I don’t know how he does it,” said Melody Scheer, Oral Health Coordinator for the Clark County Health Department, “He gives so much back to the community. In part, because of what he does, we really don’t have a significant access to care issue for children here in the county. He is amazing.” But wait, there’s more — in his spare time, he and Michelle coach their son’s baseball team (both played ball in college), and on Sunday, he teaches a children’s program in his church. When asked about his brother’s tireless efforts, Dr. Josef Lubisich says, “It’s a remarkable quality – he has an incredible amount of endurance, a neverending energy supply. It’s just like our dad — they can both keep going at 100 mph, never too tired to do something productive or helpful.” One need only look at his youth in Portland for clues to his altruism — they’re a driven bunch, the Lubisich kids — six in all, born to a dentist father and stay-athome mom who instilled a work/philanthropy ethic in the brood. Now all grown, the siblings — an engineer, an audiologist, a baseball agent, a college educator, and two
dentists (Josef is also a pediatric dentist) — carry on the legacy. “My parents led by example,” says Lubisich, “They have always given back to people. I remember going to events and watching my dad help others — and my mom is an amazing woman. Not only did she raise six children — basically served us all of her life — she was always helping others in the community as well.” Today, Peter and his wife carry on that tradition with their kids — “Michelle and I are introducing them to giving back much in the same way my parents did — I make sure I’m home every night, and if I do volunteer events, I take them with me — it teaches them by example. We’ve brought them to the national beach cleanup day, they’ve come to the county food bank with us and volunteered, and when we do relay for life, they come along.”
The road to dentistry
As Peter recalls it, his father never pushed dentistry on his children, saying “He rarely spoke of it at home, other than to talk positively about his practice, his role in the community, and how much he enjoyed his work.” So, while Lubisich wasn’t always sure he’d follow in his father’s footsteps — he preferred to forge his own path — he kept it in his back pocket, knowing that he enjoyed detail work, and working with his hands. At Westmont College — a small, Christian liberal arts college in Santa Barbara, Calif., Lubisich mulled over careers in teaching and history, but took his dental prerequisites “just in case.” Then, following his second year of college, he enrolled in a program at OHSU called the Dental Careers Institute — a summer boot camp for students interested in dentistry. He was hooked – not only because he got to work with his hands, but also because as a college athlete, the teamwork aspect of dentistry appealed to him. The variety of the career was also appealing to a person used to being on the go all the time. “Not only are you doing dentistry,” he explains, “But you’re using your skills in a variety of ways —managing a business, teaching, and volunteering. It’s easy to keep busy.” It was about that time that Lubisich first started giving back on his own – in a college program called Adopt-a-Grandparent, where students would go to retire-
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ment homes and spend some time with residents. He befriended a woman with a common interest — baseball — and their friendship grew. Later, when she passed away, her son called Lubisich to thank him for spending time with her, and told him that their time together had meant a lot to her. The experience helped form his fluency in philanthropy — as he says, “I believe that the earlier you start volunteering, the easier it is to make it a life-long habit.” After Westmont, Lubisich attended OHSU Dental School, and later did his pediatric residency at Loma Linda. He settled on pediatrics because, as he puts it, “If teamwork plays an integral role in dentistry, it is even more important in pediatrics — especially if you want to have a practice.” While at Loma Linda, Lubisich volunteered in their “Clinic with a Heart” program, one similar to our Give Kids A Smile Day — the first opportunity he had to give back in dentistry.
A mobile dental home
After finishing his residency and moving back to Vancouver in 2003, he continued to volunteer — bringing oral health education to young mothers, performing a puppet show developed by his father to teach oral health basics to elementary school children, and participating in GKAS events in Portland, among others. But in 2005, the extraordinary kindness of an anonymous donor would open up new volunteering opportunities for Lubisich, by donating the funds necessary to purchase a mobile dental van for the Free Clinic. Per the donor’s wishes, the van was to be used primarily to help children in the county. Peter explains, “The donor’s father had dental pain as a child, and wasn’t able to get it taken care of. Eventually, a dentist took the donor’s father in, fixed his teeth, and gave him a place to live. That resonated with the donor, and he decided to fund the van to ensue that children of Clark County were never in pain needlessly.” Lubisich – the first dentist to volunteer on the van — still works on it at least once a week, serves as the Dental Director of the program, sits on the Board of Directors for the Clinic, and serves on several additional subcommittees for the facility. Barb West, the Free Clinic’s director, estimates he has donated more than 450 hours since 2005 — and that’s just on the van.
cover stor y dr. peter lubisich IV, citizen of the year
Each year, the WSDA asks you — member dentists and their staff — to nominate as “Citizen of the Year,” a dentist whom you feel has performed exemplary service to the community through civic activities. This year’s honoree, Dr. Peter Lubisich IV, while working in concert with many other colleagues in his area, truly exemplifies what this prestigious award is all about.
cover stor y dr. peter lubisich IV, citizen of the year
Teaching kids about volunteer service At the Lubisich pediatric practice, they’re helping to create new community volunteers through an innovative program that requires kids to perform community service in order to get braces. The kids are motivated because they want a pretty smile, and the Lubisich’s motivate the parents by offering a discount on the braces once the program is completed successfully. The program requires that each kid promise to do their best in school (they look for qualities like handing in assignments on time, not straight A’s. Teachers corroborate their performance once a quarter), agree to take care of their health — including brushing, flossing, and not using drugs or alcohol — and lastly, they have to agree to perform 40 hours of community service. Rather than leave the children and their parents to their own devices, the Lubisichs hold regular events where kids and parents can accrue the 40 hours needed, asking them to complete the community service within in a year and a half. Lubisich notes “Parents like it because they save a little on the cost, and they like seeing their kids better themselves.”
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Children’s Dental Health Day
At about the same time in 2005, Dr. Munib Derhali, then-president of the Clark County Dental Society, was eager to start a homegrown GKAS event, and turned to Lubisich to make it happen. At that time, Clark County dentists went to OHSU in February to help out at their event. Peter explains, “While he loved helping the kids in Portland, Dr. Derhali felt that we should be doing it ourselves here in Clark County. He came up with the idea, I brought the know-how — I’d done these types of events before when I was down at Loma Linda, so I was a natural fit.” Soon after, Lubisich took the helm of Children’s Dental Health Day, which has helped some 1,600 children since 2007 — seeing, on average, 300 patients during the one-day event. Lubisich and his cadre of volunteers provided more than $100,000 in care in 2011 alone. What makes the program unique is that patients are pre-screened, leaving the day of the event free to perform extractions, root canals, and the full gamut of dental work. Lubisich’s brother, Josef, clarifies saying, “Peter does the screening, no one else. Without him, we’d be like any other GKAS program. He’s the one with boundless energy that makes it happen.” And, unlike other GKAS programs, kids enrolled in Clark County’s Children’s Dental Health Day are offered continuing care at the free clinic. If they have extended needs, they are referred to OHSU for that. If they need cleanings and routine work not performed at the event, they are referred to Clark College, where a cleaning performed by supervised dental hygiene students is just $20.
But Lubisich doesn’t just volunteer for the program, he chairs the event, and according to Dr. Eugene Sakai, fellow Citizen of the Year recipient from Clark County, “Peter is the guy who makes it all happen, we’re very fortunate to have him here.”
Oral Health Initiative
Even with the work Lubisich and other volunteer dentists from Clark County are doing on the Dental Van, losses to adult dental Medicaid funding have hit the area hard. Adjacent counties have much higher unemployment, according to Sakai, and their residents often come to Clark County for help. Lubisich and others have started a program to address the needs of the uninsured called OHI, or Oral Health Initiative — patterned after Project Access — to address more routine needs of the uninsured. The program asks dentists in Clark County to give in one of three ways — volunteer at the free clinic once a year, treating patients in the van; see one patient a quarter in their office; or donate $300 to cover the cost of surgery performed on their behalf. Using the same model as Children’s Dental Health Day, OHI patients will be prescreened, ready to be plugged into cancellations or holes in participating dentist’s schedules. “We ask the dentists to specify the procedures they’re willing or unwilling to perform,” says Lubisich, “And we only ask them to treat one tooth or quadrant, whatever they feel they have the time to do. Again, we’re just asking them to do pain or infection control, or if we find a large cavity that we feel is going to bother the patient in the next six months. We send the dentist the digital radiographs beforehand to look over, and if they’re willing, we send the patient over. All the follow up is done through the free clinic. Some dentists choose to see the patient and continue the treatment, others send the patient back to us and we find another dentist if they have additional needs.” The program started this past May, with an initial sign up of 50 area dentists and is continuing to grow. While many were involved in bringing the initiative to fruition, Scheer credits Lubisich’s coalition-building skills with getting dentists onboard the fledgling project, saying, “It’s Peter who is able to talk to the dentists and make them aware of the need, and explain how they can become involved in OHI.” For his part, Lubisich sees the initiative as something that could be rolled out throughout the state — and beyond. “If all the dentists in the state agreed to participate in a program like this,” he says “I really believe we could take
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a significant step forward in addressing the problem of access to care – in the short term and long term. The issue is really the management of the program. It’s not feasible for me to recruit dentists statewide – but I think if we could do it, people would be amazed at the impact we could have.”
The Lubisich Foundation
The same generous donor who made the dental van possible also funded the Lubisich Foundation at OHSU in 2008, which helps kids in need by providing money for services not available at the Free Clinic. Lubisich sites the example of a young patient who had caries and needed orthodontia. As the coordinator, Lubisich went to the orthodontic department at OHSU and convinced them to do full orthodontics at the limited orthodontics’ price. Describing his role at the Foundation as “watchful, making sure the money stretches as far as possible,” he taps into contacts and associates willing to offer services at discounted rates, saying, “I’ve earned the trust of the donor, and he knows that I want to treat as many children as possible with the money. Dentistry is a very giving profession – people want to help. In this young woman’s case, it wasn’t something we could have done at the free clinic – it required a multi-disciplinary approach — whereas the dental school had all the facilities in one place to do what we needed.” The Foundation can also provide funding for root canals and space retainers, typically helping about 20 kids a year with more advanced needs.
A life of service
Why does he give so much? Lubisich credits Michelle’s encouragement and support, and their faith in God, but he also recognizes the role of an early mentor in his life. Clink Davis, a family friend and fellow parishioner counseled Peter about the two most important decisions in a person’s life — their faith, or moral compass, and whom they marry. Lubisich took his mentor’s advice to heart and it has served him well. God, faith, marriage and family provide a strong rudder for this young dentist. And what is the reward for his service? The kids, he says, don’t often thank him, but he’ll usually get a smile afterward. “For the most part, they’re here because their parents brought them. The parents are very thankful, and have sent notes of appreciation. That’s one of the big differences between my private practice and the free clinic – the appreciation for what I do. My reward comes from knowing that I’m helping these kids and making a difference.”
cover stor y dr. peter lubisich IV, citizen of the year
Today, in keeping with the donor’s wishes, the van still serves the needs of children first, but the success of the volunteer dental program in Clark County means that most children’s emergent needs are being met, so now they’re able to tackle preventative work and see adults, as well. Lubisich elaborates, “The strength of the program is that it is mobile — we go around to the different schools, performing screenings and sealants in a central location. The waiting list for the kids is really less than a month, and that’s generally more an issue of finding a time when the parents can bring the children to the van. If the child is in pain, they can come to my office or we’ll send them down to OHSU so that they can be seen the same day.” For the adults, the loss of dental Medicaid means a six-month wait list for a spot on the van, but Lubisich’s Oral Health Initiative seeks to remedy that issue as well. More on that later.
membership news 2012 house of delegates
Center, left to right: Drs. Todd Irwin, Laura Williams and Vic Barry
Dr. Bryan Anderson
Dr. Steven Waite
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membership news 2012 house of delegates
A HOUSE
Yonaton Ahdut Drs. Dan Warner, Mark Johnson and Michael Warner
Emotions ran high at the 2012 House of Delegates, where dentists from around the state convened to tackle, once again, the thorny issue of midlevel providers, and the scheduled reduction of WSDA dues, among others. Both measures passed, but not without spirited debate. HD-05-2012, the resolution removing the $125 special assessment as scheduled, will result in a $125 reduction to the WSDA portion of tripartite dues for full-paying members.
Dr. Rod Wentworth, Ms. Sandy Hardymon, Dr. Chris Herzog
REUNITES
Long pilloried by the media and legislators over the midlevel issue, the WSDA saw a sea-change this past year, with global foundations like Pew and Kellog joining forces with advocates for seniors, children, and minorities, and reputable organizations including the AARP of Washington and the Washington State Hospital Association, in actively promoting midlevel providers as the answer to access to care. continued on page 15
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Delegates come
ready to rumble at the 2012 House of Delegates
membership news 2012 house of delegates
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The WSDA has lobbied powerfully against the model for years (see Dr. Jennings’ Editorial, page 4), arguing that adding a new provider to the mix won’t change the access issue. This year, with the drum-beat of the opposition proving ever-stronger, officers, members of the WSDA Board of Directors, and our lobbyists were concerned that organized dentistry wouldn’t have a place at the table if we continued to fight the issue without offering up a viable alternative. In response,they and WSDA staff crafted a model that addressed the concerns of our members — ensuring that midlevel providers are supervised, properly trained, limited in the scope of what they are allowed to perform, and restricted to working in community health clinics. Debate at the House was vigorous; each side staunchly defended their viewpoint. But that’s part of the mission of the House — Delegates should passionately defend organized dentistry, their components, and their personal beliefs — lobby their colleagues, and bring influence to bear. As an organization, we can be proud of their hard work — at the end of the day, no matter how intense the conversations became, Delegates kept the discourse polite, and the lines of communication open. In the end, the resolution was further refined by delegates, adding a work experience requirement, and eliminating dental assistants’ eligibility in favor of mandating that only EFDAs and hygienists qualify to become the provider, now referred to as an Advanced Function Dental Auxiliary, or AFDA. Additionally, resolutions calling for a change in license renewal regulations (HD-142012), the elimination of the Vice President position (HD-12-2012), the elimination of the Legislative Director position (HD-10-2012), setting the legislative agenda (HD-08-2012), and a return to supporting efforts to bring direct reimbursement plans to small companies (HD-15-2013) also passed, as did the housekeeping measures of resolutions HD -03, HD-04, HD-06 and HD-07. Rejected measures included HD-09-2012 and HD-11-2012, which would have altered the makeup of the Committee on Pacific Northwest Dental Conference and the House of Delegates, respectively. To review all of the actions taken at the 2012 House of Delegates, please go to www.wsda.org/hod. But the House is also a time of celebration — with officers being sworn in — Dr. Dan Warner, President, Dr. David Minahan, President-elect Dr. Greg Ogata, Vice President, and Dr. Bryan Edgar, Secretary-Treasurer. New Board members elected included Dr. Christopher Delecki, Dr. Dennis Bradshaw, Dr. Ted Baer, and Dr. Ronald Dahl. We also celebrated the achievements of fellow colleagues Dr. Peter Lubisich IV (see related story on pages 6-11), who took home the WSDA’s Citizen of the year award, and President’s Award winners Sandy Hardymon and Dr. Christopher Herzog.
Left to right: Drs. Doug Walsh, Dave Minahan, Dan Warner and Rod Wentworth
wsdanenewws s· ·issue issue1,8,october august · 2012 · www.wsda.org · 15 ththe ewsda
Dr. Linda Edgar
membership news 2012 house of delegates
continued from page 13
membership news 2012 house of delegates
Your new WSDA Board of Directors WSDA President Dr. Dan Warner
Citizen of the Year Dr. Peter Lubisich IV with Immediate Past President Dr. Rod Wentworth Dr. Mostafa Norooz
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THE MENTOR PROGRAM “I’ve been a part of the UW/ WSDA Mentor program since its inception. Since then, I’ve had wonderful experiences assisting students in obtaining extracted teeth, talking dentistry or discussing personal issues. One, in particular, later became my associate. I would encourage all practicing dentists to give back by offering support to our future colleagues.” --Gary Heyamoto, DDS
GET INVOLVED! Become a mentor. Sign up today at www.wsda.org/mentor-program. Have questions? Contact Laura Rohlman at laura@wsda.org, or at 800-448-3368. The mentor reception will be held on Thursday, November 29, 2012 from 6-8:30, at the Burke Museum.
1.
Being a mentor takes a lot of time · FALSE! There’s a reception (fun! adult beverages! food! entertainment!). Other than that, you and your mentee (possibly not a real word) get to choose the level of engagement. Most students and their mentors communicate via email and phone. It’s up to you.
2. You have to be a UW Grad to participate · FALSE! You only have to be licensed (or have been licensed — retired dentists are welcome!) to practice in Washington state. 3.
You have to live in the greater Seattle area · FALSE! Mentors have fostered great relationships with UWSoD students from all over the state. This is one time when “phoning it in” is perfectly acceptable.
4.
I wouldn’t make a good mentor · FALSE! Half the battle is getting to the table. These kids are hungry for a little guidance, reassurance and the expertise your time in the real world can offer. Don’t sell yourself short.
5.
There’s no benefit to being a mentor · FALSE! Mentors derive all kinds of benefits from the program. Most say it gives them a renewed sense of vigor about their practice. And, it’s a great way to meet a potential Associate. Think ahead. Give back.
6.
The guys have it all wrapped up · FALSE! There are nearly as many women as men in dental school today. They need your guidance, your smarts and most of all, your perspective. Girl power!
The truth is, it’s fun — and UW Dental Students need your expertise Take a minute to think back to when you were in dental school. If you didn’t have a mentor, would having one have helped you? If you did have a mentor, are you ready to pay that experience forward? Students at the UWSoD need you — your experience, your knowledge, and even your shoulder. You could say that Dr. Gary Heyamoto’s experience with the Mentor Program was solid: he ended up hiring one of the students he mentored to be an Associate in his practice. With the program since its inception, Heyamoto describes his experience
helping young dentists wonderful, and encourages practicing dentists to give back and support future dentists. Heyamoto says in his role as mentor he helped students obtain extracted teeth, talked shop, and even discussed personal issues — but the beauty of the program is that participants get to choose what level of involvement they’d like to have. Kainoa Trotter, Director of Membership and Communications for the WSDA explains, “Becoming a mentor doesn’t have to involve a huge time commitment — some communicate only via email and have just one face-to-face
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meeting a year, others interact more frequently — there are no set rules.” Additionally, you needn’t have graduated from the UWSoD to participate, all WSDA members are welcome. And, geography doesn’t have to be a deciding factor — mentors and students routinely communicate via email and phone. Become a mentor. Sign up today at www. wsda.org/mentor-program. Have questions? Contact Laura Rohlman at laura@wsda.org, or at 800-448-3368. The mentor reception will be held on Thursday, November 29, 2012 from 6-8:30, at the Burke Museum.
membership news mentor program
6 TOP TEN MYTHS ABOUT
uw news inna piskorska in jamaica
“We learned a few common local phrases and words that made communicating with our patients even easier: Wa a gwaan? (What’s going on?), jook (injection), cocaineanesthetic (lidocaine), heavy (numb) and shaky (loose tooth).”
“Even with regional language differences, we could have conversations with patients without an interpreter, and talk about things like soccer UFA finals, Miley Cyrus and Justin Bieber. I would let kids listen to my iPod during my procedures to help them relax.” 1 8 · th e wsda ne w s · issue 1, october · 2012 · www.wsda.org
IN JAMAICA After going to Haiti last year to provide dental care, UWSoD student Inna Piskorska could have rested on her laurels; after all, not many perform that kind of humanitarian work while still in school. Instead, she started planning a second, larger outing. This time, the diminutive Ukranian immigrant set her sights on Jamaica, organizing a group of 24 that included second, third and fourth year UW students, recent graduates, and additional volunteers willing to devote part of their summer break to providing free dentistry to the people of Jamaica. The program, run under the auspices of Great Shape, Inc., matches volunteers to areas of need. Piskorska’s group worked in three different clinics in Negril, on the western-most tip of the island. Throughout the country, the need is great —with only 35 dentists in a population of 2.8 million people, dentistry is for the wealthy — the remaining 80-90 percent of the population depend on public health system clinics staffed by dental nurses, with indirect supervision by a dentist. As a result, fewer than 10 percent of children and 1 percent of adults get to see an actual dentist.
The economics of a smile
Tourism is a driving force on the island, and without a knockout smile, residents aren’t likely to be hired into the industry. Whereas in Haiti, there was no time for restorative work, it was important in Jamaica— but still a little tricky. “Without x-rays, restorations involved some guesswork,” said Piskorska, “We could never be sure we were going to be able to save the tooth until we got underway. Thankfully, we usually could.” She and the other volunteers performed a mix of extractions, anterior restorations and sealants, doing their part to help those with severe anterior decay get their smiles back — and just maybe, a place in the tourism market.
A common language
Communication with Jamaicans was vastly simpler because most speak and understand English well, even though they have a distinct dialect. By adding a few common local phrases into their
conversations, the volunteers were able to get to the root of the problem even faster: Wa a gwaan? (What’s going on?), jook (injection), cocaine-anesthetic (lidocaine), heavy (numb), and shaky (loose tooth), soon became part of their lexicon. Piskorska says, “Even with regional language differences, we were able to have conversations with patients without an interpreter, and talk about things like soccer UFA finals, Miley Cyrus and Justin Bieber. I would let kids listen to my iPod during my procedures to help them relax.” With the language barrier largely absent, the volunteers were also able to teach caries prevention, and provide patients with information about oral hygiene and risk factors, in the hope that they could help to eliminate or decrease decay.
Making relaxation part of the equation
Unlike Haiti, where Piskorska and the other volunteers lived in dorm-style housing provided by the local missionaries, the Jamaican crew lived on the beach in resort housing provided by the Sandals Resort Foundation, a sponsor of the program. Piskorska blogged “After a hard day in the clinic, we spend time together on the beach, playing water or beach volleyball, swimming, relaxing, and interacting with local people. It’s a rejuvenating time for everyone, and it helps us prepare for the next day.” But while the digs were much more comfortable than in Haiti, Piskorska and her fellow humanitarians still provided hundreds of hours and thousands of dollars in free dentistry to the people of the Caribbean island. Our hats are off to Piskorska for organizing the successful venture, and to all those who gave so selflessly of their free time. Additionally, Piskorska would like to thank the supervising dentists for their support and sharing their knowledge: Dr. Sherwin Shinn, Dr. Ron Guttu and Dr. Jeffrey Dow; and the sponsors who donated supplies that helped make the trip possible: Patterson Dental Supply, Inc., Burkhart Dental Supply, Densply, Dr. Sakuma, Colgate, Hu-Friedy, Danville, and Garrison!
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uw news inna piskorska in jamaica
UWSoD Student Inna Piskorska
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DENTAL PRACTICE TRANSITIONS
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Tyler A. Fordham, D.D.S. has acquired the practice of Jack Hardie, D.D.S. Port Townsend, Washington
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Paragon is proud to have represented both parties in this Washington transaction
Sign up for our free newsletter at paragon.us.com Approved PACE Program Provider FAGD/MAGD Credit Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement 4/1/2012 to 3/31/2016 Provider ID# 302387
Your local PARAGON consultant is Mark Fleming, D.D.S. Contact him at 866.898.1867 or info@paragon.us.com
2 0 · th e wsda ne w s · issue 1, october · 2012 · www.wsda.org
wohf news hardymon retiring
A VISIONARY RETIRES Hardymon helped bring impact, innovation to the organization under her watch
Tom Tidyman
Sandy Hardymon, Executive Director for the Washington Oral Health Foundation, recently announced her retirement from the organization, effective October 4. Hardymon has served at the helm of the Foundation since its inception in 1996, and is largely credited with bringing the organization to where it is today. Dr. Sally Hewitt, President of the WOHF Board of Directors, said, “Sandy set a high bar in devotion, creativity, leadership, and spokesmanship — we will all carry on with the vision that she has so thoughtfully and soulfully exemplified throughout her tenure at WOHF.” It was during Hardymon’s stewardship that collaborative programs such as the Boys and Girls Clubs Oral Health Initiative and Adopt-A-School Program came into being, bringing the organization prominence in communities across the state. But it is the educational resources, teaching tools, and school-based presentations that are the bread-and-butter for the organization, whose mission is “Changing Lives, One Smile at a Time.” Through those efforts,
Ruth Abate
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Hardymon estimates the organization has touched the lives of some 283,000 children state-wide — 11,000 last year alone. Additionally, the organization has worked closely with dentists across the state to promote and develop Give Kids a Smile events. Hardymon’s work on behalf of the Foundation was honored in 2009, when she received the Media Award of Excellence from The Friends of the National Institute of Dental and Craniofacial Research, for the Foundation’s efforts in outstanding community educational outreach media because of the Foundation’s Kids Connect, WOHF TV, and WOHF Radio programming. Furthermore, Hardymon received the 2012 President’s Award at the House of Delegates for her tireless work on behalf of children all over the state. Upon Hardymon’s retirement, Tom Tidyman will serve as Director of Programming and Development alongside longtime WOHF staffer Ruth Abate, who has been promoted to Director of Operations and Community Outreach.
legislative news save the date for dental action day
‘13 dental action day one profession, january 25 · 7:15 a.m. one voice Schedule of Events Decisions made dur7 AM
DAD Tent opens Capital Grounds
7:15 AM
Legislative Briefing Breakfast DAD Tent, Capital Grounds
Legislature include:
11:00 AM
Continuing education course (1 hour CDE)
• Health care reform
All Day
Appointments with Legislators
ing the 2013 legislative session could result in fundamental changes to dental care delivery Issues facing the 2013
• Dental workforce • Funding for higher education and dental residency programs • Dental licensure fees and renewals • Further cuts to dental care funding for children,working poor, and medically-complex patients
Register ONLINE Today!
http://www.wsda.org/dental-action-day-2013/
For details:
Call Michael Walsh at 800-448-3368 or email at michael@wsda.org
2 2 · th e wsda ne w s · issue 1, october · 2012 · www.wsda.org
A prospective client recently came to Mercer Advisors for an analysis of what he believed was a well-constructed and comprehensive financial/retirement plan. He still had a number of questions pertaining to his timing, lifestyle and payout options, was planning to retire in the near future, and had been assured by his employer’s in-house financial planning team that he could do so easily, and without worry. Once the Mercer Advisors Certified Financial Planner™ understood the full scope of this individual’s retirement goals and expectations, it became clear that without significant modifications to the existing strategy, his retirement reality would differ drastically (and negatively) from his vision. The assumptions used to create his original plan had been much too aggressive, and had remained unchanged over time – leaving him just a 35 percent probability for success in his retirement years (Mercer Advisors generally recommends a 70 percent probability for success). Furthermore, his desired retirement lifestyle involved a 200 percent increase in expected post-retirement spending that was wholly unaccounted for in the original plan. After further discussion and analysis, our CFP® presented a comparative analysis between the individual’s original plan and a Mercer Advisors strategy including a fully comprehensive investment, income and distribution plan built upon realistic assumptions, and aligned with his vision for his retirement. Though he will need to remain in the workforce longer than he had planned, he’ll be able to retire with peace of mind, knowing that his investment strategy is aligned with his vision, and the longevity of his retirement portfolio is no longer in jeopardy. There is everything to be gained by testing assumptions and gaining clarity regarding your retirement plan, as it’s always better to make modifications while there is still time to effect measurable change. What investor wouldn’t welcome a second opinion – an opportunity to validate success or avert disaster? Either outcome rewards greater understanding and peace of mind.
How often do you review and/or adjust your retirement plan strategy? Is your retirement plan solidly grounded and aligned with your vision and goals for retirement? Have you worked with an experienced wealth management team to establish both a financial planning and investment strategy that provide you with the greatest probability for retirement success – exactly as you have defined it? Furthermore, do you collectively review this plan regularly, modifying when/where necessary, in order to ensure continued alignment with your life vision?
Getting started
Contact Nate Ricks, CFP®, Mercer Advisors Managing Director, at (888) 642-4636 for a complimentary Wealth Management Consultation – either as a second opinion retirement plan evaluation, or as an introduction to the benefits and importance of establishing a comprehensive financial plan. The consultation will include any/all of the following, as determined by your unique needs and realities: • wealth management consultation • portfolio design review • analysis of assumptions used to build overall financial and retirement plan A Mercer Advisors Wealth Management Consultation can either validate your existing financial/retirement plan or alert you to a risk of failing or falling short on some level. We’ll suggest ways to remedy gaps to help you avert misfortune over the short-term, long-term or both. For the novice, we will provide a foundational awareness of the vital need for some level of financial planning. Mercer Global Advisors Inc. is registered with the Securities and Exchange Commission and delivers all investment-related services. Mercer Advisors Inc. is the parent company of Mercer Global Advisors Inc. and is not involved with investment services.
The financial equivalent of “measure twice, cut once”
You may know people who believe they have little need for financial planning advice or investment management services because their plan for retirement has already been established. This item on their life’s to do list had been checked off as successfully completed. You may also know people who have spent little thought or time on the financial planning process. What happens if they are wrong? Or arrive at retirement with no plan, or a faulty plan? Designing a successful retirement strategy and portfolio is not a simple or single formulaic event. Goals, needs and expectations change regularly as life unfolds. In order to remain aligned with your lifelong vision, a comprehensive retirement plan must be established, reviewed and updated on a regular basis to ensure its overall relevance and efficacy.
th e wsda ne w s · issue 1, october · 2012 · www.wsda.org · 23
the source mercer advisors
Validating the integrity of your retirement plan
endorsed companies credit card processing
WSDA Endorsed Company BestCard Answers your Top Six Questions About:
CREDIT CARD PROCESSING
Ever wonder if you are over-paying for credit card processing? Is your practice bombarded by callers saying that your credit card terminal is not PCI-compliant, not EMV or NFC ready, and/or not receiving Durbin debit rates? Or maybe you’ve been told that your practice’s credit-card processing account is set up for retail, but should be set for healthcare? These are simply marketing calls, aimed at taking advantage of the fact that credit card processing is a complex and ever-changing industry. When you and your staff are armed with the facts, you will be ahead of the game. Best Card is your Washington State Dental Association’s endorsed credit card processing company, and together we are working to keep you informed. Read on for answers to the questions we hear most.
1. How can I determine the cost I am actually paying to take credit cards? Is my account set up properly to get the best rates? Calculate your effective rate. As you have probably noticed, many credit card processors have hidden fees and costs. While promising you a low rate, they neglect to
mention all the downgrades that will occur if a card is keyed in, or is a “rewards” card (such as one that earns airline mileage), or any number of factors. Best Card has spent the past nine years trying to educate their merchants (including thousands of dentists) on the simple way to calculate their true processing costs. Add all the costs and fees on your credit card processing statement (include AMEX and monthly statement fees, PCI compliance, etc.) and divide that number by the total dollars processed that month. This is your true effective rate. (Example: $272 ÷ $9876 = 0.0275 or 2.75 percent). If this percentage is higher than 2 percent — you may be paying too much. Leased equipment The above calculation does not take into account any costs for leasing equipment – the single costliest mistake that many practices make. Did you know that most credit card processing leases run 3-5 years at $15$75/month – and then often require a buyout of the equipment at the end of the lease? Don’t pay thousands of dollars for equipment that you can purchase for $150-$450.
Healthcare vs. Retail If your office receives a call from someone stating that it’s set up as retail, not healthcare, be aware that the salesperson has no idea what your office’s rates are; he/she is simply trying to send a salesperson there. MasterCard, Visa, and Discover charge the same “interchange rate” to all merchants, based on the type of card that is being processed (there are more than 750 types)—not by whether a merchant has a dental office or a restaurant. You’ll always pay the lowest percentage fee for debit cards (as opposed to credit cards). Also keep in mind that it’s more costly to process rewards and corporate cards; and that swiping a card is less expensive than keying a transaction, as there’s a higher chance of fraud when a card is keyed, since the cardholder is not present. In the credit-card processing industry, only American Express has a different rate for processing its card based on the Standard Industrial Classification (SIC) code of the merchant (for dental practices it is 8021). Best Card’s AmEx rate is 2.55 percent (your processor may charge more).
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Regulated vs. Non-Regulated Banks In the Durbin Amendment to the Dodd Frank Act, Congress established two ratings for banks issuing debit cards: 1) a bank with assets greater than $10 billion (like the issuers of approximately 70 percent of all cards), is a regulated bank; 2) a bank with assets less than $10 billion is a non-regulated bank. A provision of the Durbin Amendment then limited the rate that those regulated banks can charge for debit cards, and took effect on Oct. 1st, 2011. At that time, Best Card lowered its rate on regulated debit cards by almost 60 percent to pass its savings to WSDA members (debit is now .51 percent + $.30 per transaction). Most processors did not lower their debit-card rate for their existing merchants. Pin Debit vs. Signature Debit Prior to the Durbin amendment, if your patient was able to enter a pin number when using their debit card, it would often lower the rate you were charged significantly. Currently, if the debit card is issued by a regulated bank, there is no difference in the charge to you whether they enter a PIN or simply sign the receipt. Debit cards issued by non-regulated banks can charge more, and you will sometimes get a better rate by using a pin pad for these transactions. In most practices, there are not enough transactions on debit cards from non-regulated banks to make it cost-effective to purchase a pin pad.
3. What is PCI Compliance? How can I be sure that my practice is compliant? PCI stands for “Payment Card Industry” and PCI standards (regulated by MasterCard, Visa and Discover), mandate that all merchants complete an annual compliance questionnaire. While the questionnaire is confusing, the gist of it is to ensure that merchants are protecting their cardholders’ information. Most processors charge a monthly “non-compliant” fee of $10-$25 to merchants who have not completed it. If you have an online system for accepting payments, you must have a quarterly computer scan completed by a certified company to ensure that your firewalls and computer system cannot be easily compromised. Do not store full unencrypted card numbers on your computer. Your credit card receipts (both merchant and customer) must truncate the account number (i.e., it must not show the entire credit card number). If you receive a call stating that
your office is not PCI-compliant, unless it’s your office’s processor (which would know your merchant account number), be aware that the caller is a salesperson using an underhanded tactic to gain the practice’s credit card processing business, and has no idea whether or not the office is PCIcompliant.
4. Insurance Claims paid by Credit Card – do we have to accept these?
Best Card has received many calls from dental offices that go something like this: “We received reimbursement for an insurance (or health benefit) claim that tells us to key the credit card number into our credit-card terminal in order to receive the insurance payment (in lieu of receiving an ACH deposit or a check). What should we do?” The answer to that question is: key the card number in to get paid. While there may be more companies that have begun issuing payment this way, Best Card receives the most calls about: CoreSource/VPay, QuicRemit, and EBMC (Employee Benefit Management Corp.). If you call one of these companies to request an ACH payment or check, you’ll be told that if your office accepts credit cards as a form of payment, it cannot discriminate; it must accept its payment in this manner. If you read the terms of agreement for accepting credit cards in the program guide provided by your processor, this is technically correct (and Best Card has talked to representatives of Visa and MasterCard). These companies will also tell you to check with your credit card processor to see if you’ll be charged fees to run the transaction. The fact is: you are charged fees. For most cardprocessor companies, the interchange cost they pay to Visa or MasterCard is greater than 2 percent on these cards, and this cost is passed on to you.
5. Do I need a new credit card terminal for this EMV or NFC technology that is coming? Europay, MasterCard and VISA (EMV) is the sophisticated integrated-circuit (IC) “chip” technology that will eventually replace the magnetic stripe on credit cards that has been the standard in the United States since 1960. Both PCI standards and EMV technology are designed to help reduce credit card fraud and identity theft. Now more than ever, protecting your patients’ identities and cardholder data is critical; both to your patients and the security of your practice. The EMV chip is fraud-fighting technology: it’s extremely resistant to fraud attempts, because of its use of dynamic data (versus static data that is on a magnetic stripe). EMV has already replaced magnetic-
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stripe cards in 60 countries (including Canada and most of Europe), and the card associations (such as Visa, MasterCard, Discover and American Express) have all announced phase-in plans for the EMV technology for the United States. First, credit card issuers must have this chip in cards starting in 2013, and EMV technology will eventually require changes in terminal equipment in order to read these chips. Processors do not have to have the programming in place until April 2013, and manufacturers of the equipment will be working to refine their technology. Acceptance of EMV will not technically be mandatory for merchants – but the final milestone, and the only one affecting you, will be October of 2015, when fraud liability begins shifting to the merchant if EMV is not utilized. You will receive calls implying that you need to purchase new equipment now, but this is simply not the case, and costs will most likely come down fast. As always, avoid signing equipment leases; you’ll most likely pay 10-15 times more than if you’d purchased the equipment. Also coming in the future: payments being made using Near Field Communications (NFC) technology, which enables one to make a payment by waving his/her cell phone near NFC-enabled credit-card processing equipment to capture payment information. This is also “chip” technology – and it will be phased in along with the EMV technology.
6. Is on-line processing available? And is that the right choice for my practice?
There are many systems available for taking credit cards on your computer and using your smart phone, and some practices even want to accept payments at their websites. If you have a large number of recurring billings, it can be especially costeffective to have a system which automatically runs these transactions. With an on-line system, you will have a gateway and you will use “swipers” (card readers that plug into your USB port or your smart phone) to swipe the cards. Best Card can show you via test accounts how it all works. If you’d like more information about the material presented in this article, please feel free to call WSDA’s endorsed credit card processing company, Best Card. It offers excellent rates and customer service to WSDA members, and has a wealth of knowledge about the credit card processing industry. Contact Best Card at: (877) 739-3952, or visit bestcardteam.com or fax a recent credit card processing statement to them at (866) 717-7247 for a complimentary cost comparison. For more information regarding WSDA endorsed providers, please visit www. wsda.org/endorsed-products/.
endorsed companies credit card processing
2. Pin Debit vs. Signature Debit. Should we have a pin pad? What is the Durbin Amendment, and what does it mean to my practice?
membership news cruise for newly licensed
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END OF SUMMER CRUISE
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membership news cruise for newly licensed
On Thursday, September 20 the WSDA, in association with the Seattle King County Dental Society, hosted a boat cruise to welcome recently graduated and licensed dentists to the area. The weather was on our side giving us a beautiful evening to cruise Lake Union and Lake Washington aboard the Argosy cruise boat, Celebrations.
Thomas M. Markeson, D.D.S. has acquired the practice of William D. Jones, D.D.S. - Seattle, Washington
Richard C. Downing, D.D.S. has acquired the practice of
Call 1-800-232-3826 or visit us online at www.aftco.net for a free practice appraisal, a $2,500 value!
Sherilyn V. Malloy, D.D.S. - Olympia, Washington AFTCO is pleased to have represented all parties in these transactions.
AFTCO is the oldest and largest dental practice transition consulting firm in the United States. AFTCO assists dentists with associateships, purchasing and selling of practices, and retirement plans. We are there to serve you through all stages of your career.
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2 8 · th e wsda ne w s · issue 1, october · 2012 · www.wsda.org
wdia news renew your license
The need for life insurance
Even if you are experiencing some financial challenges, Life Insurance should never be thought of as a non-essential expense. If a family loses a main breadwinner, the financial consequences could range from simply challenging to totally devastating. Life Insurance is one of the most important things you can have to ensure that your family will be taken care of if something happens to you. Forty percent of American households would immediately have trouble meeting their basic living expenses if a primary wage earner passed away. Life Insurance coverage is an essential tool for protecting your family and your practice by making sure that your loved ones will be taken care of in the event of your death. Life Insurance ensures that their financial future is not left to chance. Having coverage can mean the difference between your family keeping their family home, your children having money for college and your spouse having a means to retire.
Here are a few good reasons to purchase Life Insurance: • You are the main income earner for your family, and they are dependent on your in- come. If you were to die tomorrow, your family would have trouble meeting their basic needs. • You have significant debt due to the home mortgage, student loans, practice loan, etc. that you do not want to burden your family with if you passed away tomorrow. • You do not want your family to be burdened with estate or other taxes that would reduce the estate your family receives when you die. • You have a special needs child who depends on your income for his or her care, probably for the rest of his or her life. • You are saving for your children’s private school or college education. If you passed away, the kind of education that you would like to provide for them would be financially out of reach. Although people are told by their financial planner, spouse and others that they need Life Insurance, they still find reasons for putting off purchasing a policy. But WDIA’s advice is to buy it now. First, the premiums for the same coverage will increase the older you become, so it will be less expensive for you to buy it now verses next year. Second, the longer you wait, the more you risk developing health issues that could increase your premium or make you ineligible for coverage at all. If you are ready to look at your life insurance options, please contact Washington Dentists’ Insurance Agency at 206-441-6824 or 1-800-282-9342.
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Matthew French Director of Insurance Services WDIA
“Forty percent of American households would immediately have trouble meeting their basic living expenses if a primary wage earner passed away”
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The Department of Health (DOH) has released the draft of its Denturist Scope of Practice Sunrise Review on expanding the scope of practice of licensed denturists to include “making, placing, constructing, altering, reproducing, or repairing all other nonorthodontic removable oral devices” and “teeth whitening using bleaching solutions of twenty percent or less.” A complete copy of the DOH report can be found online at www.wsda.org. In the draft proposal, DOH recommends that this language NOT be adopted into law, saying “The department finds substantial risk of patient harm if the broad definition of ‘nonorthodontic removable devices’ proposed in House Bill 2815 is adopted.” Their rationale is as follows: “Allowing the broad use of “nonorthodontic removable oral devices” opens up the scope of practice for denturists to work with obstructive sleep apnea (OSA), which requires specialized training, even for fitting and follow up for the devices. If not properly diagnosed and treated, OSA can lead to cardiac disease, hypertension, and stroke. In addition, the devices can lead to adverse effects such as dental crown damage, tooth, mouth, and jaw damage, skeletal changes, and Temporomandibular Joint Disorder (TMJ).”
The DOH opinion is consistent with arguments made by WSDA and the Dental Quality Assurance Commission (DQAC). The comments from WSDA and DQAC can be found online at www.wsda.org. In the draft sunrise review, DOH made draft recommendations for more limited legislative language that could be used by the Legislature to expand denturist scope of practice. These recommendations can be found online at www.wsda.org. WSDA has reviewed these recommendations and told DOH that the Association is opposed to all denturist scope expansion WSDA will provide updates on this process as they develop. Please address questions and comments to Bracken Killpack, Director of Government Affairs, at bracken@wsda.org or 800-448-3368.
WSDA Helps Member Dentists Prepare for L&I Inspections
The Department of Labor and Industries (L&I) is continuing to conduct health and safety inspections of dental offices in Washington state. Between April 2010 and April 2011, L&I issued more than 260 citations to dental offices statewide. The most commonly cited infractions were those involving blood-borne pathogens and hazard communication. Many citations can be avoided simply by educating dental staff on workplace safety and implementing writ-
ten safety plans in case of emergencies. As a member benefit, WSDA has developed several tools to help WSDA dentists comply with L&I regulations. WSDA has worked with L&I to create a sample accident prevention program (APP) developed specifically for a dental office. APPs are required by law and must be written out and tailored to reflect the environment of each individual dental office. WSDA members also have access to materials presented by L&I at the 2012 Pacific Northwest Dental Conference. This presentation was made by an L&I hygiene consultant and was titled “Safety and Health Issues for Dental Offices.” The course covered a wide array of workplace safety issues and best practices. The sample APP and L&I course materials are on The Source — www.wsdasource. org. Sign in requires your last name and either your WSDA or ADA number. Please address questions and comments to WSDA Government Affairs Coordinator, Mike Walsh at michael@wsda.org or (206) 448-1914.
Prescription Monitoring Program Available for Dentists
Washington state’s new Prescription Monitoring Program (PMP) is fully operational and available online for licensed health care professionals to use. The Department of Health is encouraging providers to use this new system to provide improved patient care and help prevent prescription drug misuse and abuse. PMP electronically collects information
on controlled substances prescribed and dispensed and gives prescribers a tool to make better-informed prescribing decisions by helping identify unsafe medication regimens, especially with patients who see multiple prescribers. Data collection began in October 2011. As of August 2012, the system has almost eleven million records. More than 9,600 health care providers registered with the PMP program have made in excess of 210,000 patient history requests. Practitioners may request prescription history reports for their patients from the program. The information is available online, 24 hours a day, seven days a week, anywhere a user has Internet access. Prescribers can also delegate authority for requesting information to other licensed health professionals working for them. Information on how to assign delegates is available online in the PMP user guide. To register, visit (http://www.wapmp. org/practitioner/pharmacist/) and follow the steps in the Training Guide for Practitioners and Pharmacists posted there. DOH’s program website (www.doh. wa.gov/hsqa/PMP/default.htm) provides more information and an option to receive updates through a listserv. You can also contact PMP Director Chris Baumgartner at 360-236-4806 (prescriptionmonitoring@doh.wa.gov).
REGULATORY NEWS Want the latest regulatory updates? Head to the WSDA Blog (http://www.wsda.org/ headlines) and sign up to receive email updates as they occur.
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regulator y news denturist update, l&i inspections, prescription monitoring
Denturist Sunrise Review Update
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Dear Editor I was interested to read the letter from Dr. Brinson in the August issue of WSDA news about his experience in leaving WDS. We also withdrew from WDS, actually in May of 2011, right before the fee reduction. I would like to say that our financial results were the same as he experienced. Unfortunately, that is not true. Over the 12 month period, our production is down about 18 percent. Some of this represents the general economic slowdown, which hit Port Townsend a little later than other areas. The majority, however, is due to WDSrelated factors. I don’t know exactly how many families switched to other dentists, but it was well over 25 percent. In addition, hardly a day goes by that I don’t overhear the receptionist explain to a potential new client that we are not a participating WDS office — that they can come here, but co-pays may be higher. Some choose our office anyway, but some of those leave when they see just how much out-of-pocket their preventive visits are. And a fair number of long-time WDS clients who stayed with us are procrastinating on expensive care, such as crowns and implants, due to the high co-pays. Would I quit WDS again, knowing what I know now? Definitely. Considering how
dirty they have played, I have few regrets; who wants to deal with a company that treats its providers like that? But it has been a financially stressful experience. I have cut back hours, laid off staff, and had good employees leave to find more hours elsewhere. It is disheartening to see families who have been clients here many years leave the practice. By keeping my fees affordable, I set myself up to keep patients who were very price-sensitive. (My WDS PPO high-noble crown fee would have been $664 after the 15 percent fee reduction.) I sometimes regret not having raised my fees when I had the chance, but I know many of my clients with no insurance struggle with a $900 crown fee as it is. I do not know what the answer is on the WDS issue, but I suspect my experience is closer to the average than Dr. Brinson’s. I still think it was the right decision. — Dr. Dale Chuljian Dear Editor We have made it look too easy. Our extensive training and experience give us quick insights, quick decisionmaking and great-looking results. Now, social “scientists” (Pew), politicians, and
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armchair dentists think they know dentistry better than we do. It’s easy for them, too: they haven’t spent years learning the art, science and business of dentistry, and they won’t be first in line for treatment by rookie replacements. The NFL tried replacements, and we saw how that turned out. If dentistry is so easy, why would we have to replace fillings done 5-10-20 years ago? Why would it take at least two years to learn how to use a dental mirror, and not “mutilate” adjacent teeth? Why do we need to think in engineering terms, such as compressive strength, shear strength, and modulus of elasticity? Why does treating a tooth need to be like GPS: dozens of re-calculations along the route? Why do I often need to remind dental labs about proximal contacts (stronger) and occlusal anatomy (simpler)? The oral cavity isn’t an easy environment to work in. An instructor once told us “Our best is barely good enough.” If so, how can we allow midlevel or medieval alternatives? The silver lining for those of us not employing medieval providers: we will have plenty of work to do, re-doing theirs. — Dr. Stephen L. Kirkpatrick
letters to the editor chuljian, kirkpatrick
letters to the editor
Member Company: American Dental Sales Practice Valuation Study Group Institute of Business Appraisers
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Call Toll Free Phone (866) 348-3800 Fax (866) 348-3809
info@mydentalbroker.com 16300 Christensen Rd. Suite 213 Seattle, WA 98188 3 4 路 th e wsda ne w s 路 issue 1, october 路 2012 路 www.wsda.org
LEADERSHIP INSTITUTE Working today to foster the leaders of tomorrow
Your voices, ideas, and passion for dentistry are needed! Challenges from powerful, well-financed forces including insurance giants and national non-profit organizations continue to vex organized dentistry in Washington state. This year, with midlevel legislation coming to the fore, delegates at the 2012 House worked tirelessly to hammer out a proposal that left dentists in control. Still, there is much work to be done. WSDA’s Leadership Institute can help shape you into a leader of the future by pairing you with a WSDA Board member for key activities throughout the year. Tailored to develop emerging leaders from within our membership, the Leadership Institute is designed to educate participants and illuminate the leadership process without overwhelming participants with too many activities. All program costs will be paid by WSDA, including airfare, hotels, meals and transportation. Mentors and participants are encouraged to meet privately during the year to discuss perspectives, leadership issues and questions, and to further enhance the collaborative nature of the leadership process. Leadership Institute participant Dr. Duane Pegg said, “I found the experience to be invigorating and an extremely helpful introduction to the many roles and contributions of those in leadership positions in our association. I would highly recommend the experience to anyone wishing to be more involved in the association on a leadership level.”
Past members include influential colleagues like Dr. Marissa Bender (President, Snohomish County Dental Society), and Dr. Ashley Ulmer (Committee on Government Affairs), Dr. John Lo (PCDS Board of Trustees, Treasurer, political division lead) and others, who have used their experience in the program as a springboard to continued involvement in national, state and component-level politics. Leadership Institute participant Dr. Tom Natale said, “The benefit I derived from getting to know people from around the state who are active in promoting and protecting our profession is incalculable. I have gained a further measure of appreciation for how much work goes on behind the scenes, as well as how much we need everyone to participate to whatever degree possible. I would like there to be a way for all our members to see what our options are to maintain a fully functioning and vibrant state organization.” Ulmer concurred, saying, “Through the course of the year we had exposure to the many aspects of leadership in our association. It is a great overview and introduction to how things work behind the scenes. There are so many great people working at all levels in our association — it has been wonderful to meet them. I think anyone interested in learning more about WSDA or organized dentistry should consider participating in the leadership institute — I had a great time!”
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What lies ahead
Renewed challenges to organized dentistry include health care reform, dental workforce issues, funding for higher education and dental residency programs, and third party payers. In the public sector, looming issues include cuts to dental care funding for children, the working poor, and medically-complex patients. We need to nurture and propagate dental leaders more than ever. None of our recent successes could have happened without the impassioned service of your colleagues from across the state, working together to secure the future for dentists in Washington. As outside forces attempt to make decisions for the people of Washington, it is imperative that we remain their staunchest allies and advocates.
Apply today!
Let your voice be heard by applying for the 2013 Leadership Institute at www. wsda.org/leadership-institute. Applications must be received by November 9, 2012 to be considered eligible. While all applicants will be considered, preference will be given to those who have demonstrated their commitment at either the component or state level, including component leadership or attendance at WSDA events throughout the year. Questions? Contact Kainoa Trotter at 800-448-3368 or by email at kainoa@wsda.org.
membership leadership institute
Dr. Stephen Lee, former Ledership Institute participant, participates in last year’s Dental Action Day
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Snohomish County · 2012
in memoriam Dr. Donald E. Coy
SCDS General Meeting, Location: Mill Creek Country Club Speaker: Dr. Mark Drangsholt Topic: TBA (CE Credit: 1)
Dr. Donald E. Coy of Vancouver, Wash., died on Feb. 27, 2012. He was 92. Born to Otto and Elsie Coy on Jan. 18, 1920 in Newport, Wash., Coy graduated in 1945 with a DMD from the University of Oregon. His 39 years of dentistry were spent practicing in Washington and California, retiring in 1988 in Battle Ground, Wash. Coy served in the U.S. Army and U.S. Navy in both World War II and the Korean War. His last commission was as a captain in the U.S. Army. A sprinter, avid golfer, and water skier, Coy also enjoyed working out with his punching bag and jumping rope, keeping fit well into his 80s. He was active for many years as an elder and bible teacher in the Meadow Glade Seventh-day Adventist Church. Coy is survived by his wife of 37 years, Betty Schlinsog Coy of Vancouver; daughters, Cheryl Potter and Shelley (Tom) Maier of Siloam Springs, Ark., son, Douglas Coy of San Antonio, Tex., stepson, Kevin (Tricia) Palmquist of Eugene, Ore., seven grandchildren; and seven great-grandchildren.
Friday, March 1
Dr. David Nourse
Friday, October 26 BLS for Healthcare Providers and First Aid Courses BLS is 8:30AM - 11:30AM First Aid is Noon - 3:00PM Presented by I Know CPR in Everett. Contact the SCDS office to register.
Wednesday, November 14th Annual Social and Foundation Fundraiser Silent auction, raffle, and dinner Entertainment by comedian Brad Upton Location: Lynnwood Convention Center Contact the SCDS office to register.
December & January -- No Meetings Wednesday, February 20
Annual Seminar Speaker: Terry Donovan, DDS Topic: Restoration of the Worn Dentition Credit Hours: 7 Location: Lynnwood Convention Center Time: 8:30AM - 4:30PM Co-sponsored with University of Washington School of Dentistry and Seattle-King Co. Dental Society To register call SKCDS (206)443-9308.
Wednesday, April 17 SCDS General Meeting Location: Mill Creek Country Club Joint meeting with Snohomish Co. Dental Hygiene Society Speaker: Kimberly Hanson Huggins, RDH Topic: TBA (CE Credit: 1)
Pierce/King County 2012 Friday, November 16 Fundraiser for the Pierce County Dental Foundation Speaker:Dr. Harold Crossley Topic: Medical and Dental Implications of the Most Prescribed Medications. Location: Seattle Airport Hilton Time: 8:30AM - 4:30PM (CE Credits: 7)
Dr. David Nourse died on June 27, 2012, surrounded by his loving family in Olympia, Wash. He was 65. Nourse was born on October 2, 1946 in Oakland, Cal., to Tilford and Elberta (Preston) Nourse, and graduated in 1964 from Texarkana High School in Texas. In 1966, he entered the U.S. Navy and served as a machinist mate for six years in the nuclear-powered submarine program. He attended the University of Washington School of Dentistry on a Navy scholarship, graduating in 1979. After serving three years as a dental officer at Mare Island in Vallejo, Cal., Nourse and his family moved to Anacortes in 1982, where he practiced dentistry for 24 years, before retiring in 2004. Following his retirement, he and his wife moved to the Olympia area. Nourse was active in his church, serving in many capacities. He enjoyed woodworking, gardening, hiking, golf, and racquetball. He is survived by his loving wife, Kathy; daughters and sons-in-law, Kimberly and Adam Newton and Stacie and Tyler Siira; grandchildren, Nicholas and Natalie Newton, and Bjorn and Meghan Siira Nourse will be sorely missed by his’79 D-1 UWSoD friends, the Nordberg and Peterson brothers.
Dr. DeWitt (Randy) S. Randall
Surrounded by his loving family, Randall passed away September 24, 2012 after fighting leukemia and lymphoma for 22 years. He was 72. Born in Utica, New York on February 17, 1940 to Mark and Olga
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Randall, he was raised in Hamilton, New York and graduated from Hamilton High School in 1957. He did his undergraduate studies at Bates College in Lewiston, Me, and then graduated from the University of Pennsylvania School of Dentistry in 1966. After college he enlisted in the U.S. Army attaining the rank of Captain. Upon discharge, he opened a dental practice in Issaquah, Wash. in 1969. Randall retired in 2006, but consulted for Modern Dental Lab and volunteered extensively. He is survived by his wife of 37 years, Maureen and five children, Melissa Palmquist (Jim), Ryan Randall (Tracye), Hillary Minter (Brad), Steven Bunting (Diana) Monica Lucarelli ( Pete), ten wonderful grandchildren, and brother R. Kirk Randall of Newburyport, Mass. One child, Trevor, preceded him in death. He retired from his dental practice in 2006.
Dr. Richard S. Shaver
Richard S. Shaver, born Feb. 5, 1920, to Seymour and Vivian Shaver, passed away on April 6, 2011. He was 90. He graduated from high school in Coeur d’Alene, Idaho and then from the University of Idaho. He was a graduate of the Oregon Dental School in Portland. He served in the U.S. Navy during World War II and the Korean War. Shaver married Irene Schneberger on Dec. 25, 1942. Shaver practiced dentistry in Walla Walla for 35 years. After retirement, they moved to Priest Lake, Id.,Yuma, Ariz., and finally to Green Valley, Ariz. He was a lifetime member of the Elks Club, a member of Walla Walla Dental Society, Wagon Wheelers, served on the selection committee for Walla Walla Fair Frontier Days’ rodeo queen, and was a member of St. Paul’s Episcopal Church. He was preceded in death by his parents; brother Jack Shaver; and two sons, Richard Lee Shaver and John David Shaver. Shaver is survived by his wife, Irene, daughters-in-law Pat Shaver of Walla Walla and Kathy Shaver of Vancouver, Wash. Also surviving are five grandchildren, Thomas and Patrick Shaver of Walla Walla, Christina Swan of Vancouver and Michael and Scott Shaver of Portland; and six greatgrandchildren.
If you know of a member who has passed away, please send information to Laura Rohlman at laura@ wsda.org.
member news cde, continued in memoriam drs. coy, nourse, randall, shaver
cde
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3 8 · th e wsda ne w s · issue 1, october · 2012 · www.wsda.org Mercer Global Advisors Inc. is registered with the Securities and Exchange Commission and delivers all investment-related services. Mercer Advisors Inc. is the parent company of Mercer Global Advisors Inc. and is not involved with investment services.
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Featuring: Betsy Bakeman, DDS, Newton Fahl, Jr., DDS, David Garber, DMD, John Kois, DMD, Jacinthe Paquette, DDS, Maurice Salama, DMD, Cherilyn Sheets, DDS, Frank Spear, DDS, and more!
www.AACDconference.com April 24 - 27, 2013 29th Annual AACD Scientific Session th e wsda ne w s 路 issue 1, october 路 2012 路 www.wsda.org 路 39
parrish continued
parrish, continued from page 46
cal clout, wonder why? I don’t like it, but I don’t make the rules. 10. There are folks on both sides who are passionate about the issue, I’m impressed that so many are our younger colleagues. But some arguments are really over the top, e.g., death in the dental chair is not something that is going to be common either way. If it happens, it usually is associated with general anesthesia or a freak occurrence. People are not going to die under our watch so quit using that as an argument. There are plenty of others. 11. The rhetoric used in opposition is the exact same rhetoric we dentists use in opposing changes in dental hygiene or denturist scope, it is the same rhetoric used by hygiene whenever it is suggested that assistants can be trained to scale. Whose ox is getting gored? Good training is good training; competence is competence. New Zealand is New Zealand, and Alaska is Alaska. Neither is necessarily Washington. 12. The rhetoric used in support is, likewise, the same supportive argument used in these other battles — cheaper delivery,
cheaper education to achieve competence, efficiency, ability to go where dentists won’t go, and cheaper care. The veracity of it all is not important to decision makers — it just seems it should be so, or let’s do something so I feel better. But then, how many hygienists are actually working in nursing homes? 13. We have long held the “sword we will fall on” is diagnosis, irreversible procedures and dentist as head of the delivery team. We best decide quickly if these are the swords and are there others, or are we just going to take our sword home and let others decide the outcome of the battle? 14. Don’t count on the public to police the providers. There are folks in Florida getting butt-enhancement “collagen” injections in alleys and living rooms. I had patients who had crown and bridge work done in a hotel room by an itinerant dentist. And don’t even think about dental tourism for all kinds of stuff. Dental IQ is not universally high with the public...or legislators.
16. If and when the feces hit the fan from midlevels or denturists, or Diamonte Driver, or the retired bozo recently found out by KING 5 News to be doing apparently lousy RCT’s on all his patients’ teeth, dentistry in general will get splatter. Get over it, it goes with the territory. Publicity is not always truth nor are the issues really conveyed in anything more than 30 second sound bites. I hope I have given you some things to consider beyond your initial gut reaction. We have survived denturity and other intrusions on our scope. We really have bigger fish to fry right now. No matter how the vote turns out at the House or how the issue is settled in Olympia, don’t be a doofus and blame Rod Wentworth or Danny Warner or Steve Hardymon or WSDA in general. We are well organized and effective, but the battle will continue indefinitely; we need all the foot soldiers we can muster in the future. Dental Action Day will be January 25, 2013 in Olympia. Show up and see how their world really works.
15. If a midlevel provider is created, relax, you won’t ever have to work with one if you don’t want to.
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OPPORTUNITIES AVAILABLE
OFFICE FOR SALE OR LEASE
PART TIME GP ASSOCIATE IN ELLENSBURG — We are looking for a long-term associate in Ellensburg, Wash, to work 2.5 days Wed-Fri. We are an easy-going office where you will be allowed to treat as you see fit. Please email resume to uwdentaldoc@hotmail.com.
ORAL SURGEON NEEDED — Looking for retired oral surgeon, or any oral surgeon who might be interested in a few days a month, as needed for an office in the Bellevue area. Advance notice will be given when coverage is needed. If interested, please send resume to smiledentist101@gmail.com.
GIG HARBOR — Opportunity in the beautiful Pacific Northwest. Associate needed for busy Gig Harbor office. Great staff, set your own hours. Also, other specialists needed. Call Carol at (360) 779-7219.
ORAL SURGEON, EASTERN WASH. — Multidisiplinary practice seeking an oral surgeon to join a great team of orthodontists and dentists. Great salary, benefits and schedule. Please call Dr. James for more information. (267) 804-3372. GENERAL DENTIST, SUNNYSIDE, WASH. — Beautiful year old office focusing on kids. Work closely with our orthodontist to deliver superior care. Great salary, benefits and schedule. Please contact Dr. James for more information. (267) 804-3372. GREAT DENTIST OPPORTUNITY — Three lady doctors. One got married and is moving away. Are you a charming doctor who does quality work? We have patients who need you! Growing family and cosmetic practice in Olympia Washington seeks associate to join us. Outstanding staff in modern facility. Four days a week, great compensation. Two years experience needed. Email resume to maryannvetter@usa.net. ASSOCIATE DENTIST — needed for a growing private practice. Six+ years with a loyal patient following, a hygienist and a great team to work with, we are seeking a dynamic and driven associate to grow with us. Opportunity is what you make of it here, anything is possible. Contact our office manager via email at splendentdental@gmail.com. GREAT DENTIST NEEDED — $1,000 Finder’s Fee. Richland, Wash. We need a great general dentist to join our practice. We have a thriving practice and we need help. Great opportunity for someone who wants to treat people with the best that modern dentistry has to offer. Ortho, implants, perio, endo, pedo, sleep, cosmetic, or just great restorative and hygiene, we provide all aspects of general dentistry to our patients. Spacious, modern office with digital x-rays, electric handpieces, digital charts, digital IO cameras, and more. One-of-a-kind patient experience with soaring windows, indoor live palm trees, and a 20-foot water feature – a truly gorgeous place to work. We handle the marketing, new patient generating and management hassle. Great income potential and great working conditions. We have it all! Hurry! First responders to refer someone we hire will receive a $1,000 finders fee. Send your name, your email, prospective doctor name and phone number to careers@cadwelldental.com or fax (509) 627-6720 OPPORTUNITY AVAILABLE — Opportunity for dentist interested in T.M.D. / facial pain practice. Poulsbo Wa. Call (360) 981-8796, tmdclinic@aol.com.
DENTIST NEEDED — Our modern Dental facility provides our team of eight Dentists and well trained support staff the opportunity to provide quality, comprehensive general and restorative dental care to our patients. Position available November 2012. Comprehensive health benefits, Employer paid Life & LTD, sign on bonus, 401(k), relocation, generous paid leave and CME. Potential loan repayment. Contact Colleen Hazel, HR Generalist at (509) 764.6105 / chazel@mlchc.org. Moses Lake Community Health Center, 605 Coolidge St, Moses Lake, WA 98837/mlchc.org. ASSOCIATE DENTIST POSITION — Lynnwood. Candidates should have experience with all facets of general dentistry, with emphasis on oral surgery and implant placement. Our office has been established in the area for 10+ years, with a stable client base and proficient staff. We offer a competitive compensation package, and the possibility to transition into purchase. Please email your CV to motzko4807@gmail.com. DENTIST OPPORTUNITY IN GRAHAM, 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. DENTIST JOBS — Aspen Dental offers tremendous earning potential and a practice support model that empowers dentists. We eliminate obstacles for dentists to own their own practice. Call: (866) 748-4261. www.AspenDentalJobs. com. EOE. ASSOCIATE POSITION— Sequim, Wash. Great opportunity in a productive high end office. Sequim is a wonderful place to live! Forward your resume to mdmarr@gmail.com. PEDIATRIC OPPORTUNITY AVAILABLE — Pediatric dentist opportunity. South King County, multiple office sites. Solid seven figure practice. Existing patient base. Part time but will eventually lead to full time. Potential to buy in. Email CV to skcpedodds@gmail.com.
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SEATTLE GENERAL PRACTICE FOR SALE — Large profitable general and multi-disciplinary dental practice just off downtown Seattle with excellent location and facility. State of the art equipment including CEREC, i-CAT and soft tissue laser. This nine operatory office is collecting about $3,000,000 annually. The practice includes an in-house independent dental laboratory, an implant center with separate entrance and reception, digital radiography, Zeiss microscope and more. This practice is perfect for the super high producing dentist, or perhaps partners. Please email C/V or summary to: Sam@cpa4dds.com. FOR SALE, $150,000— Newly remodeled Olympia, Wash. general practice, three chair office in prime location with new sign. Digital pano, schick digital sensor, electric handpieces, eaglesoft, all ops computerized with dual monitors, new chairs, statim, midmark autoclaves, new instruments, new carpet, paint, laminate. Approximately 1,000 charts, beautiful office! Make offer. Email uwdental@hotmail.com or phone (360) 259-1984 LYNNWOOD, NORTH SEATTLE — Dental office condo for sale or rent. Owner financing or four months free rent. 1,300 square feet. Three ops. Dr. Hertl (206) 300-7060. Email nhertl@ aol.com. GREAT OPPORTUNITY — Great opportunity for GP or a Specialist. Cost- $147,000 includes $100,000 of equipment of your choice. A well designed turnkey four op practice on the street with all the equipment to start and run a practice. Low rent, great potential, low investment. Contact Dr. Yathi Lingam at (360) 528-4488 or email drlingam@olympiasmiles.com. G/P PRACTICE FOR SALE — Tri Cities Area. Fabulous location with great visibility, signage and lots of parking. Free standing dental building with six operatories. Practice collecting over $1M per year. Tenured staff will stay with practice. Included is a CEREC machine, digital pano, and digital x-rays. Dentist and wife (business mgr.) will stay on as long as needed to ensure a smooth transition. Innovative marketing strategy that generates over 50 new patients per month. Contact: Buck Reasor, DMD — Cell: (503) 6804366, email: info@reasorprofessionaldental.com, website: www.reasorprofessionaldental.com. DENTAL OFFICE SPACE AVAILABLE NOW — Newly remodeled dental office in the Southcenter area, 1,350 Square Feet. Oxygen, nitrous, water, air already plumbed in so it’s ready for you to start practicing! Some dental equipment is available. Growth area, large traffic. Call Medical Centers Management (253) 508-1293.
classifieds issue 1, october 2012
OPPORTUNITIES AVAILABLE
$PAC-067_Lend-SEA_WA-StateDentalAssoc_BW-7.25x4.75_Oct2012.indd 1
9/26/12 3:07 PM
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OFFICES FOR SALE OR LEASE
SERVICES
OFFICE FOR SALE OR SHARING, SOUTH SEATTLE — Excellent opportunity for a pediatric dentist, orthodontist, endodontist or a periodontist, new state of the art office, three closed ops, three chairs in an open bay (plumped for 5), large lab/sterilization room, digital periapical xray machine, large reception with kids play area, Two private offices, excellent location (one mile from Southcenter Mall). Contact (425) 802-7100.
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.
PACIFIC PROFESSIONAL PR ACTICE SERV ICES — PNW PPS has been ser v ing the dental community since 1998 by providing specialized services including practice transistions, practice consulting for marketing, cost control, startup and construction or remodeling. We also act as buyer representative, perform fraud investigation and lending services. When we say full service we mean full ser vice. (206) 399-5677 or (425) 2460734 linda@pnwpps.net or conradelledge@ earthlink.net.
FOR SALE — Come live and practice in the most beautiful place on earth! Hunt,fish, hike,bike,ski, boat,live and love in northeastern Wa. Digital pan,ceph, 3-D, intra oral cameras,op. computers, CADCAM, complete implant,ortho, endo and surgery set ups. Practice and building available at fair market price. 3-day/week,$560,000/yr collected. Call (509) 675-0029. PRACTICE FOR SALE — Computerized dental practice in Chehalis. Nice view. 1,400 square foot leased space. Three ops, space for four. Handicap accessible. Good growth potential. Email: smiletek@comcast.net. FOR SALE BELLEVUE — Beautiful Bellevue dental practice near Crossroads Mall. Open and spacious with three existing operative rooms, and room to expand. Pano and Ceph machine in office. Digital x-ray system in place. Convenient location on a main street near Microsoft. For more information, please call (425) 2136606. 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. 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 Melissa at (425) 481-1038 or email office@gentletouchdental.com. FOR SALE (NEW)— Monroe general dental practice. Great location with significant commuter drive-by exposure. Collecting $900+ annually. Four ops, (fifth plumbed) lab, sterilization, office/consult room, business office, reception and basement storage. Digital radiography, computers in all ops. Easy reverse commute from Everett, Eastside or North Seattle. Email C/V or summary to: Sam@cpa4dds.com. NEXT/ANNIE MILLER & ASSOCIATES — New dental practice listings and sites for sale in Bellevue, Kirkland, Federal Way, Renton and Tukwila. Call today for tours and info. Annie Miller, Re Max Eastside Broker’s Inc. (206) 7151444 or email at annie@nextnw.com.
GREAT OPPORTUNITY! OLYMPIA, WASH — Great opportunity for GP or a specialist. A well designed turnkey four-op practice on the street with all the equipment to start and run a practice. Low rent, great potential, low investment. Contact Dr. Yathi Lingam at (360) 236-7885 or email drlingam@olympiasmiles.com. FOR LEASE, BURIEN, WASH — Brand new, 2,700 foot, six op dental office with pano room, lab, break room, two restrooms and private offices. Completely wired and plumbed for state of the art digital dental office. $10/ft, NNN or $2,200/mo. Must see to believe and appreciate. Great opportunity for start up or relocation. Contact (206) 909-3863. EQUIPMENT FOR SALE 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 800-4882446 or http://cascade-dental.net. MOBILE DENTAL SYSTEMS — Mobile dental operator y suitable for a variety of locations ie..assisted living, missionaries. Excellent condition stackable containers. approximately 45 lbs Contact (360) 981-8796. EQUIPMENT WANTED EQUIPMENT WANTED — Looking for wide range of used equipment. Adec, Kavo, Midmark, Pelton Crane, Midwest, Gendex, Air Techniques, Apollo, Porter, Cerec, Sirona. If you want to sell equipment, call (206) 260-3563. SERVICES THINKING OF SELLING YOUR PR ACTICE? — And need a broker? Before you pick up the phone, there’s someone you should call first. Norm Culver, DDS has been seminaring and consulting with dentists on practice transitions for years. With this expertise, he knows how to help you find the best broker for the sale of your particular practice. Dr. Culver is an independent consultant and not a broker--so there is no cost to you. 206 784 6941 or email normculver@aol.com.
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GU EST DENTIST — Time off, vacation, maternity leave? Temporar y placement for day, week, or longer. Experienced, team and patient-oriented GP. Joe Schneider, DDS, FAGD. (206) 878-1237. GUEST DENTIST — Will fill in at your practice for maternity leave, injury, illness, family emergency, etc. 35 years of general dental practice experience. Personable and patient oriented. Dr. Ed Kardong (206) 842-6300. LOCUM TENENS DENTIST — Want to take a vacation? Need a knowledgeable, reliable ad personable dentist to help with your practice while you’re away? Experienced locum tenens dentist will provide exceptional care to your patients. Over 25 years of private practice general dentistry. Serving all of Washington and Oregon. References available upon request. Contact Bob Houtz, DDS at (360) 457-9568. MOBILE I.V. 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. OFFICE CONSTRUCTION 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. CONTINUING EDUCATION MODERATE SEDATION COURSE — Instructor: Steven Ganzberg, D.M.D., M.S. Dates: April 19-21 at UCLA and May 15-19 at Wendel Family Dental Centre (Vancouver, WA), 2013. Cost: $11,995. A deposit of $5,000 due by February 1, 2013. Course is 80+ hours with 20 patient cases. Contact: Lori, 360-944-3813 or loris@wendeldental.com. Space is limited. AGD #218643.
classifieds issue 1, october 2012
OPPORTUNITIES AVAILABLE
T:7”
T:4.875”
Kids will spend 8 minutes decorating their little brother. How about two minutes to brush their teeth? Brushing for two minutes now can save your child from severe tooth pain later. Two minutes, twice a day. They have the time. For fun, 2-minute videos to watch while brushing, go to 2min2x.org.
©2012 Healthy Mouths, Healthy Lives
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o f
W a s h i n g t o n
sChooL of Dentistry
ContinUing
D e n taL
FALL/WINTER 2012
Ill-defined radiolucency anterior mandible
eDUCation OctOber 12-14 The Art and Science of Anxiolysis and Sedation in 2013 and Beyond – Nitrous Oxide and Oral Sedation Fred Quarnstrom, DDS, FAGD, FICD, FADSA; David Donaldson, BDS, FDSRCS, MDS, FADSA, FADC; Mark Donaldson, BSc (Pharm), RPh, PharmD, FASHP, FACHE 26
Fourth Annual Washington Dental Service Annual Practice Management CDE - Morning Topic: It’s a Jungle Out There! Are You Keeping Up with the Times? Afternoon Topic: The Key Essentials of a Successful Practice Rhonda Savage, DDS
Figure 1
NOvember 2
Medical Emergencies in the Dental Office: A Simulation Course Bart Johnson, DDS, MS
3
Worthington Lectureship Morning Topic: Clinical Applications of Advanced Digital Imaging Afternoon Topic: How Histopathology Can Aid Clinicians in Resolving Clinical Dilemmas David Hatcher DDS, MSc, MRCD and Dolphine Oda, BDS, MS
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Medical and Dental Implications of the Most Prescribed Medications Hal Crossley, DDS, PhD This course is co-sponsored by Seattle-King County and Pierce County Dental Societies
30
A Medicine Primer for Your Office (Day 1 of 6) Pulmonary, Hematology and Cardiology, Part 1 of 2 Bart Johnson, DDS, MS
December 8
Computers and Your Dental Office - Learning to Live in Harmony Marcus Bing, IT Expert
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WSDHA Annual Course Morning Topic: To Sleep or Not to Sleep: Snoring & Obstructive Sleep Apnea Afternoon Topic: Shine The Light And They Will Come - Patient Treatment Acceptance And Laser Assisted Hygiene Steve Marinkovich, DDS, ABDSM and Janet Press, RDH This course is co-sponsored by Washington State Dental Hygienists’ Association
JaNuary 25
Practical Periodontics Timothy G. Donley, DDS, MSD New Online Courses at www.uwcde.com including Bloodborne Pathogens!
Registration Information: REGISTER Telephone: (206) 543-5448 Toll Free: (866) 791-1278 NOW! For more detailed course information and to register online visit www.uwcde.com
SCHOOL OF DENTISTRY UNIVERSITY of WASHINGTON
University of Washington is an aDa CerP reCogniZeD ProviDer ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.
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Figure 2
History of present illness:
This is a 58-year-old male who was referred by his dental hygienist for evaluation of an anterior mandible midline bony lesion that had been present for several months. The patient had noticed loosening in his anterior mandibular teeth six months prior. He also reported a recent infection in the area that had been treated with antibiotics. At presentation, the area was swollen but not infected and the anterior mandibular teeth demonstrated 3+ mobility. Periapical radiographs demonstrated an ill-defined radiolucency with displaced teeth (Figures 1 & 2). The teeth were otherwise vital. This “Clinical Corner” case was contributed by Dr. John Evans Department of Oral Surgery, University of Washington, Seattle, Wash.
Test your knowledge!
An answer to this case study can be found on the University of Washington’s Web site at http://www.dental.washington. edu/departments/oral-surgery/case-of-themonth.html. Click on “Case of the Month” and look for the October 2012 entry.
clinical corner issue 1, october 2012
U n i v e r s i t y
parrish or perish
DHATs, devotees, dilettantes and doofeses
This month’s ramblings are purposely being composed prior to the 2012 House of Delegates, where your representatives are considering a proposal to support in the Legislature, if necessary, the creation of a midlevel provider: the DHAT (Dental Health Aide Therapist), Enhanced EFDA, Dental Nurse or some other appropriate or deceptive name. The name is not important, nor really is the outcome of the vote by the House. They are not that important because the process will continue with or without us, and what’s happening now is just another phase in a long march. In truth, this and similar other battles have been fought for decades; I know because I have been in the middle of many of them.
Let’s make some general assumptions and observations to help us all put this entire heated discussion in perspective. And, at the end of the day, let’s all just continue to get along (Thank you, Rodney King. RIP). 1. Perception is reality. Government, community advocates, big money foundations with a social agenda, and elements of dentistry perceive there is a huge problem that needs fixing: cost-effective access. The Legislature is weary of our just saying, “NO!!” We can debate the details, but the perception is out there screaming for a fix. One or two key legislators (or a governor) can carry the day either way. Remember that November 6. 2. Perception says the private practice system, as it currently functions, cannot “fix it.” Evidence: the rise in free/low income/FQHC clinics/dental vans and continual demand for more. And non-profits receive various breaks and perks as incentives to provide this care. Sidebar: Is Medicaid/non-profit care inherently “second class”? I would like to see some data to answer the critics either way. Dr. Jeffrey Parrish “If everyone is thinking alike, then somebody isn’t thinking.” — George Patton
”Let’s make some general assumptions and observations to help us all put this entire heated discussion in perspective. And, at the end of the day, let’s all just continue to get along.”
3. Yes, we all know prevention is the key to all this. Convince everyone of that. Figure out a way to do more of it and who’s going to pay for it. It’s obvious we cannot drill our way to success. 4. A discussion for another day: the effects of Obamacare-mandated insurance exchanges and requirement for all children to have dental coverage. What’s covered, what reimbursement schedule, who’s going to provide this care? 5. The “fix” must include changes from dentistry, government, advocacy groups, industry, emergency rooms, dental education and, probably most importantly, patients. But don’t look to government to implement comprehensive change; they generally merely nibble at the edges. 6. Very few dentists (leaders or otherwise) are rabid advocates of a midlevel provider, those leaders involved recognize the potential for very serious mistakes in design without our input. Given their druthers, they would maintain the status quo, but their “druthers” may, however, be gone. 7. Medicine has had its care extenders for decades. It would do us all good to understand the differences between a Nurse Practitioner and a Physician’s Assistant and the parallels between them and the various midlevel proposals in dentistry. 8. Government has us by the short hairs with its licensing power. Government’s first responsibility is public safety. Sometimes it gets really enlightened and considers economics other than their own (as we know, they are broke). Don’t expect economics to be the deciding factor — if it’s not the government’s money nor economically viable on its own, they don’t really care. And educating this new provider is probably not going to require government money. 9. Our representatives in government are motivated by exactly the same things you are: relationships and money. If you don’t have a personal relationship with yours, or if you haven’t given them money, you are part of a much bigger problem. Don’t blame dental leadership if you are not helping. Trial lawyers and teachers’ unions have lots of politi-
The views expressed are those of the writer and do not necessarily reflect the opinion or official policy of the WSDA.
continued on page 40
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SKYDIVING Didn’t work out so well for Mumbles
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th e wsda ne w s · issue 1, october · 2012 · www.wsda.org · 47
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At NORDIC, we take things personally 4 8 · th e wsda ne w s · issue 1, october · 2012 · www.wsda.org