ARTICULATOR MDDS Connections for Metro Denver’s Dental Profession
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4th Quarter, 2020 RMDC EDITION Volume 25, Issue 2
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The Five Stats Every Dental Practice Should Monitor
18
DENTAL ASSISTANTS: The Secret Weapon of a Dental Practice
NO….I JUST GOT STUCK: 20 OH How to Manage an Exposure Incident
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Yearly HIPAA Training Updated Policy Documents HIPAA Logs
4th quarter 2020
what's inside? 10
pg.
10 The Five Stats Every Dental Practice
pg.16
Should Monitor
16 Predictions, Predictions, Predictions – Process Wins Over Prognostication
18 Dental Assistants: The Secret Weapon of a Dental Practice
20 OH NO….I JUST GOT STUCK: How to Manage an Exposure Incident
departments 4 6 8
RMDC Chair Message
Reflections
Member Matters
12 Non Profit News 22 Tripartite News
Advertisers Directory
ADS Precise Transitions adsprecise.com................................. 27 Berkley Risk Services of Colorado colorado.berkleyrisk.com.................... 26 Best Card bestcardllc.com................................. 21 Carr Healthcare carrhr.com........................... Back Cover CDA cdaonline.org....... Inside Front Cover, 23 Copic Financial Services Group copicfsg.com..................................... 19
Denver Implant Study Club (DISC) https://disc.events.............................. 19
Healthcare Medical Waste Services, LLC hcmws.com....................................... 13 PNC Bank pnc.com........................................... 15
SAS Transitions sastransitions.com.............................21
Dental Lifeline Network dentallifeline.org............................... 25
Vitality Dental Arts vitalitydentalarts.com...........................5
Co-Editors Amisha Singh, DDS; Allen Vean, DMD Creative Manager CT Nelson Director of Marketing & Communications & Managing Editor Cara Stan President Kevin Patterson, DDS, MD President-Elect Pat Prendergast, DDS
27 Classifieds
Dentists Professional Liability Trust of Colorado tdplt.com............................................ 7
CTC Associates ctc-associates.com............................. 13
MDDS Standing Officers
24 Event Calendar
Dente Vita dentevita.com................................... 26
Treasurer Janie Boyesen, DDS, DMSc Secretary Karen Foster, DMD
Editorial Policy All statements of opinion and of supposed factare published under the authority of the authors, including editorials, letters and book reviews. They are not to be accepted as the views and/or opinions of the MDDS. The Articulator encourages letters to the editor, but reserves the right to edit and publish under the discretion of the editor. Advertising Policy MDDS reserves the right, in its sole discretion,to accept or reject advertising in its publications for any reasons including, but not limited to, materials which are offensive, defamatory or contrary to the best interests of MDDS. Advertiser represents and warrants the advertising is original; it does not infringe the copyright, trademark, service mark or proprietary rights of any other person; it does not invade the privacy rights of any person; and it is free from any libel, libelous or defamatory material. Advertiser agrees to indemnify and hold MDDS harmless from and against any breach of this warranty as well as any damages, expenses or costs (including attorney’s fees) arising from any claims of third parties.
Inquiries may be addressed to: Metropolitan Denver Dental Society 925 Lincoln Street, Unit B The Articulator is published quarterly by the Metropolitan Denver Dental Denver, CO 80203 Society and distributed to MDDS members as a direct benefit of membership. Phone: (303) 488-9700 Fax: (303) 488-0177 mddsdentist.com ©2020 Metropolitan Denver Dental Society Printing Dilley Printing
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RMDC CHAIR MESSAGE
Building Community at RMDC Anywhere By Angelica Seto, DDS
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has been an extraordinary
to the Expo Hall at all times with the ability to chat in real-
and challenging year. In the dental
time during interactive Expo Hall hours, or the option to make
community, we have had to overcome
appointments to chat with the exhibitors. Participants can
an abnormal amount of adversity, but
also earn points for visiting booths, downloading documents
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and videos, participating in live chats, and
the shining light has been seeing everyone come together to pull through this most uncertain time. Platforms such as Zoom and social media have enabled communication allowing everyone to stay abreast on the ever-evolving mandates and policies, as well as providing avenues to obtain personal protective equipment when supplies were limited and demand was high. It is this
"It is this type of support that makes me so proud of our profession. It was heartwarming to see everyone do what they could to lift others up and ensure each other's survival."
watching videos, with exciting prizes for those with the most points! One of the best aspects of past RMDC meetings has been the ability to come together for networking and social events. Fear not, RMDC Anywhere will be no different! Keep an eye out for information
type of support that makes me so proud of
on our in-person and virtual networking
our profession. It was heartwarming to see
and social events. The Metro Denver Dental
everyone do what they could to lift others up and ensure each
Society (MDDS) has taken all the necessary precautions to
other’s survival. I hope that we can continue this synergy in the
ensure the safety of everyone. We understand people have
new year, so we may have a healthy and fruitful 2021.
differing comfort levels when it comes to social interactions, which is why we have taken every measure to be up-to-date
In the spirit of surmounting extenuating circumstances,
with the most current Public Health Order. We are looking
it is my pleasure to announce Rocky Mountain Dental
forward to connecting and having fun, whether it be virtual
Convention (RMDC) Anywhere. This convention will utilize
or in-person.
newly developed methods to bring everyone together in a virtual format. As such, we will be offering live-only and on-
I encourage everyone to join us for our opening session on
demand continuing education from the comfort and safety
Thursday, January 21, 2021, to kickoff RMDC Anywhere. We
of your couch. We have a top-notch lineup of speakers giving
are honored to have Mr. Bruce Christopher as our opening
lectures on topics ranging from practice management and tele-
speaker. He will be presenting, “How to Stay Energized in a
dentistry to pharmacology and periodontology. There is no
Draining World: The Power of Attitude in Times Like These.”
better time to take advantage of this opportunity to grow and
We are looking forward to celebrating the unity and strength of
learn. These top-tier lectures will allow you to better navigate
our dental community, as well as expanding our knowledge so
these uncertain waters in which we have found ourselves.
that we may continue to provide premium dental care for our patients. MDDS and its members have been working tirelessly
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During the breaks in the convention, we will be providing a fun
to provide everyone with an amazing convention experience. I
and interactive virtual Expo Hall. Attendees will have access
am looking forward to seeing you all there!
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4th Quarter 2020 mddsdentist.com
REFLECTIONS
Specialization, Socialization and Freedom By Allen Vean, DMD
W
e all remember our dental education days. Some of us are reminded of hard times, good times and friendships that have lasted our entire professional lives. Moments of learning when your brain finally realized the instructor was giving you a difficult time for a reason. Unfortunately, the school that I attended, Washington University, St. Louis, was a victim of the many private dental schools forced to close for pure economic reasons. It was the oldest dental school west of the Mississippi River with famous faculty such as G.V. Black and Robert Gorlin. Many of us also remember faculty who guided and mentored us through challenging procedures and taught us to do the right thing. Dr. John Gilster was one of those for me. Dr. Gilster was the classic pediatric "We all remember our dentist. He was calm, cool, collected and had a personality dental education days. you could not help but love. Some of us are reminded However, his true talent was writing. The Gilster Report was of hard times, good included in each issue of the times and friends that Missouri Dental Association Journal. In it, he would address have lasted our entire current issues and dilemmas facing dentistry at that time. He professional lives." then became the journal’s editor. Here is his incredible editorial from the Missouri Dental Association Journal, November 1963. “A lecture on the social and economic aspects of medical care was brought to my attention recently. This discussion was the first of the annual Michael M. Davis Lecture Series at the University of Chicago. And, fittingly enough, it was given by Michael M. Davis, Ph.D. As the standing authority on medical economics, Dr. Davis presented some intriguing thoughts on the present status of medical service and projected some developments we should expect in the future. Dr. Davis discussed overspecialization in medicine. His analysis of the problem as well as his suggested solutions might be applied to dentistry too; therefore, some exposition of the lecture should be appropriate. Admitting that the complexities of modern practice have made specialization necessary, Dr. Davis expresses regret at the difficulties this presents the patients. Occasionally, an important facet of the patient’s health is completely overlooked because of the separate, sometimes unrelated examinations by specialists. The old-time family doctor didn’t know as much about specific diseases and the separate body systems; but his concern about the individual as a whole helped him bring many a patient through illness or injury. Unfortunately, modern medicine has all too few men who can pull all findings together and treat the whole patient. Dentistry, too, is becoming more and more specialized. It has become possible for a patient to go to great lengths to preserve teeth when the problem of dental caries has been severe; and then, perhaps find that a periodontal problem seriously threatens these same teeth. Patients may neglect to accept a referral to another specialist and then all may be lost. Although life itself may not often be at stake, good health always is.
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What are Dr. Davis’s suggestions to medicine? He states the basic problem: “to organize services and institutions with the objective of the care of persons rather than of diseases.” His solution is for doctors to be members of organized medical groups which have within them all the specialists. One of the group would be responsible for coordinating the work of all. This plan would come closest to replacing the old- fashioned family doctor or personal physician and still afford the advantage of specialists’ training. In other words, he suggests group practice. Group practice is certainly not a brand-new idea in dentistry, either. The advantages to the patients and to the dentists, as well, seem obvious. Efficiency and the broad experience and skill available from a group of specialists sounds like a winning combination. It should have all the advantages. Dr. Davis continues his dissertation with some discussion of prepayment plans in medicine, pointing out the ease with which group practices can work within prepayment plans. He admits that governmentally organized and financed medical service would be inadvisable, feels that we should experiment with a combination of voluntary and governmental support for medical care. This seems sensible, for in this day and age we must concern ourselves with providing good health service to more people at fees they can and will pay. Perhaps the above plan is a possible approach. However, the plan is really a closed panel approach to prepayment and to me the closed panel is like the little girl who had a curl in the middle of her forehead (when good, very, very good; when bad, horrid). Another serious drawback is the possible loss of independence of action. With so few careers left in which a person may enjoy freedom and assert his independence, the growth of group practices may possibly discourage some persons from going into dentistry. Personally, freedom to practice dentistry at my own rate, on my own schedule, in my own manner is very important. I’m afraid I wouldn’t like being squeezed into a pattern set by a group. On the other hand, the patient, too, should be permitted the freedom to choose his own dentist or physician. Group practices, tied in with prepayment plans, would make freedom of choice by the patient difficult, if not impossible. Efficiency, humanitarian principles and high quality of service ring loud and clear. But conformity and machine-like operation of such a highly personal service as dentistry sound unattractive to me. Alas, I’ll need more convincing.” Fast forwarding fifty-seven years and reading Dr. Gilster’s words today, I still find his insight fascinating. Some of his thoughts certainly apply to 2020. My deepest thanks to Elisabeth Brander at the Washington University School of Medicine Library who was able to locate many of Dr. Gilster’s writings. The MDDS team has worked tirelessly over the last months to keep our Society running beautifully in these complex times. The 2021 RMDC Anywhere is no exception. They deserve a standing ovation. We hope you will find our virtual platform a valuable addition to your membership. Thank you all for your support of organized dentistry. Unfortunately, we are not on the other side as of yet. Let’s hope 2021 makes 2020 an enormous aberration. As always, your contributions and comments are always welcome. Stay safe, test negative. AV
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MEMBER MATTERS EMBER MATTERS
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Dr. Ryan Dobbs Dr. Daniel Galvez Dr. Mohamed Ghanem Dr. Jeremy Glick Dr. Sanchita Gupta Dr. David Hanna Dr. Clifton Harris Dr. Jean Link Dr. Quen Ly Dr. Alexander Maldonado Dr. Lyda Martinez Dr. Mario Martinez Dr. Ian Matzkowitz Dr. George Messer Dr. Sansriti Narain Dr. Huong Nguyen Dr. Min Oh
Dr. Dori Papir Dr. Samidha Patel Dr. Jeramiah Paylor Dr. Sara Qadi Dr. Adam Rudin Dr. Robert Ruff Dr. Elizabeth Salazar Dr. Rahul Salunke Dr. Karan Sandhu Dr. Priyal Shah Dr. Sanika Shah Dr. Sunaina Sood Dr. Carson Spornhauer Dr. William Veazey Dr. Elija Voyich Dr. Shari Wolsky
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Anywhere
RMDC will feature:
- More than 50 live & on-demand courses - Virtual Expo Hall - Real-time networking with attendees, speakers and vendors - In-person and virtual social events
HOSTED BY:
Visit rmdconline.com to learn more!
MEMBER MEMBERMATTERS MATTERS
MDDS Annual Shred Event - September 2020
MDDS and Colorado Orthodontic Foundation (COF) volunteers worked to shred confidential documents for members at the Society’s annual shred event.
More than 1,200 boxes of documents were shredded to raise money for COF.
CDA & MDDS Fall Fest Happy Hour - October 2020
Members enjoyed appetizers, cocktails, fall-themed activities and reconnecting with colleagues at this outdoor social event.
RMDC SPEAKER
The Five Stats Every Dental Practice Should Monitor By Dayna Johnson
W
hen I say “monitor,” I don’t mean you write the numbers down on your spreadsheet, stick it in the three-ring binder and forget about it. I mean you are writing it down, talking about it with your team, and coming up with strategies as a team to improve it or high-fiving each other because you are exceeding your expectations. Numbers tell a story. The numbers help you reinvent systems, protocols and campaigns. I was recently working with a dental practice that has three front office team members. They each have a list of statistics they have to track on a daily, weekly and monthly basis. They wanted my help with extracting information from their software so it would be easier for them to complete their time-consuming tasks. I was looking at the stats they were tracking and asked them two questions: “What do you all do with this information?” and “How do these numbers help your job, your practice and your patients?” The answer from all three team members was the
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same: “I don’t know. The doctor just wants it.” Similarly, I often find offices that do not track anything at all. I have asked doctors what their Accounts Receivable number is, and they can’t tell me. I have asked Financial Coordinators what the over-the-counter collections are for the office and they don’t know. There is a disconnect between tracking stats and trending stats you can use in your dental practice to make it more profitable and productive. In many offices the front office team spends hours throughout the month tracking statistics, gives the numbers to the doctor and never hears anything back. Then they start the process over again the next month with the same result. Numbers tell a story. Use the numbers to write the next chapter and deliver an ending that is more predictable and don't just leave your bottom line to chance. Look at numbers over a three-month average rather than on
a month-to-month basis. While every office can have a bad month, if you track the statistics on a three-month average, you can get a better picture of the health of the practice.
opportunity is the diagnosing in periodontal therapy. If your hygiene department is producing less than 30% in perio services, consider an evaluation with an experienced hygiene productivity coach.
Monitoring the gross/net production and collection numbers goes without saying, so what other numbers do I recommend to offices they monitor?
Unscheduled Time Units This number can go up and down, especially depending on the time of year. Offices tend to see more unscheduled time units during the summer months because patients want to play hooky in the sunshine. Therefore, it is important to trend this number over a three-month average just like all the other statistics. If you have more than three units of unscheduled time in the hygiene department per day, then you may want to look at new ways of making sure patients understand how important it is to keep their appointments. If patients are skipping their hygiene appointments, it could be because they don’t consider their oral health a priority so it is important for the hygienist to plant a seed that the patient will remember. For example, “If that pocket on that upper right tooth doesn’t improve, we may need to refer you to a specialist," or "We need to watch that crack on tooth #4 very closely.” Patients may also skip their appointments because they know that if they call, they can get in within a couple of days. After all, they’ve done it before. To stop this from happening, the front office must have the communication skills to handle these habitual schedule changers.
Over-the-Counter Collections You will be surprised at how much money you are losing in your practice when you let patients walk out the door without paying their co-pay for today’s visit. Your money is worth more today than it is 30 or 90 days from now and it makes a huge impact on the bottom line of the practice. With insurance plans paying less and less, the "Numbers tell a story. patient is more responsible Use the numbers to than ever for out of pocket expenses. I am a big believer write the next chapter in collecting over the counter and deliver an ending and recommend tracking that is more predictable this number very closely. This starts with the new patient and don't just leave phone call and training your bottom line to patients that payment is due chance." at the time of service, then continues with the treatment plan presentation when creating a financial arrangement that conforms to this philosophy. Finally, at the time of the appointment when your patient is checking out, your team must have the language skills needed to ask for payment before the patient leaves. My recommendation with your practice management software is to have separate payment types for cash, check and credit card so you can easily separate this number for reporting. Net New Patients Notice the word “net.” This number can also be called the Patient Retention. Many offices are very proud of the number of new patients they get every month until you ask for the number of patients who leave each month. If you are getting 30 new patients a month but have 20 patients leaving every month, you really only have 10 new patients. That number doesn’t sound as good, does it? It is important to know why your patients are leaving and how you can use this information to retain patients in the future. Try following up with patients who are leaving with an exit phone call to learn the reason for the transfer. If it is something you can prevent in the future, this will help your “net” new patient number improve. Percentage of Perio Production to Overall Hygiene Production A six-year study by JADA reveals that 42% of adults over the age of 30 have periodontal disease and 7.8% have severe perio disease. In my experience assessing hundreds of dental practices, I find offices are coding less than 20% in perio services. The hygiene department is an important piece of the dental team and it is prudent to keep a close eye on what is being scheduled out of this chair. A common area of
Accounts Receivable This number affects your practice overhead more than any other statistic in the practice. In today’s economy and uncertainty in employment, practices need to be more cautious about extending a payment plan. It is extremely important to monitor not only your positive accounts receivable but also your credit balances. Depending on the laws in your state, you might have to report and send any non-active credit balances to the Department of Revenue to list on their unclaimed property report for example. While there are many more numbers to monitor besides the five listed, these are the big ones. These numbers can be influenced with minor changes in financial policies or language skills that will have a big impact on the health of the practice. Check with your practice management software and see if you can pull these numbers directly out of your computer software. If not, you might need to create your own spreadsheet to keep track or think about investing in an online analytics dashboard. Having your practice numbers at your fingertips allows you and your trusted advisors access to information instantly. The practice numbers give you and your team the information needed to tweak your systems and give you something to celebrate. Celebrating your success with your team creates motivated and loyal team members. It is your team who can influence the practice numbers more than any one person so bring your team on board with being open and transparent about sharing the information. You will be glad you did. About the Author Ms. Dayna Johnson has more than 25 years of experience in the dental industry managing a dental practice, training and consulting. Dayna has a passion for efficient, consistent and secure systems and helps clients develop standardized protocols for all practice management systems.
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NON PROFIT NEWS RMDC SPEAKER
BRINGING IT ALL TOGETHER KIND’s C4 Project
By Krista Barnes
F
or 108 years generations of Colorado children and teens
Recently Anid Naranjo, KIND dental assistant and ADA-certified Community
have found their smile at Kids in Need of Dentistry
Dental Health Coordinator, befriended a patient “Roberto” during a dental
(KIND). The oral health non-profit provides dental
screening event. In addition to his dental needs, Roberto described to Anid
services to over 12,000 patients each year and is well
his struggles with not having glasses for several months. Touched by his story,
known for their Chopper Topper program in highly-
KIND worked to connect him with North Metro Community services, a KIND
impacted schools across the state. They also conduct both
partner, to make sure he could get the help he needed. It had been difficult for
outreach and education while integrating pediatric care. KIND focuses on the
Roberto’s parents to get time off work for both dental and vision appointments.
whole-person and believes good oral health is intrinsically linked to overall physical
This, compounded with concerns about costs, prompted the family to attend
and mental wellbeing. When families understand, and can access comprehensive
the free health event. Roberto’s experience shows the power of co-located
care, the care costs less and long-term situations significantly improve.
services and the importance of C4 in our community.
KIND is currently working diligently to stop the closure of their Commerce
“The C4 is a really important project for KIND right now, especially during
City clinic, where thousands of children are served every year. In order to do this
these hard times. The C4 clinic was the subject of our postponed fundraising
the organization must raise $350,000 by May 2021 and over $500,000 in 2022.
dinner last month,” said KIND volunteer Board Member and C4 Task Force
Channeling this challenge into an opportunity, KIND is partnering with other
Committee Chair Dr. Kevin Patterson. “We need all hands on deck in the
non-profits to repurpose an existing county building into an innovative hub for
dental community and are currently trying to raise capital funds to build out
neighborhood wellness in Adams County.
clinical spaces within the C4. We want kids to grow up happy and smiling!”
The Commerce City Community Campus (C4) anchors health and social services in one location. KIND will join trusted health and public service providers to increase access to integrated care, while empowering families with choices that will decrease healthcare costs and increase their quality of life. The C4 will include a KIND comprehensive pediatric oral health clinic that
Staggering Figures, Disconnected Services • Within the healthcare system, less than 50% of referrals lead to a successful connection, with a provider in a new system. • 83% of the C4 district’s children meet free-and-reduced lunch criteria.
will nurture cross-agency collaboration. Projected to open in October 2021,
• 81% average of service population identifying as non-Caucasian.
at 7190 Colorado Blvd. - right across the street from KIND’s current clinic
• 68% of families have co-existing health and Social Determinants of Health (SDoH) challenges.
in Commerce City - KIND hopes to continue uninterrupted services for thousands of children in need.
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• 72% of Commerce City residents in the C4 area are low-to-moderate income.
Continued on page 14.
SELLING your DENTAL PRACTICE? Appraisals • Practice Sales • Partnerships • Buyer Representation • Post-Transition Coaching Start-Up Coaching • Associateships
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Marie Chatterley
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303-795-8800
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NON PROFIT NEWS Continued from page 12. Investing in Community: Healthy Families Make Healthy Communities
C4 is leveraging an existing community landmark, previously the county Human Services building, now owned by the Urban Land Conservancy (ULC). ULC uses real estate to benefit communities and preserves critical community-serving spaces. The C4 is conveniently located near the 72nd St. “N-line” light rail station, multiple RTD bus stops and is within walking distance of two low-income Adams County schools. Nearby, there is an affordable housing development also being planned.
be a long and difficult road. It can be much longer for those underserved communities where racial divides and barriers to care exist. Several obstacles to care families can experience include: limited referrals, lack of trust, accessibility/no transportation, eligibility, cost, child care and time to navigate multiple systems and resources - and finally, sometimes just lack of awareness of available services. These are big obstacles KIND plans to tackle together with C4 partners. The C4 will bring services together, so patients don’t have to. KIND will soon join these other new neighbors at the C4 hub: • Kids First Health Care - integrating medical and behavioral pediatrics with oral health. • Colorado Orthodontic Foundation - offering accessible and affordable orthodontic care to low-income families. In addition to the Urban Land Conservancy, KIND will join these organizations already at the ULC building:
education for pregnant, and postpartum women, infants, and children. • Front Range Clinic - evidence-based, unique approach to drug
addiction treatment and addiction medicine. • Early Childhood Partnership of Adams County - increases equitable
access to high-quality, affordable early childhood and family support. • Cultivando - community-led, social justice and collaborative
leadership. • United for a New Economy - building community power through organizing; community activism and innovative policy solutions.
• Tri County Health Department - Over 60 programs/services ranging
from birth certificates, immunizations and health care referrals to
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a time. The C4 is poised to become an innovative model for neighborhood wellness. Please consider making a donation at c4wellness.org. Both
Director Ellie Burbee at eburbee@kindsmiles.org and learn more at www.
A healthy smile is everything and the public health side of dentistry can
14 4th Quarter 2020 mddsdentist.com
to KIND will help change this and change lives one smile and one child at
on name inclusion on the C4 donor wall, please contact KIND Executive
cultural and financial resources. The C4 Campus is designed to support all.
infectious disease investigations.
and drive high lifetime costs for families and communities. Your donation
individual and corporate partnership opportunities exist. For information
Wellness requires not only medical care, but also social, psychological,
• Women, Infants, & Children (WIC) - free nutritious food and
KIND patients face a variety of social challenges known to impede health
c4wellness.org. KIND’s annual Expressions of KINDness fundraising event was recently postponed due to COVID-19. KIND relies heavily on this funding every year and more so this year for help with the C4 clinic. Please pledge support by making a donation at c4wellness.org. About the Author Krista Barnes is a volunteer for Kids in Need of Dentistry (KIND) and a member of the C4 Taskforce. Ms. Barnes is a former teacher and communications professional and is a self-described KIND super-fan after seeing the impact the organization had on her students and family.
When taking care of smiles,
make each moment matter.
_
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FINANCIAL
PREDICTIONS, PREDICTIONS, PREDICTIONS, PREDICTIONS – Process Wins Over Prognostication By Steven Karsh
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f you had a crystal ball what would it tell you? People love making predictions, whether it’s sports (who will win the championship in football, baseball, basketball, hockey, golf, tennis, etc.), finance (will the markets be up or down, will interest rates rise or fall) or elections. Making predictions is fun, but how often are you right? How many pundits predicted Donald Trump to win the 2016 election or at the beginning of 2020 forecasted one of the steepest and shortest bear markets in US history? Do you have a crystal ball that consistently gives you the answers you are looking for?
As investment advisors, we get asked the “crystal ball” finance question quite frequently. Many advisors consider numerous factors (consumer confidence, unemployment, GDP growth, inflation, wages, etc.), make short term predictions, and act on those predictions, but are often wrong. Requests to make investment predictions frequently occur when there is a lot of volatility in the markets (up or down), as well as during election years. This year has been no exception with the COVID-19 pandemic, a presidential election, and social equality issues all influencing the current investment environment. One of the most common questions in 2020 has been, “What should I do with my money depending on who wins the election?” The following chart (right) illustrates why we think no matter the circumstances driving the markets, make a long-term plan, know your tolerance for risk, periodically rebalance your portfolio and most importantly and stick to the plan. Consistently predicting which investments will be the best from year to year or when to get out of the market and jump back in is impossible.
Asset Class Returns by Calendar Year
The white “Asset Allocation” box in the graphic shows how a diversified portfolio (with an allocation to each of the asset classes) results in more consistent returns with below-average risk. Return Chasing Does Not Work Many investors like to pile into what has generated the strongest investment returns, expecting the trend to continue. However, the information below shows how investing in what did best has resulted in very sub-par performance compared to being diversified across all asset classes from year to year.
Source: Barclays, Bloomberg, FactSet, MSCI, NAREIT, Russell, Standard & Poor’s, J.P. Morgan Asset Management. (1)
The table below compares a typical “Return Chaser,” who invested 100% of their assets each year in the asset class that did best the previous year and repeated annually for 14 years. In comparison, the “Diversified Investor” each year allocated assets across all nine asset classes listed in the above chart For the 14-year period ending in 2019, the patient Diversified Investor earned almost three times as much money as the Return Chaser. Even more important, the Return Chaser lost money over the 14-year period. It is also important to note that the Diversified Investor rebalanced the portfolio back to the target allocation at the beginning of each year. Systematic rebalancing has been shown to result in better performance over time so the investor isn’t underweight to those asset classes that recover after a downturn (like equities in Q1-2020) or overweight to asset classes that have outperformed
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and tend to revert back to long term averages. Rebalancing also allows investors to bank gains and redeploy them into other asset classes and opportunities.
Missing the market's best days has been costly
Not only do Return Chasers typically underperform, but so do classic Market Timers. The chart below compares starting with $10,000 and staying fully invested in the S&P 500 for 30 years, versus missing the best 10, 20 and 30 days. There was a stark difference in returns over the past 30 years. Staying Invested When markets decline it is easy to get spooked and want to pull all your money out of the market. An investor starting 2020 with a 60% stock/40% bond portfolio who pulled all their money out during the pandemic would have locked in a 19.4% loss if they had liquidated their portfolio on March 23, 2020, the day the stock market hit its low for the year. Had that investor remained patient and stayed fully invested, they would have recovered all they lost and would have been up 6.1% (assumes no rebalancing back to target 60/40 allocation) for the year through September 30, 2020. The chart below separates bull and bear markets since 1950. If you remain invested and stick to your long- term plan, chances are you will be much better off than trying to time the market. Over the last 70 years bull markets have lasted much longer than bear markets. Patient and process-focused investors were rewarded.
Bull and Bear markets in U.S. Stocks since 1950
Source: Litman Gregory Analytics, LLC
The article began with the question, “If you had a crystal ball what would it tell you?” For all the prognosticators expecting accurate statements about the financial markets from their crystal balls, the simple answer is:
Politics and Markets When it comes to politics and elections, there are an abundance of predictions as to how markets may react with divided government (i.e. President from one party and congress split) or with one party in power (i.e. same party has the Presidency and both houses of Congress). As the chart below indicates, making a prediction on how markets will perform is an exercise in futility. In the long term, there has not been a meaningful difference in stock returns based on this metric. Many other factors have a more direct impact on long-term equity returns, including equity valuations, Fed policy, interest rates, consumer spending, and economic conditions. All of these issues need to be considered, with none of them viewed in isolation.
S&P 500 Returns (1933-2019)
“Process Beats Prediction.” Crystal balls are as clear as a recently shaken snow globe or as predictable as that Magic 8 ball you had when you were a kid. Source: Barclays, Bloomberg, FactSet, MSCI, NAREIT, Russell, Standard & Poor’s, J.P. Morgan Asset Management. (1)
About the Author Mr. Karsh is a Principal at Innovest Portfolio Solutions, a Denver based independent registered investment advisor. For more information you may contact Steven at skarsh@innovestinc.com or by phone at 303-694-1900 x308.
Footnotes: (1)Large cap: S&P 500, Small cap: Russell 2000, EM Equity: MSCI EME, DM Equity: MSCI EAFE, Commodity: Bloomberg Commodity Index, High Yield: Bloomberg Barclays Global HY Index, Fixed Income: Bloomberg Barclays US Aggregate, REITs: NAREIT Equity REIT Index, Cash: Bloomberg Barclays 1-3m Treasury. The “Asset Allocation” portfolio assumes the following weights: 25% in the S&P 500, 10% in the Russell 2000, 15% in the MSCI EAFE, 5% in the MSCI EME, 25% in the Bloomberg Barclays US Aggregate, 5% in the Bloomberg Barclays 1-3m Treasury, 5% in the Bloomberg Barclays Global High Yield Index, 5% in the Bloomberg Commodity Index and 5% in the NAREIT Equity REIT Index. Balanced portfolio assumes annual rebalancing. Annualized (Ann.) return and volatility (Vol.) represents period of 12/31/04 – 12/31/19. Please see disclosure page at end for index definitions. All data represents total return for stated period. The “Asset Allocation” portfolio is for illustrative purposes only. Past performance is not indicative of future returns.
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RMDC SPEAKER RMDC SPEAKER
DENTAL ASSISTANTS: The Secret Weapon of a Dental Practice By Kevin Henry
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n my 20-plus years serving as the managing editor for Dental Economics, editor of DrBicuspid.com and group editorial director for Dental Products Report, I have seen a lot of great things accomplished by dental practices throughout the country. I have also seen many common mistakes, whether they were located in big or small towns or focused on insurance or were fee-for-service.
requirements” tab and find your state. What your assistant can legally do in your state will be available in an easy-to-read PDF format.
One of the biggest mistakes I often see dental practices make (and yes, the dentist make as well) is not treating the practice as a small business. I know dentists want to focus on dentistry, but running the practice as a business and knowing your numbers and what each of your employees can do to boost the profitability of the business is vital to your success.
On the other hand, if you’re nervous about giving up control on a procedure, is it because of your assistant’s clinical skills? Gift them with professional education (see below). Is it because you like to maintain control? Decide if that control is worth keeping your revenue from climbing to where it could be.
That includes how your dental assistant can impact the bottom "Your assistants yearn line. These hard-working men and women are often viewed as to be a big part of your the bottom rung of the ladder practice and its success. or the lowest person on the proverbial totem pole when Let them know it comes to the pecking order of the practice. However, your they are." assistants play an integral role in your practice’s success every day. They are the ones who often handle the ordering, reaffirm to a patient that they really do need that crown, help your patients understand the benefits of their dental treatment, and get them through any anxiety they may have about sitting in your chair.
After looking at that PDF, if you discover something that your assistant isn’t doing now that they could be doing, give them the education to perform the task to free you up to do other things. You will be amazed at how your production numbers could climb.
Empower them with education This is mentioned above, but make sure you are finding courses (online or in-person when that option becomes available again) that boost your dental assistant’s career. Talk to your assistant about what they love to do every day in the practice and find courses that can expand upon that passion. So many assistants I know love oral surgery. What about your assistants? Talk to them today and map out a game plan together that will capitalize upon their passion or an area where they want to improve their clinical skills. Show appreciation I recently conducted a survey of close to 1,000 dental assistants and asked them what was the nicest thing a dentist ever said to them. The overwhelming response was, “Thank you.” Are you showing enough appreciation on a regular basis to these valuable team members in your practice?
So how can dentists help their assistants be a bigger part of the practice’s bottom line? Here are four ways you can make a difference in their lives and in your success.
So many dentists think they must reward their team members with gifts or raises or things that cost money. Yet assistants constantly tell me how much a simple “thank you” does for their morale and self-esteem. Your assistants yearn to be a big part of your practice and its success. Let them know they are.
Allow assistants to do everything they are legally allowed to do in the state
Let them thrive
In a simple economic explanation, the highest-paid member of any business (that would be the dentist in a dental practice) should do whatever he or she can to bring in the highest amount of revenue. That means the dentist should be focusing on procedures that would bring the largest amount of production to the schedule.
I believe beyond the shadow of a doubt that assistants can be leaders in the practice. Assistants wear a number of hats every day, doing everything from making sure the necessary supplies are in house to comforting patients who might be worried about their appointments. When assistants know that the dentist believes in them and “has their back,” great things can happen. Don’t hesitate to tell them just how important they are to your business today, tomorrow and every day.
If the dentist is able to do a procedure in one operatory while an assistant finishes up a procedure in another, income can increase. I strongly encourage every dentist to know their state’s dental laws so they can know exactly what their assistant legally can do in the practice. An easy way to find those laws is to go to the Dental Assisting National Board (DANB) website at www.danb.org. There, click on the “meet state
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About the Author Kevin Henry is the co-founder of IgniteDA, a community designed to empower, educate and enlighten dental assistants. His first book, “Battling and Beating the Demons of Dental Assisting” is now available on Amazon.com.
Updated DISC Schedule
Greater Insights
NATIONAL SPEAKERS / AGD PACE CREDITS / GREAT FORMAT / NEW LECTURES
For additional information or to register, visit https://disc.events
DISC 2020 Schedule
DISC 2021 Schedule
September 17 - Marco Brindis, DDS, Prosthodontist.
February 11 - Daniel R. Cullum, DDS, Oral and Maxillofacial Surgeon - Coeur d’Alene, Idaho Title: Immediate Implants and Dynamic Navigation
FACD, FAP, Prosthodontist - San Diego, California Title: Systemic Diseases and Conditions that Influence Osseointegration and Dental Implant Treatment Success: Implications of an Aging Population
October 22 - Aldo Leopardi, BDS, DDS, MS,
Prosthodontist - Greenwood Village, Colorado Title: Gingival Restorative Interface Deficiencies: when to consider Regenerative Approaches versus Pink Prosthetic Equivalents
November 19 - Neal Patel, DDS, Dentist, Certified Dental Technician - Powell, Ohio Title: Digital Integration of CBCT & CAD/CAM for Comprehensive Interdisciplinary Care
Professor: Loma Linda University School of Dentistry - Loma Linda, California Title: Papilla Management for Implant Esthetics: The OrthoPerio-Restorative Connection
DATE TBD - Richard Bauer, DMD, MD, Oral and
Maxillofacial Surgeon - Pittsburgh, Pennsylvania Title: Optimizing Hard and Soft Tissue Outcomes at the Dental Implant Site
Approved PACE Program Provider - FAGD/MAGD Credit Approval does not imply acceptance by state or provincial board of dentistry or AGD endorsement. 1/1/2019 to 12/31/2020 Provider ID# 217950
KNOWLEDGE FACTORY
October 1 - Sreenivas Koka, DDS, MS, PhD, MBA,
March 25 - Joseph Kan, DDS, MS, Prosthodontist,
DISC IS POWERED BY
Professor: Prosthodontics Department at Louisiana State University Health New Orleans, School of Dentistry Title: A New Generation of Hybrid Prosthesis: An effective viable hygienic solution for the edentulous patient
2020-21
Continuing education credits are available. (Total of 16 and 1/2 hours of AGD PACE credits)
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RMDC SPEAKER
OH NO…. I JUST GOT STUCK
How to Manage an Exposure Incident By Leslie Canham, CDA, RDA, CSP
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magine you are working on a patient and as you reach for an instrument, you suddenly feel something sharp. You are bleeding and you realize that you just had an exposure incident! Do you know exactly what to do? When accidents happen you must respond immediately to prevent infection transmission and to comply with the OSHA Bloodborne Pathogen Standard.
Dentists are responsible for keeping their team safe by following all OSHA regulations. This includes training the clinical team annually on Bloodborne Pathogens. If a team member has an exposure to blood or body fluid, they need to know exactly how to respond step-by-step, by step. Just like CPR training can help save a life, "Just like CPR training a good, well-rehearsed protocol for exposure incidents can reduce the can help save a life, a risk of infection transmission. An effective emergency action plan includes selecting a health care provider in advance of an accident. An outpatient occupational center for work-related injuries is a safe choice. Check with your local hospital or do an Internet search to find one near you.
good, well-rehearsed protocol for exposure incidents can reduce the risk of infection transmission."
Next, train the team on the plan and explain the importance of reporting the incident to you promptly. This way you can initiate the exposure incident protocol. Use the sample exposure incident protocol below to conduct training.
• DO NOT RE-USE the instrument involved in the accident on a patient! • Employee must report the incident immediately to supervisor/employer 2. Determine if the instrument was contaminated. If yes, determine risk associated with exposure by • Type of fluid (e.g., blood, visibly bloody fluid, or other potentially infectious fluid or tissue).
• Type of exposure (e.g., percutaneous injury, mucous membranes or non- intact skin exposure, or bites resulting in blood exposure). 3. Evaluate exposure source • Assess the risk of infection using available information. • The source individual (patient) must be asked if they know their HBV, HCV, HIV status and if not known, will they consent to testing.
• Note “ASAP*” because certain interventions that may be indicated must be initiated promptly to be effective.
5. Send all of the following with the exposed employee to the health care provider:
When an exposure incident occurs, immediate action must be taken to assure compliance with the OSHA bloodborne pathogen standard and to expedite medical treatment for the exposed employee. Below is a sample written exposure incident plan.
• A description of the exposed employee’s duties as they relate to the exposure incident. (Accidental Bodily Fluid Exposure Form*)
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• The exposed employee may refuse any medical evaluation, testing, or follow-up recommendation. This refusal must be documented.
• A copy of the Bloodborne Pathogen Standard.
• Wash wounds and skin with soap and water. • For mucous membranes exposures, flush with water.
4. Refer the exposed employee as soon as possible* to a health care provider who will follow the current recommendations of the U.S. Public Health Service Centers for Disease Control and Prevention for testing, medical examination, prophylaxis and counseling procedures.
Sample Exposure Incident Protocol
1. First Aid -Provide immediate care to the exposure site.
• Documentation of the route(s) of exposure and circumstances under which exposure occurred. (Accidental Bodily Fluid Exposure Form). • All medical records relevant to the appropriate treatment of the employee including HBV vaccination status records and source individual’s HBV/HCV/HIV status, if known.
6. The Health Care Provider (HCP) will:
* Accidental Bodily Fluid Exposure Form should be located in your OSHA manual.
• Evaluate the exposure incident. • Arrange for testing of employee and source individual (if status not already known).
About the Author Ms. Leslie Canham is a speaker and consultant specializing in infection control, OSHA compliance, HIPAA regulations and accommodating and treating special needs patients and patients living with HIV/AIDS. Leslie is a Certified Speaking Professional and lectures nationally and internationally. She is authorized by the Department of Labor as an OSHA Outreach Trainer.
• Notify the employee of results of all testing. • Provide counseling and post-exposure prophylaxis. • Evaluate reported illnesses. • Send written opinion to employer limited to the following: - Documentation that employee was informed of evaluation results and the need for further follow-up.
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Having a well-rehearsed protocol for exposure incidents will help expedite medical treatment for the exposed person. Prepare all of your exposure incident documentation in a file for each employee. Time is of the essence because certain post exposure medications are more effective if administered within hours of the incident rather than days. Be sure to locate a health care provider near your office before you or anyone in your practice has an exposure incident.
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Are you ready to WORK LESS and TRAVEL MORE? Is this your year to transition?
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21
TRIPARTITE NEWS
Organized Dentistry Brings New Member Value, Even During Uncertain Times By Greg Hill, JD, CAE, CDA Executive Director
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s COVID-19 enters the third wave, it is becoming obvious that business and the way we serve our members through some of our traditional programs is going to look a lot different for a while. At the Colorado Dental Association, our team is back to full remote work, but we are continuing to serve our members and deliver increasing value and new products for your membership. I want to first recognize the terrific work of the Metro Denver Dental Society (MDDS) for turning the Rocky Mountain Dental Convention (RMDC) into a virtual experience. While other conventions across the country have been working to transition from large, in-person events into "The CDA has recently virtual conventions, there is not a model or roadmap added two innovative from years of experience that solutions to its line of MDDS can just pick up and endorsements by adding implement. MDDS has been building RMDC Anywhere e-prescribing and HIPAA from the ideas, learning, compliance to our and best practices as they go, helping invent a new model technology based for dental conventions. I am strategic partnerships." excited to see the result of their tireless work and have no doubt that the 2021 RMDC Anywhere will deliver the same level of value, outstanding speakers, and education opportunities, as they always have. Just because we have been working from our home offices and kitchen tables, it does not mean that we have not been able to continue to build out new products and services to serve our members. The CDA has recently added two innovative solutions to its line of endorsements by adding e-prescribing and HIPAA compliance to our technology based strategic partnerships. iCore Rx streamlines all prescription writing into one simple process by integrating into your practice management system. • Search the Hyper-Quick, Built-in Lexicomp Drug Directory. Includes generic comparisons, dosing options, contraindications, and discontinued meds • Review Full Patient Prescription History. iCoreRx uses exact identifiers from your PM to show you every medication and dose dispensed to your patient by 99% of U.S. pharmacies, including new patients • e-Prescribe all Medications, Including Controlled Substances. Unifies your process for all prescriptions reducing errors and time spent on prescribing. In addition, since Colorado prescribers and dispensers must follow the statutory mandates requiring prescribers to check the Colorado Prescription Drug Monitoring Program (PMP) prior to a second fill of any opioid in certain circumstances, we have added a PMP module to automatically complete prescription history checks without ever leaving the iCoreRx.
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iCoreRx + PMP: • provides real-time access to the latest state data in one step • integrates with your PM to avoid manual data entry • is instantly viewable by the prescribing provider Book a live demo and take advantage of special CDA members-only pricing at iCoreConnect.com/cda. We have also just rolled out a new HIPAA compliance solution backed by Abyde. Focused on HIPAA education, Abyde is a revolutionary software solution that guides dental practices through mandatory HIPAA compliance requirements such as the Risk Analysis, HIPAA training for dentists and staff, managing Business Associate Agreements, customized policies and more. Since 2016, Abyde has worked to provide unrivaled educational resources and simplified solutions to guide practices through implementing effective HIPAA compliance strategies. Key benefits delivered by the Abyde application include: • Complimentary HIPAA education through live webinar series (no agreement necessary) • HIPAA Audit Protection Program • 23+ dynamically generated practice and state-specific HIPAA policies and procedures - no drafting or editing • Automated Risk Analysis with updates • HIPAA training modules with videos and quizzes (15 minutes each) • Business Associate Portal • Unlimited access to Abyde’s HIPAA specialists • Ongoing monitoring of HIPAA law and requirement changes
Make sure you are registered for RMDC Anywhere, virtually attend, support the virtual vendors and help support organized dentistry while we continue to support you. We invite you to check in at our membership booth at the virtual convention and in the meantime, visit our website https://cdaonline. org/cdae/ to learn more about products and services CDAE can provide to make your life easier. About the Author Greg Hill, JD, CAE has served as the Executive Director of the Colorado Dental Association since June of 2014. Prior to joining the CDA, Greg was employed by the Kansas Dental Association for 15 years and served as the Assistant Executive Director of the CDA and Executive Director of its Foundation. Mr. Hill is a 1999 graduate of the Washburn University School of Law in Topeka, KS and a 1994 graduate of Kansas State University with a Bachelor of Science in Economics. He became a Certified Association Executive (CAE) in 2016. In addition, he serves as Co-Chair and Treasurer of Oral Health Colorado; on the Board of Directors for the Colorado Dental Lifeline Network and the Colorado Mission of Mercy; and is a member of the Denver Tech Center Rotary Club. He and his wife, Gwen, are the parents of daughter, Haven, and son, Camden.
“This year has illustrated the benefits of being part of organized dentistry.”
#COVID-19
#CDAstrong
"In my 38 years of membership I found the info provided from shutdown to re-opening, practical practice and financial, to be the most helpful of my entire career. Thank you CDA!"
“CDA dental webinars since March have been the life savers for critical information and guidance in 2020.”
“I have never been so proud to be a CDA member!”
#essentialworkers “Very thankful for the CDA!”
2020 has proven that when our profession unites, we are unstoppable. When our unified voice speaks, we are heard and great things can be accomplished. Thank you for your membership. We
are stronger together.
Renew your membership for 2021! cdaonline.org/renew Questions? Contact 303-996-2841 or 303-996-2842 elisa@cdaonline.org or erica@cdaonline.org
EVENT CALENDAR January 21-23, 2021 RMDC Anywhere
April 13 CPR & AED Training -American Workplace Safety Mountain West Dental Institute 925 Lincoln St Unit B Denver, CO 80203 6:00pm – 9:00pm (303) 488-9700
April 17 Frontline TMJ & Facial Pain Therapy, Level 1 -American Academy of Facial Esthetics Mountain West Dental Institute 925 Lincoln St Unit B Denver, CO 80203 8:00am – 12:00pm (303) 488-9700
February 21 CDA/MDDS Snowshoe Hike Beaver Brook Trail Evergreen, CO 10:00am – 2:00pm (303) 488-9700
Apri16 Botulinum Toxins (Xeomin, Dysport, Botox) and Dermal Fillers Training, Level 1 -American Academy of Facial Esthetics Mountain West Dental Institute 925 Lincoln St Unit B Denver, CO 80203 8:00am – 5:00pm (303) 488-9700
June 11 HANDS-ON Nitrous Oxide/Oxygen Administration Training -Dr. Jeffrey Young Mountain West Dental Institute 925 Lincoln St Unit B Denver, CO 80203 8:00am – 4:00pm (303) 488-9700
March 5 HANDS-ON Crown Lengthening: Creating Predictable Restorations. -Dr. James Kohner Mountain West Dental Institute 925 Lincoln St Unit B Denver, CO 80203 8:00am-4:00pm (303) 488-9700
April 17 Botulinum Toxins (Xeomin, Dysport, Botox) and Dermal Fillers Training, Levels 2 & 3 -American Academy of Facial Esthetics Mountain West Dental Institute 925 Lincoln St Unit B Denver, CO 80203 8:00am – 5:00pm (303) 488-9700
February 10 CPR & AED Training -American Workplace Safety Mountain West Dental Institute 925 Lincoln St Unit B Denver, CO 80203 6:00pm – 9:00pm (303) 488-9700
KEEP UP-TO-DATE EVERYTHING MDDS
April 9 HANDS-ON The Chairside Assistant’s Role with Dental Implants -Dr. Brian Butler and Dr. Dennis Waguespack Mountain West Dental Institute 925 Lincoln St Unit B Denver, CO 80203 8:00am – 11:00am (303) 488-9700
Follow us @ mddsdentist today!
Did You Know? The Mountain West Dental Institute (MWDI) is open and ready to host your next meeting. Affordable rates for staff retreats, team building events, training or business meetings.
- COVID-19 Safety Features - Conveniently Located - Free AV - Free Parking - No Catering Restrictions Our team has implemented features such as socially distant room set-ups, mask requirements, temperature screenings, hand sanitizing stations, enhanced cleaning protocols, FDA-approved air purifiers and more to keep you and your team safe.
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Contact MWDI today to learn more or book your next meeting at (303) 957-3274 or events@mddsdentist.com. mddsdentist.com
“
Getting my smile back has given me my life back.
” YOU CAN CHANGE A LIFE WillYouSeeONE.org
From clearing up painful dental infections and being able to eat again to rejoining the workforce - volunteering with Dental Lifeline Network’s Donated Dental Services (DDS) program will make a life changing difference for the people we serve. “Fellow dentists—will you join me in seeing ONE patient?” -Gordon J. Christensen, DDS, MSD, PhD
We’re here to help. Improve your patient care without adding overhead expense – by partnering with DenteVita and the Practice of Dr. Aldo Leopardi, Prosthodontist. You can trust that you’ll receive the impeccable service you would expect from a seasoned specialist like Dr. Leopardi.
Our goal at DenteVita is to do everything possible to build your confidence and exceed your expectations.
Together, we will work with you to provide the highest level of individualized care. Consider Dr. Leopardi’s expertise as an extension of your professional practice. The level of experience and precision that his Practice offers makes it easy for you to refer your patients with complete confidence.
Call our office at
About Dr. Aldo Leopardi Dr. Leopardi is the founder of DenteVita Prosthodontics. His focus is to provide functionally driven aesthetic solutions to patients requiring tooth borne fixed, removable, aesthetic and implant supported dentistry. With over 30 years of experience, from single tooth to complete rehabilitation, you can be assured that your patients are in the care of a skilled professional. 7400 East Crestline Circle, Suite 235 Greenwood Village, Colorado 80111
720.488.7677 to speak to Dr. Leopardi and find out how we can build a successful partnership. Don’t forget to ask about our referral packet!
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Phone: (303) 357-2600 Toll Free: (877) 502-0100 denver@berkleyrisk.com
CLASSIFIEDS Jobs Dentist: Escala Family Dentistry is seeking a part-time associate for Thursday's, with the option of all day or half day. Ideally this position can be a longer-term commitment or temporary through the holidays. If you are seeking a long-term position, there is potential for this position to grow into more days.
GP and free-standing Building (sold with practice) for sale in beautiful Pikes Peak area (CO 1803). Dr retiring, 5 OPS. Room for growth! Practice price $200K and Building price $495K. For more information please contact jed@adsprecise.com or call 303.759.8425. For more listings visit www.adsprecise.com.
Escala Family Dentistry has been serving the Denver Metro area for over 13 years. Our patients here are friendly and have a long term, loyal commitment to our practice. In addition to a great staff and loyal patient base our office is a completely chart-less and up to date on the latest technology, which allows us to better service our patients. Experience is preferred but we are open to all candidates. Pay is highly competitive and commensurate with experience. We are excited to meet you!
GP in Denver for sale with Building (CO 1706) Purchase Price $595K for practice + $1.15M for building 4600sqft + 1400sqft basement, $810K collections, 5 OPS. For more information please contact jed@adsprecise.com or call 303.759.8425. For more listings visit www. adsprecise.com
For Sale
GP for Sale: North Eastern CO (CO 1735) 4 Ops, approx. $900K in collections, Stand-alone bldg. sold w/practice. Dr. retiring. For more information please contact us at jed@adsprecise. com or call 303.759.8425. For more listings visit www.adsprecise.com.
Southwest Englewood General Practice For Sale: Southwest Englewood area, CO, 2 equip. op practice with 1000 square feet. Great location. Doctor is retiring, asking price 57,500 or best offer. Contact Kevin Brady at 303-910-3214 or kevin@omni-pg.com. (CD119) Highly Desirable Boulder General Dental Practice For Sale: Highly Desirable Boulder, CO General Dental Practice for sale. 3 ops modern, digital, on a busy street with lots of parking. Production 475k, close to 29th street mall, hospital, and CU campus. Contact Kevin Brady at kevin@omni-pg.com or 303-910-3214. (COD120) Practice for Sale - Western Colorado: Large office for sale in Western Colorado. Equipment is up to date and there are over 3,000 active patients. 7 ops with an additional 2 ops that are plumbed and have chairs just not currently in service. Over $1M in production each year for the last 5 years. Call 970-366-8760 or email codentaloffice@yahoo.com for details. SW Englewood General Practice For Sale: Southwest Englewood area, CO, 2 equip. op practice with 1000 square feet. Great location. Doctor is retiring, asking price 57,500 or best offer. Contact Kevin Brady at 303-910-3214 or kevin@omni-pg.com. (CD119)
GP in Denver for sale (CO 2018) Purchase Price $595K for practice 2800sqft + 1400sqft basement, $810K collections, 5 OPS. For more information please contact jed@adsprecise. com or call 303.759.8425. For more listings visit www.adsprecise.com
OMS practice, western mountains near Vail and Aspen, (CO 1350) Annual Revenues $840K, 3 ops, 1,300 square feet, adjacent to hospital, price $299K Excellent GP referrals, Great Opportunity! Dr. retiring. For more information please contact us at jed@adsprecise.com or call 303.759.8425. For more listings visit www.adsprecise.com. GP for Sale: Pueblo, CO (CO 2006) 4 Ops, 1900 sqft office, $393K in collections. Dr. retiring. For more information please contact us at jed@adsprecise.com or call 303.759.8425. For more listings visit www.adsprecise.com. Pediatric Practice for sale (CO 2019) in beautiful resort mountain town with 7 OPS. $900K annual collections. For more information please contact jed@adsprecise.com or call 303.759.8425. For more listings visit www.adsprecise.com.
Oral Surgery Practice: Metro Denver, CO (CO 2022). Annual Collections $450K, 5 ops (3 plumbed), 1,700 square feet, Excellent location, Dr. retiring. $325K purchase price. ADS Precise Transitions, 303-759-8425. Listing reference number: #CO 2022. For more information call 303-759-8425 or email: jed@adsprecise.com. For more listings visit www. adsprecise.com. GP for Sale: South Suburban Denver (CO 2012). Highly desirable location. Well established practice that has been successfully running for 38 years. 6 Ops, 2620 sqft Annual Revenues $714K. Purchase price $459K– Dr. Retiring. For more information please contact jed@ adsprecise.com or call 303.759.8425. For more listings visit www.adsprecise.com. Medical Office Building for sale (CO 2007) in Federal Heights, 4,700 sqft, built in 2010, custom alder woodwork and granite throughout, fireplace in upper lobby, could subdivide for multiple organizations. For more information please contact us at jed@adsprecise.com or call 303.759.8425. For more listings visit www.adsprecise.com. GP for Sale: Colo Springs (CO 2010) Annual Revenues $319K, 3 Ops fully enclosed, 1682 sqft – Dr. Retiring. Sale price $239K. For more information call 303-759-8425 or email: jed@ adsprecise.com. For more listings visit www.adsprecise.com. Perio practice for Sale: North of Denver Metro area (CO 1909) Annual Revenues $500K, 3 Ops, 1,323 square feet. For more information please contact jed@adsprecise.com or call 303.759.8425. For more listings visit www.adsprecise.com
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GP for sale in Colo Springs (CO 1908) Collections $465K, 2,043 sqft, 5 OPS. Sales price $250K. For more information please contact jed@adsprecise.com or call 303.759.8425. For more listings visit www.adsprecise.com. Endo for Sale in Southern Colorado (CO 1907) 5 DTR, $475K in collections, Dr Retiring. For more information please contact us at jed@adsprecise.com or call 303.759.8425. For more listings visit www.adsprecise.com. GP for sale in Colorado Springs (CO 1904) 4 Fully Equipped Ops, $250K in collections, 2540 sqft, Dr. Retiring. For more information please contact us at jed@adsprecise.com or call 303.759.8425. For more listings visit www.adsprecise.com.
Pete Mirabito DDS, FAGD • Jed Esposito MBA, CVA
Call us - 303-759-8425 Visit us - adsprecise.com
All ADS companies are independently owned and operated
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