ALD 2015 KNOWLEDGE EXPERIENCE APPLICATION

Transcription

1 How Dentists become Patient Advocates with their Physician Leona Meditz Phoenix, AZ USA

2 Disclosure: The Dentist to Physician Patient Advocacy program described today is part of paid services designed by Leona Meditz and offered by HCP Wellnet. Dr. Walter Below is a current client of HCP Wellnet and Leona Meditz and has received no compensation for sharing this case. The patient described is a current patient of record of Dr. Below.

3 12,500 Americans daily turn 50 years old. Two in three will contract heart disease One in four will become diabetic Six of 10 will manage more than one disease =Doubling needed doctor visits and worsening our physician shortfall. Dentists can work with physicians to prevent systemic diseases.

4 >50% have periodontitis=stm fails Periodontitis =bacterial infection can cause chronic inflammation. Doubles diabetes risk >Doubles CVD risk An advocate is one who speaks, pleads, or argues in favor of. 70% of Americans will see their dentist this year=no other healthcare professional has as much opportunity to advocate health

5 Objective 1: Show how to change routine hygiene visits into patient wellness assessments. How to use patient health histories, family health histories, new bacterial testing and probing to diagnose inflammatory health risks, not just periodontal disease

6 Health Defined: 1. Minimal Plaque/Calculus 2. Pathogenic bacteria controlled 3. Necrotic tissue removed 4. Tissue damage <4mm

7 What is Different about HCP s Diagnostic Protocol? Genetic Pre- Your Protocol Classical ALD 2015 HCP Disposition? NO YES Bleeding Points? YES YES Probe Depths? YES YES Computerized Analysis? NO YES Bacterial Analysis? NO YES Heart Disease Risk-CRP? NO YES Diabetes Risk-A1c? NO YES

8 What is Different about HCP s Treatment Protocol? Classical HCP ALD 2015 Little-No Anesthetic KNOWLEDGE Discomfort Significant EXPERIENCE APPLICATION Kills Bacteria Effectively NO YES Pocket Depth Reduction Effectiveness 30-50% 80-90% Length of Treatment Every 3 months forever 1 year Max Verify Bacterial kill post TX NO YES Complete Homecare System NO YES

9 Wellness Assessment Process Preframe 2 patients from recare ALD 2015 KNOWLEDGE HH/ EXPERIENCE HH APPLICATION Fam BP Interview Probe HH 65 min MAX clinical per patient 20 min MAX admin per patient 65 min Admin Prep time per day >3mm= Enzyme Test Patient reads It s about Time If Enzyme positive, A1c/CRP MD news ROF appt scheduled 3 weeks later

10 Which Cycle do you prefer?

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13 Objective 2: Show how to treatment plan and present 3, 6 and 12 month perio programs that change patient behaviors so you can guarantee periodontal disease remission. Patients will pay out of pocket costs 70% of the time if followed.

14 30 min 90 min 70 min 30 min ROF Process ALD 2015 Admin builds 10 Patient Portfolios Admin builds 10 Assessments Tx Coordinator customizes Portfolios Tx Coordinator dress rehearsal w/leona Call MD if necessary Tx Coordinator presents TX to patient min Portfolio Co-Discovery 2. 20min PPT slides min Presents TX Plan min Negotiates Financial Arrangements 10 min Admin schedules appointments using TX Plan 20 minadmin bills insurance from Expanded codes

15 Treatment Plan Class 3 Scheduled TX Assessment W CRP & A1c hr $4,339 3W- ROF w F/A ALD Hr 1W KNOWLEDGE EXPERIENCE Tx APPLICATION #1 PST + Path 1+PLA SRP+ LAPT 2 Q Min HMCR 1M + Start Autoship W Tx #2 Decontamination 1 Hr SRP+ LAPT 2 Q W Tx #3 LAPT only if needed Min 8W Tx #4 Perio Maint+BANA Hr 12W Tx #5 Perio Maint+Assessment Hr Path 2 + A1c/Crp/PLA

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17 Class III Perio Case (1 Year) Procedure Fee # Visits Time Hyg Prod (net) Testing $696 ½ ½ hr $499 SRP + Laser 2 Qds $ ½ hr $1200 Laser Therapy $200 2 ½ hr $400 Perio Maint. Visits $ hr $360 Home Care Products $978 ½ ½ Hr $438 Totals $ $2977 Hygiene Production/hr $309 Salary $38 % Hygiene Salary 12%

18 CDM Class II Perio Case (6 Months) Procedure Fee # Visits Time Hyg Prod Testing $396 ½ ½ hr $199 SRP + Laser 2 Qds $ ½ hr $1200 Laser Therapy $ Perio Maint. Visits $ hr $120 Home Care Products $664 ½ ½ Hr $323 Totals $ $1882 Hyg. Production/hr $356 Salary $38 % Hygiene Salary 11%

19 Wellness Center Projection Perio Reservoir Existing Potential Goal $ 1,500,000 # Recall Visits % with Probe Scores 40% 40% 40% # of Presentations # of Starts Value per start $ 900 $ 2,600 Total Perio Production $ 3,600 $ 99,840 $ 2,600 $ 31,200

20 Formal vs Informal Case Presentation

21 Objective 3 Show how to get full team support creating healthy patients. Take the "selling" out of hygiene. Patients will ask for treatment and refer their family members before they even know the cost.

22 Pre frame Admin ALD 2015 Set Appointments Home Care Instruction Assistant Assessment Hygiene Deliver Treatment Hygiene Present Case TC

23 Objective 4 Use Wellness Assessment Review of Findings to involve physicians support via patient care comanagement, which also improves case acceptance. Real cases will be presented to show you how it is being done nationwide.

24 HCP Review of Findings Form Patient Name: Patient Health History "X" in Yes if RX prescribed or past issues Rate 1-5 4Pt health ALD 2015 R.B. 61 yr old maleyes No Mitrol Valve Prolapse X Heart Disease Heart Attack Occurance Age Statins;ASA 45 yrs Stroke Diabetes Waist /Hip Ratio>1 Cancer Low BP 130/90 High BP X

25 Family Health History=5 Family Health History Heart Disease XX "X" in Yes if RX M;F m dec 70yrs ALD 2015 presecribed Heart Attack X F dec 68 yrs or past issues with Stroke X M?yrs Immediate Family Diabetes XX M,F Pre Term Birth Cancer X M Low BP High BP XX M.F

26 #toothloss/bone loss 6/moderate #Probe Scores->3.4 ALD mm % >3.4 30% #Bleeding Sites Positive 10 % Bleeding 10% Enzyme Test pos/neg pos Dental Health=5

27 CRP is the body s response to inflammation. Just 1 mg of CRP per liter of blood puts you at risk for heart attack. Mr. RB had 6.3 mg/liter. His A1c was 6.3%

28 4Pt health history 5Family Health History 5Dental Health History 3time/money 5Protect Health DOB 5/23/1952 James Gutierrez MD Cleveland Clinic Katie RN Dr. asked to see pt immediately ALD 2015 Dr. B will send MD News w/ letter and A1c/CRP report to Dr. G

29 An advocate is one who speaks, pleads, or argues in favor of.