Cliff's Notes

The Business of Dentistry

Dental Business Analytics, The Story Unfolds!

In 2018 every business is talking about analytics and reading the numbers. If you’re a sports fan, especially baseball, you know that Billy Bean, the GM of the Los Angeles Angels, started using it years ago, they called it “Billy Ball”. The program got the team into the playoffs for several consecutive years because the numbers worked. Hollywood told the story in the movie Money Ball.

Money Ball … By analyzing statistics the Angles were able to position their players for the best average match-up against their opponents. Averages played out more than 50% of the time so the team succeeded. In the real world Billy Bean was not a genus, he was just very smart and trusted business like statistics as a tool to achieve his goal. The business of dentistry is not different, statistics tell the story.

The Story … By knowing what you have, what you spend, and what statistical averages are you can maximize your production and minimize liabilities. Most dental practices have no control of consumables, even if they think they do, and spend too much production time trying to save money on line items. That’s a consumer mentality and if it describes a practice you know I guarantee there is a lot left on the table. The ADA estimates that the average dental practice in the United States spends a certain percentage of their gross production on the different categories of business operations. There are some regional adjustments due to local economies but the average percentages have been consistent for years. Your numbers are found on your profit & loss statement and should be vetted for accuracy before you start studying analytical data to tighten up the ship.

Vetting for accuracy … To properly analyze consumables within an organization, payable invoices need to be categorized correctly. For example, if you use an in-office milling system all of the supplies, including blocks, should be considered lab supplies, not clinical supplies. Once all consumables are properly categorized you will begin creating accurate data that would lead to practical quarterly category budgets.

Consumable budgets … every business has someone that orders consumable items that are needed to function. In some cases there are several. Each buyer needs a budget to stay within but that number needs to coordinate with practice growth. Question, how do you know how much you need? Answer, Analytics and a targeted percentage of the practices gross production. That may sound easy but it isn’t, you need to change your mind-set and focus on production. You need to trust that the percentages will play out and all you will have to do is adjust for growth. You will need software and data entry or you can outsource the analysis.

The Analysis … How much junk do you have on your shelves? How many different brands of product do you have that do the same thing? How much lost inventory do you have? Operating lean and strong is a process. Get started now because in 5 years it may be too late.. Please feel free to contact me with any questions or concerns.

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June 24, 2018 Posted by | Uncategorized | Leave a comment

Dental Scanners Everywhere! How do you know what to buy?

The very last thing you should do is buy an Impression Scanner at a trade show. Dental conventions are a great place to look at everything but you want to see that expensive investment in your office. Every scanner has pro’s and con’s and those differences will effect the production of the office. Top KOL clinicians may have 2 or 3 different brand scanners because some are better than others for certain procedures. For most of us, one scanner is quite sufficient but which one is best for you?

The Best Fit … What are you planning on using a scanner for? Are you thinking Invisalign? If so then you are limiting your options. Align Technologies only accepts images for several scanners such as CEREC, True Definition & iTero (Generic). If you’re thinking restorative & cosmetic then there is a lot to look at. My experience with technology taught me not take the first off the assembly line and to factor in integration into your network and support services as a higher priority than the price. Today, these 4 scanners top my list and are worth looking into.

True Definition … 3M brought this perfect introductory level scanner to the market a number of years ago so it is proven in the field. It is small, self contained, very portable, high definition and works on an open platform so it will communicate with a wide variety of digital equipment currently in the office including mills. The camera is only black & white and utilizes industry standard optical components. At a cost of $15k to $17k it is best entry level system for the practice that may not be sure about scanning. Warning, after getting into scanning, there is a good chance you may need and want more.

Emerald Scanner … Several years ago Planmeca Corp. took control of D4D Technologies. The E4D scanner was up-graded and renamed Emerald. This full color laser image scanner works on an open platform and will integrate seamlessly with a CBT, Mill and your software. E4D’s technology has been evolving for over two decades and is proven in the market. For the practice that is anticipating more digital solutions in the future, this is the system. Cost is under $30k.

3 Shape … Trios Corp. takes restorative dentistry to a new level. This system is so impressive utilizing laser image capture, an open software platform, and true color. The camera does more than just capture images, it also is an intraoral camera. But the most advanced feature is the built in shade matching camera. A tooth often has several fluctuation in shade, the 3 Shape will recognize them and transmit a perfect color correct image to your lab. When connected to a mill, this is a front line in-office Cad Cam system. If restorative and cosmetic dentistry is your thing, 3 Shape fits the practice. Cost (depending on options) $35k to $45k.

CEREC … The Grand Daddy of Dental Impression Scanner has been around for over 30 years. It is tested, proven, and does everything you can imagine. CEREC is fast and delivers true color. The software is not an open platform and the system does require a cart that takes some floor space but the quality and reputation of Dentslply Sirona’s Cerec system speaks for it’s self. Long before many current dentists were born, the Cerec System was being developed. The images can be transmitted to any Cerec authorized lab or converted to an STS files and sent anywhere, including Invisalign. The scanner only system (depending on options) is under $30k.

The Bottom Line … Dental impression scanning is here to stay, it is the future. If you are going to be practicing dentistry for another 5 years or more, you will need to engage this digital technology. The next generation of adult patients will require it. Although you will be eliminating 90% of your impression material costs, you will need annual support contracts so scanning will not save money but it will increase production and help increase revenue. Don’t fall too far behind the curve, catch-up is more expensive. Please feel free to contact me with questions or concerns.

 

 

June 18, 2018 Posted by | Uncategorized | Leave a comment

Dental Medicine, Beyond the Mouth

Did you ever ask yourself what type of dental practice you have? Is it strongest in hygiene, C&B, Implant, or endo? What marketing protocol supports those procedures? It’s the patient experience that we discussed last week, and it starts at the front desk and is handed off to hygiene.

What happens in Hygiene … I have been in a lot of dental practices and I have met all types of hygienists. Most don’t fully understand systemic health screening as an internal marketing tool that can generate revenue while providing the patient with a different dental experience. Along with checking BP and blood levels for diabetic patients dental practices can now screen for a host of general health conditions and just maybe save someone’s life.

Saving someone’s life … It’s not easy. Dental patients do not often want to be screened for anything by a “dentist” because it may cost money and “it’s the dentist”. That’s why hygiene is the format for all screening and when it doesn’t cost you anything, you give it away for free. Patient’s trust the hygienist and assistant with their health, they trust the dentist will cost money. So hygiene should start the conversation and focus on 3 simple checks, blood pressure & diabetic levels and Obstructive Sleep Apnea.

Obstructive Sleep Apnea … So many practices looked at this as a revenue generating procedure only to find that there was little patient acceptance so they stopped. In every case the office did not understand the power of OSA screening. It’s not about selling appliances, it’s about the patient experience and getting new patients.

Getting new patients … Obstructive sleep apnea is in the news every day. It is at epidemic levels and there is public awareness. A coordinated program can piggy-back off the media attention by simply asking a few questions. Questions usually lead to discovery. Here is an example:

Hygienist: Good morning Mrs. Smith, I see that nothing has changed in your medical history. Any headaches? Indigestion? Problems sleeping?

Mrs. Smith: No, I feel great!

Hygienist: Wonderful, no one complaining about snoring issues?

Mrs. Smith: No, but my husband sounds like a buzz saw.

Hygienist: Really, you should have him stop by for the doctor to take a look, it will take about 5 minutes and I am sure the doctor would extend the curtesy of a quick exam. We may be able to help or diagnose possible OSA.

You just created a “WOW” factor and asked for a patient at the same time. These conversations should be pre-loaded at the morning huddle. What makes you different than every other dental office? Doing the extras! The new world is technology.

Technology … Do your patients know that your CBT will search for all abnormalities within its field of view? Do they know that you can detect systemic probabilities long before any symptoms? Dentists save lives every day. My favorite story was the dentist that installed a new digital pan and spotted a 75% blockage in both choreatic arteries. He contacted the patient’s primary care physician and probably saved the patient’s life. Maybe it’s time to be different. Be a physician.

A Physician … A Dentist is a specialist just like a Cardiologist. As a matter of fact, they should work together closely as part of the patient’s health care team. Remember, medicine is reactive, Dentistry is proactive. Be different! Please feel free to contact me with questions or concerns.

 

June 10, 2018 Posted by | Uncategorized | Leave a comment

A Quality Dental Office & Patient Retention

The patient experience may be the most important marketing tool for practice growth. Unfortunately, most dental practices do not understand how marketing relates to the patient in the chair. Let’s start by agreeing that nobody wants to give up a couple of hours of their lives to sit in a dentist’s chair. Now think about why they choose to sit in your chair and not the one down the street. In today’s market a patient will choose a dentist for a few simple reasons, Insurance, fee schedule, location or recommendation. After they decide on you and the appointment goes smooth, why don’t they continue with re-care? Maybe because you just provided all the services as they expected.

As expected … My wife is a gourmet cook, that may explain why I don’t get on a scale, friends and family love coming to our house because they are Wowed by whatever is put on the table. It’s always different and not what is expected. Your patients expect a certain environment when coming to the office and you provide it. It is nothing special just standard office protocol, friendly and efficient. What were the extras, a goody bag? Why does that patient “want” to come back and refer others? What was the WOW factor?

The “WOW” factor … There was a great seen in the recently cancelled Netflix production of House of Cards. Frank Underwood stopped in at his favorite “Rib Joint”. The best barbeque ribs in the city was at a little broken down shop in a bad part of town. If the ribs were so good why was the shop so broken down? The consumers required to grow the shop chose to be in a different and more comfortable environment. Dr. Omar Reed was a top line dentist lecturing about the patient experience over 30 years ago. His philosophy was that your reception room (not a waiting room because your patients don’t wait) should be nicer then the patient’s living room. It is all about the packaging, delivery and providing the unexpected “environmental” extras.

Unexpected extras … Your patient demographics will determine the level of success your practice achieves. A dental practice’s patient base is usually 10 years plus or minus the dentist’s age. This could be a time bomb for a healthy practice. Practices that are 20 years old tend to be set in their ways and everyday is business as usual. But, that 55 year old dentist is still relating to their own generation and not the one their kids are in. What are the extras that the millennials are not expecting? They are your patient base for the next 20 years. After a dental procedure the dentist should call the patient to make sure they are comfortable for the evening, but maybe they should text and younger patient, you will get an answer not a voice mail. What is the last thing the patient remembers? Check out!

Check out … I never try to reinvent the wheel, I let other people do that and tailor concepts to my situation. This one was great! The office orders a dozen roses every morning. When a female patient is checking out they are given a rose at the same time you are scheduling their next visit. If it is a male patient, offer a rose for them to take home to their spouse, mom, significant other or anyone. That $2.00 flower buys more good will than you can imagine. Make a difference in your patient’s day, do the unexpected and they will remember. Please contact me with any questions or concerns.

 

June 3, 2018 Posted by | Uncategorized | Leave a comment

What is Your Dental Practice Worth?

What a great question. Every dental practice owner wants to ask that question but rarely do, that is until they want to sell. In the real business world an annual evaluation is always recommended. When should the first evaluation be done? At the end of year one.

Year One … Doing an analysis at this time in your career will identify a basis for production and expenses. It also provides accurate information for insurance, legal and estate planning. It doesn’t matter if you start from scratch, buy an existing practice or enter as an associate.

Entering as an Associate … There is an old saying “a boat is a hole in the water, surrounded by wood into which one pours money”. When entering a practice as an associate its like buying into the boat. What exactly are you walking into? What is the real current value? How much cash value can be assumed if tragedy strikes?

If Tragedy Strikes … Life has a way of creating speed bumps that we have to navigate. Sometimes those bumps are replaced by misfortune and loss. If something happens to the a practice owner that prevents them from being involved with the practice, what happens? An unforeseen event such as accident, health or death has to be planned for. A dental practice that is closed for 30 days loses 30% of its value. A solid transition plan based on current financial and physical values along with detailed implementation instructions should be part of your estate plan. Your dental practice has several areas that has real cash value, each one needs to be identified and vetted.

Areas of concern … If you are a sole practitioner you have insurance covering fire and flood. Do you know what it costs to build an office? Are you aware of the cost of emergency relocation? Can you afford a major loss of income? Your financial and patient information may have been securely backed up but what about the value of your equipment and inventory? What about if you are a partner or vested associate? Is there a buy/sell agreement in place? What is the real cash value of your percentage of ownership? The bottom line is that it is important to do due diligence and to consult with several professionals that are experts in specific areas. By the way, does your commercial lease allow you to do anything? Maybe not.

Expert Consultants … The dental industry is very different than most. Although the “big box” dental centers are opening up all over the country, here in the North East it is still a unique cottage industry as compared to most. There are “dental specific” professional such as CPS’s, Attorneys, Transition Specialists and Estate Planners. These dental industry professionals service hundreds of dental offices, have long proven tract records and in many case have worked with each other and several of your friends. Due diligence is the key. I suggest interviewing several professionals in each area before making a final decision. For more information on professional dental consulting teams please feel free to contact me at any time.

 

May 6, 2018 Posted by | Uncategorized | Leave a comment

Do You Participate In PPO Plans “What You Don’t Know!”

This past week, along with 30 practicing dentist, I was wowed by the eye opening information that was supplied by Scott Hironaka from Unitas Consulting. They specialize in dental PPO management and negotiations. Red Alert!! Your practice may be losing hundreds or even thousands of dollars per month because of the contract you signed.

The Contract … Did you read all the fine print? Most people don’t. Do you understand the rights you gave away? Probably not. Every PPO contract allows the insurance company to “rent” your procedure codes to other companies. If you have a patient that has ABC Insurance it does not guaranty that ABC is the carrier. ABC may rent your procedure code to a company you never heard of. The patient’s card still has the ABC logo but the real carrier pays you their reimbursement rate and not the rate that you originally contracted with ABC. Also, if that should happen, all of your reimbursement rates with ABC will automatically change because you accepted it. To make it even more complicated, your procedure codes can be “rented” individually to multilabel carriers. Did you ever wonder why your rates change? Now you have to make that phone call to ABC and get it fixed.

Getting it fixed … Did you ever calculate the expense of trying to fix insurance claims? I’m not just talking about the time it takes on the phone, I’m talking about lost productivity and lost patients. Dental insurance management is a full time job and most dental practice owners don’t understand what it takes to do it right. Ask your insurance coordinator how many phone calls are missed because they are on hold with an insurance company. If you put them on hold they hang up and you have to start all over again. It’s a cycle that repeats everyday in the average practice. There are some things that just can’t be fixed because you didn’t read the fine print but you can challenge.

The fine print … Did you know that if you advertise a special (i.e. exam & x-rays $69.95) that special offer will become your new UCR and if the insurance carrier knows it they will reduce your reimbursement and have the legal right to recover the difference of any dollars sent to you during the promotional period. There is so much you don’t know about dental insurance management. Everyone tries to negotiate better rates but unless you have detailed information on your procedure costs it will be an up hill battle.

Your cost per procedure … Do you know what a certain procedure costs? To negotiate with an insurance company you need to be informed. You have to justify why you need an increase in reimbursements and exactly what codes you are calling about. You can’t ask for an overall increase and you certainly don’t want them to chose the codes. You have to be prepared to focus on specific procedures and you have to be able to document the cost. If you can show (document) the contracted carrier that you cannot provide quality healthcare to their participating patients at the current reimbursement rates, you may have a chance. Remember, insurance carriers want you because you service their revenue base and you may want them to help maintain patient (revenue) flow. So, now there is a common ground.

The common ground … In business, everything is a negotiation. Dental offices fix teeth, professional negotiators negotiate. There is so much that you and your team don’t understand about your business relationships both negative and positive. Professional consult and guidance is essential for success in todays complicated world. You should know, you’re a dental professional.

 

April 29, 2018 Posted by | Uncategorized | Leave a comment

What Effects the Value of Your Practice? You don’t know what you don’t know! Commercial “Professional” Lease Agreements

I recently had an office lease review done for one of my clients and was quite surprised at what was un-covered. The agreement was so top heavy in favor of the landlord that I felt the original professional that reviewed it for the doctor committed malpractice.

Your professional practice … The value of your practice may be a large part of your estate. Imagine this, you have a $1.2M practice that is valued at $875k. All of your ducks are in order including a written quick transition plan that that pro-tects your estate. But, will the lease allow a fast transfer of ownership? What rights does the landlord have to the transition? There is so much in the fine print that unless you are experienced in lease “legalese” there is a good chance there is a paragraph or even a sentence that is missed that directly effects the value of your practice and it’s impact on your estate and your family.

Protecting the value of your practice … So many professionals overlook the fine print when signing documents. We tend to trust our advisors or brokers and there is nothing wrong with that. However, how to those agreement effect other agreements? You want to take on an associate/partner and put there name on the lease for shared liability and the landlord “legally” says no! During day by day operations we negotiate everything from patient payment plans to personal life insurance to a teenagers curfew (those are the tough ones). All agreements must benefit the whole and that’s your job, you are the whole, you are the CEO.

The CEO … It’s time to take full control. Start by understanding the restrictions in all of your signed agreements and how they effect your personal estate. I sug-gest starting with your practice lease agreement and please feel free to contact me with any questions or concerns. Consider attending the free seminar, you don’t know what you don’t know.

Important Commercial Real Estate CE Seminar for Dentists!

Wednesday Evening April 25th … 6:30 PM until 9:00 PM … 2 CE’s

Double Tree by Hilton Hotel, Fort Lee, NJ

If you are buying/building a practice, have a lease that is coming up for renewal or is expiring in 24 months or less, or would like to understand how the lease impacts the sale and valuation of your practice, then you must attend this CE event! 2 CE’s Light meal served 

For Free Attendance use Promo Code: Grassroots!

By Phone: 1.800.459.3413 … By Email: info@cirrusconsultinggroup.com … Online: http://www.cirrusconsultinggroup.com/seminar

 

April 22, 2018 Posted by | Uncategorized | Leave a comment

Dental Business Risk Management

Your exposure to litigation depends on your ability to defend yourself or your team against a legal assault on your practice. The stories I have heard and seen are countless. Patients, team members, pedestrians, tenants, all ages, all demographics, the potential for a legal disaster is only around the corner. The key is to be ready to defend yourself by creating an updated risk management program. You may want to start with a “Patient’s Bill of Rights”.

Patient / Practice Bill of Rights … What is it exactly? A printed statement informing the patient of what they can expect form your office with regard to privacy, professionalism, diagnostic opinion, clinical options, referrals, liabilities and payment options. It also states what the practice expects of the patient such as scheduling, cancellations, payment terms, etc. The “Bill of Rights” should be prepared by a professional familiar with healthcare law. A signed & dated document is gold to any defense team representing a well organized facility. Signed and dated documents are your first line of defense.

Defense Wins Games … When I coached baseball I believed in defense. Offense (your marketing & treatment planning) sells tickets, but your defense will save a close game. You’re your business and clinical teams are the on the front line everyday so training and consistency are critical. Every patient must be processed according to practice protocol. Train your team on people skills so they know what to say and when to ask a supervisor. Prevention is the best form of risk management.

Risk Management … Every business has an offence & defense. In the real world your defense won’t stop litigation, it will only minimize your out of pocket expense. Litigation can come at you from any direction so a professional consultant is strongly recommended. Yes, it will cost you some money but it’s part of your business investment and figured into your quarterly budget. Unfortunately, most people that read this rant won’t want to spend $350.00/hour on legal advise. I can’t tell you how big of a mistake that can be. A couple of thousand dollars now may save a couple hundred thousand down the road if you have to go to court.

Court of Law … A person is innocent until proven guilty but when the plaintive is a general consumer and the defendant (you) is a professional business the rules tend to change. It’s not that the law changes, it opens more doors for the plaintiff’s legal counsel as far a business ethics and the Consumer Protection Act. Most litigation is settled out of court but “settlement” costs money regardless of right or wrong. I know it is hard to believe, but quality documentation can be the difference between a $10,000.00 settlement and $100k. A Risk management program must also include disaster recovery.

Disaster Recovery … What is considered a disaster and I don’t mean a day full of cancelations. A disaster can be a flood, fire or death. The one thing we never really plan for is what happens after we die? Sure, there is money for the family, but what about everything else. Anticipate disasters, they will happen. Please feel free to contact me with any questions or concerns.

April 11, 2018 Posted by | Uncategorized | Leave a comment

Dental Sterilizers & Risk Management

On December 8, 1991 Kimberly Bergalis died, she was 23 years old. She was the first of 6 patients that contracted the Aides virus at a dental office. Dr. David Acer, a Florida dentist who also died of aids, was accused of purposely infecting all 6 patients. Although there was no clinical proof and the Aides virus has not knowingly been transmitted in any dental setting, the race to dental infection control began. At the June 1992 Atlantic City Dental Convention, 6 months after Kimberly’s death, my company sold 32 sterilizer and sold-out on gloves in the first day. Believe it or not, in 1991 very few dentists wore gloves or had real sterilizers, some used toaster ovens.

Sterilizers … (ster·ile: ADJECTIVE .. “free from bacteria or other living microorganisms; totally clean”). The laws of physics states that sterilization occurs when an item is exposed to a consistent 120C degrees for a specific amount of time. There are several different types of sterilization systems available to dentistry, dry heat, steam heat, chemical vapor and gas.

Chemical Vapor … In my opinion chemical vapor sterilization is the best system available to dentistry. This process will not rust or dull instruments and is faster due to the fact that you use a chemical solution instead of distilled water. In today’s market, this system is not practical for a dental office because of the ventilation required and the cost of the chemical sterilant. For a dental practice the wear and tear on instruments can only be avoided by using a dry heat sterilizer.

Dry Heat Sterilizers … Will be the kindest to instruments but they take much longer, 2 hours @ 120C degrees. Carbon steel cutting instrument will not dull and However, autoclavable plastic will melt. Steam sterilizer are much more versatile.

Steam Sterilizers … There are so many different brands and they all do the job if used correctly. Utilizing a pressurized chamber sterilization occurs very quickly but it takes time for the unit to reach pressure an temperature. Manual machines have mechanical timers that alert you to switch the sterilizer to the vent and dry modes. The drawback to a manual machine is that if it is not working correctly and you are not watching the gauges you will never know if proper temperature and pressure are not achieved, . An automatic machine will fill, heat, pressurize, vent and dry on it’s own. If the unit cannot preform the process it will shut down and alert you to the problem. Automatic sterilizers will reduce your liability and be more reliable protecting your patients, team and family.

Liability … Exposure to litigation is the basis of every risk management program. We all have to protect ourselves from the ambulance chasing lawyers. It doesn’t matter if you are right or wrong, your insurance company will settle the case just to make it go away. The sad part is that it will cost you money to defend yourself. An organized risk management program will minimize your out of pocket expense. Now its time to look at you risk management program and how it relates to your sterilization protocol.

Risk Management … When was the last time you looked at your personal security? We’ll look at that in my next rant. Please feel free to contact me with any questions or concerns.

 

March 18, 2018 Posted by | Uncategorized | Leave a comment

Dental Instrument Management

Do you know how much you have invested in   hand instruments? I bet you don’t…

Did you ever take inventory of your assets? I can’t recall a dental office ever taking a physical inventory. It is time consuming and expensive but it does give you the real value of your business and a good understanding of how much money is sitting on your shelves and in your draws. Start by reviewing you hand instruments because you may be surprised about how much money you have invested.

Your Investment … I always said that in business you never have expenses, only investments. Hand instruments are the tools of a surgeon and an artist and quality matters. One simple Hygiene setup of good quality instruments runs $150.00 and up. Forceps run over $150.00 each and what about sharp explorers. If you did an inventory of your business, excluding the dental equipment, the hand instruments would be over 15% of your reusable assets. This value deserves attention and maintenance is the key.

Care & Maintenance … How does your team manage your instruments? Most dentists or office managers don’t have a clue. Are they dropping them into a germicidal bath like they’re loading a dishwasher or are they treating them with respect because they are expensive? Quality dentals hand instruments are specially designed for different operative situations. Poorly maintained instrument will loose there shape or sharpness, not preform properly and will need to be replace more often. Understand the instrument management process and the flash points that cause damage like an instrument bath, ultrasonic cleaner and a sterilizer.

The Instrument Bath … When offices ask me about cold sterilization solutions for their instrument baths I explain that there is no such thing. An instrument bath is nothing more than a “holding solution” that prevents cross contamination. The strongest holding solutions are not necessary and may cause lesser quality instrument to degrade but the vapors that leak into the air are still toxic. The instrument bath is a place to store contaminated instruments before the ultrasonic cleaner and it should be covered in a well ventilated area.

The Ultrasonic Cleaner … Rule #1 DO NOT use the machine when a patient with a pacemaker is in the office. Ultrasonic cleaners can protect or damage instruments depending on how they are used. Dumping everything into a basket allows the instruments to bang together causing metal fatigue and dulling. The best way to clean instrument in an ultrasonic is with a cassette system. This is an investment project because most offices do not have the right equipment. If you do not use cassettes, instruments should be rinsed, tied, and placed in the ultrasonic with an enzymatic type solution. After removal they should be rinsed again before placing them in the sterilizer.

The Sterilizer … CDC guide lines are continually changing. The rules for handpieces has change dramatically over the past 2 years but we will discuss that at another time. Instrument guide line now call for the instrument to be completely dry but at the same time they want you to keep the clear part of the pouch up for a better sterilization process. We were always told paper up for better drying. Routinely retrieving wet instrument from a sterilizer signals a problem with your instrument management system and a workflow review should be done.

Workflow Review … The entire clinical team needs to be involved when reviewing instrument management. Please feel free to contact me with any questions or concerns.

 

March 11, 2018 Posted by | Uncategorized | Leave a comment