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Adding Value to Your Dental Practice with Chart Audits and Peer Reviews. 200. Dr John Memmott - Consultant Michael Bourgeault – Account Executive Tracy Larsen – Project Manager. Things our lawyers make us say.
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Adding Value to Your Dental Practice with Chart Audits and Peer Reviews • 200 • Dr John Memmott - Consultant • Michael Bourgeault – Account Executive • Tracy Larsen – Project Manager
Things our lawyers make us say... • Neither QSI nor any presenter at the Users Group Meeting is engaged in rendering legal or other professional advice and this presentation is not a substitute for the advice of your attorney, accountant and/or other professional advisor.
Session Guidelines • Turn off all cell phones & pagers • Questionswill be entertained during the presentation • Refrain from personal discussion and sidebars, everyone would like to hear your ideas and comments
Types of Peer Review • Resolution of patient complaint • board of dentistry • Journal article and research review • publication peer review board • Single blind, Double blind or Open • Coaching, mentoring, constructive model of internal peer review
The traditional Peer Review • Acceptable • Not acceptable • Published • Not Published • An all or nothing review
Or worse: We feel rejection and disapproval
Don’t get me wrong traditional peer review serves a critical function: Technical Journals Licensing dentists
A different look at Peer Review • Coaching staff to enhance skill sets • Review procedures, materials and practices • Ensure a best practices approach to office flow • Share ideas and insights • Obtaining a sustainable competitive advantage for our practices
Hope for luck! I won !
Steps to Constructive Peer Review • Assess • Address • Communicate • Follow-up: with numbers
You can’t always be right… Just don’t be wrong for long!
Areas of constructive Peer Reviews Assess - Address - Communicate • Dentist • Chart audits, diagnosis and treatment plans • Hygienist • Perio maintenance, patient education and referral • Dental assistant • Digital images and radiographs, chart accuracy and clinical office flow • Front Office • Real time filters, treatment plans (next visit)
Examples of Dentist Peer Reviews • Chart audit review • Digital image review • Treatment planning and patient presentation review • Dental materials review • Process audit • Outcome audit
Example of Hygiene Peer Reviews • Improve patient assessments to better plan a course of treatment • Understand what influences patient compliance • Educate patients in an organized and clear manner • Communicate the role of nutrition and how dental hygiene affects our general health
Improve patient assessments to better plan a course of treatment • Establish a disease prevention program • Designing a perio maintenance program • Evaluate the success of the program • Define referral criteria
Standardize Perio Program Diagnosis Treatment options Outcome audits Patient education
Examples of Dental Assistant Peer Reviews • Digital Images and x-rays • Chart Audit • Clinical Procedure flow
X-ray capture review • Demographics • Positioning • Patient comfort and compliance • Standardized procedures
Standardized Chart Audits • Planned Treatment • Completed • Treatment • Treatment Plans
Clinical Procedure flow • Procedure Reviews • Tray set-up • Materials • Ordering • Sterilization
Steps to Constructive Peer Review • Assess • Address • Communicate • Follow-up: with numbers
Measuring Outcomes • An Intranet is a great internal tool that can be used for hosting online forms, collecting and reporting outcomes At QSIDental, we can help!
Measuring Outcomes • Using a CPS/EDR/QDW HMTL form in a patient’s chart is a good way to capture chart audits and have the data available by patient right in the chart! At QSIDental, we can help!
Measuring Outcomes • To aid in blind peer reviews and chart audits, you may elect to have a “dummy” account where all audit data is acquired At QSIDental, we can help!
Billing Audits • Filter to Today’s Treatment – • Verify completed items prior to patient dismissal • Provider Daily Summary Report – • Providers review all of today’s services • Billing can use to compare to encounter information. • Chart Approvals • Providers approve and lock chart entries • User Access Reports • Allow Administration to see who accessed what patient records
Peer Review – Billing Audits Managing information using filters.
Advanced Search options Display charts that need to be approved.
Once approved; items can only be modified by the approving provider.