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Adding Value to Your Dental Practice with Chart Audits and Peer Reviews

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

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  1. 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

  2. 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.

  3. 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

  4. 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

  5. The traditional Peer Review • Acceptable • Not acceptable • Published • Not Published • An all or nothing review

  6. Or worse: We feel rejection and disapproval

  7. Don’t get me wrong traditional peer review serves a critical function: Technical Journals Licensing dentists

  8. 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

  9. Hope for luck! I won !

  10. Put numbers to Your Peer Reviews

  11. Steps to Constructive Peer Review • Assess • Address • Communicate • Follow-up: with numbers

  12. You can’t always be right… Just don’t be wrong for long!

  13. 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)

  14. A 500 lbs. gorilla

  15. Examples of Dentist Peer Reviews • Chart audit review • Digital image review • Treatment planning and patient presentation review • Dental materials review • Process audit • Outcome audit

  16. Chart Audit Review

  17. Digital Image Review

  18. 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

  19. 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

  20. Standardize Perio Program Diagnosis Treatment options Outcome audits Patient education

  21. Examples of Dental Assistant Peer Reviews • Digital Images and x-rays • Chart Audit • Clinical Procedure flow

  22. X-ray capture review • Demographics • Positioning • Patient comfort and compliance • Standardized procedures

  23. Standardized Chart Audits • Planned Treatment • Completed • Treatment • Treatment Plans

  24. Clinical Procedure flow • Procedure Reviews • Tray set-up • Materials • Ordering • Sterilization

  25. Steps to Constructive Peer Review • Assess • Address • Communicate • Follow-up: with numbers

  26. We need to document our performance.How do we do that?

  27. 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!

  28. 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!

  29. 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!

  30. 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

  31. Peer Review – Billing Audits Managing information using filters.

  32. Filter chart to display items completed today

  33. Charting Filters

  34. Chart Approvals

  35. Chart Approvals

  36. Chart Approvals

  37. Chart Approvals for entries made on behalf of the provider.

  38. Advanced Search options Display charts that need to be approved.

  39. Chart Approval

  40. Once approved the patient is removed from the list

  41. Once approved; items can only be modified by the approving provider.

  42. Reports

  43. User Access Report

  44. Any Questions?

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