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Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013
Topic
Level
Presenter(s):
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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
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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.
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Session Guidelines
• Turn off all cell phones & pagers• Questions will be entertained during the presentation
• Refrain from personal discussion and sidebars, everyone would like to hear your ideas and comments
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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
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The traditional Peer Review
• Acceptable• Not acceptable• Published• Not Published
An all or nothing review
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Or worse: We feelrejection and disapproval
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Don’t get me wrong traditional peer review serves a critical function:
Licensing dentists Technical Journals
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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
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Hope for luck!
I WON !
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Put numbers to Your Peer Reviews
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Steps to Constructive Peer Review
• Assess• Address• Communicate• Follow-up: with numbers
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You can’t always be right…
JUST DON’T BE WRONG FOR
LONG!
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Areas of constructive Peer Reviews
• 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)
Assess - Address - Communicate
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A 500 lbs. gorilla
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Examples of Dentist Peer Reviews
Chart audit review
Digital image review
Treatment planning and patient presentation review
Dental materials review
Process audit
Outcome audit
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Chart Audit Review
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Digital Image Review
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1. Improve patient assessments to better plan a course of treatment
2. Understand what influences patient compliance
3. Educate patients in an organized and clear manner
4. Communicate the role of nutrition and how dental hygiene affects our general health
Example of Hygiene Peer Reviews
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Improve patient assessments to better plan a course of treatment
1. Establish a disease prevention program
2. Designing a perio maintenance program
3. Evaluate the success of the program
4. Define referral criteria
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Standardize Perio Program
Diagnosis
Treatment options
Outcome audits
Patient education
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1. Digital Images and x-rays
2. Chart Audit
3. Clinical Procedure flow
Examples of Dental Assistant Peer Reviews
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X-ray capture review
Demographics
Positioning
Patient comfort and compliance
Standardized procedures
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Standardized Chart Audits
Planned Treatment
Completed
Treatment
Treatment Plans
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Clinical Procedure
flow Procedure Reviews
Tray set-up
Materials
Ordering
Sterilization
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Steps to Constructive Peer Review
• Assess• Address• Communicate• Follow-up: with numbers
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We need to document our performance.
How do we do that?
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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!
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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!
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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!
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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
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Peer Review – Billing Audits
Managing information using filters.
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Filter chart to display items completed today
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Charting Filters
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Chart Approvals
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Chart Approvals
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Chart Approvals
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Chart Approvals for entries made on behalf of the provider.
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Advanced Search options Display charts that need to be approved.
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Chart Approval
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Once approved the patient is removed from the list
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Once approved; items can only be modified by the approving provider.
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Reports
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User Access Report
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Any Questions?