Archive for the ‘Employment’ Category

Want Things to Change? Start the Conversation!

Thursday, July 5th, 2018

Guest post by James V. Anderson, DMD, CEO Founder eAssist Dental Solutions

Listening to colleagues belabor the management of their new front desk, it makes me wonder what is going on in their practices.

When I started my first dental practice, I know I made mistakes and some were because I trusted too much. You trust when you don’t know enough and the person in charge of collecting your money knows more than you do.

The dentist most often has the vision but not the business knowledge.  Dentist’s look to their front office person or people to get the practice running profitably.  When there is chaos, unaccountability and poor cash flow, trust becomes a distant memory.

The way to get around this predicament is to start the conversation.

List the most important things you would like to see change, with examples of workable solutions. This conversation should be synchronized with the give and take of ideas.  Approach the conversation with what is working before you talk about what needs improvement and change.

As the Dentist CEO, you should recognize that certain things might be hindering the ability to grow the business.  Sometimes staff are aware of these problems but often try to shield you from them or cover them up.  Require transparency, as all of you are components in accomplishing these goals.

Ideas to Start the Conversation

● “Our goals for the practice this year are _______, and are we on target?”

● “What goals do you feel we need to pay more attention to?”

● “Where do you want to focus our efforts to reach one or more of these goals?”

● “I need your help in getting the office to head in that direction.”

● “Do you have feedback for me about ways you can improve? How can I improve?”

● “What changes would you like the office to make to move toward these goals?”

● “How can I help you make these changes?”

The team needs to recognize that they play a significant role in helping achieve practice goals and to bring solutions for change.

Meeting Goals

● Focus on one or two things you’re going to accomplish now

● Have a Plan of Action for when and how you will complete the goals

● Set up future meetings to discuss progress on projects and innovative ideas

● Give praise and thanks for all the excellent work accomplished

 

Dr. Anderson headshotJames V. Anderson DMD is a practicing dentist in Syracuse, Utah and is the CEO/Founder of eAssist Dental Solutions, the largest national dental insurance billing company (www.dentalbilling.com) in the U.S. 

Dr. Anderson understands the challenges facing today’s dental teams and since 2009 has been providing proven solutions to dental/medical insurance billing, patient portion billing, accounting for dentists and related services for management of the accounts receivables.  He can be reached at james.anderson@eassist.me

 

Do You Have a Disaster Plan?

Sunday, May 20th, 2018

Guest post by Dawn Christodoulou, President/Owner of XLDent

Every day, news reports show us the devastation that can be brought to any doorstep by Mother Nature or other unplanned situation. Our best defense against this is to ask ourselves, what is our plan if such a thing were to happen to our dental practice?disaster plan checklist (002)

Your answer should be a disaster plan. This is something that should be in writing, reviewed at least annually, naming a specific person (such as your Office Manager or another person) entrusted with following the practice owner’s wishes, bringing some semblance of order to the chaos to come.

There are many examples of disaster that can throw your practice into a tailspin.

Fire, flood, or other natural disaster:

  1. Make sure dental staff members are accounted for and safe. Have a designated staff member (and a back-up person) activate your prepared, written Emergency Action Plan with appropriate contact information for the office team and patients.
  2. If you are aiding in the cleanup process, be sure to wear appropriate personal protective equipment (PPE) to protect against water-borne illnesses and aspiration of materials.
  3. If possible, make arrangements to pay staff right away to help them cover basic needs for food, shelter, and any medical treatment they may need.

Theft or embezzlement:

  1. Review protocols surrounding passwords and security. Every staff member should have their own login credential assigned and known only to them. For example, XLDent practice management software recommends security groups which clearly identify staff members and access permissions.
  2. Review security logs. This is where you will find record of every transaction performed for each staff member’s login. It’s good practice to periodically review these for inconsistencies.

Unexpected illness or death:

  1. Make sure Standard Operating Procedures are written and up-to-date. They may be needed in the event a staff member’s duties are to be completed by another member or even by a temporary replacement hired from an outside agency. Be familiar with local dental staffing agencies that may be a resource for temporary administrative and clinical employees.
  2. Know who is designated to handle the estate of the doctor and if there is a document (such as a will) to provide a path for transfer of ownership.

One area not yet discussed is your practice data. Your disaster plan should include a data recovery section. Data recovery is critical to keep your business going after a disaster event has occurred. In many of the examples, office computers and equipment may be damaged or lost. Knowing your data is safe and secure is peace of mind you don’t want to risk. A reliable managed data backup option is XLDent’s XLBackup.

In all cases, remember your best bet is to be prepared. With a proper disaster plan, an unplanned sequence of events can quickly be turned into a planned response for you and your team.

To connect with XLDent, call 800-328-2925 or email xldentinfo@xldent.comDawn

Dawn Christodoulou is the President/Owner of XLDent. She has more than 25 years of experience computerizing dental offices and helping both new and established practices streamline electronic workflows for increased efficiency, improve patient engagement, and achieve maximum profitability. Dawn is also a member of ADA SCDI Working Groups 11.1 Standard Clinical Architecture and 11.9 Core Reference Data Set.

Nice Guys Don’t Get Sued

Friday, April 20th, 2018

Guest post by Aaron M. Layton DDS

Three years ago I purchased my practice. A nice, modern practice with a solid patient base and long-term employees – everything I dreamed of. But it wasn’t more than a few months before I knew managing a team was going to be my most difficult task to date. (You think Boards were tough…ha-ha-ha.)

I dove into every HR book in the Barnes and Noble business section and any Webinar associated with keeping a team happy. One thing stuck out: You are more likely to be sued by an employee than a patient. This bothered me, so I armed myself with the best possible thing I could imagine, KINDNESS.

I’m a nice guy. I made accommodations for employee medical appointments and vacations. I increased benefits and salaries. I was the nicest guy around. Who would ever sue the nice guy?  But I was wrong – very wrong in fact.

On my birthday of 2016 I was sent a letter from my State Legal Board saying a former employee was claiming she was terminated because of her mental health which made her disabled. I had wrongly let someone go who was disabled? After the shock and a few pieces of birthday cake, I located an attorney and began the process of disputing the claim.

As of today, I spent $6000 dollars, one appeal, and countless hours worrying about what could happen.  In the end, the claim was dropped with no marks on my record and all I lost was sleep and money.

From this recent experience I learned two important lessons.

1) Nice guys do get sued, and actually more often. When you’re the nice guy you often provide everything your employees want.  You make sacrifices and adjustments – in fact, you’re better than Santa Claus. If things don’t work out, these employees just want to keep getting at any cost. Keep an employee manual and stick to it. If someone breaks an agreement, hold them accountable. It doesn’t hurt to be a nice guy, just be a nice guy who follows all the rules. It’s good to be nice, but more important to be fair.

2) Everyone needs an Employment Attorney. I thought an attorney was only needed when problems arise, but just like in dentistry, a good Employment Attorney can provide preventative care to keep you out of trouble. A wise old dentist once told me, “When things don’t work out, just call it education.” This past year, with my education budget I got a live course in employment, handbooks, and dealing with disgruntled employees.

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Aaron Layton, DDS, is a 2010 graduate of Indiana University. He completed three years working at a large group practice in Vermont before buying his own practice in Fort Collins, Colorado, where he currently works and resides with his wife and their four children.  

What New Dentists Can Gain from Losing

Friday, April 6th, 2018

Guest post by Nelson Kanning, DDS

Why would anyone boast about being a loser, especially if losing involved money? Who in their right mind would consider losing money a gift? Most dental practice owners and even associates would throw a fit at the idea of setting a goal to lose money. But, I’m proposing being a loser can make sense, particularly if you’re a new dentist.

Until recently it was hard to admit that being a loser is one of my greatest gifts. The majority of my experience with teams has been as a loser. High school football; we lost. I played for a Division I football team that was bowl champ the year prior to me joining. Then, we lost. Losing used to be tough. However, now I’m finding being a loser is a joy.

I’d say this revelation happened about six years ago. I was sitting in the audience at the American Academy of Cosmetic Dentistry’s (AACD) annual scientific session in Seattle. During one of the opening sessions, I became curious about the awards being given to offices who participated in their Whitening Challenge. Offices who participate in the AACD Charitable Foundation’s Whitening Challenge agree to donate a portion of profits from their whitening to the Give Back a Smile program, which restores the smiles of survivors of domestic violence. And one office received the award for donating the most profit from whitening to the AACD. That office’s benevolence inspired me. Their team was excited about the program. The doctors felt good about the service to their patients and to a much greater cause. That day, I realized that program had to be part of my practice.

It seems fit, here, to reveal that dentistry is my second career. Through my twenties, I made a living as a professional fundraiser asking people to donate money to leadership programs, support scholarships, and buildings for a private liberal arts college. During that time, I was always fascinated by the joy the donor received knowing their money was making an impact for someone deserving. The Whitening Challenge has given me that same feeling of joy. It is a whole lot more fun to give money away freely than it ever was to ask for money.

Does donating increase my bottom line? Who knows. But ultimately, who cares. You’re not a dentist solely for the profit. Remember, you said it yourself in your interview: “I really want to help people and make a difference.” Boom, here is your chance. Finding a cause for your practice, like the Whitening Challenge, can make instant connections with skeptical patients as well as entice new patients into our chairs. It has given my team a cause they are proud to stand behind and excited to share with our community. However, it mostly reminds me that when you do the right thing, despite your overhead, your monster loans, and your financial ambition, being a loser just feels good.

AACD.Blog.4.7.18.Kanning (002)Nelson earned a BS at William Jewell College, with an emphasis in Leadership and Biology. After graduating, he served two years as a leadership trainer and capital campaign consultant for Sigma Nu fraternity. Although he enjoyed his mission-driven work in the non-profit sector, Nelson decided to pursue his original desire for a career as a dentist.

Dr. Kanning served on the AACD Charitable Foundation Board of Trustees from 2015 to 2017 and served as the chair from 2016-2017. His office has participated in the Whitening Challenge since 2013 and won the Bright White award in 2014 for donating the most whitening proceeds of all participating practices in that year. Since his office has started participating in the Whitening Challenge, they have donated nearly $25,000 in whitening proceeds.

 

Getting Patients in the Door for a New Startup

Tuesday, March 6th, 2018

Guest post by Brian Baliwas, DDS

Four years ago, I took a risk as a new grad and joined a group practice in San Francisco to try and build a patient base of my own. A few trusted mentors supported the idea and gave me the confidence that building something for myself straight out of school was a good idea.

I saw a staggering FIVE patients in my first week. My days were full of hygiene and down time, but I kept a positive outlook throughout it all. I knew that if I did good work and treated people like family, this slow start and double-digit patient count would be temporary.

Like any dental startup, the priority was getting patients in the door. When I wasn’t with patients, I brainstormed different ways to market my practice with a limited marketing budget. Today, my patient count is in the quadruple digits, and I believe social media has played a significant role in that growth.

Social media gives dentists an opportunity to show potential patients something no other type of marketing can: a glimpse of who they are behind the mask. Dentists who treat social media like traditional advertising and post about whitening specials and Invisalign discounts miss out on the opportunity to really convey their personality and practice philosophy.

In addition to growing my practice, social media has allowed me to connect with people I may have never met. Aside from patients, I’ve met other dentists, specialists, dental students, laboratory techs, and dental product reps. I use it to stay connected with people I meet at conferences. I even met the person mentoring me towards AACD accreditation, Dr. Adamo Notarantonio (@adamoelvis), through Instagram!

The question you must ask yourself when starting a dental social media account is: what do you want to share and who are you targeting?

If growing a practice is your goal, don’t get caught up focusing on irrelevant numbers. Patients don’t (directly) care about your follower count, follower to following ratios, how many likes you received, or other meaningless social media statistics. Focus on content and providing information they would find valuable. Nothing else matters.

If you have a great personality and provide honest dental care, your future patients deserve to know! Take pictures of your office, staff, patients and dental work (with permission), volunteering, CE courses, hobbies, humor, family, and individuality. Share who you are… and then share some more.

AACD.BLOG.3.7.18.BrianBaliwas.photo (002)Brian Baliwas (@sfdentalnerd) received his DDS degree from the University of the Pacific Arthur A. Dugoni School of Dentistry, where he graduated with high honors and was elected to join both Omicron Kappa Upsilon and Tau Kappa Omega dental honor societies. He is an active member of the American Academy of Cosmetic Dentistry and the Academy of General Dentistry, and maintains a fee-for-service private practice in San Francisco, California, with two locations near Union Square and the Marina district.

His practice philosophy is centered on conservative, highly esthetic, comprehensive dentistry that utilizes modern technology and techniques. Dr. Baliwas also teaches part-time at UOP in the Department of Integrated Reconstructive Dental Sciences.

 

 

New Dentist Job Opportunity

Wednesday, January 11th, 2017

Mr. Jerry Davis of Galatia, Illinois just phoned The New Dentist looking for a dentist to practice in this small community. Galatia is a village in Saline County, Illinois and as of the 2010 census, the village population was 933.  The village owns a brand new dental office there but needs a dentist.  He said, “I figure there may a new dentist who is required to work in a rural area as part of their loan.”  Galatia is near Harrisburg, IL, which is the biggest nearest town.

If you are interested you can contact him at 618-926-8555 or jwdavis41@frontier.com.

Here to help,

The New Dentist™

Careers with Purpose in the Beautiful Great Plains

Friday, April 29th, 2016

IHS_DEN_Blog_614x215_ScottsBluffNB_APR_NewDentistIf stress, traffic and high living expenses are getting you down, consider a career move to the Great Plains.

The Indian Health Service (IHS) offers dental health professionals extraordinary opportunities to provide comprehensive care to American Indians and Alaska Natives in hospitals, clinics and outreach programs throughout the Great Plains Area, which covers North Dakota, South Dakota, Nebraska and Iowa.

The Great Plains Area Office in Aberdeen, SD, works in conjunction with its 19 Indian Health Service Units and Tribal-managed Service Units to provide health care to approximately 122,000 Native Americans in the four-state Area. Area service units include seven hospitals, eight health centers, and several smaller health stations and satellite clinics.

The dedicated providers at the IHS Division of Oral Health enjoy a work-life balance that offers ample time for recreational pursuits. Known for its awe-inspiring natural attractions and landmarks, the Great Plains Area boasts world-class fishing, hiking, hunting, skiing and more.

And the financial incentives can’t be beat. As an IHS clinician, you’re eligible to apply for up to $20,000 a year in loan repayment to fund your qualified health profession education loans.

You can choose from three distinct career paths — working in the civil service, in a Tribal/Urban Indian Program, or as an officer with the US Public Health Service (USPHS) Commissioned Corps.

Applicants are subject to a pre-employment background check, including a fingerprint analysis, and must be US citizens. Male applicants must be registered for the selective service. Veterans and American Indians and Alaska Natives are encouraged to apply and receive hiring preference.

Applicants for civil service and USPHS Commissioned Corps positions must submit their materials through www.usajobs.gov. Tribal hire applicants must apply directly through the Tribe with whom they are seeking employment.

Professionally rewarding and personally fulfilling — explore a world of opportunities at ihs.gov/dentistry or contact a recruiter and upload a resume here. Applicants must be U.S. citizens.

The policy of IHS is to provide absolute preference to qualified Indian applicants and employees who are suitable for federal employment in filling vacancies in the IHS. IHS is an equal opportunity employer.

INDIAN HEALTH CAREERS — Opportunity. Adventure. Purpose.

Defining Yourself in the Dental Community

Wednesday, March 30th, 2016

In 2015, I, along with my wife Ana Paula Ferraz-Dougherty, was inducted as a Fellow into the International College of Dentists—an honor only about 4 percent of U.S. dentists receive. The ICD is a worldwide dental organization that recognizes professional achievement, advancement and service to dentistry.

My wife and I graduated from dental school less than 10 years ago (7.5 years to be exact). We practice in Texas, but we aren’t from Texas and didn’t go to dental school there either. This isn’t common for ICD inductees, who are typically older than us and have long standing connections and friends in their communities.

So how did we make names for ourselves in our dental community and receive such a prestigious honor in such a short amount of time? I attribute it to three factors: participating in organized dentistry, moving to a city with a great community of dentists, and simply turning some disadvantages into advantages.

It was daunting to move to San Antonio in 2010. We didn’t know a single person. Texas is a welcoming, friendly place, and within a few months, we made friends and connections. By showing up to meetings, participating in committees, and valuing every relationship, we built a network.

When you’ve been part of a community for a long time, it’s only natural to stay in a small comfort zone of friends and associates. When you’re new and have no comfort zone, there’s a lot of freedom and opportunity that comes with that. There’s an opportunity to consciously define who you are. Before and during dental school, I wanted to become a dentist. That was such a big goal I didn’t really think about anything bigger than that!

After being a dentist for a few years, I recognized there was opportunity for so much more. I asked myself questions like, “What do I want to be known for?” and “How can I make things better for people around me?” I wanted to be known as someone who served others; this motivated a lot of my decisions about how I would spend my time. I’m not sure I would have been so introspective if I had stayed in one place. I’m not sure I would have taken advantage of every opportunity to give back if I felt it was always going to be there for me.

We wouldn’t be ICD members if it wasn’t for our sponsor and our generous friends who wrote letters to support us. Six years ago we moved into a community with many of the best dentists in the country. Whether it’s with service to the profession, contributions to advancing dentistry, or clinical excellence, there are so many shining examples in our own city. These are our  mentors and our friends. We’re very fortunate to be surrounded by great people.

Larry DoughertyLarry Doughtery, DDS, is a 2008 graduate of Nova Southeastern University. He has chaired a number of committees on new dentists, has taught at the University of Texas Health Science Center at San Antonio School of Dentistry, and now owns Rolling Oaks Dental, a start-up practice in San Antonio, where he practices with his wife who is also a dentist.

IHS Careers in Dentistry

Tuesday, March 1st, 2016

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The Indian Health Service (IHS), a nationwide organization of dedicated health professionals working to meet the health care needs of American Indians and Alaska Natives, is offering a unique opportunity for dentists who seek a variety of dental health specialties in addition to personal and professional fulfillment in their careers.

Our dental opportunities go beyond providing one-on-one patient care. Indian health dental careers offer opportunities to become involved in community prevention programs that can improve disease rates, including water fluoridation, dental screenings, sealants, fluoride varnishes and distribution of Xylitol gum to school-age children.

Key to an Indian health career is eligibility for repayment of health profession education loans through the IHS Loan Repayment Program (LRP). The LRP provides up to $40,000 to cover qualified health profession education loans in exchange for a two-year service commitment at an approved Indian health facility. After completing the initial two-year contract, participants may request (annually) an extension of their IHS LRP contract in exchange for an additional one-year service commitment until all qualified loans are paid.

IHS offers three distinct career options for dentists — working in the civil service, for a Tribal or Urban Indian Program or as an officer with the US Public Health Service (USPHS).

Join us for the IHS 2016 Virtual Career Fair! Meet one on one with IHS recruiters, learn about Indian health career opportunities for dentists and dental hygienists and chat with Loan Repayment Program (LRP) analysts to learn more about the LRP. In addition to real-time feedback and advice about general recruitment and specific health profession disciplines, you can also learn about IHS LRP eligibility and how to apply.

Register now for our 2-hour live chat from 7:00 p.m. EST to 9:00 p.m. EST on Wednesday March 16, 2016

Professionally rewarding and personally fulfilling — explore a world of opportunities at ihs.gov/dentistry  or contact a recruiter at IHSRecruiters@ihs.gov.                              Applicants must be US citizens, board eligible and board certified.

The policy of IHS is to provide absolute preference to qualified Indian applicants and employees who are suitable for federal employment in filling vacancies within the IHS. IHS is an equal opportunity employer.

INDIAN HEALTH CAREERS — Opportunity. Adventure. Purpose.

The Profitable Associate

Wednesday, October 1st, 2014

Can an associate generate a profit? The answer is in the size of your patient base. If you have a saturated practice with an abundance of patients, you can keep your associate busy and generate a 30-35% profit margin.

The first step after accurately measuring the size of your patient base is to perform a cost benefit analysis to determine the likelihood of profitability, as well as to gauge the non-monetary benefits such as improved quality of life, which may be equally important. The following steps will help you analyze the economic sense of hiring an associate, and will help you set realistic expectations about the return on investment you are likely to attain.

Step 1: Determine Production Goals

Step 2: Assign Direct Expenses to the Associate

Step 3: Apply the Formula and Get the Answer

Associate Profit Analysis Summary

Daily Collection – $950
(Assume 95% Collection/Production Ratio on Daily Production Goal of $1000)
# Days Worked Per Year X 196
Projected Annual Revenue $186,200

(Assume 34% Collections) Associate Compensation – $63,608
(6% Dental Supplies) Associate Payroll Taxes – $4,843
(8% Lab Expenses) Associate Lab Expense – $14,896
Associate Supplies – $11,172
Assistant Salary (inc P/R tax) – $21,620
Uniforms – $200
CDE Allowance + $1,100
TOTAL EXPENSES – $117,439

Projected Annual Revenue: $186,200
Less TOTAL EXPENSES – $117,439
Associate Profit: $68,761

PROFIT MARGIN: 37%
($68,761 PROFIT / $186,200 ANNUAL REVENUE)

Once you’ve assured yourself that the economics make sense for your associate, proper planning is key. Most importantly, if this associate is a candidate for your long term transition plans, make sure that you properly think about your exit strategy so that once you begin interviewing candidates, you clearly spell your vision for a successful relationship.

To read the original article in its entirety please visit: The Dentist’s Network Newsletter #100
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Dr. Thomas L. Snyder, Director, Practice Transitions for The Snyder Group, a division of Henry Schein Professional Practice Transitions.