The Future in Dentistry is Digital and a Paperless Records Dental Office

Technology in Dentistry

Creating
Paperless
Records

With Dr. Larry Emmott

Emmott on Technology

Dr. Lawrence F. Emmott
1912 E. Medlock Dr.
Phoenix, AZ 85016
(602) 791-7071
e-mail LarryEmmott@drlarryemmott.com
www.drlarryemmott.com



e-Handout
Tech Guides
Blog


Power Practice
Creating Paperless Records

Going Paperless
 EOT Guide

Available on the
Web Page


The Digital Patient Record

 Electronic Schedule
 Paperless Charts
 Front Desklessness


Practice Management Software


Electronic Scheduling


Electronic Scheduling
 Eliminate the Bottleneck
 Data Mining


Paperless Charts
 Does your desk look like this?


Or this?


Paperless Charts
 Is it Possible?
 If Someone Has Done it…

 It is Probably Possible
Omer Reed


Paperless Charts
 Real Life in the Dental Office
 What is in the Chart?
 Process
 Forms & Signatures
 Legal Issues
 Internet


Real Life in the Dental Office
 Follow the Crown


Follow the Crown
 Diagnosis  Schedule
 Review HH  Appointment Card
 Ck X-Ray  Estimate
 Charting  Pre Determination
 Treatment Plan  Copy the X-Ray
 Schedule Note  Financial Arrangement
 Consent Form


Follow the Crown
 Daily Schedule  Ledger
 Review HH  Day Sheet
 Treatment Plan  Invoice
 Ck X-Ray  Insurance Form
 Chart Notes  Resubmit (lost?)
 Tooth Chart  Billing
 Lab Slip  Payment


What’s in the Chart?
 Patient Information  Specialist Referrals
 Financial Information  HIPPA Forms
 Insurance Information  Re-Call Information
 Perio Probings  Insurance EOBs
 Prescriptions  Specialist Reports
 Photographs  Payment History
 Correspondence  Pocket Lint


The “Orphaned” X-Ray


Follow the Crown
 Diagnosis to Payment
 20 to 30 Entries
 Paperwork Burden
 Errors
 Human System


Using Technology
 Things computers do well
 Single Entry
 Data Relations


Process

 Createthe System
 Stop Making Paper


Create the System

 Digitize
 Enter
 Capture
 Scan
 Import


Create the System
 Personal  Patient Information
 Financial  Forms
 Treatment  HealthHistory
 Consent
 Diagnostic
 HIPPA


Financial
 Financial Arrangements
 Ledger
 Insurance Claims
 EOBs


Treatment
 Tooth Chart
 Treatment Plans
 Treatment History
 Prescriptions
 Lab slips
 Correspondence
 Specialist Referrals
 Specialist Reports


Diagnostic
 Perio Probings
 X-Rays
 Photographs


Process

 Create the System
 Stop Making Paper
 Scan Incoming
 Pull Charts for 6-12 Months


Do NOT Scan all the old
paper!


Forms 3 levels
1. Paper then Scan
2. Direct Digital
3. Linked

 Interactive


Paperless Forms
 Direct
 Enter with computer
 Signature


Digital Signatures


Paperless Forms
 Tablet PC
 Kiosk
 Secure

 Wireless
 Connected to Chart
 Signature


Paperless Forms
 Online
 Website
 Download
 Linked
 Patient
Commitment


Paperless Forms
 Dent Forms
 Dentrix G
 In office or
 Online


Interactive Forms
 Smart
 Help


Referral
 Form
 Diagnostics
 Notes
 Phone?


Internet: Web Services
 Electronic Claim
 ElectronicAttachments
 Track Insurance Claim

 Insurance Eligibility
 Financing Approval
 Credit Card Processing


Internet
 Web page
 Schedule Appointment
 Confirm
 Make Payment
 Update Medical
 Pt Ed
 Pt Research


Internet
 Communication
 Text Message
 e-Call card
 e-Statement
 Patient Satisfaction Survey
 Refer a Friend
 Photo Share


Internet
 Business Services
 Online Back Up
 Financial Analysis
 Banking
 Record Transfer
 Marketing


Paperless Charts


Are You Ready?

 Essentials of Going Paperless


Do you have (or use)?
1. A Complete integrated Practice Management System.
2. A computer network with a server.
3. Computers that are less than five years old.
4. Electronic Schedule.
5. Microsoft Office.
6. Digital Radiography.
7. Scanner.


Are You Ready?
 Useful but not essential

 Digital Camera?
 QuickBooks?
 High Speed Internet Connection?


Show me the Money!


Recapture Lost Treatment
 3%
 $650,000 gross

 $19,500


Single Entry
Total 10 hours a day
 15 Entries
 20 Patients
 300 Entries
 2 min. ea
 600 min.


Savings
 10 hours / day
 193 days / year
 $15 / hour plus $5
 $20/ hour
 $38,600 / year


Paperless Charts
 Pull Charts 20 x 2= 40 min
 Look for missing Charts 20 min
 Replace Charts 20 x 2= 40 min
 File Stuff 20 x 2= 40 min
 X-Rays
 EOBs
Total 3 hours a day
 Misc. 40 min
 Type labels
 Shuffle stuff

 archive

Savings
 3 hours / day
 193 days / year
 $15 / hour plus $5
 $20/ hour

 $11,580 / year


Savings
 Paper
 $2.50 x 2500 = $6,250
 Contents X-
Rays, Photos
 $2.00 x 2500 = $5,000
 Files
 $1,000 x 3 = $3,000

 $14,250


Savings
 $19,500
 $38,600
 $11,580
 $14,250
 $83,930


Digital (Paperless)Work Flow
Patients
Drs. Office

Treatment
Front Room
Pharmacy
Desk

Dental Front Desklessness
Lab
Financing
Specialists Supplies
Insurance

Front Desklessness
 No, It’s Not
 Human System


What is the Front Desk?

 Person
 Place
 Thing


Data Center


The Human System
Fill out these forms.
Hold Please! We are out of toner!
Can I make payments on this? The lab is on hold
Pull the charts for tomorrow.
Confirm tomorrow’s patients.
Call in a refill on the pain pills.
Collection calls.
I already told you I can’t come in on Tuesdays.
I need to speak to the doctor. What will my insurance pay?
Check with the periodontist.
When are my kids due next?
Can I put this on my card?
When is my next appointment?

Judy the Juggler


Front Desklessness
 No, It’s Not
 Human System
 Technology System


Front Desklessness
 Phones
 Schedule
 Hygiene

 Hand Off
 Concierge


Front Desklessness
 Chain Saw?
 Money?
 Pre-Pay
 VIP


Real Life in the Dental Office


Is it Safe?
 Back Up
 Online
 Mirrored Hard Drives
 Professional IT Support
 Cross Train


Professional IT Support
 Hardware
 Network
 Upgrades
 Repair
 Maintenance


Ten “Stupid” Foolish Things
Dentists do with Technology!
1. No training 6. Not enough
2. Lack of training training
3. No follow up 7. Little training
training 8. Self training
4. Dentist doesn’t get 9. Poor training
training 10. Won’t pay for
5. No training on training
updates


Training
 Master
 Maven
 System Failure
 People Failure!
 Cross Training


Get Help
 www.drlarryemmott.com
 Technology Guides
 Consulting
 Advanced Courses
 Technology on the Rocks


“Technology on the Rocks”

Sedona, AZ
June 3-5, 2010

LarryEmmott@drlarryemmott.com
www.drlarryemmott.com Emmott on Technology

The Future is Digital
 Talk to the Computer  Virtual Patient
 Interactive Patient  Real Time Claims
Education  Data Base Marketing
 Paperless  Internet Consultations
Communications  Artificial Intelligence
 Front Desklessness  CAD-CAM
 Wearable Computers  Augmented Reality

“The future is coming…and it will be AMAZING”


Dr. Larry Emmott

1912 E. Medlock Dr.
Phoenix, AZ 85016
(602) 791-7071
www.emmottontechnology.com

e-mail: LarryEmmott@drlarryemmott.com

The Future in Dentistry is Digital and a Paperless Records Dental Office

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