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SEPTEMBER 2011 VOLUME 12, ISSUE 9 AVAILABLE ONLINE AT TDA.ORG
Inside
TDA Smiles FoundationHoliday Cards are Here! Medicaid Electronic Health Record DENPACThink Political TDA Ethics and Professionalism Survey Money Matters TEXAS Meeting Preview Preston’s Press TDA Perks Evidence-based Tip of the Month TSBDERule UpdateProcessing Delays
October Journal News
Special Issue2011 Legislative Landscape
Around the State
October 28 & 29Texas Mission of MercyAmarillo
Click & Connect
Join us on Facebookgroups.to/texasdental Follow us on Twittertwitter.com/theTDA Get LinkedInlinkedin.com, search “Texas Dental Association”
JUNE, 2008 VOLUME 9, ISSUE 6 AVAILABLE ONLINE AT TDA.ORG
InsideMedicaid in My Office?Yes, I Think So!Richard M. Smith, DDS
TDA Smiles FoundationTMOM gains ardent advocate
Ask the PresidentIncoming President’s messageHilton Israelson, DDS
Let’s TalkOutgoing President’s messageA. David May, Jr., DDS
2008-2009 TDA Board of Directors
Meet Your TDA StaffTDA’s new Finance Director Dee Dee Delagarza
Congratulations to TDA Component Societies
Streamline Your Insurance ClaimsSpeeding up confirmation of benefits and eligibility
TSBDE Rule UpdateRequirements for dental office radiograph machines
In the NewsTDA members in the news
July Journal NewsTooth Whitening: A Clinical Review
TDA Historical PerspectivesDentists, dental hygienists, and the dental team
The 2007 C.T. Rowland AwardOrthodontic case report
The El Paso Dental Conference
Around the StateAugust 14:TDA Board MeetingAustin, Texas
October 15-19:ADA Annual SessionSan Antonio, Texas
Click & ConnectUpdate Profile tda.org – Membership Info Ask a Colleague tda.org – Features TEXAS Meeting Photostexasmeeting.com/estore
Volunteer for ‘08 ADAtda.org/volunteerada08
Every Member MattersRise’ Lyman, DDS, TDA Future Focus Committee
Membership growth is vital to any thriving organization. The Texas Dental Association (TDA) Board is strongly committed to the Membership goal within the “TDA 2009” strategic plan, which addresses continued growth. I am proud to report that, as evidence of that commitment and for the second year in a row, the TDA received the following ADA awards in 2008:• Greatest Percentage Membership Net Gain: Texas had a net gain of 198 members in the year 2007.• Top Constituent Dental Society with Greatest Percentage of Non-Members to Membership: Represents a conversion of 4.7 percent of non-members into membership at end of year 2007.• Top Constituent Dental Society to Improve Retention Rate Percentage in 2007: Represents a 97 percent Association retention rate, which is an increase of 7 percent from the previous year.• Greatest Percentage of New Dentist Members: Represents a gain of 111 new dentist members (those dentists who are 1-9 years out of school).
Another example of the commitment to the growth of our Association is the TDA Externship Program, which builds student awareness of organized dentistry. This innovative program, created in 2007, offers students the opportunity to gain insight into the different components of organized dentistry including legislative and regulatory affairs, membership, governance, continuing education, and charitable dentistry and to gain a better understanding of their role as future leaders of the dental team. The program is open to dental students from each of the three dental schools in Texas. This year the externship program will take place June 20 – June 27 in Austin at the TDA central office. As an ongoing effort to enhance the value and benefits of the Association, the TDA Council on Membership developed a survey that was sent to all members in 2006. The results clearly showed that members have a high satisfaction rating with benefits such as the TEXAS Meeting, TDA publications, and the ability to participate philanthropically in the TDA Smiles Foundation. A great number of the discounted programs offered to members through the TDA Perks Program also received a high satisfaction rating. In accordance with the strategic plan, the Council on Membership, will survey members again in 2009. Participation from all members and a collaborative effort between the ADA, TDA, and local component societies are the keys to successful membership recruitment and retention. We encourage every member to get involved whether it is by attending local meetings, taking part in Give Kids a Smile! Day activities, volunteering at a Texas Mission of Mercy, or participating in TDA Legislative Day activities in Austin. Each member matters and is essential to the continued growth of our Association and of organized dentistry. This is the seventh and final in a series of articles focused on the TDA’s accomplishments guided by the strategic plan. To view the entire plan, log in at www.tda.org and click on “TDA 2009” under “Current Issues” on the member homepage. For more information, please contact Lyda Creus Molanphy, staff liaison to the Future Focus Committee, at the TDA central office, (512) 443-3675.
MembershipDentists will value membership and participation in the TDA.
Objectives1. Improve perceived value and benefits of membership in TDA. a. Increase members’ knowledge about the impact and benefits of TDA membership. b. Ensure that components are an integral aspect of the membership process. c. Create greater awareness of the availability of the Peer Review, Ethics & Judicial, and Risk Management benefits. d. Actively promote adherence to the Code of Ethics. e. Enhance communication with members and non-members. f. Build student awareness of and interest in organized dentistry and membership in TDA. g. Ensure ongoing contact with students throughout dental school. h. Work closely with dental school faculty. i. Evaluate number of nonmember dentists who attend and participate in TDA activities (TEXAS Meeting, TDA Smiles Foundation programs, etc.).Metrics1. Seventy percent of active licensed dentists in TX will be members of TDA by 2009 (baseline of 68.5% in January 2007); increase
membership retention rate to 97 percent by April 2007 (baseline 96% in 2006). a-d. Increase the number of dentists serving on component peer review and ethics and judicial affairs committees to attain a
participation rate of 2-5 percent relative to the total number of component society members by August 2009.2. Ninety percent of TX dental school graduates actively licensed in TX will be members of TDA five years after graduation (89%
dental student conversion from the graduating class of 2005 in Texas).3. Increase the number of member dentists actively participating in TDA by 1 percent a year (as measured by a variety of means
– participation at TX Meeting, TMOM, TXDDS, FSI programs, DENPAC participations, TDA legislative day) with annual report to TDA Board by the Council on Membership.
4. Establish baseline of nonmember participation at TDA activities (CAS, TDA Smiles Foundation, Membership) 5. Established baseline of members’ understanding of and satisfaction with the benefits of their TDA membership through Member
Benefits and Services Survey (completed Nov 2006), re-evaluate % increase at that time for 2009.6. Sixty-five percent of all full-time faculty will be TDA members by 2009 (2006 baseline = 63%).
Mission: To be The Voice of DenTisTry in Texas
Manpower Advocacy OrganizationalExcellence
Public Image
Development Membership
The TDA will update it’s strategic plan with another statewide retreat in August of 2008.
In 2003, Texas Dental Association members from across the state develop TDA’s first strategic plan, TDA 2009.
Future Changes to Texas Medicaid Dental ProgramOn September 12, 2011, the Health and Human Services Commission (HHSC) announced the final contract awards for the HHSC Texas Dental Program to Delta Dental, DentaQuest and MCNA. If you are interested in providing Medicaid/Children’s Health Insurance Program dental services under the new program, contact the companies directly to begin the credentialing process.
• DeltaDentalInsuranceCompany•(800)775-0523Ext.3066 E-mail:[email protected]• DentaQuestUSAInsuranceCompany,Inc.•(800)685-9971 E-mail:[email protected]• MCNAInsuranceCompany—DavidL.Brownell,directorofproviderrelations; website:mcna.net/provider/texas-program/ Additionally, to help participating dentists transition into the new commercial administration of Medicaid, HHSC is beginning statewide provider training onSeptember27,2011.Certainlocationswillhaveidenticaltrainingsessionsinboththemorningandtheafternoon.Thescheduleisdetailedbelow:
Children’s Dental Services Managed Care Provider Training Schedule
ADA president Dr. Raymond Gist presents the ADA Golden Apple Award for Leadership in Mentoring to Dr. Risé L. Martin at the San Antonio District Dental Society meeting in August.
City Date Time (AM) Time (PM) LocationsSeptember 26 - 30, 2011
McAllen 09/27/11 9:00a.m.-noon 1:00p.m.-4:00p.m. SouthTexasCollege,CooperCenterforCommunicationArts ConferenceRoomsNorth&South,3200W.PecanBlvd,McAllen,TX78501Brownsville 09/29/11 9:00a.m.-noon 1:00p.m.-4:00p.m. ValleyRegionalMedicalCenter,100AE.AltonGloorBlvd.Texas/MexicoRm.,Brownsville,TX78526
October 3 - 7, 2011 SanAntonio 10/04/11 9:00a.m.-noon 1:00p.m.-4:00p.m. SanAntonioFoodBank,5200OldHwy.90W.,SanAntonio,TX78227Waco 10/06/11 9:00a.m.-noon 1:00p.m.-4:00p.m. ProvidenceFamilyHealthCenter,Auditorium,1600ProvidenceDr.,Waco,TX76707Austin 10/07/11 9:00a.m.-noon N/A HHSCBrakerOffice,11209MetricBlvd.,LoneStarRm.,Austin,TX78758
October 10 - 14, 2011Tyler 10/10/11 9:00a.m.-noon 1:00p.m.-4:00p.m. CityofTylerLakePalestineWaterTreatmentPlant,ConferenceCenter,14792CountyRd.192,Tyler,TX75703Dallas 10/11/11 9:00a.m.-noon 1:00p.m.-4:00p.m. VisitingNurseAssociation,1440Mockingbird,Dallas,TX75247FortWorth 10/12/11 9:00a.m.-noon 1:00p.m.-4:00p.m. CatholicCharities-MainBuilding,249W.ThornhillDr.,Ft.Worth,TX76115WichitaFalls 10/13/11 9:00a.m.-noon 1:00p.m.-4:00p.m. WichitaFallsPublicLibrary,60011thSt.,Rm.205,WichitaFalls,TX76301
October 17 - 21, 2011Odessa 10/18/11 9:00a.m.-noon 1:00p.m.-4:00p.m. TexasTechHealthScienceCenter,Auditorium,800W.4thSt.,Odessa,TX79763SanAngelo 10/19/11 9:00a.m.-noon 1:00p.m.-4:00p.m. SanAngeloISD,Boardroom,1621UniversityAve.,SanAngelo,TX76904Abilene 10/20/11 9:00a.m.-noon 1:00p.m.-4:00p.m. HendrickMedicalCenter,2000PineSt.,SheltonBuilding,2ndFloorConferenceRm.A,Abilene,TX79601
October 31 - November 4, 2011EaglePass 11/01/11 9:00a.m.-noon 1:00p.m.-4:00p.m. FortDuncanRegionalMedicalCenter,3333N.FosterMaldonadoBlvd.,EaglePass,TX78852Laredo 11/03/11 9:00a.m.-noon 1:00p.m.-4:00p.m. CityofLaredoHealthDepartment,Auditorium,2600CedarAve.,Laredo,TX78040
November 7- 10, 2011Beaumont 11/08/11 9:00a.m.-noon 1:00p.m.-4:00p.m. HHSCLibertyStreetOffice,285LibertySt.,Beaumont,TX77701Houston 11/09/11 9:00a.m.-noon 1:00p.m.-4:00p.m. HarrisCountyCPS,2525Murworth,Houston,TX77054CorpusChristi 11/10/11 9:00a.m.-noon 1:00p.m.-4:00p.m. CorpusChristi-NuecesCountyPublicHealthDistrict,Auditorium,1702HorneRd.,CorpusChristi,TX78416
November 14- 18, 2011Amarillo 11/15/11 9:00a.m.-noon 1:00p.m.-4:00p.m. NorthwestTexasPavillion,1501S.CoulterRd.,Amarillo,TX79106Lubbock 11/16/11 9:00a.m.-noon 1:00p.m.-4:00p.m. TTUHSCAcademicClassroomBuilding,ClassroomACB110,36014thSt.,Lubbock,TX79430ElPaso 11/18/11 9:00a.m.-noon 1:00p.m.-4:00p.m. SierraMedicalCenter,DoctorsDiningRoom,1625MedicalCenterDr.,ElPaso,TX79902
Drs.PaulA.KennedyIIIofCorpusChristiandRiséL.MartinofLakehillswererecentlyawardedAmericanDentalAssociation(ADA)GoldenAppleAwardsforNewDentistLeadershipandOutstandingLeadershipinMentoring,respectively. Dr.KennedyreceivedtheNewDentistLeadershipawardattheADANewDentistCommitteeAwardsLuncheoninChicagoinJune2011.ADApresidentDr.RaymondGistpresentedtheOutstandingLeadershipinMentoringawardtoDr.Martin at the San Antonio District Dental Society meeting in August 2011. Dr.KennedycurrentlyservesaspresidenttoboththeNuecesValleyDistrictDentalSocietyandtheTexasAcademyofPediatricDentistry.HeisaclinicalassistantprofessoratTheUniversityofTexasHealthScienceCenteratSanAntonioDentalSchool(UTHSCSA)DepartmentofPediatricDentistry.Furthermore,hepromotesdentalhealthtothecommunityand is a volunteer for economically disadvantaged children through the TDA’s Texas Missions of Mercy. Dr. Martin received the award for demonstrating exemplary achievements as a mentoring leader. Dr. Martin organized theGreatExpectationsProgramfortheUTHSCSAfreshmenstudentsin2009.ShewasalsowasinstrumentalincreatingaseriesofsixLeadershipContinuumSeriesseminars.
Two TDA Members Awarded ADA Golden Apple Awards
Dr. Paul A. Kennedy III of Corpus Christi receives the ADA Golden Apple Award for New Dentist Leadership in Chicago in June. Pictured are (L-R): ADA New Dentist Committee representative Dr. Sarah Tevis Poteet of Dallas, Merritt and Dr. Paul Kennedy III of Corpus Christi, Dr. Paul Kennedy, Jr., of Corpus Christi, and ADA 15th District Trustee Dr. S. Jerry Long of Houston.Ph
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Duringthetrainingsessions,dentistswillbegivenanopportunitytoaskquestionsrelevanttoMedicaid/CHIPdentalservices.ThisallowsdentiststomakeaninformeddecisiononexecutingcontractswiththeManagedCareOrganizations.Thereisnocosttoattendthesetrainings. For information on registering, email [email protected]. Forquestions,pleasecontactTDApolicymanagerMs.DianeRhodesat(512)443-3675,[email protected].
September 2011 / TDA Today / 2
Happy, Healthy Smiles …
That’s Our Mission!
TDASF’s Donated Dental Services Program Gives Grandmother Reason to Smile
KittyWalford,amotherofthreegrownsonsandgrandmothertoone“amazing”6-year-oldgranddaughter,livesinAustinatalow-incomeapartment complex. Kitty was in constant pain due to her poor oral health. She had a post exposed in a root canal tooth and was missing most of her teeth in the back, leaving her unable to chew many foods. Withoutanydisposableincome,Kittyhadresignedherself to the fact that she would be forced to live with the pain and eat soft foods for the rest of her life.Then,sheheardaboutTDASmilesFoundation(TDASF) and the Donated Dental Services (DDS) program from a neighbor who had received much needed dental care from the DDS program. Kitty applied and was accepted into the DDS program and matched with Dr. Kavin Kelp of Austin.
Kitty was brought to tears when telling her story, about the pain she had endured for many years, the kindness of Dr. Kelp, and her complete gratitude in the services provided to her. She now has a new crown over her root canal and upper and lower partials. Her joy is palpable, and this is thanks to all of you who donate your time andmoneytomaintaintheTDASF’scharitableprograms.Theseprogramswouldnotexistwithoutyoursupport.Thankyou.
Evidence-Based Practice Tip of the Month
Stephen R. Matteson, D.D.S., F.I.C.D., TDA Editor
Ms. Kitty Walford shows her new smile. Dr. Kavin Kelp of Austin provided charitable care to Kitty through the TDASF DDS program.
TDASF Holiday Cards are Ready to Order! ThoughTexasisexperiencingdaysof 100+ degree heat, the holiday season is quicklyapproaching! TDASF announces the returnofitshand-madeholidaycards.Thisyear there are several card options. Send your family,friends,andcolleaguesauniquecardexpressing your best wishes for the upcoming holiday season. Also, for the first time, TDASF is offeringcardandpriceoptions.Everydollargoes directly to support the TDASF and the thousands of Texans in need of dental care! Options1&2haveembellishmentsonthe outsideofthecard,addingeye-catching,3-Ddetail.Bothofthesecardsalsocontainthefollowingquoteonthetophalfoftheinsideofthecard:
“We forever thank you. We are sincere in saying thank you so much for giving Daddy his smile and his life back. He hasn’t smiled in 4 years.”
Family of Gaston P. DonahoNorth Zulch, Texas
Donated Dental Services Patient
To order any of these cards, please visittdasf.orgorcall(512)448-2441.
Option #1: Holiday Sparkles — One card for $25 or five cards for $100 Inside of card says, “And a year of smiles.”
Outside of Card:
Option #2: Season’s Greetings — One card for $25 or five cards for $100Inside of card says, “Wishing you a year of smiles.”
Outside of Card:
Option #3: Snow Flake — 10 cards for $30Inside of card says, “Wishing you a year of smiles.”
Outside of Card:
This is the 10 th in a series of articles to keep you informed of the Texas Medicaid Electronic Health Record (EHR) Incentive Program and continuing efforts to implement health information exchange initiatives across Texas. The incentive program provides incentive payments to eligible Medicaid providers for the adoption and meaningful use of certified EHR technology. Future articles will focus on helpful reference websites, health information exchange, meaningful use for dentists, certified EHR technology for dental practices, and other relevant topics of interest to dentists.
TheAmericanRecoveryandReinvestmentActof2009specifiesthreemaincomponentsofMeaningfulUse:1. TheuseofacertifiedEHRinameaningfulmanner,suchase-prescribing.2. TheuseofcertifiedEHRtechnologyforelectronicexchangeofhealthinformationto
improvequalityofhealthcare.3. TheuseofcertifiedEHRtechnologytosubmitclinicalqualityandothermeasures.
Simplyput,“meaningfuluse”meanseligibleprofessionals(EP),suchasdentists,needtoshowthey’reusingcertifiedEHRtechnologyinwaysthatcanbemeasuredsignificantlyinqualityandinquantity.
Thecriteriaformeaningfulusewillbestagedinthreestepsoverthecourseofthenext5years:• Stage1(2011and2012)setsthebaselineforelectronicdatacaptureandinformation
sharing.• Stage2(expectedtobeimplementedin2014)andStage3(expectedtobeimplemented
in2015)willcontinuetoexpandonthisbaselineandbedevelopedthroughfuturerulemaking.
What are “Clinical Quality Measures”? FortheMedicaidEHRIncentiveProgram,dentistsdonotreportmeaningfulusemeasureduringtheirfirstpaymentyear.However,intheirsecondpaymentyear,EPswillneedtodemonstratemeaningfulusesuccessfully.EPsarerequiredtoreportclinicalqualitymeasures(CQMs),inadditiontomeaningfulusemeasures.EPsmustreportonsixtotalCQMs:threerequiredcoremeasures(substitutingalternatecoremeasureswherenecessary)andthreeadditionalmeasures(selectedfromasetof38clinicalqualitymeasures). InAugust2011,theTexasDentalAssociation’sCommitteeonAccess,Medicaid&CHIP gave feedback to the Texas Health and Human Services Commission (HHSC) regarding the federal CQMs as they relate to dentistry. Although, at this time, there are no NationalQualityForum-endorsedorothernationallyacceptedCQMsfordentistry,dentistsinterestedinparticipatingintheMedicaidEHRIncentiveProgramdohaveoptions(1). AccordingtotheCentersforMedicare&MedicaidServices(CMS),“Intheeventthatnoneofthe44clinicalqualitymeasuresappliestoanEP’spatientpopulation,theEPisstillrequiredtoreportazeroforthedenominatorsforallsixofthecoreandalternatecoreCQMs.Ifalloftheremaining44CQMsincludeddonotapplytotheEP,thentheEPisstillrequiredtoreportonatleastthreeoftheadditionalCQMsoftheirchoosing(otherthanthe six core/alternative core measures)…” (2). TohelpdentistsunderstandandreportQMS,HHSCplanstoofferweb-basedtrainingopportunitiesinearly2012.ThetrainingwillincludedirectiononattestationandutilizationoftheMUportal. CMShasdetailedinformationfortheMedicaidEHRIncentiveProgramatcms.gov/EHRIncentivePrograms.ForhelpintheTexasenrollmentprocess,visittheEHRIncentiveProgramwebsiteattmhp.com/Pages/HealthIT/HIT_EHR.aspx,[email protected],Option4.
References1. CentersforMedicareandMedicaidServices,MeaningfulUseOverview,cms.gov/
EHRIncentivePrograms/30_Meaningful_Use.asp.2. CentersforMedicareandMedicaidServices,AnswerstoQuestions,https://questions.
cms.hhs.gov/app/answers/detail/a_id/10144/kw/meaningful%20use.
Texas Medicaid Electronic Health Record (EHR) Incentive Program
August of each year begins the TDA budgeting process. As treasurer, I meet with the various departments for our first round of budget talks. TDA finance director Ms. Dee Dee Delagarza asks eachdepartmenttodevelopabudgetbasedonitsanticipatedcostsforthefiscalyear18monthsinthefuture.EveryaspectoftheTDA’soperationsandprogramsaretakenintoaccountwithazerobasedapproachasastartingpoint.Wemustplanayearandahalfinadvancebecauseofthetimingof the annual meeting in May when the House of Delegates approves the budget. Planning the budget becomes an educated guess because of the uncertainty of items such as travel, hotel expenses, convention space rental, sold exhibitor space, insurance needs, membership numbers, unanticipated contingencies, participation in favored vendor programs, building maintenance, taxes, and a myriad of other considerations. AftermeetingwithallTDAdepartments,ImeetwiththeTDABudgetCommitteetoreviewinitial figures and compare previous years’ experiences to the proposed budget revenues and expenses. BythefinalBudgetCommitteemeetinginFebruary,wehavefinalizedthecurrentyear’sproposedbudget. If we are fortunate enough to have a surplus of funds, the committee may recommend using thesurplustobalancetheproposedbudget.TheBoardofDirectorsmakesadjustmentsandapprovesthe proposed budget and submits it to the House of Delegates for final approval. AttheannualmeetinginReferenceCommitteeA,anymembermayandisencouragedtoaskquestionsormakecommentsabouttheproposedbudget.Thereferencecommitteethenmakesafinalreport to the House of Delegates with recommendations on the proposed budget. If the House passes new resolutions with additional financial implications, then the budget must be reconsidered in the lightofthesechanges.ThisentireprocessultimatelydrivestheduesstructureoftheAssociation. Therearebasicallyfourareasfromwhichfundscanbederivedinthislengthyprocess:budgetsurplus,memberdues,assessments,andreserves.Theaccumulativesurplusesfromyeartoyeararenowheld in a savings account entitled Surplus Savings and a report tracks the funds. Membership dues help achieveabalancedbudget,andassessmentsareusuallyusedforlarge,occasionalprojects.Thereservesrepresent35percentofthecurrentyear’sbudgetandaregenerallyconsideredtobethelastplacetoseek funds, using them only for large and unexpected circumstances which insurance would not cover. TheprocesscanseemdauntingattimesbutisnecessaryasaplanningtooltomaintainthefinancialstrengthoftheAssociation.Thebudgetisonlyaplanningtool.Everyattemptismadetobe as prudent with our expenditures and aggressive in our alternative income streams in order to minimize our dues structure.
Money Matters
Ron Collins, D.D.S., M.A.G.D., TDA Secretary-Treasurer
Root Resorption with OrthodonticsA2011abstractontheCochraneLibrarydescribesasystematicreviewonthesubjectofrootresorptionassociatedwithorthodontictreatment.Thirteenarticleswereidentifiedforanalysis.Theyreport,“Evidencesuggeststhatcomprehensiveorthodontictreatmentcausesincreasedincidenceandseverity of root resorption, and heavy forces might be particularly harmful. Orthodontically induced inflammatoryrootresorptionisunaffectedbyarchwiresequencing,bracketprescription,andself-ligation.Previoustraumaandtoothmorphologyareunlikelycausativefactors.Thereissomeevidencethata2-to3-monthpauseintreatmentdecreasestotalrootresorption”andstatesupporttheuseoflight forces particularly with incisor intrusion (1).1. WalkerS.Rootresorptionduringorthodontictreatment.PMID20938479.CommentonAmJOrthod
DentofacialOrthop.2010Apr;137(4):462-76;discussion12A.
September 2011 / TDA Today / 3
WhenyouthinkofGreatExpectations,CharlesDickens’autobiographical novel might come to mind. However, anothertypeofGreatExpectationsiscertainlymakinganame for itself. Similar to Pip’s revelation of the effects of his goodintentions,theGreatExpectationsmentorprogram’ssecrettosuccessisservingthestudentsintheirquesttoenterthe dental profession. It allows established practicing dentists, dental school faculty, and upper class dental students to provide advice and guidance to young dental students. Theprogramwasthe2007brainchildofDr.MoodyAlexanderofDallasandoriginatedattheTexasA&MHealthScienceCenter--BaylorCollegeofDentistryasacollaborativeeffortoftheBaylorCollegeofDentistry,upper-classstudents,faculty,andDallasCountyDentalSocietypracticingdentists.In2008,theAmericanDentalAssociationgaveaGoldenAppleAwardtotheDallasCountyDental Society for its work in the mentoring program. In 2010, a group of leaders in the program developed a strategic plan defining the long term mission and core values.Themissionisto:“Mentorprofessionalismbybuilding relationships between dental students, faculty andpracticingdentists”.Thecorevaluesare:Integrity,PersonalAccountability,TrustandRespect,Leadership,Professionalism, Camaraderie, Commitment to the Profession,ServicetoCommunity,andLifelongLearning. TheGreatExpectationProgramhasspreadtoallofthe Texas dental schools. Teaching ethics in the classroom preserves the integrity and trust of the dental profession. Teaching professionalism by example of the participating facultyandprivatepracticingdentististhegoalofGreatExpectations.Todate,theprogramhaspaireddozensofdental students with mentoring teams of faculty members, practicing dentists, and senior dental students. InJune2011,IhadtheopportunitytoattendaGreatExpectationsmeetingwiththeUniversityofTexasHealthScienceCenteratSanAntonioDentalSchool(UTHSCSA).You’ll read in this issue of the TDA TodaythatDr.Rise’Martin of San Antonio received the American Dental AssociationGoldenAppleAwardforOutstandingLeadershipinMentoringforherworkontheGreatExpectationsprogramatUTHSCSA. OnAugust20,2011,IvisitedBaylorCollegeofDentistryinDallasastheGreatExpectationsprogramwelcomed the new class of dental students. Dr. Mark Gannaway,programdirector,moderatedthemeetingandexplainedtheprogram,BaylorCollegeofDentistryDeanDr.LawrenceE.Wolinskywasintroducedandspoke,andIsharedmythoughtsonthecharacteristicsofthe“GreatestProfession.”Then,thementoringgroupsbrokeouttodiscuss their future plans. As the profession evolves and changes with each generation, it is important for us to remain connected and share our experiences and ethics with each other and especially our new candidates. It’s even more important forustohaveaservingheartthat’sevidentintheGreatExpectationsprogram.Servingothersisatestamenttointegrity of our profession.
Preston’s Press
J. Preston Coleman, D.D.S., TDA President 2011-12
BelowisasummaryofactionsoftheTDABoardofDirectors during the August 12, 2011, meeting with TDA president Dr. J. Preston Coleman presiding.
Non-Policy and Board Policy ResolutionsBUDGET 33-2012-B (NP): Approved the following items that are $400overbudget:Salaries-Temporary,Consultants,HumanResources,AccesstoCare,HOD50YearandLifeLuncheonforatotalof$69,628.36-2012-B (BP): Approvedaone-time$75registrationfeebeofferedtonon-membersoftheTDAforattendanceatthe2012TEXASMeetinginanefforttoencourageTDAmembership.Coursefeeswouldstillberequiredforparticipation in continuing education sessions. Auxiliary staffofthenon-member,whoregistersinthe$75discountedcategory,areassesseda$50registrationfee.39-2012-B (NP): Approved the purchase and installation of a new closed circuit cooling tower for the TDA building.41-2012-B (NP): Approved a $2,000 contribution to the campaignforDr.GlenD.HallforSpeakeroftheHouseof the American Dental Association (ADA), the election of which will take place at the 2012 ADA Annual Session in San Francisco, California.43-2012-B (NP): ApprovedtheTDABuildingCommittee
MK’s Board Notes
Mary Kay Linn, TDA Executive Director
complete a historical and future analysis review of the cost for maintenance, operating expenses, and capital improvement (3-5year)toallowtheBoardtodecideonanappropriateamounttobemaintainedintheBuildingFundaccount.
CORRESPONDENCE37-2012-B (NP): Approved the TDA send the ADA Council onDentalEducationandLicensurealettersupportingtheADA’s process for determining specialty recognition within dentistry.
MISCELLANEOUS42-2012-B (NP): Approved the TDA Council on DentalEducation,Trade&Ancillaries(DETA)prepareacomprehensive report on the dental hygiene workforce in Texas including education pathways, demographics, and workforcetrendsandreportitsfindingstotheTDABoardofDirectors during the April 2012 meeting.
OUT-OF-STATE TRAVEL34-2012-B (NP):Approvedout-of-statetravelformembersof the TDA Council on Annual Session and Department of Annual Session to attend other dental meetings to scout prospectivespeakersandinvestigateon-sitefacilitationactivities, exhibits, and social events, as well as participate in professional continuing education.
Referred for Further Study35-2012-B (NP): ReferredtotheTDACouncilonDentalEconomicsandtotheCommitteeonAccess,MedicaidandCHIP:theTDA,withassistancefromTheSchoolofRuralPublicHealthTexasA&MHealthScienceCenterDepartment of Health Policy and Management, to make recommendations and conduct a survey of state licensed nursing homes to better understand access to care issues and delivery mechanisms currently utilized in this population.
142nd Annual Session of the Texas Dental Association
May 3 – 6, 2012 • San Antonio, Texas
It’s All Good Frank Higginbottom, D.D.S., Chair, 2012 TEXAS Meeting
What’s in it for me? TheTEXASMeetingwillprovideyouandyourstaffwithenoughcontinuingeducationtosatisfyyouryearlyStateBoardofDentalExaminersrequirements.Youhaveagreatexhibithalltoseethelatestfromasmanyas500dentalvendorsinoneplace.
What’s so great about San Antonio? If you’ve never been to San Antonio … or if you’ve neverheardoftheRiverwalk…thenyou’remissingoutonthisamazingcityandtheexcitingtouristattractions.TheSanAntonio Convention Center and all of the hotels in close proximityarerightontheRiverwalk.It’sagreattimeoftheyearto be in San Antonio. There’sanotherbigpartygoingonatthesametime—CincodeMayo!Becauseofalltheexcitingeventsinthecity,besure to book your hotel when housing opens December 1, 2011.
I like social events when I go to a meeting. What do you have for me? Youareinforarealtreat!The“TexasParty”isThursdayevening,andit’sopentoeverybodywithagoodattitude!ThebandTheKlockswillhelpuspartyintothenight.Checkthemoutattheklocks.com.OnFriday,theGOLD(Graduateofthe
TEXAS Meeting Post Conference SurveyiPad Winner
Special thanks to all of you who completed the 2011TEXASMeetingpost conference survey. Your comments will assist the TDA Council on Annual Session to offer continuing education sessions that meet the needs of the TDA membership. Whenyoucompletedthe post conference survey from the 2011 TEXASMeeting,youwere entered in a special drawing for an Apple iPad.ThewinneroftheApple iPad is Ms. Annette Wortham,RDA,inDr.Daniel McClain’s dental officeinHouston.
Don’t miss out next year! Take a few minutes to complete the post conference survey in 2012. You may be the lucky winner!
(L-R) Ms. Annette Wortham, RDA, receives an Apple iPad from the 2013 TEXAS Meeting chair Dr. Victor Rodriguez, both of Houston. Ms. Wortham won the iPad after completing a post conference survey of the 2011 TEXAS Meeting.
LastDecade)Receptionandallofthealumnireceptionstakeplace. And, the happy hour in the exhibit hall every afternoon ends your hard day in the classroom.
What about the speakers? Do you have anybody I have heard of? Wherehaveyoubeenlately?WehaveTerryTanaka,VanHaywood,JohnFlucke,GordonChristensen,HaroldCrossley,KarenReisman,KarenDavis,SamStrong,PatAllen,WarrenKarp,JoelBerg,SteveRatcliff,JerryChiche,HaraldHeymann,BobMargeas,andmanymore.Wehavenewspeakersaswell!YouwillenjoyEllenByrne,JoyceBassett,TomWilson,JimMckee,DavidKumamoto,MartinTrope,JasonLuse,SoniaLeziy,BrahmMiller,WillMartin,DeanMorton,JimRuskin,DavidWeber,JohnSorenson,BoBruce,andJasonGillespie.Wewillhavecloseto100speakersandmorethan200classes.You can find a good mix of lectures and workshops.
Anything else? Lastyear,the2011TEXASMeetingchairDr.RogerMaciasintroducedtheLabTrack,whichwasagreatsuccess.We’llfeatureitonSaturdaymorningthisyear,andanewattractionintheexhibithallisthe“GlassHouse,”aclassroomwith actual workshop sessions.
You’ll hear more from us next month! See you in San Antonio!
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Questions? Call: (512) 443-3675.
SEPTEMBER 2011 VOLUME 12, ISSUE 9 AVAILABLE ONLINE AT TDA.ORG
EDITORIAL STAFFStephen R. Matteson, D.D.S., Editor
Nicole Scott, Managing EditorLauren Oakley, Publications Coordinator
Barbara Donovan, Art DirectorPaul H. Schlesinger, Consultant
BOARD OF DIRECTORS
J. Preston Coleman, D.D.S., PresidentMichael L. Stuart, D.D.S., President-elect
Ronald L. Rhea, D.D.S., Immediate Past PresidentVice Presidents
Lisa B. Masters, D.D.S., SouthwestRobert E. Wiggins, D.D.S., NorthwestLarry D. Herwig, D.D.S., NortheastKaren E. Frazer, D.D.S., Southeast
Senior DirectorsT. Beth Vance, D.D.S., Southwest
Michael J. Goulding, D.D.S., NorthwestArthur C. Morchat, D.D.S., NortheastRita M. Cammarata, D.D.S., Southeast
DirectorsYvonne E. Maldonado, D.D.S., SouthwestDavid C. Woodburn, D.D.S., Northwest
Jean E. Bainbridge, D.D.S., NortheastGregory K. Oelfke, D.D.S., Southeast
Ron Collins, D.D.S., Secretary-TreasurerGlen D. Hall, D.D.S., Speaker of the HouseDavid H. McCarley, D.D.S., Parliamentarian
Stephen R. Matteson, D.D.S., EditorMary Kay Linn, Executive DirectorWilliam H. Bingham, Legal Counsel
TDA Today (USPS 022-007) is published monthly except for December by the Texas Dental As-sociation, 1946 S. IH-35, Ste 400, Austin, Texas 78704-3698, (512) 443-3675. Periodicals Postage Paid at Austin, Texas and at additional mailing offices. POSTMASTER: Send address changes to TDA TODAY, 1946 S. IH-35, Ste 400, Austin, TX 78704-3698.Annual subscriptions: Texas Dental Association (TDA) members, $5. In-state American Dental As-sociation (ADA) affiliated, $15 + tax. Out-of-state ADA affiliated, $15. In-state non-ADA affiliated, $30 + tax. Out-of-state non-ADA affiliated, $30.Single issue price: TDA members $1. In-state ADA affiliated, $3 + tax. Out-of-state ADA affiliated, $3. In-state non-ADA affiliated, $6 + tax. Out-of-state non-ADA affiliated, $6.Contributions: Manuscripts and news items of interest to the membership of the Association are solicited. Manuscripts should be typewritten, double spaced, and the original copy should be submitted. Please refer to Instructions for Contributors in the annual September Directory of the Texas Dental Journal for more information. The Information for Contributors is available at tda.org. All statements of opinion and of supposed facts are published on authority of the writer under whose name they appear and are not to be regarded as the views of the Texas Dental Associa-tion, unless such statements have been adopted by the Association. Articles are accepted with the understanding that they have not been published previously. Authors must disclose any financial or other interests they may have in products or services described in their articles. Advertisements: Publication of advertisements in this publication does not constitute a guarantee or endorsement by the Association of the quality of value of such product or of the claims made of it by its manufacturer.
Member Publication
ThisTSBDEUpdatewilladdressTexasStateBoardofDentalExaminers(TSBDE)Chapter110—22TAC§110.5—ModerateSedation(Level2)Permit.TheTSBDEdefinesLevel2ModerateSedationas,“Drug-induceddepressionofconsciousness during which patients respond purposefully to verbal commands, either alone or accompanied by light tactile stimulation.Nointerventionsarerequiredtomaintainapatentairway,andspontaneousventilationisadequate.Cardiovascularfunctionisusuallymaintained.ALevel2Permitisrequiredformoderate sedation limited to enteral routes of administration…(1)”.ALevel2PermitautomaticallyqualifiesanapplicantforNitrousOxide,Level1andLevel2Permitprivileges(2). As a reminder, although Chapter 110 became effective June1st,theTSBDEwillnotstartenforcingrequirementsuntil
January 1, 2012.Thisdelayisintendedtoallowampletimefor dentists to become compliant with all facets of the new regulations such as standards of care and monitoring. A summary of the educational/professional criteria for dentistsapplyingforaLevel2ModerateSedationPermit,takendirectlyfromChapter110—22TAC§110.5—ModerateSedation, is available on the TDA website, tda.org. Space did not permit its inclusion in this publication. For more information, please contact TDA policy manager Ms. Diane Rhodesat(512)443-3675,[email protected]. References:1. 22TexasAdministrativeCode,§110.1(17).2. TSBDEWebpage:NewAnesthesiaPermitRegulationstobeEnforcedJanuary1,2012!:tsbde.state.tx.us.
TSBDE Rule UpdateThis recurring section is designed to help TDA members keep up with important Texas State Board of Dental Examiners (TSBDE) rules, other regulations, and state law affecting their practices.
TSBDE Licensure Processing Delays TheTexasStateBoardofDentalExaminers(TSBDE)recently began implementing a new computer system that is causing significant unforeseen delays in processing new licenses andlicense/certificationrenewals.TheTSBDEisawareofthebacklog and is taking steps toward recovery. In the meantime, applicants are encouraged to submit their application/renewal as far in advance as possible. Application/renewal may be completedonlineat:hpc.state.tx.us/message.htm. Becausemanylicenseesarerequiredtosubmitproofof current licensure to organizations such as insurance companies, Medicaid, hospital credentialing departments, etc.,theTSBDEisofferingatemporarysolutionuntilthebacklog is resolved. Once a licensee submits fees to activate or renew a license/certification, they may print a copy of the TSBDE’s“notice”andattachittotheexpiredannuallicense/certification, or in the case of a new license, to the letter ofauthoritytopractice.Thenotice,whenattachedtotherenewal paperwork, serves as temporary proof of authority to practice in Texas until the new license/certification is received. Licenseesnotwillingtoacceptthissolutionmayrequestbye-mailaverificationofinitiallicensureorrenewalbycontactinginformation@tsbde.texas.gov.AcopyoftheTSBDE’snoticemaybeaccessedfromthehomepageoftheTSBDE’swebsiteattsbde.state.tx.us.
Ethics and Professionalism Survey InMay2011theTexasDentalAssociationrequestedyour feedback and participation in a survey about ethics and professionalism. Eighty-sevenmembersresponded,andtheAugust2011issue of the Texas Dental Journal featured several members’ responses, along with their photographs, providing a great snapshot of what members across the state believe about ethics and professionalism. TheCouncilonEthicsandJudicialAffairs(thecouncil)wouldstillliketohearfromyou.Thesurveyremainsopenandavailable on the TDA website. Please take a few minutes to shareyourthoughts.Thecouncilplanstocollectandpublishthe responses and make them available on the TDA website and as a supplemental handout for ethics and judicial affairs trainings which occur several times throughout each year. To complete the survey please log in to the members side oftda.organdclickontheEthicsandProfessionalismSurveylinkundertheCurrentIssuesheading.Thecouncillooksforward to hearing from you! Ifyouhavecommentsorquestionsyouwouldlikethecouncil to consider, contact the council via TDA program [email protected](512)443-3675ext.152.