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Parkway Veterinary Hospital

October 21, 2009

Early Detection Implementation

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Pro-active approach to medicine, rather than Pro-active approach to medicine, rather than reactive, potentially adding years to a reactive, potentially adding years to a patient’s life.patient’s life.

Early detection of metabolic changes Early detection of metabolic changes increases treatment success, esp. in Senior increases treatment success, esp. in Senior pets.pets.

Most illness are treatable or curable in the Most illness are treatable or curable in the early stage.early stage.

Establishes baseline valueEstablishes baseline value Confirms wellness and peace of mindConfirms wellness and peace of mind

What is Early Detection?

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• How Savvy are your Clients?

– Do your clients understand the importance of preventative medicine?

– Hits on Google:• 2003 57,900

• 2004 197,000

• 2005 435,000

• 2006 3,960,000

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DOGS

7% of dogs under eight have

clinically significant low Total T4

values

Chronic renal failure incidence rate

is nine per 1,000 dogs examined –

400,000 new cases a year

Kidney disease affects four times as

many young dogs as heartworm and

while nearly all dogs are tested early

on for heartworm, very few are

tested for kidney disease

CATS

10% of cats older than 9 years of

age have significant high Total T4

values

Chronic renal failure incidence rate

is 16 per 1,000 cats examined –

630,000 new renal cases a year

Approximately 18% of cats older

than 7 harbor a disease that is only

detectable with diagnostic testing

3% of cats under eight have

clinically significant elevated kidney

function tests

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• What age is considered a Senior for pets?– All dogs and cats 7 years and older– Large breed dogs that are 5 years and older– Also depends on weight, breed, & care of the

animal.

*Adult age is 1-6 years old.

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• What happens as animals age?– Metabolic changes occur such as internal organs

and tissues begin to degenerate.– Animals are genetically designed to hide

symptoms– Pets cannot tell you when or where it hurts.– Animals age 5-7X more rapidly than humans.– The most accurate way to detect metabolic changes

is through diagnostic testing.

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Adult EDP: 1-7 years Adult Screen - 8

Chemistries CBC HWAg for Canines HWAb for Felines Fecal by Zinc Sulfate plus

Giardia ELISA

Recommended Panels:

Senior EDP: 7 years + Superchem - 26

Chemistries CBC T4 and Automatic FreeT4

( Complete Urinalysis with

optional MA reflex Fecal by Zinc Sulfate

plus Giardia ELISA

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Implement Your EDP

Step 1: Reminder call

Step 2: Welcome client, distribute literature

Step 3: Educate and answer questions

Step 4: Track Accept/Decline

Step 5: Follow Up/Report Card

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Team Model Guide

Day Before Appointment – Receptionist

• Call the client to remind them of their appointment.

• Ask them to bring in a fresh stool.

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Greeting Clients – Receptionist• Ask if they brought in a fresh stool sample

• Make sure the information is entered on the EDP Tracking sheet

• Give client their questionnaire and any other educational literature.

Technician’s Role

• Explain that the practice promotes an Early Detection Program for the wellness of their pet.

• Explain the benefits of the testing and physical exam. Collect Questionnaire.

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Team Model Guide

Veterinarian’s Role

• Go over Questionnaire.

• Review EDP with client and answer any questions

• Discuss the EDP panels and the benefits of each test

• If no fecal sample was brought, pre-charge client and send them home with a

fecal container

• Indicate on patient file if client accepted or declined EDP

• Encourage semi-annual visits

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AFTER EXAM - Receptionist• Record if the client accepted or declined on the EDP tracking sheet

If Accepted:• Inform client that the doctor will call them with the test results

• Make sure they have the educational materials

• Schedule appointment for their pet’s next semi-annual exam

• Make sure that if they need to bring a fecal sample that they have the container and to drop off a fresh sample as soon as they can.

• Ask if they have any questions.

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r

“Price is only an issue

in the absence of Value.”

Mark Opperman, DVM

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How do we Change Perception of Value

• Communication styles

• Cost

• Clients Education

• Property vs. Family Member

• Hospital Team is not United

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Change our communication style to be like a Frisbee.– Throwing a Frisbee requires interaction and collaboration.

This approach produces shared decision making. And shared decision making is a predicator of compliance.

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Discussing Cost• They want to know how

the money they spend is going to affect what they’re invested in.

• Provide “a reasonable prognosis” for their pet– They want to know how

this will affect their pet’s quality of life after treatment.

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Property vs. Family Members• It is our job as Veterinary Staff

members to educate our clients on their pets health.

• You must continually educate yourself so that you can provide good information to your clients.– Pet Quarterly and The Team– First line Magazine

• Listen to what your clients have to say don’t just throw up useless information on them. – Remember to use the Frisbee

method of communication

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Zoasis® Track Your EDP Success Top Ordered Tests

EDP Profiles

Senior Profiles

Fecal Reports

Heartworm Reports

Viral Reports