Where do you go from here?

Is ‘yes’ your answer to any of

the following statements?

Periodontal probing is not consistently performed and is rarely documented.

Low production and profit in the hygiene department.  Greater than 75% of adult patients are CDT

D1110. A low percentage of patients are on periodontal

maintenance (CDT 4910 is seldom used).

Hygienists do not actively support a periodontal program. 

Hygienists perform deep scaling at routine prophylaxis visits and patients are not charged for this service.

 

 

• Patients with a ‘bloody prophy’ are not being properly educated about their periodontal disease and homecare or treatment planned accordingly – do you have enough time to do this thoroughly?

 • The practice lacks uniform scripts, tools, resources for

patient education regarding periodontal disease. • CDT codes for periodontal disease procedures are used

improperly or not at all. • Risk assessments are rarely, if ever, performed. (Do you

have a periodontal Risk Assessment form? 

If you said ‘yes’ to any of the above, then it may be time to reconsider your periodontal standard of care

and implement a periodontal treatment protocol 

Change

2 – 7% are Visionaries

13 – 18% Early Adopters

14 – 19% are Early Majority34 – 39%

Later Majority

16 – 21% Laggards

It takes energy and effort to create a NEW WAY!

CHAOS! You’re on your way!

Some people will want to go back to what is familiar.

The line in the sand! Don’t give in to the temptation to go BACK!

Who on your team is most likely to be resistant to change?

Give them a reason to change!

What do they value? What do they need to know before they will

join with you? How will changing how things are done

impact their job? What is the most motivating thing that

makes you want to change the way you do things?

Motivating elements are different for everyone.

Are you willing to lead the change?

How can you build consensus?

What constitutes being a leader?

Honesty Forward looking/thinking Competent Inspiring Enthusiastic and positive in the

presentation of the new idea.

Building Credibility Modeling the way – if you change the

protocols, you must be absolutely consistent in applying them – each time, every time!

Inspiring a shared vision – be willing to be verbal and reinforce the changes that support the vision Keep the end point alive Communicate it often Allow your passion to be expressed

Challenge the process – be willing to review, replace, reinforce the new way

Enable others to act to support the vision – acknowledge their contribution

Encourage the heart – do the periodontal assessment and treatment for the right reason BECAUSE IT IS THE ETHICAL AND

RIGHT THING TO DO!

What kind of help would you like to effect this change?

Consultants that work: www.gemsguy.com = Dr. Tom Orent

www.nextlevelpractice.com = Gary Kadi

www.inspiredhygiene.com = Rachel Wall, RDH, BS; Kim Miller, RDH,BSDH, Jamie Marboe, RDH, BS; Allanna B. Ivy, RDH, BA Stacy McCauley, RDH, MS; Noel Paschke, RDH, MS

Contact me:Lynn Stedman

Email = lstedman@columbiabasin.eduPhone = 509 366-1023 (iPhone = text is

OK)