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N Y State Dent J June-July 2023

The New York State Dental Journal

In the June-July 2023 issue, the reader will find the following feature articles:

• Understanding Persistent Bleeding in Children
• Sinus Tract vs. Fistula: There is a Difference
• What is the Prevalence of Temporomandibular Joint (TMJ) Condylar Osteoarthritis in an Asymptomatic Oral and Maxillorfacial Surgery Department Population?

This issue includes regular columns with regional news impacting the New York membership including: editorial and perspectives columns, legal, association activities, component news, continuing education opportunities, and classifieds.

Dentistry And The Law: Accessing/Disclosing Prescription Information On Software Platforms, Dan Schulte Jd

The Journal of the Michigan Dental Association

This article discusses the access and disclosure of prescription information on software platforms like eScribe and MAPS. It highlights that HIPAA regulations govern such access, and as long as the information is obtained through business associate agreements and used for treatment purposes, specific patient consent may not be necessary. The article also mentions that the Michigan Automated Prescription System (MAPS) allows prescribers to access controlled substance prescription information without requiring patient consent.

Mda At Your Service: How Can I Learn More About Insurance Plan Contracts?, Kristin Johnson Dds, Mda Membership Department Staff

The Journal of the Michigan Dental Association

This month’s column from the Chair of the Membership Committee, and the Michigan Dental Association (MDA) Membership Department, addresses various resources for understanding dental insurance plans, switching local dental societies, Business Associate Agreements for HIPAA compliance, and changes in implicit bias training requirements. The article also mentions volunteer opportunities to help underserved patients through MDA-affiliated programs and the future Mission of Mercy.

Headquarters Report: A Look At Some Of The Changes Over The Past 10 Years, Karen Burgess Cae

The Journal of the Michigan Dental Association

In what became her final report to the MDA House of Delegates, our late Executive Director Karen Burgess reflects on the changes in the dental profession and organized dentistry over the past decade. This transcription of her remarks highlights shifts in dental schools, practice choices, demographics, and market shares within the ADA and MDA. It also discusses societal trends like generational shifts, diversity, the job market, social media, and personal technology, emphasizing how they align with the dental profession. She outlines the MDA's proactive steps to address these changes and ensure that the association remains responsive to evolving needs.

J Mich Dent Assoc June 2023

The Journal of the Michigan Dental Association

Every month, The Journal of the Michigan Dental Association brings news, information, and features about Michigan dentistry to our state's oral health community and the MDA's 6,200+ members. No publication reaches more Michigan dentists!

In this issue, the reader will find the following original content:

• A cover story interview introducing new MDA President Eric Knudsen of Escanaba.
• A feature review of the 2023 MDA Annual Session held in Grand Rapids.
• MDA President Dr. Benivegna's Opening Remarks before the 2023 House of Delegates.
• News you need, Editorial and regular department articles on MDA Foundation activities, Dentistry and the Law, Staff Matters, …

Mda Foundation: Mission Of Mercy Moves To Flint In June 2024; Save The Date And Participate, Anne Berquist

The Journal of the Michigan Dental Association

The MDA Foundation is organizing its fifth Mission of Mercy (MOM) in Flint in June 2024. The event aims to provide dental care to those in need, especially those who are uninsured and unable to afford dental services. The MOM will take place at the Dort Financial Center in Flint from June 13 to 17, offering dental care from 6 a.m. to 6 p.m. on June 14 and 15. This initiative has been critical in delivering dental services and improving the lives of those who lack access to proper oral healthcare.

Meet Your New Mda Editor, Michelle C. Dziurgot Dds

The Journal of the Michigan Dental Association

Dr. Michelle C. Dziurgot introduces herself as the new editor-in-chief of the Journal of the Michigan Dental Association. She shares her background, including her dental career, writing experience, and leadership roles. Dr. Dziurgot expresses her commitment to promoting dentistry and engaging with the dental community through the journal. She emphasizes her passion for the field and her willingness to serve the members of the Michigan Dental Association.

The 2023 Mda Annual Session: Good Times, Great Meeting, David Foe Ma

The Journal of the Michigan Dental Association

The 2023 MDA Annual Session was a successful event, with over 2,600 dental professionals attending in downtown Grand Rapids. Highlights included engaging keynote addresses, informative CE courses, a bustling exhibit hall, and various social events. The MDA Foundation's Sparkling Smiles Celebration raised funds to support dental scholarships and improve access to care. The event provided valuable networking opportunities and resources for attendees.

Healthcare Employees’ Perceptions On The Effects Of Internal Audits, Jeremy Mason

MUSC Theses and Dissertations

With limited research on the perceptions of internal audits, this study was

able to add more literature to the subject. The study’s aim was to survey

employee perceptions of the effects of internal audits. This study will provide organizations with results pertaining to how employees perceive the usefulness of internal audits. The study team conducted a single-site study and invited the healthcare organization's employee population to participate in the study. The survey captured 40 responses from 361 invitees (11%). The survey explored the perceptions on six categories of internal audits: Efficiency, Ethical Behavior, Effectiveness, Auidotr-Auditee Relationship Exchange, Learning from Audit, …

Medicare Shared Savings Performance: Three-Year Pandemic Analysis, Bryan Adams

Theses & Dissertations

The Centers for Medicare and Medicaid's (CMS) Office of Actuary predicts that U.S. national health expenditures will surpass U.S. gross domestic product per capita by 1.1% annually until 2028, totaling $6.2 trillion in healthcare spending. A significant portion of this spending, 36%, is attributed to Medicare and Medicaid. To address this issue, CMS has implemented the Medicare Shared Savings Program (MSSP) to assist Accountable Care Organizations (ACOs) in reducing healthcare costs and improving the quality of care for beneficiaries. The main objectives of this dissertation are twofold. Firstly, it aims to investigate the relationship between various factors, such as quality …

Johnson & Johnson Strategic Audit, Hannah Headley, Lucy Peterkin, Ryan Nyffeler, Joshua Wiemers, Bailey Birkholtz

Honors Program: Senior Projects (Public)

Johnson & Johnson (J&J) is a healthcare company that generates economic value from its three core business segments: Consumer Health, Pharmaceuticals, and Medical Devices. Recent innovations include new pharmaceutical products, remote clinical trials, automated patient recruitment, improved scientific and digital literacy amongst employees, and innovative digitized models for supply chain planning. J&J has a competitive edge in R&D efficiency, with a 4.35 return on research capital ratio. Sociocultural, technological, and economic factors will play a large role in changing the pharmaceutical industry environment, and J&J is well positioned to benefit from sources of growth such as the increase in aging …

Finding Calm Amidst Chaos, Lisa Knowles Dds

The Journal of the Michigan Dental Association

This commentary on mindfulness and wellness provides the practitioner with strategies to achieve peace amidst chaos.

J Mich Dent Assoc May 2023

The Journal of the Michigan Dental Association

In this issue, the reader will find the following original content:

• A case study on recognizing the oral signs of Acute Lymphatic Leukemia
• A special pull-out section to assist clinicians in identifying and treating common oral lesions
• Advice on personal Wellness: "Finding Calm Amidst Chaos."
• State of Michigan C.E. Requirements for License Renewal of Dentists, Hygienists, and Registered Dental Assistants.
• A 10Minute EBD contrasting clinical success of composite restorations vs. glass ionomers.
• Guest commentary "Pretty Good Dentistry."
• News you need, Editorial, and an Advocacy Spotlight.

Importance In Decreasing Blood Culture Contaminations, Jannery Valdelamar

MSN Capstone Projects

Blood culture collection was a skill introduced while in nursing school. We are all human and make mistakes, and sometimes errors are made. Blood culture contamination happens. It happens even more in hectic departments like Emergency Department and Intense Care Unit. The American Society for Microbiology and Clinical Laboratory Standard have recommended that the %3 should be the overall rate for blood contamination rate (Center for Disease Control, 2023). In the current facility that I am in, blood culture contamination is an enormous issue. The facility rate is 9.3%, the Emergency Department was 11.3%, and the Phlebotomy was 5.2%. Multiple …

J Mich Dent Assoc April 2023

The Journal of the Michigan Dental Association

In this issue, the reader will find the following original content:

• A profile of two dentist legislators, Representative Steven Bradley, DDS of Iowa and Representative Jane Gillette, DDS, MPH. who represents Montana, to help readers best understand what that commitment means if they plan to seek elected office.
• An article discussing essential communication strategies to win elections.
• An update on ADA efforts to promote Oral Health Equity
• Profiles of MDA leadership candidates
• A 10Minute EBD contrasting closing diastemas with or without frenectomy with orthodontic treatment.
• Editorial, Advocacy update, News Briefs, News from the MDA Foundation, News from the ADA and …

Running For Political Office: These Dentists Did . . . How About You? Insights From Two Dentist-Legislators, W. Erick Rupprecht Dds, Lynn Aronoff

The Journal of the Michigan Dental Association

The Michigan Dental Association encourages members to seek political office. Why? Having a member dentist hold an elected office improves the profession's visibility and builds relationships with other elected officials and community leaders who can support dentistry's goals. A dentist-legislator becomes a resource with their legislative colleagues when they debate health policy, regulations, and business initiatives. Having member dentists on the inside provides receptive ears when the Association advocates for the profession's needs and priorities.

To give insight into what public service by a dentist looks like, the Journal interviewed two colleagues who have made that commitment, State Representative Steven …

The Elevator Speech, Christopher J. Smiley

The Journal of the Michigan Dental Association

This editorial discusses the effectiveness of crafting an "elevator speech" for concise and impactful communication in various scenarios. Leaders at a previous MDA Board of Trustees orientation were trained to construct brief, efficient presentations of two to five minutes. The process involves targeting the audience's needs, focusing on critical points, and concluding with a call to action. Examples are given for addressing questions on MDA membership benefits, emphasizing volunteer contributions, services, resources, and the value of the MDA Journal. The editorial encourages readers to adopt these strategies for efficient communication in professional and public settings.

The Effect Of Magnet Hospitals On Nursing Burnout, Jonathan Settle, Michael Davis, Eric Pulice, Alberto Coustasse

Management Faculty Research

Introduction:

The World Health Organization [2019] defined burnout as a syndrome caused by chronic job stressors that are not successfully managed, characterized by exhaustion, depersonalization, job detachment, and feelings of inadequacy (WHO, 2019). According to Murthy [2022], the nursing burnout crisis was underway before COVID-19. Nurse burnout recognized pre-COVID-19 was due to systemic organizational problems such as inadequate organizational support and underinvestment in public health (Murthy, 2022).

A 2022 survey of 2500 nurses exhibited increased rates of burnout during the pandemic, with 75% of respondents experiencing burnout, while 65% of those surveyed expressed their desire to leave the healthcare field …

Magnet Hospitals: An Update On The Impact On Nursing Burnout, Jonathan Settle, Michael Davis, Alberto Coustasse

Management Faculty Research

Nurse burnout has been associated with worsened outcomes for nurses, such as increased turnover or quitting and lower job satisfaction. The purpose of this research was to examine Magnet-designation status in U.S. hospitals, specifically shared governance and structural empowerment, and its effects on nurse burnout, nurse turnover, and job satisfaction of nurses. This study utilized a literature review complemented by two semi-structured interviews. The results showed that Magnet hospitals kept lower levels of burnout, better job satisfaction, and less turnover than non-Magnet hospitals, but this was only the case for some studies of Magnet hospitals. Some outcomes could be attributed …

Chatgpt As Metamorphosis Designer For The Future Of Artificial Intelligence (Ai): A Conceptual Investigation, Amarjit Kumar Singh (Library Assistant), Dr. Pankaj Mathur (Deputy Librarian)

Library Philosophy and Practice (e-journal)

Abstract

Purpose: The purpose of this research paper is to explore ChatGPT’s potential as an innovative designer tool for the future development of artificial intelligence. Specifically, this conceptual investigation aims to analyze ChatGPT’s capabilities as a tool for designing and developing near about human intelligent systems for futuristic used and developed in the field of Artificial Intelligence (AI). Also with the helps of this paper, researchers are analyzed the strengths and weaknesses of ChatGPT as a tool, and identify possible areas for improvement in its development and implementation. This investigation focused on the various features and functions of ChatGPT that …

Impact Of Emr/Ehr And Computer Decision Support Systems On Nursing Homes And Long-Term Care, Wendy Trzyna, Brian Cox, Alberto Coustasse

Management Faculty Research

Long-Term Care (LTCs) facilities and nursing homes have been an essential part of the healthcare industry to meet the needs of older adults. However, Electronic Medical Records (EMRs/ EHR within LTC facilities and nursing homes have lagged more than in other healthcare sectors. This research analyzed the impact of implementing EMR/EHR and Computerized Decision Support Systems within LTC facilities and nursing homes. In nursing homes and LTC facilities where EMR/EHR has been implemented, patient outcomes improved by reduced pressure ulcers and increased identification of patients at risk for malnutrition and falls. Integration of CDSSs with EMR/EHR improved documentation and prescribing …

Relationship Between The Hospital Readmission Reduction Program And Readmissions, Postoperative Complications, And Cost, Cary A. Blick, Blake P. Williams, Drake T. Myers, Joshua Pomranke, Sarah M. Clemente, Alberto Coustasse

Management Faculty Research

Hospital readmissions have contributed significantly to rising healthcare costs in the United States. To curb rising costs, the Centers for Medicare and Medicaid Services introduced the Hospital Readmissions Reduction Program (HRRP), a penalty-based program designed to decrease healthcare costs. This research aims to determine if the HRRP has successfully reduced healthcare costs and increased quality outcomes associated with total knee arthroplasty (TKA) or total hip arthroplasty (THA) as defined by a reduction in readmission rates, postoperative complications, and overall costs. Although a positive correlation has been shown between outcomes and costs post-HRRP, more research is needed to tease out the …

Is It Time To Rip Up Your Contract? Navigating Dental Plan Participation, Stephanie Smith

The Journal of the Michigan Dental Association

This article explores the importance of dental practice management and the potential benefits of breaking away from insurance company participation agreements. The author, a practice management coach, emphasizes the role of data analysis, effective communication, and patient-centered strategies in achieving practice independence. Key areas of focus include assessing practice performance, understanding insurance reimbursement rates, and enhancing accounts receivable processes. The article provides insights into strategically transitioning to non-participation with insurance plans while preserving patient relationships. It highlights the significance of transparent communication, staff training, and timing when considering such a transition.

J Mich Dent Assoc March 2023

The Journal of the Michigan Dental Association

Every month, The Journal of the Michigan Dental Association brings news, information, and features about Michigan dentistry to our state's oral health community and the MDA's 6,200+ members across the state. No publication reaches more Michigan dentists!

In this issue, the reader will find the following original content:

• A cover story on canceling provider agreements with dental plans.
• A clinical update on when and how to use Silver Diamine Fluoride to manage carious lesions
• News from Delta Dental on efforts to address access to care for disabled individuals through enhanced commercial dental benefits.
• The value of focused counsel from a …

Headquarters Report: Membership Outlook Hazy But Optimistic, Karen Burgess Cae

The Journal of the Michigan Dental Association

This MDA Executive Director Report discusses the annual membership snapshot of the ADA, MDA, and component dental societies, specifically focusing on Michigan's experience in 2022. The analysis reveals a decline in active membership and a decrease in market share. A 57% national percentage of active dentists in membership is alarming, as further erosion may impact advocacy efforts and organized dentistry’s ability to voice dentistry’s needs. The article explores the reasons behind this decline, including demographic trends and the changing landscape of dental practice. It emphasizes the importance of adapting to the evolving needs of younger dentists and non-owner practitioners while …

Staff Matters: When Should We Use A Performance Improvement Plan?, Jodi Schafer Sphr, Shrm-Scp

The Journal of the Michigan Dental Association

This article explores using Performance Improvement Plans (PIPs) to address employee issues. It defines what a PIP is and outlines its primary purpose: employee development and performance improvement. The article provides guidance on when to use a PIP, emphasizing its appropriateness for performance-related deficiencies that coaching hasn't resolved. It also highlights situations where a PIP may not be suitable, such as policy violations or severe misconduct. The key is to choose the right communication tool based on the specific circumstances and the potential for employee improvement.

Improving Access For Children And Adults With Disabilities Through Enhanced Commercial Benefits, Holli Seabury Edd, Jeff Johnston Dds, Ms

The Journal of the Michigan Dental Association

This article explores the critical issue of accessibility to oral healthcare for people with disabilities in the United States. Delta Dental of Michigan, Ohio, and Indiana has taken a step by providing enhanced commercial benefits to children and adults with disabilities. The article delves into the challenges faced by this vulnerable population, including cost barriers and transition issues, and discusses how expanded benefits and coding, along with special dental care provisions, aim to improve access. It emphasizes the importance of proper benefits verification and presents a case study illustrating the utilization of these benefits. The article highlights the need for …

Practice Management: Cpa Vs. Dental Cpa: What’S The Difference?, John Looby Cpa

The Journal of the Michigan Dental Association

This article underscores the advantages of working with a specialized dental Certified Public Accountant (CPA) over generalist CPAs or accountants for dental practitioners. A dental CPA offers deeper insights into practice management, tax planning, and financial strategies tailored to the dental industry. Dental CPAs provide valuable guidance on production, insurance, and cost management, helping dentists make informed decisions. They also prove invaluable during critical times, such as during the COVID-19 pandemic, and offer expertise in tax, retirement, and practice transition planning, ensuring optimal financial outcomes for dentists.

Will The Government Rip Up Employment Contracts?, Christopher J. Smiley

The Journal of the Michigan Dental Association

This editorial discusses the Federal Trade Commission's proposed rule to eliminate non-compete agreements, tracing their historical origins to the apprentice system in Europe. The author explores dentists' perspectives on this potential change, considering the need for talent acquisition versus workforce preservation. The editorial highlights the FTC's rationale for banning non-compete contracts and their impact on employee wages and innovation. It also addresses issues of boilerplate contract language and excessive leverage in the dental profession. The proposed rule aims to create consistency across states while allowing non-competes in specific cases. Dentist employers are advised to review and revise their agreements in …

Commentary: What Makes Membership Matter, Michael G. Maihofer Dds

The Journal of the Michigan Dental Association

The American Dental Association (ADA) is facing a drastic decline in membership, with market share dropping to 59%. To combat this trend, the ADA focuses on early-career dentists and a strategic forecasting initiative to align with their values. However, there is concern that the language and approach are shifting towards treating members as customers rather than dental professionals. This shift raises questions about the commitment of new dentists to professional associations. The challenge lies in listening to member concerns and delivering values like professional support, ethics, and advocacy to make membership meaningful.