Business Administration, Management, and Operations Commons^™

Staff Matters: Maintaining Empathy And Respect When Performance Issues Occur, Jodi Schafer Sphr, Shrm-Scp

The Journal of the Michigan Dental Association

In her monthly column, human resource expert Jodi Schafer provides guidance on managing employee performance issues and terminations with empathy and respect. She highlights that a practice's reputation is influenced by how it treats people, especially during difficult moments. Strategies include early intervention—documenting specific incidents and giving timely feedback instead of waiting until frustration builds. Leaders should foster open dialogue to offer support, such as training refreshers, before resorting to discipline. Difficult conversations should be held in private with honesty and compassion. If termination is necessary, leaders should "exit with grace," clearly explaining final steps and making a neutral announcement …

Mda Insurance: Review Your Health Insurance Plan For 2026 Open Enrollment, Craig Start

The Journal of the Michigan Dental Association

MDA Insurance President Craig Start urges members to review their health insurance ahead of the 2026 open enrollment period. Open enrollment is the annual window to change carriers, elect new plans, or add dependents. Dates vary by plan: the MDA Health Plan runs from October 1–November 15, while Medicare Supplements/Advantage/Medigap Plans run from October 15–December 7. Members must assess anticipated health changes, potential costly prescriptions, and financial comfort with higher deductibles versus higher premiums. MDA Insurance assists members in making informed decisions and acts as the member's agent of record to help resolve claims and issues throughout the year.

Plan And Track Your Performance For A Better Practice, Michelle C. Dziurgot

The Journal of the Michigan Dental Association

This editorial stresses the critical need for every dentist to track key performance indicators such as production, profit, and overhead to ensure long-term practice success. It advocates for setting and monitoring daily, weekly, and monthly goals for both doctor and hygiene departments. Strategies for effective practice management include regular team meetings, optimizing supply audits to eliminate unused materials, and planning for seasonal patient fluctuations to keep overhead in sync. The author also emphasizes the importance of providing proper training for the dental team, such as the MDA’s X-ray certification or the Certified Dental Business Professional designation, to enhance patient communication, …

The New Professional: What New And Associate Dentists Need To Know About Ai, Amrita Patel Dds

The Journal of the Michigan Dental Association

This article outlines the growing importance of artificial intelligence (AI) in dentistry, particularly for newer professionals. AI's applications span radiographic analysis (identifying pathologies, enhancing diagnostic precision), treatment planning (simulating outcomes, designing aligners), and streamlining administrative tasks (voice recognition for notes, optimized scheduling). The author emphasizes that AI should be viewed as an augmentative tool to human capabilities, not a replacement for clinical judgment, especially in complex cases. It also highlights the critical considerations of data privacy (HIPAA compliance) and the enduring value of the relationship-driven nature of dentistry. Ultimately, the most successful dentists will be those who combine emerging technologies …

Dean’S Report: Detroit Mercy Dental - Dental Schools — Safeguarding The Future Of Oral Health, Mert N. Aksu Dds, Jd, Mhsa, Cert. Dph

The Journal of the Michigan Dental Association

This report from the University of Detroit Mercy School of Dentistry highlights its mission to prepare students as clinicians, leaders, and advocates for public health and equitable access to care, emphasizing evidence-based practices and community service. It addresses critical public health measures like community water fluoridation and HPV vaccination, advocating for policies that protect oral health. The report notes concerns over proposed Michigan Medicaid dental program changes that could burden dental schools with increased uncompensated and emergency care. Initiatives to meet workforce needs include the new Detroit Mercy Dental Vermont Track and community-based education programs, which provided care to over …

Dentistry And The Law: We Forgot To Renew Our Employment Agreement —Now What?, Daniel Schulte Jd

The Journal of the Michigan Dental Association

This Q&A addresses the legal implications when a fixed-term dental employment agreement expires without formal renewal. MDA Legal Counsel explains that if the employee continues working under the same conditions, an oral employment agreement is implicitly formed, retaining the original terms but becoming terminable without cause by either party at any time. A key consequence is that any post-termination provisions, such as a covenant not to compete, begin their restricted period countdown from the original agreement's expiration date, regardless of continued employment. The article advises that it's generally more practical for employment agreements to simply state that the term continues …

Mda At Your Service: I Need Help With Credentialing — Can The Mda Help?, Rachel Sinacola Dds, Ms

The Journal of the Michigan Dental Association

This Q&A advises dentists to personally handle and fully comprehend all provisions of the credentialing process when participating with dental benefit companies, as it carries significant consequences. The Michigan Dental Association (MDA) offers resources such as a "Guide to Dental Benefit Contracts" and directs members to the ADA's CAQH-powered credentialing service, which streamlines the process of sharing credentials with multiple plans. Furthermore, MDA-endorsed PPO Negotiation Solutions provides an online guide outlining eight common pitfalls to avoid during the PPO credentialing application, including inaccurate submissions and neglecting updates, which can lead to costly delays and financial losses.

J Mich Dent Assoc September 2025

The Journal of the Michigan Dental Association

Each month, The Journal of the Michigan Dental Association provides news, information, and features about Michigan dentistry to our state's oral health community and the MDA's 6,200+ members. It stands as the primary publication reaching Michigan dentists.

The September issue marks the return to a hybrid publishing schedule, with print issues published bimonthly in January, March, May, July, September, and November, and online-only digital issues in February, April, June, August, October, and December. This return to print follows a suspension in May due to association-wide financial issues, with the MDA Board of Trustees approving changes in the 2025 budget to …

Mda Services: Practice Acquisition: 6 Ways Mda-Endorsed Companies Can Smooth The Way, Reva Darling

The Journal of the Michigan Dental Association

This article outlines six key ways MDA-endorsed companies can facilitate dental practice acquisitions, especially with a high number of dentists retiring. These services include: 1) Real estate valuation and lease review by Bridge Commercial Realty. 2) Acquisition loans and lines of credit through Bank of America Practice Solutions, which offers specialized healthcare financing and discounts for MDA members. 3) Expert assistance with transitioning insurance credentials and PPO network negotiations from PPO Negotiation Solutions to ensure optimal reimbursement. 4) Establishing financial safeguards through Prosperident's Owner Proactive Strategies to prevent embezzlement. 5) Reliable dental gas services from Compass Cryogenics. 6) Solutions for …

In These Challenging Times: Why Practice Analytics Are Your New Best Friend, Patrick Houlihan Dds

The Journal of the Michigan Dental Association

This article argues that financial success is crucial for a thriving dental practice in today's competitive market, despite dentists often lacking sufficient business management training. It introduces practice analytics as a fundamental tool to optimize operations and maximize profitability, enabling dentists to scrutinize outputs, evaluate performance, and implement necessary changes to achieve their goals. Key metrics to track include the number of active patients, monthly collection numbers, the doctor-to-hygiene collection ratio (ideal 65% doctor, 35% hygiene), collection per active patient per year, profit, and various overhead expenses (staff, facility, lab, supply, administrative). The author emphasizes that regular tracking of these …

Dean’S Report: U-M School Of Dentistry - Celebrating A 150-Year Tradition Of Excellence — And Planning For The Future

The Journal of the Michigan Dental Association

This report commemorates the 150th anniversary of the University of Michigan School of Dentistry, founded in 1875 largely due to the lobbying efforts of the Michigan Dental Association (MDA). It details the leadership of its first dean, Dr. Jonathan Taft, who established high professional standards that shaped the institution's commitment to excellence. The school boasts over 12,000 DDS graduates and 3,460 dental hygiene graduates, emphasizing its continuous role in advancing dentistry through innovation, research, and patient care, from early textbook development to modern digital tools like CBCTs and CAD-CAM technology. The incoming DDS Class of 2029 marks a milestone with …

What The ‘One Big Beautiful Bill’ Means For Dentists, John Looby Cpa, Theodore C. Schumann Ii Mba, Msf, Cfp, Aif

The Journal of the Michigan Dental Association

Executive Summary: The One Big Beautiful Bill (OBBB), signed July 4, 2025, significantly impacts dentists by extending and making permanent many 2017 tax policies. Key tax changes include permanent tax rates, an increased state and local income tax (SALT) cap, and new deductions for seniors, qualified tips, overtime wages, charitable donations, and auto loan interest. The qualified business income deduction is now permanent, and first-year bonus depreciation is restored. New "Trump Accounts" are established for children. Crucially, the OBBB introduces $50,000 annual and $200,000 lifetime caps on professional degree student loans, effective July 2026, and establishes the Repayment Assistance Plan …

Guest Editorial: Who’S Special Now?, Michael Maihofer Dds

The Journal of the Michigan Dental Association

This editorial discusses a controversial change in Michigan's dental specialty advertising law, which occurred in 2020. Previously, only state-recognized specialists, undergoing rigorous advanced training, could advertise their specialty status. However, a new rule, resulting from an out-of-court settlement, paradoxically allows general dentists not recognized as specialists to advertise as such without following advertising rules. This change is criticized for undermining public protection and creating unethical, misleading situations where general dentists advertise as pediatric dentists, for instance. The Michigan Dental Association (MDA) is actively working to revert this law by supporting House Bills 4593 and 4594 to ensure only recognized specialists …

Mda At Your Service: What’S The Mda Doing To Help The Hygienist Shortage?, Rachel Sinacola Dds

The Journal of the Michigan Dental Association

This article details the MDA's efforts to address Michigan's dental hygienist shortage, which saw about 3,000 licensed RDHs leave the workforce since 2020. Initiatives include paid social media campaigns targeting potential and former RDHs, although enrollment impacts have been minimal. The MDA is also collaborating with hygiene schools, helping Ferris State University secure funding to double its size and working with North Central Michigan College to establish a new school. Discussions are underway to explore allowing internationally trained dentists to perform hygiene duties. Additionally, the MDA endorses MEDVA for virtual assistant staffing, promoting HIPAA-compliant human professionals who handle remote administrative …

Dentistry And The Law: Length Of Covenants Not To Compete, Dan Schulte Jd

The Journal of the Michigan Dental Association

This article clarifies the distinct legal standards for covenants not to compete in Michigan, particularly relevant for dentists selling their practice and remaining employed. A covenant in an employment agreement is enforceable if "reasonable," typically limited to two to three years and the employer's patient draw area. In contrast, a covenant within a purchase agreement, considered a commercial contract, is judged under a more lenient "rule of reason" standard. This standard is easier to satisfy, requiring only that the covenant does not adversely impact the relevant market. Consequently, purchasers often use the purchase agreement to impose harsher, longer-term restrictive covenants.

The New Professional: Tracking Success: Essential Kpis For Owners And Associates, Amrita Patel Dds

The Journal of the Michigan Dental Association

This article underscores the importance of Key Performance Indicators (KPIs) for data-driven success in modern dental practices. For new practice owners, essential KPIs include production, collections, and overhead ratio to ensure financial stability and operational efficiency. Patient flow metrics, such as new patient numbers and retention rates, are vital for growth. For both owners and associates, case acceptance rate reflects treatment plan conversion, and chair time utilization measures clinical efficiency. Other critical KPIs encompass hygiene production, patient satisfaction scores, online reviews, and accounts receivable aging. Associates can also track personal production and referral patterns for career development.

Staff Matters: Adding Background Checks And Drug Testing To The Hiring Process, Jodi Schafer Sphr, Shrm-Scp

The Journal of the Michigan Dental Association

This article advises dental practices on legally and carefully implementing pre-employment background checks and drug testing. It emphasizes ensuring non-discriminatory practices by consistently applying policies and clearly defining screening criteria. Practices must obtain written applicant authorization and provide notification of Fair Credit Reporting Act (FCRA) rights before conducting checks. When evaluating results, relevance to the job and timing of convictions should be considered, avoiding blanket bans. For drug testing, transparency is key. Given Michigan's recreational marijuana legality, a positive THC test does not automatically indicate impairment, requiring practices to define their approach. Using a reputable third-party provider for both screenings …

Mda Insurance: How Offering Great Benefits Makes Your Practice Attractive To Employees, Craig Start Mba

The Journal of the Michigan Dental Association

This article highlights the critical role of employee benefits in attracting and retaining staff in dental practices, particularly given the low unemployment rates for hygienists and assistants. Beyond competitive pay and flexible hours, a robust benefit package, including both employer-paid and voluntary options, is increasingly vital. The MDA Health Plan offers flexible group health insurance options for members. Voluntary benefits such as vision, life, disability, accident, critical illness, and hospital indemnity insurance are attractive, with Section 125 (cafeteria) plans allowing pre-tax premium payments and offering payroll tax reductions for employers. These benefits provide essential financial security and enhance overall compensation.

Mda Services: Endorsed Programs News

The Journal of the Michigan Dental Association

Throughh MDA Services, the Michigan Dental Association (MDA) has announced several endorsed programs aimed at supporting dental practices across Michigan: Compass Dental Gas Service is now endorsed by the MDA for its expertise in installing, maintaining, and repairing dental gas systems. Members benefit from exclusive discounts and safety compliance support. MEDVA Virtual Staffing offers HIPAA-compliant, human virtual assistants to handle administrative tasks remotely. This service helps reduce labor costs and allows in-office staff to focus on patient care. MDA Health Plan sponsors are reminded to submit overdue eligibility verification documents, which are essential for compliance and 2026 renewal preparations. DBS …

Dentistry And The Law: What Ever Happened To The Ban On Covenants Not To Compete?, Daniel Schulte Jd

The Journal of the Michigan Dental Association

The Federal Trade Commission's (FTC) rule banning most employee non-competition agreements remains held up, despite a scheduled September 2024 effective date, due to ongoing court challenges with conflicting decisions. Recent changes at the FTC, including the appointment of a new chair (Andrew Ferguson) who previously opposed the ban, suggest a potential reversal or non-enforcement by the current Trump administration. While motions have been filed to hold appeals in abeyance, the FTC's formation of a new Joint Labor Task Force complicates the outlook, indicating continued focus on antitrust issues in the labor market. A clear outcome or timeline for the ban …

News You Need July 2025

The Journal of the Michigan Dental Association

News You Need for July 2025 includes a listing of MDA members who have completed service on committees; a link to recent MDA Board actions; news about two dental journalism awards won by the MDA Journal; how younger patients are negatively influenced by social media; a letter to the editor regarding dental insurance; information about MDA Foundation scholarships; members receiving awards; a calendar of events; a patient fact sheet; and more.

The New Professional: Reimagining Rapport: Innovative Ways Dental Teams Connect With Patients, Amrita Patel Dds

The Journal of the Michigan Dental Association

This article explores innovative communication strategies for dental practices to enhance patient interaction. It highlights the importance of digital onboarding for streamlined intake, two-way text messaging for efficient appointments, and personalized video messages to foster connection. Practices are adopting multilingual communication and AI tools like chatbots for 24/7 inquiry handling, integrating them with patient records for tailored responses. Interactive platforms with 3D visuals and video tutorials are used for patient education, empowering them in oral health decisions. The article also emphasizes leveraging social media for engagement, capturing real-time patient feedback, and maintaining empathy-driven human interaction despite technological advancements

It’S Time To Dare Greatly At The Ada, Michele Tulak-Gorecki Dds

The Journal of the Michigan Dental Association

Dr. Michele Tulak-Gorecki, a candidate for ADA president-elect, outlines her platform, emphasizing the urgency for bold, collaborative leadership within the ADA. She addresses member concerns following the executive director's resignation, focusing on rebuilding trust and enhancing oversight. Her vision confronts declining membership, financial issues, and the flawed association management system (AMS) rollout, advocating for increased transparency and financial literacy. Tulak-Gorecki stresses the ADA's vital role in advocacy and unity across the tripartite model to protect the profession's standing. She calls for collective action to create a transparent, inclusive, innovative, and unified ADA

The Back Page: Commentary: Going Non-Par: My Perspective, And 10 Lessons I’Ve Learned, Robert Antolak Dds

The Journal of the Michigan Dental Association

Dr. Robert Antolak shares his experience and ten lessons from transitioning his dental practice to a non-participating (non-par) status with insurance in January 2025, driven by declining reimbursements and the need to prioritize patient care. He highlights the unfairness of lower PPO reimbursements for newer dentists. Key lessons include securing a trusted coach, early patient communication, building a financial safety net, ensuring full team buy-in, committing with faith, tightening billing systems, frequent patient reminders, advocating for patients, creating an in-office payment plan (not percentage discounts), and clearly articulating the "why". Though revenue initially dropped, he anticipates full recovery, aiming to …

Moving Drives You Crazy, Michelle C. Dziurgot

The Journal of the Michigan Dental Association

The Editor-in-Chief shares her frustrating experience moving a dental office. Key challenges included dental insurances dropping the practice from networks during recredentialing, causing denied claims for 30-60 days despite no changes to tax ID or NPI. State regulations also required new payments for radiation tubes, rather than crediting previous payments, despite a reduction in equipment. Furthermore, dental supply companies and movers did not take responsibility for broken equipment during the move. Despite these "insane and archaic" hurdles, most patients transitioned, and the article concludes with a comprehensive resource list for practice address changes

Mda At Your Service: Does The Mda Have A Source For Free Labor Law Posters?, Rachel Sinacola Dds

The Journal of the Michigan Dental Association

This "Q&A" section addresses common MDA member inquiries. It confirms that MDA members receive free labor law posters and automatic updates directly from the association. The MDA also offers affiliate memberships for dentists moving out-of-state but retaining Michigan ties, preserving benefits like discounted CE. Information is provided on the Certified Dental Business Professional (CDBP) program, which offers affordable staff certification over three years. The next Mission of Mercy is scheduled for June 11-14, 2026, in Kalamazoo. Finally, the article notes the discontinuation of the MDA Fee Survey due to antitrust changes, and directs members to the ADA/MDA Code of Ethics …

J Mich Dent Assoc July 2025

The Journal of the Michigan Dental Association

Each month, The Journal of the Michigan Dental Association provides news, information, and features about Michigan dentistry to our state's oral health community and the MDA's 5,800 members. It stands as the primary publication reaching Michigan dentists. The all-digital July issue features Dr. Michele Tulak-Gorecki’s "It’s Time to Dare Greatly at the ADA," where she outlines her vision for ADA president-elect, focusing on financial integrity, strengthened advocacy, and fostering unity amidst challenges like declining membership and issues with the association management system.

Supporting articles highlight the MDA’s endorsement of MEDVA, offering cost-effective, HIPAA-compliant virtual assistant solutions for dental practices to …

Staff Matters: I Need To Fire Someone. Help!, Jodi Schafer Sphr, Shrm-Scp

The Journal of the Michigan Dental Association

Terminating an employee is a challenging and risky decision for "at will" employers in Michigan. This article provides best practices, starting with assessing legal risks like discrimination claims. It emphasizes the importance of documenting performance issues, feedback, and training provided, as well as adhering to employee handbook policies. Consideration should be given to offering severance packages, which may include pay in lieu of notice or a larger sum with a legal separation agreement. For the termination meeting, plan brief talking points, have a second person present, choose a quiet time, and ensure retrieval of practice property and removal of system …

Mda Services: Cut Costs, Not Care: Solving Your Staffing Challenges With Medva, Reva Darling

The Journal of the Michigan Dental Association

The MDA has endorsed MEDVA, a virtual assistant staffing solution, to help members improve operational efficiency and reduce administrative burdens in dental practices. MEDVA provides experienced, HIPAA-compliant, non-clinical human professionals for tasks such as appointment scheduling, insurance verification, and billing. This partnership aims to address high turnover and rising overhead by offering cost-effective staffing solutions. MDA members receive special benefits, including a discounted hourly rate of $9.75, which is significantly lower than average Michigan rates for similar in-person roles. MEDVA’s service includes access to trained virtual assistants, proprietary technology, and a client success team

Dentistry And The Law: Can I Use Patient Information To Respond To Internet Criticism?, Daniel Schulte J.D.

The Journal of the Michigan Dental Association

This legal guidance addresses dentists' inability to respond to negative online reviews using patient information. The article explains that HIPAA and Michigan's Dentist-Patient Privilege Statute prohibit healthcare professionals from disclosing patient information without authorization, even when defending against false or defamatory online posts. Unlike patients who can freely share information about their treatment, dentists face significant legal restrictions. The author notes that legal recourse is often difficult due to challenges in proving poster identity, distinguishing factual statements from opinions, and demonstrating specific damages. The recommended approach is to avoid responding to negative posts and instead focus on reputation management through …