baltic dental meeting 18-19 august 2011 cĒsis elita vinogradova lda
TRANSCRIPT
Baltic Dental Meeting18-19 August 2011
CĒSIS ELITA VINOGRADOVA LDA
Baltic Dental Meeting18-19 August 2011
Saremaa Baltic Dental meeting 2010. Problems:
*Estonia -marketing (advertising) & emigration of new specialists
*Lithuania –regulations for disinfection&sterilization procedures
*Latvia – x-ray legislation & implementation of e- health.
Baltic Dental Meeting18-19 August 2011
LDA Working Group in 2009 established by active members(not only board) for solving real daily problems in each dental practice.
*To do the members' protection in conflict situations with official organizations(inspections, centers, etc)
* To develop proposal for legislative recension
*To partisipate in Ministry’s working groups for drafting new rules or changing previous(even to show the problems)
*To criate the varios letters to authorities for pointing out dentist’s needs
Baltic Dental Meeting
18-19 August 2011
X-ray( licence, regulations)
Obligatory X-ray in each dental clinic in Latvia (except dental cabinets in schools)
How is it organized in Estonia and Lithuania?
Baltic Dental Meeting
18-19 August 2011
X-ray
• 15 different documents and contracts- about practice staff, premises, facilities, quality programs etc..
• Expenses of licence (new )approx 354 LVL (492 EUR)
• Each year’s expenses approx 200 LVL (285 EUR)
• The license is granted for 3-5 years
Baltic Dental Meeting
18-19 August 2011
Our requirement
* extend the license period to 10 years
* not equipment inspections= calibration (&payment) yearly , but after 5 years
we hope new rules will be accepted till the end of this year (ready document in Ministry and harmonized with EC)
Baltic Dental Meeting
18-19 August 2011
Occupational Physician Attendance every 2nd year.
644 X-ray users from all Latvia visiting 1 consulting-centre in RIGA
Our requirement- if everyone occupational physician in Latvia be allowed to examine dentists(X-ray users) locally in regional cities
The letter and attendance to the Commission of Functions Audit of State Chancellery. We got OK for it in May 18th! Now 2 Ministries (Health and Welfare should create changes in rules)
Baltic Dental Meeting
18-19 August 2011 Disinfection and Sterilization* LDA recommends the establishing of Autoclaves (B class as multifunctional is the best)
* Dry air sterilizers will be accepted until year 2018
* LDA was very strict on Cancelation the BOWI- Dick test duering steam autoclave procedure(was included by manufacturer’s interest)
* An instument handling table- instruments are grouped according to their degree of risk
Baltic Dental Meeting
18-19 August 2011
Sterilization of HANDPIECES (recomendations of disinfection material manufacturers, accepted by hand-piece manufacturer)
Non-invasive dentistry step 1 Outside cleaning
step 2 Internal cleaning step 3 Outside disinfection step 4 Internal disinfection step 5 Blow or Dry out step 6 Maintenance
Baltic Dental Meeting
18-19 August 2011
Sterilization of HANDPIECE
Invasive dentistry
Disinfection & sterilization in autoclave (after disinfectant’s and handpieces manufacturers recommendations)
Baltic Dental Meeting
18-19 August 2011
Medical waste
Cabinet of Ministers is developing special regulations for medical institutions
LDA takes part in the working group.
Baltic Dental Meeting
18-19 August 2011 Medicine(pharmaceutical) purchasing from dealers
Special permission for dentists Valid for 3 years
Needless administrative burden
Baltic Dental Meeting
18-19 August 2011 Payment for children’s dental care
Under the age of 18 free of charge Contract with the government’s sickness insurance fund: + guaranteed income - low payment
Baltic Dental Meeting
18-19 August 2011
Ag filling in one surface Sickness insurance fund pay LVL 5.32 ( EUR 7.6 )
Direct cost for 1 hour(material, anesthesia, salary, rent, building services) LVL 7.57 (EUR 10.81 ) Without the disinfection of equipment and instruments, amortization, office expenses, training, taxes, various inspections and licenses, development costs, etc.
(Dentist treats as many teeth as possible in one visit. What about the quality?)
Baltic Dental Meeting
18-19 August 2011 How the payment sistem for children’s dental care is working in Lithuania and Estonia?
Wee decided to offer for Health Ministry:
* Demand full (real) payment for children’s dental care.
* When the dentist has used the money quota allocated by the State , he formes a row of the children’s dental care
Baltic Dental Meeting
18-19 August 2011
Thank you dr. Elita Vinogradova
Photo AivarsVinogradovs