confidential—proprietary information—for use by authorized qsi clients and employees only. not...
TRANSCRIPT
![Page 1: Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013](https://reader037.vdocument.in/reader037/viewer/2022110321/56649cef5503460f949bccea/html5/thumbnails/1.jpg)
Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013
![Page 2: Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013](https://reader037.vdocument.in/reader037/viewer/2022110321/56649cef5503460f949bccea/html5/thumbnails/2.jpg)
Topic
Level
Presenter(s):
Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013
Adding Value to Your Dental Practice with Chart Audits and Peer Reviews
200
Dr John Memmott - Consultant
Michael Bourgeault – Account Executive
Tracy Larsen – Project Manager
![Page 3: Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013](https://reader037.vdocument.in/reader037/viewer/2022110321/56649cef5503460f949bccea/html5/thumbnails/3.jpg)
Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013
Things our lawyers make us say...
Neither QSI nor any presenter at the Users Group Meeting is engaged in rendering legal or other professional advice and this presentation is not a substitute for the advice of your attorney, accountant and/or other professional advisor.
![Page 4: Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013](https://reader037.vdocument.in/reader037/viewer/2022110321/56649cef5503460f949bccea/html5/thumbnails/4.jpg)
Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013
Session Guidelines
• Turn off all cell phones & pagers• Questions will be entertained during the presentation
• Refrain from personal discussion and sidebars, everyone would like to hear your ideas and comments
![Page 5: Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013](https://reader037.vdocument.in/reader037/viewer/2022110321/56649cef5503460f949bccea/html5/thumbnails/5.jpg)
Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013
Types of Peer Review
• Resolution of patient complaint
board of dentistry• Journal article and research review
publication peer review board • Single blind, Double blind or Open• Coaching, mentoring, constructive
model of internal peer review
![Page 6: Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013](https://reader037.vdocument.in/reader037/viewer/2022110321/56649cef5503460f949bccea/html5/thumbnails/6.jpg)
Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013
The traditional Peer Review
• Acceptable• Not acceptable• Published• Not Published
An all or nothing review
![Page 7: Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013](https://reader037.vdocument.in/reader037/viewer/2022110321/56649cef5503460f949bccea/html5/thumbnails/7.jpg)
Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013
Or worse: We feelrejection and disapproval
![Page 8: Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013](https://reader037.vdocument.in/reader037/viewer/2022110321/56649cef5503460f949bccea/html5/thumbnails/8.jpg)
Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013
Don’t get me wrong traditional peer review serves a critical function:
Licensing dentists Technical Journals
![Page 9: Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013](https://reader037.vdocument.in/reader037/viewer/2022110321/56649cef5503460f949bccea/html5/thumbnails/9.jpg)
Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013
A different look at Peer Review
• Coaching staff to enhance skill sets• Review procedures, materials and
practices• Ensure a best practices approach to office
flow• Share ideas and insights• Obtaining a sustainable competitive
advantage for our practices
![Page 10: Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013](https://reader037.vdocument.in/reader037/viewer/2022110321/56649cef5503460f949bccea/html5/thumbnails/10.jpg)
Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013
Hope for luck!
I WON !
![Page 11: Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013](https://reader037.vdocument.in/reader037/viewer/2022110321/56649cef5503460f949bccea/html5/thumbnails/11.jpg)
Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013
Put numbers to Your Peer Reviews
![Page 12: Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013](https://reader037.vdocument.in/reader037/viewer/2022110321/56649cef5503460f949bccea/html5/thumbnails/12.jpg)
Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013
Steps to Constructive Peer Review
• Assess• Address• Communicate• Follow-up: with numbers
![Page 13: Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013](https://reader037.vdocument.in/reader037/viewer/2022110321/56649cef5503460f949bccea/html5/thumbnails/13.jpg)
Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013
You can’t always be right…
JUST DON’T BE WRONG FOR
LONG!
![Page 14: Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013](https://reader037.vdocument.in/reader037/viewer/2022110321/56649cef5503460f949bccea/html5/thumbnails/14.jpg)
Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013
Areas of constructive Peer Reviews
• Dentist
Chart audits, diagnosis and treatment plans• Hygienist
Perio maintenance, patient education and referral• Dental assistant
Digital images and radiographs, chart accuracy and clinical office flow• Front Office
Real time filters, treatment plans (next visit)
Assess - Address - Communicate
![Page 15: Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013](https://reader037.vdocument.in/reader037/viewer/2022110321/56649cef5503460f949bccea/html5/thumbnails/15.jpg)
Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013
A 500 lbs. gorilla
![Page 16: Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013](https://reader037.vdocument.in/reader037/viewer/2022110321/56649cef5503460f949bccea/html5/thumbnails/16.jpg)
Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013
Examples of Dentist Peer Reviews
Chart audit review
Digital image review
Treatment planning and patient presentation review
Dental materials review
Process audit
Outcome audit
![Page 17: Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013](https://reader037.vdocument.in/reader037/viewer/2022110321/56649cef5503460f949bccea/html5/thumbnails/17.jpg)
Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013
Chart Audit Review
![Page 18: Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013](https://reader037.vdocument.in/reader037/viewer/2022110321/56649cef5503460f949bccea/html5/thumbnails/18.jpg)
Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013
Digital Image Review
![Page 19: Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013](https://reader037.vdocument.in/reader037/viewer/2022110321/56649cef5503460f949bccea/html5/thumbnails/19.jpg)
Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013
1. Improve patient assessments to better plan a course of treatment
2. Understand what influences patient compliance
3. Educate patients in an organized and clear manner
4. Communicate the role of nutrition and how dental hygiene affects our general health
Example of Hygiene Peer Reviews
![Page 20: Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013](https://reader037.vdocument.in/reader037/viewer/2022110321/56649cef5503460f949bccea/html5/thumbnails/20.jpg)
Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013
Improve patient assessments to better plan a course of treatment
1. Establish a disease prevention program
2. Designing a perio maintenance program
3. Evaluate the success of the program
4. Define referral criteria
![Page 21: Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013](https://reader037.vdocument.in/reader037/viewer/2022110321/56649cef5503460f949bccea/html5/thumbnails/21.jpg)
Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013
Standardize Perio Program
Diagnosis
Treatment options
Outcome audits
Patient education
![Page 22: Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013](https://reader037.vdocument.in/reader037/viewer/2022110321/56649cef5503460f949bccea/html5/thumbnails/22.jpg)
Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013
1. Digital Images and x-rays
2. Chart Audit
3. Clinical Procedure flow
Examples of Dental Assistant Peer Reviews
![Page 23: Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013](https://reader037.vdocument.in/reader037/viewer/2022110321/56649cef5503460f949bccea/html5/thumbnails/23.jpg)
Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013
X-ray capture review
Demographics
Positioning
Patient comfort and compliance
Standardized procedures
![Page 24: Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013](https://reader037.vdocument.in/reader037/viewer/2022110321/56649cef5503460f949bccea/html5/thumbnails/24.jpg)
Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013
Standardized Chart Audits
Planned Treatment
Completed
Treatment
Treatment Plans
![Page 25: Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013](https://reader037.vdocument.in/reader037/viewer/2022110321/56649cef5503460f949bccea/html5/thumbnails/25.jpg)
Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013
Clinical Procedure
flow Procedure Reviews
Tray set-up
Materials
Ordering
Sterilization
![Page 26: Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013](https://reader037.vdocument.in/reader037/viewer/2022110321/56649cef5503460f949bccea/html5/thumbnails/26.jpg)
Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013
Steps to Constructive Peer Review
• Assess• Address• Communicate• Follow-up: with numbers
![Page 27: Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013](https://reader037.vdocument.in/reader037/viewer/2022110321/56649cef5503460f949bccea/html5/thumbnails/27.jpg)
Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013
We need to document our performance.
How do we do that?
![Page 28: Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013](https://reader037.vdocument.in/reader037/viewer/2022110321/56649cef5503460f949bccea/html5/thumbnails/28.jpg)
Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013
Measuring Outcomes
• An Intranet is a great internal tool that can be used for hosting online forms, collecting and reporting outcomes
At QSIDental, we can help!
![Page 29: Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013](https://reader037.vdocument.in/reader037/viewer/2022110321/56649cef5503460f949bccea/html5/thumbnails/29.jpg)
Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013
Measuring Outcomes
• Using a CPS/EDR/QDW HMTL form in a patient’s chart is a good way to capture chart audits and have the data available by patient right in the chart!
At QSIDental, we can help!
![Page 30: Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013](https://reader037.vdocument.in/reader037/viewer/2022110321/56649cef5503460f949bccea/html5/thumbnails/30.jpg)
Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013
Measuring Outcomes
• To aid in blind peer reviews and chart audits, you may elect to have a “dummy” account where all audit data is acquired
At QSIDental, we can help!
![Page 31: Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013](https://reader037.vdocument.in/reader037/viewer/2022110321/56649cef5503460f949bccea/html5/thumbnails/31.jpg)
Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013
Billing Audits
• Filter to Today’s Treatment – • Verify completed items prior to patient dismissal
• Provider Daily Summary Report – • Providers review all of today’s services• Billing can use to compare to encounter information.
• Chart Approvals• Providers approve and lock chart entries
• User Access Reports• Allow Administration to see who accessed what patient
records
![Page 32: Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013](https://reader037.vdocument.in/reader037/viewer/2022110321/56649cef5503460f949bccea/html5/thumbnails/32.jpg)
Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013
Peer Review – Billing Audits
Managing information using filters.
![Page 33: Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013](https://reader037.vdocument.in/reader037/viewer/2022110321/56649cef5503460f949bccea/html5/thumbnails/33.jpg)
Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013
Filter chart to display items completed today
![Page 34: Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013](https://reader037.vdocument.in/reader037/viewer/2022110321/56649cef5503460f949bccea/html5/thumbnails/34.jpg)
Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013
Charting Filters
![Page 35: Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013](https://reader037.vdocument.in/reader037/viewer/2022110321/56649cef5503460f949bccea/html5/thumbnails/35.jpg)
Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013
Chart Approvals
![Page 36: Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013](https://reader037.vdocument.in/reader037/viewer/2022110321/56649cef5503460f949bccea/html5/thumbnails/36.jpg)
Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013
Chart Approvals
![Page 37: Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013](https://reader037.vdocument.in/reader037/viewer/2022110321/56649cef5503460f949bccea/html5/thumbnails/37.jpg)
Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013
Chart Approvals
![Page 38: Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013](https://reader037.vdocument.in/reader037/viewer/2022110321/56649cef5503460f949bccea/html5/thumbnails/38.jpg)
Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013
Chart Approvals for entries made on behalf of the provider.
![Page 39: Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013](https://reader037.vdocument.in/reader037/viewer/2022110321/56649cef5503460f949bccea/html5/thumbnails/39.jpg)
Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013
Advanced Search options Display charts that need to be approved.
![Page 40: Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013](https://reader037.vdocument.in/reader037/viewer/2022110321/56649cef5503460f949bccea/html5/thumbnails/40.jpg)
Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013
Chart Approval
![Page 41: Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013](https://reader037.vdocument.in/reader037/viewer/2022110321/56649cef5503460f949bccea/html5/thumbnails/41.jpg)
Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013
Once approved the patient is removed from the list
![Page 42: Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013](https://reader037.vdocument.in/reader037/viewer/2022110321/56649cef5503460f949bccea/html5/thumbnails/42.jpg)
Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013
Once approved; items can only be modified by the approving provider.
![Page 43: Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013](https://reader037.vdocument.in/reader037/viewer/2022110321/56649cef5503460f949bccea/html5/thumbnails/43.jpg)
Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013
Reports
![Page 44: Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013](https://reader037.vdocument.in/reader037/viewer/2022110321/56649cef5503460f949bccea/html5/thumbnails/44.jpg)
Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013
![Page 45: Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013](https://reader037.vdocument.in/reader037/viewer/2022110321/56649cef5503460f949bccea/html5/thumbnails/45.jpg)
Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013
User Access Report
![Page 46: Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013](https://reader037.vdocument.in/reader037/viewer/2022110321/56649cef5503460f949bccea/html5/thumbnails/46.jpg)
Confidential—Proprietary Information—For use by authorized QSI clients and employees only. Not for public distribution. Copyright 2013
Any Questions?