how will i ramp up after i get back? · reconsidering financial arrangements webinar may 2020 page...

RECONSIDERING FINANCIAL ARRANGEMENTS WEBINAR

MAY 2020 PAGE 1

Bouncing Back – Part 3

• Recordings and resources:www.straumann.us/ondemand

• Future live webinars:www.straumann.us/webinars

How Will I Ramp Up After I Get Back?

Part 4: May 13 – 4:00PM EST

HOW WILL I RAMP UP? PART 1

May 2020

IMTIAZ MANJI

http://www.straumann.us/ondemand

http://www.straumann.us/webinars


MAY 2020 PAGE 2

FEAR• Safety• Economics• New Norm

Fear & Uncertainty

UNCERTAINTY• What should I do?• How long will it be?• Do I have the right team?

WE KNOW MORE THAN WE THINK

What Do We Know? We need to practice

ACCEPTING FUTURE CYCLES

• Testing• Innovation and scale

• Infection Control• Evolving standards

• Aerosols• Fundamentals to extreme

• Social Distancing • Discipline and common sense

• Vaccine• Interim solutions until availability

• Practice design and protocols • Scheduling and team confidence

• Practice economic model• Staggered return to the NEW NORM


MAY 2020 PAGE 3

HEADLINE TEXT HERE

• 30 Feet in diameter• 2 Feet thick• 5,000 pounds• First turn to breakthrough• Unstoppable momentum

Flywheel

GOOD TO GREAT – JIM COLLINS

• No single defining action• No grand program• No lucky breakthrough• No miracle moment

The Flywheel Effect

MOMENTEUM -> BREAKTHROUGH -> SELF-FEEDING

• Comprehensive clarity• Relentless pursuit• Energy & focus• Alignment & teamwork


MAY 2020 PAGE 4

• Most are waiting for their current jobs to return• Some will look for better jobs • Some will not be hired back• Some will be part-time• Some will job-share• Some will not return

DOING THE RIGHT THING

The American Economy vs. The Practice Economy

Think Tank Members


MAY 2020 PAGE 5

• Red Zone • Yellow Zone• Green Zone

THE RAMP UP PLAN – MINI START-UP

The Journey – Case Study

Communication

Safety

Reservoir

Calendar

SchedulingTemplate

Team

Economic Stability

• Social distancing & shutdowns• Economic framework clarity• Preparing for the return• Our goal should be:• The 12-week plan• 4 weeks scheduled• Team engagement• Interdisciplinary team• Patient Acceptance and Economics

• Remain agile

The Journey - Red Zone

Communication

Safety

Reservoir

Calendar

SchedulingTemplate

Team

Economic Stability

CREATE YOUR SUCCESS PLAN


MAY 2020 PAGE 6

• Staggered return to work (4 weeks)• “Common sense” social distancing• Flexibility at its peak• Team• Calendar• Access

• Patients• “Economic Block”• “Mindset Block”• “Why Not?”

The Journey - Yellow Zone

Communication

Safety

Reservoir

Calendar

SchedulingTemplate

Team

Economic Stability

MORE WITH LESS

• The “New Norm”• Your practice model and facility• The virtual & physical world• Optimization of facilities• Your value roles• Your calendar & templates

• Discipline for the next cycle

The Journey - Green Zone

Communication

Safety

Reservoir

Calendar

SchedulingTemplate

Team

Economic Stability

JUST THE NEXT STEP


MAY 2020 PAGE 7

Safety – How Confident Are You?

• Health concerns• Team participation• Appointment insecurity• Regulatory standards to extreme• Long-term competency• Safety is acceptance

Communication

Safety

Reservoir

Calendar

SchedulingTemplate

Team

EconomicStability

RED ZONE

Safety Fundamentals• Surgical mask or N95 mask• Face shield w/eye protection

underneath• Hair Bonnet• Booties• Full body covering• Designated clean room to change

Communication

Safety

Reservoir

Calendar

SchedulingTemplate

Team

EconomicStability


MAY 2020 PAGE 8

Safety Fundamentals

Communication

Safety

Reservoir

Calendar

SchedulingTemplate

Team

EconomicStability

• Team to leave scrubs at office to be laundered

• Increased chairside evacuation• Isolite or similar system• Hand-scaling• Aerosol reduction in hygiene

Safety Add-ons

Communication

Safety

Reservoir

Calendar

SchedulingTemplate

Team

EconomicStability

• HEPA Filter or Molekule in all common areas and ops to filter air• Range from $400-$2000+ per op, $2000-

$10,000+ in common areas• Control over air conditioning units

• UV light for sterilization• Range from $9,000-$14,000+


MAY 2020 PAGE 9

Safety Add-ons

Communication

Safety

Reservoir

Calendar

SchedulingTemplate

Team

EconomicStability

• Negative pressure units• Fixed with ducting – Roughly $3,000+

with install• Mobile units to take room-to-room –

Roughly $2,500+ per unit depending on quantity

• Facility capability• New Regulatory Standards

Safety FlywheelSafety Measures in our Dental Practice • Training and Educating Our Team• Recommendations for Our Team • Patient Interviews and Social Distancing• Measures Upon Arrival • Measures Taken Upon Patient Entry to the

Clinic

Communication

Safety

Reservoir

Calendar

SchedulingTemplate

Team

EconomicStability


MAY 2020 PAGE 10

Safety Flywheel

• Reception Room and Front Desk Safety Measures

• Protocols of the Clinical Team• Patients in the Operatory• Protocols After the Clinical Treatment

Communication

Safety

Reservoir

Calendar

SchedulingTemplate

Team

EconomicStability

Comprehensive Clarity

Communication

Safety

Reservoir

Calendar

SchedulingTemplate

Team

EconomicStability


MAY 2020 PAGE 11

Safety Flywheel – All In• Interdisciplinary Partnership• Website• Patient• Links• Laminates and Reception Room Loop• Integrating it into your workflow• Sterilization Technician!!• Sterilization Fees

Communication

Safety

Reservoir

Calendar

SchedulingTemplate

Team

EconomicStability

AN APPOINTMENT IS A CONFIRMATION

ReservoirHEADLINE TEXT HERE

• Other?Communication

Reservoir

Safety Calendar

SchedulingTemplate

Team

Economic Stability

SOURCE OF SUPPLY


MAY 2020 PAGE 12

Reservoir – Red Zone• Example (May 18 – June 12)• Cases in our charts• Cases with interdisciplinary team• Patients mid-treatment• Virtual Post-Ops• Exposed, hidden, and new• More with less

Communication

Reservoir

Safety Calendar

SchedulingTemplate

Team

Economic Stability

Red Zone – 4 Weeks Scheduled• Care calls with context• Referred patients

• From the specialist• To the specialist• “Did not call”

• Emergency conversions• Past and new cancellations• Prioritizing hygiene visits• Parked cases

Communication

Reservoir

Safety Calendar

SchedulingTemplate

Team

Economic Stability

TEMPLATE, PART TWO


MAY 2020 PAGE 13

Red Zone – 4 Weeks Scheduled

• Virtual Study Clubs• Doctors • Team

• Virtual Meetings• Team• Interdisciplinary• Consults OnDemand

• Imagine case discussions between offices AND patient

Communication

Reservoir

Safety Calendar

SchedulingTemplate

Team

Economic Stability

ALL IN – THE MAYO EXPERIENCE

MERGING OF THE PHYSICAL AND DIGITAL WORLD

Yellow Zone – 12 Week Plan

• Example (June 15 to Sept 4) • More with less

• Hygiene visits• New patients• Emergencies• Comprehensive cases

• Interdisciplinary cases

Communication

Reservoir

Safety Calendar

SchedulingTemplate

Team

Economic Stability

FOUR WEEKS AT A TIME


MAY 2020 PAGE 14

Yellow Zone – 12 Week Plan

• Interdisciplinary cases• GP-ready patients• Specialist-ready patients• Virtual case review with patient• Empowering treatment coordinator(s)

• Appoint with each other• Review every week four weeks out

Communication

Reservoir

Safety Calendar

SchedulingTemplate

Team

Economic Stability

Yellow Zone – Interdisciplinary

• One a day, one a week• Perfect Day meeting

• Threshold

• Removing the friction• Financial arrangements• Motivation to begin • Virtual consults

• Platinum treatment• 40 million to 500 million

Communication

Reservoir

Safety Calendar

SchedulingTemplate

Team

Economic Stability

THE NEW NORM


MAY 2020 PAGE 15

Green Zone – Interdisciplinary

• The Flow• Fewer Visits• Daily Value• Availability• Practice, team, and financial modal

Communication

Reservoir

Safety Calendar

SchedulingTemplate

Team

Economic Stability

51% CLINCIAL - 49% BUSINESS

Green Zone – Interdisciplinary

• Mastership• Treatment Planning• Case Acceptance• Financial Arrangement• Value Roles• Phased Treatment• Video Consults OnDemand

Communication

Reservoir

Safety Calendar

SchedulingTemplate

Team

Economic Stability

ONE A DAY, ONE A WEEK


MAY 2020 PAGE 16

Safety & Reservoir • Red Zone – 4 weeks scheduled

• Safety protocols• Template flexibility• Focused activity

• Yellow Zone – 12-week plan• Tighten safety protocols• 4 weeks scheduled at a time• Availability and empathy

Communication

Reservoir

Safety Calendar

SchedulingTemplate

Team

Economic Stability

“YES, WE CAN”

Calendar - Red• Emergencies

• On Demand to Scheduled• Emergency to Completed Treatment• Interruption to All We Can Do • Existing Patients to New Patients

• Comprehensive About Emergencies

Communication

CalendarSafety

Reservoir

SchedulingTemplate

Team

Economic Stability

NEW PATIENTS WITH AN URGENT NEED


MAY 2020 PAGE 17

Calendar - Red• Team Focus

• Daily Alignment Meeting• Safety Protocols and Checklists• Triage Protocols• Patient Communication• Interdisciplinary Communications

• Leaders Meeting

Communication

CalendarSafety

Reservoir

SchedulingTemplate

Team

Economic Stability

STAYING CONNECTED

Calendar - Red• Team Focus

• Create the Reservoir• Goals for the Return• Skillsets• Virtual Consults• Templates

• Patient Acceptance

Communication

CalendarSafety

Reservoir

SchedulingTemplate

Team

Economic Stability

TEAM COMPENTENCY


MAY 2020 PAGE 18

Calendar - Red• Calendar Plan

• Hours and Days• Flexibility

• Job Share• Hours• Safety• Hygienist/Assistants

• Front Desk/TC/PRD

• Flexibility building to a staggered start-up

Communication

CalendarSafety

Reservoir

SchedulingTemplate

Team

Economic Stability

START-UP AVAILABILITY

Calendar – Yellow & Green• Calendar Plan

• July 1 to December 31, 2020• January 1 to June 30, 2021• July 1 to December 31, 2021

• 48 x 4 = 192 days,• 48 x 4.5 = 216 days (2 additional days/mo)• Hourly Matters and so do hours

Communication

CalendarSafety

Reservoir

SchedulingTemplate

Team

Economic Stability

DAYS TO RECOVER BY END OF 2021


MAY 2020 PAGE 19

Calendar – Yellow & Green

• Daily Value Will Return• Treatment Planning• Interdisciplinary Support• Case Acceptance• $2,000; $5,000+• Dead Zone

• Defined Benefit Programs & Furloughs

Communication

CalendarSafety

Reservoir

SchedulingTemplate

Team

Economic Stability

ROCKS & DAILY VALUE

“YOU’LL ONLY SEE OBSTACLES IF YOU DON’T BELIEVE. BUT IF YOU DO BELIEVE, ALL YOU’LL SEE ARE THE POSSIBILITIES” —I.M.


MAY 2020 PAGE 20

Your Best Self

I’M A LEADER WHO HAPPENS TO BE A CLINICIAN ANYONE CAN SHOW UP WHEN THINGS ARE GOOD

Key Influencing Factors:• Your “Weather”• Your “Best Friend” • Your “Bias”• When It Becomes About You

Influencing Yourself:• Daily Meditation• Five Minute Breaks • Night-time Clearing• Your Purpose

Digitally Next To You• Optimistic & focused• Daily Perfect Day Meeting• Virtual Engagement• Teams• Office Managers• Hygiene• Study Club

• Impactful communication• Growth mindset• DOUBLE-DOWN!


MAY 2020 PAGE 21

Bouncing Back – Part 4• Recordings and resources:

www.straumann.us/ondemand

• Future live webinars:www.straumann.us/webinars

• Study Club info:https://www.speareducation.com/study-club

May 13 – 4:00PM EST

How Will I Ramp Up After I Get Back? …continued

http://www.straumann.us/ondemand

http://www.straumann.us/webinars

https://www.speareducation.com/study-club

how will i ramp up after i get back? · reconsidering financial arrangements webinar may 2020 page...

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