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Worst Day Ever Vol. 56, No. 4 - April, 2020 Working From Home? Considerations for Telecommuting by TDIC Risk Management, page 25 Featuring contributions by: Cathrine Steinborn, DDS Robert Shorey, DDS, Editor Amy Wood, President, ACS Technologies, LLC The Official Magazine of the Santa Clara County Dental Society Preparing Your Practice for Disaster

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Page 1: Worst Day Ever - Santa Clara County Dental SocietyApr 05, 2020  · This presentation will provide an overview of the evaluation of oral abnormalities, with a focus on pre-malignant

Worst Day Ever

Vol. 56, No. 4 - April, 2020

Working From Home? Considerations for Telecommuting

by TDIC Risk Management, page 25

Featuring contributions by:Cathrine Steinborn, DDSRobert Shorey, DDS, EditorAmy Wood, President, ACS Technologies, LLC

The Official Magazine of the Santa Clara County Dental Society

Preparing Your Practice for Disaster

Page 2: Worst Day Ever - Santa Clara County Dental SocietyApr 05, 2020  · This presentation will provide an overview of the evaluation of oral abnormalities, with a focus on pre-malignant

so you can focus on your patients.

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Page 3: Worst Day Ever - Santa Clara County Dental SocietyApr 05, 2020  · This presentation will provide an overview of the evaluation of oral abnormalities, with a focus on pre-malignant

April, 2020 | The Cutting Edge | 3

contents

This Month

News

New Members

Grapevine

Sponsor Index

Classified Ads

6

12

12

15

29

30

by Robert Shorey, DDS, Editor

ArticlesDepartments

When Bad Things Happen to Good Dentistsby Erich Larsen, SCCDS Communications Coordinator

8

Life's a Breachby Cathrine Steinborn, DDS

16

Technology Disaster Preparednessby Amy Wood, President, ACS Technologies, LLC

22

RM Matters: Working From Home?by TDIC Risk Management

25

Hunted by Copyright Bots18

Editorial: This, Too, Shall Passby by Robert Shorey, DDS, Editor

11

Sometimes, disaster strikes in the form of fire, earthquake or flood. Other times, it takes the form of a thief in the night, a negligent vendor or an unscrupulous attorney. Regardless of the form disaster takes, we can all agree that preparation is vital. This month's articles serve as powerful reminders of the need to be proactive and plan for the worst day ever before it strikes.

Page 4: Worst Day Ever - Santa Clara County Dental SocietyApr 05, 2020  · This presentation will provide an overview of the evaluation of oral abnormalities, with a focus on pre-malignant

4 | The Cutting Edge | April, 2020

SCCDS StaffExecutive Director | Candace RoneyOperations Manager | Megan DuncanFinancial & Peer Review Coordinator | Katie LamCommunications Coordinator | Erich LarsenMember & Community Programs Coordinator | Michael TranAfter-hours Event Coordinator | Tim Sudano

PoliciesEditorial Content: It is the policy of SCCDS to accept articles in its magazine and website as vehicles for the fair sharing of information and opinion germane to and effective and useful for members in their practices. Members and vendors may submit articles.The Editor and Executive Director are authorized to reject an article if it is inappropriate, unnecessarily controversial, written in poor taste, self-promoting or inaccurate. Articles deemed questionable by our Editor and/or Executive Director may be reviewed by the Communications Committee and voted on, with a majority ruling. An author whose article has been rejected may assert their option to present to our Board of Directors for review and a final decision.Members and vendors may author only one article per issue and no more than four in a year. Exceptions are members of the Communications Committee, the Executive Committee and committee chairs.Legislative articles must be reviewed by the Santa Clara County Members Political Action Committee and submitted by that committee chair. The article must be educational without taking a position.Photos must be originals taken and submitted by the author. If there is no provenance for the photo, permission must be received from the photographer or the photo will not be used.Staff and the Editor reserve the right to edit an article for grammatical and spelling errors, sentence or paragraph construction and length, remembering the goal of maintaining the message and tenor of the article.

Advertising Content: It is the policy of SCCDS to accept advertising in its printed publications and website as a service to members to inform them about services, opportunities and products germane to and effective and useful in their practices. Such advertising must be factual, dignified and adhere to the ethical guidelines for advertising establish by the ADA Principles of Ethics and Code of Professional Conduct, the CDA and the advertising guidelines of the Dental Board of California. Advertising must be related to dentistry or provide a service or benefit to members.All advertisements submitted are subject to review by the Editor, Executive Director, or President. SCCDS reserves the right to accept or reject advertising for non-adherence to the Code or this policy. Such decisions will be non-discriminatory with regard to gender, religion, age, race or ethnicity.

The Official Magazine of the Santa Clara County Dental Society

Communications CommitteeEditor | Robert Shorey, DDSStephen L. Beveridge, DDS Steven L. Cohen, DDSR. Peter Griffith, DDSSara Hamed-Negahdar, DDS Jon Hatakeyama, DDSNima S. Massoomi, DMD, MD Baokhanh Nguyen, DDS, MSD

SCCDS MissionThe mission of the Santa Clara County Dental Society is to assist our member dentists with their practice needs and to improve the oral health of our community.

SCCDS VisionThe vision of the Santa Clara County Dental Society is to be the leader in providing innovative valuable services to our dentist members and in working to improve the oral health of the community we serve.

Awards2018 Overall Newsletter, Honorable Mention2018 Platinum Pencil Award for The Dentist's Mentor2016 Outstanding Cover, Honorable Mention2016 Leadership Article, Honorable Mention2016 Platinum Pencil Award for The Dentist's Mentor2015 Overall Newsletter2015 Special Citation Award for The Dentist's Mentor2013 Silver Scroll Division 2 Award

Affiliated with the American Association of Dental Editors and Journalists

Contents copyrighted 2020 Santa Clara County Dental Society. No part of The Cutting Edge may be reprinted without written permission.

John M. Pisacane, DMDBen S. Stein, DDS Louis Tieu, DDS, MDAmy N. Tran, DDS Kenneth G. Wallis, DDSMonica H. Wu, DDS Bexter M. Yang, DDS, MS Niloofar Zarkesh, DDS, MS

FOR ALL INQUIRIES, SUBMISSIONS AND REQUESTS, PLEASE CONTACT US AT:

SCCDS Office1485 Park Ave., San Jose, California 95126T: 408.289.1480 F: 408.289.1483 EMAIL: [email protected]

Call us today for acomplimentary consultation!

Professional Practice SalesServing Dentists Since 1966

(415) 899-8580www.PPSsellsDDS.com

“So now that you have decided to sell your Dental Practice...

What Next?”

Trusted by Santa Clara County Dental Society Members with the

purchase & sale of their practices since 1966

CPR TRAINING

LIFELINK CPR1371 S. Bascom Ave. San Jose, CA 95128

(408) 247-1231

Training in Office or at the SCCDS Office

Learn CPR with confidence!

Specializing in BLS/CPR for Dental Professionals

AHA 2 Yr. Certification

(408) 247-1231

2001 Junipero Serra Blvd.Suite 410

Daly City, CA 94014Located off Hwy 280

Page 5: Worst Day Ever - Santa Clara County Dental SocietyApr 05, 2020  · This presentation will provide an overview of the evaluation of oral abnormalities, with a focus on pre-malignant

April, 2020 | The Cutting Edge | 5

Villa Ragusa 35 S. 2nd Street, Campbell

6 pm: Cocktails7 pm: Dinner

7:30 pm: Presentation

Join us on the second Thursday of the month!*

GENERAL MEMBERSHIP MEETINGS

CLOSEST PARKING FILLS QUICKLY. ARRIVE EARLY TO SECURE YOUR SPOT.

PARKING

SCCDS general membership meetings are prepaid dinner meetings for members. Registration and

check-in are required for entry, but require no additional charge. Deadline to register is the

Tuesday prior to the meeting.

Keyword verification is required for continuing education credit.

Non-CDA member DDS: $90Retired/Life Members: $35

Non-DDS: $45

*Meetings are held February through May and September through December.

INFORMATION

Villa Ragusa

2nd St. Garage

1st St. & RinconGarageE Rincon Ave.

Campbell Ave.

Civic Center Dr.

S. Second St.

S. First St.

REGISTER AT SCCDS.ORG OR CALL 408.289.1480 BEFORE THE TUESDAY PRECEDING THE MEETING.

Oral Cancer Review for Dental Professionalswith Nita Chainani-Wu, DMD,MPH, MS, PhD

Thursday, April 9, 2020

The Art of CBCT

Composites

Surgery and TMJ

TBD

Meth, ACEs & CPS: The Strange Relationship

May 14 , 2020

September 10 , 2020

October 8 , 2020

November 12, 2020

December 10, 2020

with Craig Dial

with Dr. Patrick Roetzer

with Dr. S. Thaddeus Connelly

with Dr. Cynthia Brattesani

with Dr. Mitchell Goodis

Page 6: Worst Day Ever - Santa Clara County Dental SocietyApr 05, 2020  · This presentation will provide an overview of the evaluation of oral abnormalities, with a focus on pre-malignant

6 | The Cutting Edge | April, 2020

oral complications of head and neck cancer treatment will be included.

Biography: Dr. Nita Chainani-Wu is board certified

by the American Board of Oral Medicine. She received her DMD from the University of Pennsylvania in 1996. She then completed her specialty training in Oral Medicine (2000) and a Master’s in Science in Oral Biology (2001) at UCSF. She received a Master’s in Public Health in 1999 and a PhD in Epidemiology in 2005 from the School of Public Health, University of California, Berkeley. Dr. Chainani-Wu has been in private practice (specialized in oral medicine) in Sunnyvale and then Mountain

Course Description:Dentists and dental hygienists are often

the first health professionals to identify a symptomatic oral lesions during routine ex-aminations or be consulted by patients for the evaluation of oral lesions or conditions.

This presentation will provide an overview of the evaluation of oral abnormalities, with a focus on pre-malignant and malignant dis-eases involving the oral cavity. Early recog-nition of these conditions is crucial for early diagnosis and initiation of treatment, which can significantly impact patient prognosis.

Clinical cases will be discussed and a brief review of diagnosis and management of oral pre-cancerous conditions, treatment of oral cancer, pre-radiation oral evaluation and

View since 2000, and been a faculty member at UCSF from 2001 to 2014. She is a former project director and senior research scientist at the Preventive Medicine Research Institute in Sausalito. Dr. Chainani-Wu has also been involved in providing educational courses and lectures locally in the SF Bay area as well as nationally and internationally to dentists, physicians and other health care professionals.

April 9, 2020 General Membership Meeting Topic

Oral Cancer Review for Dental Professionals

with Nita Chainani-Wu, DMD,MPH, MS, PhD

SCCDS General Membership Meetings are held on the second Thursday of February,

March, April, May, September, October, No-vember and December at:

Villa Ragusa: 35 S. 2nd Street, Campbell(on 2nd St. off of Campbell Ave.)

April events and courses8 Hour Infection Control for DAs

CPR Certification

Sip & Paint Event

CPR Certification

HIPAA Training

SCCDS Study Club (Topic Suturing Workshop)

Complications Symposium

OSHA, IFC, DPA for License Renewal

Spring Paper Shred and Recycling Event

How to Prevent Embezzlement and Important Financial Checks and Balances

4-10

4-13

4-15

4-20

4-21

4-23

4-24

4-24

4-25

4-28

8 am - 3:30 pm

6 - 10 pm

5:30 - 8:30 pm

6 - 10 pm

6 - 8 pm

6:30 – 8:30pm

8 am – 4 pm

8 am – 12:30 pm

9 am - 12 pm

6 – 8 pm

Date Time

PLEASE NOTE:Due to the recent COVID-19 outbreak, Santa Clara County Public Health orders may require

the cancellation or postponement of some or all SCCDS events. Visit sccds.org to check availability and to register.

Page 7: Worst Day Ever - Santa Clara County Dental SocietyApr 05, 2020  · This presentation will provide an overview of the evaluation of oral abnormalities, with a focus on pre-malignant

How to Avoid, Identify and Treat Complications in Implant, Restorative and Surgical, Endodontics, Orthodontics and Extractions

Complicationsin Dentistry The SCCDS Spring Symposium

Curtis E. Jansen, DDS Private Practice, Monterrey, CA

Glenn T. Sameshima, DDS, PhD Chair and Program Director, USC Advanced Orthodontics Program

Ove Peters, DMD, MS, PhD Chair and Director, UOPAdvanced Education Program in Endodontology

Bach Le, DDS, MD Clinical Associate Professor, USC Oral & Maxillofacial Surgery Program

Featured Speakers

• Complications in Implant Restorative Therapy• Prevention and Management of Complications in Implant Surgery

• Avoid and Minimize Risks Associated with Simple and Surgical Extractions

• Orthodontic Root Resorption: Prediction and Prevention• Endo Advances and Controversies You Should Know to Achieve Success

Friday, April 24, 8 am - 4 pmVilla Ragusa: 35 S. 2nd St., CampbellCDA or SCCDS Member: $269Dental Staff and Guests: $199Non-CDA Member Dentist: $419

7 CE UnitsBreakfast and lunch included

Topics will include:

REGISTER TODAY AT SCCDS.ORG OR CALL 408.289.1480

Page 8: Worst Day Ever - Santa Clara County Dental SocietyApr 05, 2020  · This presentation will provide an overview of the evaluation of oral abnormalities, with a focus on pre-malignant

8 | The Cutting Edge | April, 2020

When Bad Things Happen to Good Dentists

by Erich Larsen, SCCDS Communications Coordinator

We've all had bad days. Maybe your ver-sion of a bad day includes scheduling mis-haps, billing difficulties, patient conflicts or equipment failure. Sometimes, a bad day starts with rainy weather, the common cold or just waking up on the wrong side of the bed.

The dentists in this month's issue experi-enced bad days on another level. Expensive, frustrating and difficult, their worst days at the office are a warning message for other dentists to heed. That message is "Be pre-pared!"

In our feature article, Dr. Cathrine Stein-born recalls the day her office was broken into and her private data server was stolen. The burglary itself was just the beginning of her frustration because the stolen computer contained sensitive patient information. Read more in her article on page 18.

Next, we all know how important web-sites are to market your business. But, did you know that your web designer could make you and your practice vulnerable to

lawsuits from opportunistic copyright law-yers with automated programs designed to seek out unlicensed image use? Dr. Robert Shorey describes his experience with this scenario in his article on page 20.

With a cool head and thorough prepara-tion, dentists can prepare themselves against these disastrous situations. Following best practices in data encryption, backups, main-enance and storage is critical to providing piece of mind. Just as critical is a disaster plan that considers natural disasters, ven-dor or employee error, service outages and more. While it sounds complicated, it's en-tirely possible for dentists to plan for the most common worst-case scenarios. Amy Wood is in charge of risk management and HIPAA breach mitigation with ACS Tech-nologies, LLC. Her article on page __ shines a light on some of the steps you can take to-day to prepare for your own worst day ever.

Recent developments in our society have forced all kinds of businesses to consider new ways to stay productive in the face of

social disruption. For many, this means em-bracing technology that allows employees to work from home. While this is obviously not possible for the dentist, assistant or hy-gienist, there are other team members who can work remotely. TDIC offers an article from its RM Matters series devoted to this topic. With the novel coronavirus impacting everyone, it might be a good time to look at how your practice could benefit from the remote-work revolution. Read about it on page __.

Sometimes, disaster strikes in the form of fire, earthquake or flood. Other times, it takes the form of a thief in the night, a negligent vendor or an unscrupulous attor-ney. Regardless of the form disaster takes, we can all agree that preparation is vital. It is a fact that bad days are unavoidable but we can minimize their impact if by putting a thoughtful plan in place and being proac-tive. Each of these articles is a clarion call to prepare for disaster before the worst day ever happens to you.

We Save You Time, Money & Take The Stress Away!

www.MakeComplianceSimple.com(408) 362-9550

In-House Compliance Consulting, Training, and Support Services:

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Page 9: Worst Day Ever - Santa Clara County Dental SocietyApr 05, 2020  · This presentation will provide an overview of the evaluation of oral abnormalities, with a focus on pre-malignant

April, 2020 | The Cutting Edge | 9

(855) 337-4337www.integritypracticesales.com

DRE #01911548 / DRE# 01947466 Broker-Partners: Darren Hulstine & Bill Kimball, DDS

Call Brian at (805) 714-2115 today!

Sell Your Practice with Brian Flanagan

If you’re thinking about selling your practice, we can help you set the right price, find the perfect buyer, and balance all the moving parts for a successful transition.

Call Brian today at (805) 714-2115 to schedule a free, no-obligation consultation to discuss your goals.

“Brian from Integrity Practice Sales will not just go the extra mile for you but hundreds to get the job done. His works are founded on honesty, excellent presentation, consideration of mutual

benefits and his excellent relationships with most major banks, which is crucial. Meeting Brian through our acquisition has been a blessing.” - Dr. Young

Register today at sccds.org

Tickets:

April 15 from 6 pm to 9 pm at Vino Artist: 3777 Stevens Creek Blvd, Unit 300, Santa ClaraThis three-hour long, guided painting session includes everything you need to paint a unique masterpiece as well as gourmet cheese, fruit and delicious sweet treats! SCCDS will provide two glasses of wine for each attendee. Feel free to bring your own additional wine or beer to share with the group! This event is for adults age 21 years or older.

Space is limited! Register today!

Page 10: Worst Day Ever - Santa Clara County Dental SocietyApr 05, 2020  · This presentation will provide an overview of the evaluation of oral abnormalities, with a focus on pre-malignant

10 | The Cutting Edge | April, 2020

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safe daily use

See us at the SCCDS event on May 9th

For Professional Sales: Vinceoralrinse.com

2075 Forest Avenue, Suite 3, San Jose, CA 95128

[email protected]

Gregory R. Abate, DDS, owner of Abate Dentistry in San Jose, has practiced dentistry in the local community for 34 years. Dr. Abate would like to introduce you to an amazing dental care product called VINCE Oral Rinse: Gum & Mouth Care, which he sells and has emphasized in his dental practice for years.

VinceOralRinseADcopy2.indd 1 4/1/19 12:34 PM

Page 11: Worst Day Ever - Santa Clara County Dental SocietyApr 05, 2020  · This presentation will provide an overview of the evaluation of oral abnormalities, with a focus on pre-malignant

April, 2020 | The Cutting Edge | 11

I am writing this editorial as today we have closed our dental office for at least two to three weeks or possibly more. Some be-lieve the crisis may improve in the warmer months of April and May, while still others forecast it might be in the summer months. The truth is we are all learning and will not know until the passage of time. The serious COVID-19 pandemic has washed up on our shores worldwide. “End of Days” anxi-eties and natural human panic to survive and protect your families has become ram-pant. I was fortunate to have two months advanced notice about this problem from a friend consulting for the CDC, but while preparing my office for this crisis I had no thoughts about the business of the sinking stock market or the need to buy extra toi-let paper. Some of my staff members were already dealing with serious family issues. Now, a pile of things over which we have little control adds insult to injury. My ac-countant sent a letter to his clients in re-sponse to those who are freaking out about the money they’ve seemingly lost because of the stock market fall.

What does it all mean? I guess with age and spiritual foundation there often comes calmness from experience. This too shall pass, a new normalcy will re-establish calm around us and yet I can also say there will inevitably be permanent changes as a result of this crisis experience. The under-belly, weakness of mankind and healthcare prevention protocols, is being revealed to society and to our healthcare workers. The COVID-19 virus is thought to be the re-sult of nature’s work, but regardless being the work of nature or of man, the poten-

tial for disease transmission through the air is evident and not knowing who may be a carrier causes the risks to double down on healthcare workers, especially since oral care puts us directly into a patient’s exhaust. Needed upgrades to our protocols for pa-tient care seem to be evident because of the unique virulence of this virus strain and future strains. The unique airborne nature of the COVID-19 virus, the uniqueness of symptom-free pathogenicity, as well as the ability of the virus to sustain virulence on many types of surfaces, including our hair, points to the need to review our prevention and protection protocols. Better household hygiene, personal hygiene of hand-washing and avoidance of frequent hand-to-face contact will become part of regular habits and within our dental offices we will need to somehow either be able to detect carriers

or increase our infection control protocols. Hazmat standards of personal protection for doctors and staff with negative pressure treatment rooms will likely prove impracti-cal but necessary unless screening methods are developed to determine carriers within our patient base. A vaccine will lessen the pressure, but what about the next inevitable pandemic virus?

As this editorial article is written we are far from out of the woods, but the science that is the foundation of our profession will find answers and the anxiety so prevalent today will pass like a wind-blown storm. Like many bad things that happen in life, I am optimistic that good will ultimately rise from the experience of all of us coming to-gether and seeking solutions to the difficult challenges exposed during these hardships.

This, Too, Shall Pass

by Robert Shorey, DDS, Editor

This, too, shall pass.

Page 12: Worst Day Ever - Santa Clara County Dental SocietyApr 05, 2020  · This presentation will provide an overview of the evaluation of oral abnormalities, with a focus on pre-malignant

12 | The Cutting Edge | April, 2020

news

NEW MEMBERS

Mohamed Othman, DDSGeneral Practice

877 W Fremont Ave Ste K1Sunnyvale, CA 94087-2332

[email protected] of Cairo 2004

Simranpeet Kaur, DDSGeneral Practice

[email protected] of Colorado 2019

SCCDS is Here for Members During the COVID-19 Outbreak

The COVID-19 pandemic is changing all of our lives and impacting our business-es. SCCDS will remain operational during this crisis but our staff will be working re-motely. The office at 1485 Park Ave. will be closed from March 16 until at least April 7. All events scheduled during that timeperiod will be postponed. You can reach usat 408.289.1480, by email at [email protected] or by visiting our website at sccds.org. Scan the QR code below with your phoneto go straight to our COVID-19 informa-tion page.

Information regarding the impact of the outbreak on our dental society will be pro-vided via email blasts, news posts on sccds.org and our social media channels which in-clude Facebook, Twitter and Instagram.

The California Dental Association and its subsidiary companies (TDIC and TDSC) are also working to keep members informed and updated regarding any impact on mem-bers’ practices, including OSHA compliance, supply interruptions and risk management. Please visit CDA.org regularly and follow their social media channels as well.

We are grateful to each of you for your membership and wish you, your staff and your families health and safety during this difficult and unprecedented time.

Ethics Corner: Yelp Listings - Is Your Practice Described Accurately?

Yelp has become a go-to way for people to seek out everything from restaurants to hotels to healthcare. As Yelp can be con-strued as advertising, it is important that we dentists who are CDA members ensure that we are representing ourselves accurately. Yelp seems to automatically create a page for all businesses. Sometimes, however, a busi-ness isn’t described accurately. A brief search of local dentists reveals that several general dental offices are listed as “Orthodontist” or “Endodontists” in addition to “General Dentists,” even though the dentists are not specialists in those fields. These descriptors can mislead the public, which is the very rea-son we strive to practice ethical advertising. Many times a dental office is not aware of these inaccuracies, so we are bringing it to your attention to make sure your office is in compliance.

Here’s how to make sure you are listed correctly:

• Find your Yelp listing.• Click “For businesses” at the top of the

page.• At this point sign in to your account or

create your account.• On the sidebar click “Business informa-

tion.”• Next to “Categories” click “Edit.”• Then you can add or delete the appro-

priate description.

Committee HighlightsThe first week of March was a busy time

for our committees. On March 2, our Com-munications committee met to discuss the

society's communication methods and how to improve them for the future. Meeting topics included:

• Upcoming changes to the website• The changing role of the Editor• The production of our publications

Our incredibly active Community Services committee gathered on March 3 to plan for a number of upcoming projects such as:

• A course on oral health for older adults• The fluoride varnish project for low

income schools in Campbell• SCCDF pro bono program• An "SCCDS Cares" event• Give Kids A Smile collaboration with

Santa Clara County Public HealthDepartment

• Dental career day at high schools

If you'd like to get involved with these or any other of our great committees, please contact our office at 408.289.1480. We'll be happy to help you find your niche.

Page 13: Worst Day Ever - Santa Clara County Dental SocietyApr 05, 2020  · This presentation will provide an overview of the evaluation of oral abnormalities, with a focus on pre-malignant

April, 2020 | The Cutting Edge | 13

Over 80% of healthcare professionals believe they pay too much for their o�ce space.We agree. We can help.

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Tuesday, April 28 from 6 pm - 8 pm

Important Financial Checks and Balances You Need in Your Office

at the SCCDS Office: 1485 Park Ave., San Jose

All tickets: $20

with Bassim Michael, CPA

How to Prevent Embezzlement

Register NOW at sccds.org or call 408.289.1480

2020 Business Of Dentistry Series

Too often in the dental industry “trusted team members” take advantage of their status. Learn how to protect yourself by establishing checks and balances in your your office financial processes. Discover best practices that ensure more than one person is processing all the financials. Find out why you need to be involved in the process as well! Mr. Michael will teach you all of these safer methods of financial processing as well as how to spot “telltale” signs of abuse so you can keep your finances safe and compliant. This course is not appropriate for your staff to attend.

Brought to you by

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Page 14: Worst Day Ever - Santa Clara County Dental SocietyApr 05, 2020  · This presentation will provide an overview of the evaluation of oral abnormalities, with a focus on pre-malignant

14 | The Cutting Edge | April, 2020

Page 15: Worst Day Ever - Santa Clara County Dental SocietyApr 05, 2020  · This presentation will provide an overview of the evaluation of oral abnormalities, with a focus on pre-malignant

April, 2020 | The Cutting Edge | 15

Dr. Robert Shorey (above, center) taught a day-long course on clinical photography February 29 at the SCCDS Conference Center. Dentists and their staff members learned how to do quality clinical photography without needing to spend a lot of money on camera equipment. And, Dr. Shorey donated the proceeds from the class to the Santa Clara County Dental Foundation. Thank you Dr. Shorey!

The Community Services committee had a successful meeting on March 3 where they discussed a number of upcoming projects to benefit community members in need. L-R: Drs. Monica Wu, George Barghouth, Brian Chun, Bharathi Gorthi, Steven Crane, Don Call, Bexter Yang, Sarah Murray and Kayhan Mashouf

In February, Dr. Patricia Phan-Underhill (above, left) and her assistant provided oral health education to a room full of excited students at St. Francis Cabrini School.

We had planned to recognize the 17 dental assisting and hygiene students who received SCCDS/SCCDF scholarships at our March 12 general membership meeting that was canceled. However, we managed to get two of them and their instructors to a video shoot at the offices that night. We will reschedule the recognition at a future general monthly meeting. L-R, Faye Solarez, a Foothill College hygiene student scholarship recipient; Edna Dolatres, director of the dental assisting program at San Jose City College; Nhi Vo, an SJCC dental assisting student scholarship winner; and Wendy Pio, a dental assisting instructor at SJCC.

Thomas Markuson, DDSKim Chen, DDSKevin Calvert, DDSMichael Maher, DMDRichard Kao, DDS, PhDCalvin Lee, DDSLeon Davis, DDS

2020 LIFE

THANK YOU FOR YOUR MEMBERSHIP!

Robert Fitt, DDSJohn Emison, DDS, MDWayne Ichikawa, DDSJohn Vellequette, DDSWilliam Fat, DDSMichael Doi, DDSKenneth Smith, DDS

MEMBERS

Page 16: Worst Day Ever - Santa Clara County Dental SocietyApr 05, 2020  · This presentation will provide an overview of the evaluation of oral abnormalities, with a focus on pre-malignant

16 | The Cutting Edge | April, 2020

Five years ago, January 2, 2015, I drove to my office excited about the New Year. One goal was to bring my office into compliance with HIPAA guidelines since I was fully paperless.

A friend had told me about a consultant he worked with to bring his computer systems into compliance and job one was to contact the consultant.

I had laid some groundwork already. We were backed up to the cloud and had a dual drive system so that I always had a second drive available that was off-site. We used a two password system, one to log into the computers and a unique password for each employee to log into the Electronic Health Record and practice management system, Eaglesoft. I knew I needed to do much more.

My assistant’s face was grim when I arrived at the office at 8 am. Someone had broken into the basement and stolen our server early that morning. All our financial and patient records were stored on that computer.

Fortunately, because we were on cloud backup, we were able to get back in business within an hour. We could treat patients and complete financial transactions. Two days later, the back-up server was installed: almost like new.

From the technical side, we were in good shape. A few weeks of data were lost, but we were able to reconstruct most of the records because we printed the schedule daily and our office manager always wrote any changes on it. However, because my data was not encrypted, my real problems were about to begin.

If more than 500 patient records are compromised, you must report the breach to Health and Human Services (HHS) and the Office of Civil Rights (OCR). If the software or the hard drive is encrypted, it is not necessary to report the breach, but the two major dental software companies do not encrypt their software. My IT professionals had told me that

WORST. DAY. EVER.

Life's a Breachby Cathrine Steinborn, DDS

Preparing Your Practice for Disaster

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April, 2020 | The Cutting Edge | 17

the drive could not be encrypted. I was in trouble.

I hired a law firm specializing in data breach mitigation. They guided me through the steps needed to take proper care of your patients and to correct the deficiencies in your systems. This helps to avoid penalties being levied by the Office of Civil Rights.

The first thing you must do if there is a breach is to inform your patients. This is not a practice builder! We offered a free year of Life Lock credit monitoring to all our patients of record. Another valuable service we paid for was a question-answer line that patients could contact regarding the status of the breach and the service we offered. This relieved some of the pressure off my staff.

The most common patient concern was about credit card and Social Security numbers. We were able to reassure them that we did not keep their credit card numbers on file. However, patient Social Security numbers were at risk since they are used by third-party payers as identifiers. Fortunately, today, many payers are moving toward a delinked patient identification number in a move to help protect patient identities.

Some patients were angry and expressed that my response should have been quicker and that I was negligent not to have an encrypted hard drive. Most patients were sympathetic, though and no one left the practice on account of the breach.

In the meantime, the lawyers filed the needed documentation for OCR. Part of the documentation needed was a full evaluation of my deficiencies in HIPAA protocols and a plan to fix them. I engaged the same IT/HIPAA compliance company that I had planned to hire and they created a detailed plan that included physical security, computer software security, policy updates and staff training. After a year, I

got the good news that OCR closed my case and I did not incur any penalties.

Even without penalties, the cost of the lawyers and HIPAA compliance specialists came to about $150,000 which I paid out of my savings because I did not have cyber liability insurance. Ouch. I was very fortunate that none of my patients experienced identity theft as a result of the break-in. If this had happened, I potentially could have been sued, a fate I dread to contemplate.

When you finish reading this article, you must do two things immediately. First, call your insurance agent and purchase cyber liability insurance. This will cover lawyer fees, other mitigation fees such as credit protection for your patients and liability protection in case you are sued. It is recommended to have $500,000 coverage.

The second thing you must do is to lock up your server. I had a steel cage built for mine with a keypad and key lock and with an additional alarm. All your computers should have some type of cable lock. If you are backing up a hard drive and taking it home at night or if you have patient data on a laptop or thumb drive, these must be encrypted and kept in a secure location.

As soon as possible, update your server with an encrypted hard drive or device

that locks the hard drive if it is removed from the computer. Next, it is advisable to have a monitoring service that scans your computer and updates your firewalls regularly. Ransom-ware and malware can compromise your computers and data, triggering a breach. Monitoring your computers, installing updates and patches and keeping ahead of hackers is not something most dentists can do well. While you are coming to work every day thinking about how to best serve your patients, hackers get up every morning and think about how they can make money by ruining your day.

Back up your data to both a remote drive and the cloud. This will get you back in business quickly in case of the loss of your computers or ransomware attack.

Finally, proper staff training is essential. Surfing the net on office computers puts you and your patients' information at risk. Use robust passwords to open your computers and each staff member needs a unique password to access your EHR.

Preventing a data breach is like dental health: an ounce of prevention is worth a pound of cure. Don’t delay, get your computer system checkup today!

My assistant’s face was grim when I arrived at the office at 8 am. Someone had broken into the basement and stolen our server early that morning.

All our financial and patient records were stored on that computer.

Feature: Worst Day Ever: Preparing Your Practice for Disaster

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18 | The Cutting Edge | April, 2020

In 2017 I was between patients and a stack of mail was sitting on my desk. One of them was a letter from a law firm stating that I was in violation of the copyright laws and I needed to contact them immediately to remedy the problem. Screen captures of images of my dental website were enclosed with the paperwork. I thought this let-ter sounded like a scam so I “googled” the information and telephone number on the letter and found many comments about people having been sued by this law firm for using copyrighted images. After seeing that this was likely not a scam, I contacted my website designer who had moved from Morgan Hill to the East Coast.

A little bit of background history before I continue with this saga. After establish-ing my practice in Morgan Hill and tak-ing over for a deceased doctor, I knew I needed to get a new website as soon as pos-sible. I am a photographer, so I did a lot of the initial design work and then looked for a company in my local town that could

complete the layout and design and build as well as the hosting of my website. I looked at three companies and decided on using the designer who built the website for the optometrist next door to my dental office. The designer thought my artistic landscape images did not represent our South Bay area and suggested I let him substitute the background images that would be used to create the eye candy part of our website. These images would continually be chang-ing in the background of my web pages and realistically were not a significant part of the information on our web pages. I went with his suggestions, because, after all, he was a professional. Outdoor relaxing scenic images of the South Bay area were substi-tuted for my original, somewhat eclectic landscape images. One image he placed was of the famous Bixby Bridge, an iconic arched bridge on Highway 1 leading from Big Sur to Monterey.

I confronted my web designer about the allegation that we were using a copyrighted

image on my website without permission from the photographer. The lawyer had sent me photocopies of the images taken from my website and I used my iPhone to for-ward that image to my designer. He agreed this was the same exact image, but told me at the time he had created the website in 2013 there was no notice of copyright on the image. Okay but? My next question was how did he acquire the image? He noted he took it from the internet!! To say the least, I was now starting to be a bit angry because after all, I paid for that design work and expected that all appropriate fees had been paid as part of my payment to my web designer. I let him know that he needed to remove that image from my website imme-diately and any other questionable images that we did not have explicit permission to use.

I got a hold of the Southern California attorney that sent me the letter and let him know the circumstances. I let him know I respected the individual who took the

Hunted by Copyright Botsby Robert Shorey, DDS, Editor

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April, 2020 | The Cutting Edge | 1919 | The Cutting Edge | March, 2020

image and did not knowingly use a copy-righted image, as I too am a photographer. I told him about my conversation with my web designer and that I had instructed him to immediately remove the image from my website and gave him the contact informa-tion for my website designer.

You might assume this is the end of the story? Problem solved and situation fixed. When the attorney contacted my web de-signer, the designer stated that he did not carry any kind of insurance and he did not have many assets as a small business now on the East Coast. At this point, the de-signer changed his story. After telling me he got the bridge image from the internet, he told the attorney he wasn’t sure where he got the images and noted that he may have received the image of the Bixby Bridge from me! This was infuriating, as I would have provided my own images had I been able to see into the future and realize the liability issue at hand because I assumed my designer was a professional and a respon-sible business owner. It would have taken very little effort for me to drive around the South Bay and shoot some new landscape images for my website.

Still, you might assume the issue was

now moot because I had fixed the issue of using this image property and frankly, it did not add any substantial value to my practice of dentistry. I was not selling posters of the copyrighted Bixby Bridge image for profit. You’d be wrong, however. The lawyer’s mo-tivation was to seek out people using these copyrighted images through the technology of an internet image recognition bot system and making a living enforcing copyright laws. So at this point, even though I acted immediately to remove the image once brought to my attention and even though I feel he believed what I told him about how the image got on my website and that this was a result of the web designer’s actions, he was insistent that I contact my liability in-surance carrier. He went on to file a lawsuit and had me served. Prior to this more final action, I had spoken to my insurance carrier and they understood the situation and the motivations behind the lawyer going after me and they assured me that I shouldn’t let it bother me. The persistence of the copy-right attorney over a year period led them to finally settle for $12,000. It seemed like a very unfair process and that is truly the arena we all potentially face when we stick our head out of our dental world and try to

understand the legal lawsuit arena. Issues of right and wrong become distorted and the issues of getting a pressing problem off our table so we can focus wholeheartedly on our practice and our patients so often deny true justice. My insurer felt it was better to settle than to fight.

For me, and perhaps those of you reading this article, the lesson is to not take things for granted. Don’t assume anything. When putting brochures together, office newslet-ters and websites or posting to social media, make sure you have the legal right to use the material for your business marketing purposes. Even though I hired someone to build the website and delegated the prog-ress, the follow-up and interaction to my office staff, knowing what I know now, I should have been more personally involved. I should have asked more questions.

I hope this helps others to ask questions that will avoid attorneys using image bots to find your dental office. Because society views most dentists as wealthy, we will al-ways be targets and I am thankful I had insurance to avoid having to personally navigate this intrusion on my daily practice operations.

I could have easily used my own image of the famous Bixby Bridge.Photo by Robert Shorey, DDS

Feature: Worst Day Ever: Preparing Your Practice for Disaster

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20 | The Cutting Edge | April, 2020

MAY MEETUPBring your business card and get ready to meet up with friends,

colleagues and connections over delicious small plates. Whether

you’re looking to buy or sell a practice, hire an associate, join a

committee, land the perfect job or just make some new friends,

this is the event you don’t want to miss.

May 20 from 6:30 - 8:30pm

This event is FREE and open to all: members and non-members, new and experienced. We want to meet YOU!

REGISTER AT SCCDS.ORG

SCCDS Office: 1485 Park Ave., San Jose

Ev

Wednesday, May 6 from 6 pm - 8 pm

and Implement Systems for Overall Practice Success

at the SCCDS Office: 1485 Park Ave., San Jose

All tickets: $20

with Candice Martin and Domenic Farnocchia

How to Improve Office Communication

Register NOW at sccds.org or call 408.289.1480

2020 Business Of Dentistry Series

This course will teach you simple tools to correct poor verbal habits that are causing chaos and confusion in your practice. In addition, you will learn simple systems that will create clarity and confidence with your team that will not only improve your workplace but will also set you up for increased revenue and profitability.

Brought to you by

study clubc l i n i c a l

Suturing Workshop

Thursday, April 23Starting at 6:30 pm

2 CE UnitsFREE for SCCDS members

Register today at sccds.org

presented by the New Professionals Committee

Speakers: Dr. Jennifer Yau, Dr. John Shen and Dr. Louis Tieu

Topic:

The New Professionals Committee is fostering a culture of lifelong learning by sponsoring clinically-oriented study clubs. These teams

are directing their own learning and growth at their own pace.

Bring your own instruments including suture needle holder/hemostat and cotton pliers. Seating is limited!

Page 21: Worst Day Ever - Santa Clara County Dental SocietyApr 05, 2020  · This presentation will provide an overview of the evaluation of oral abnormalities, with a focus on pre-malignant

April, 2020 | The Cutting Edge | 21

ASK THE BROKER

How do you determine the listing price of my practice?

WESTERN PRACTICE SALES

Timothy G. Giroux, DDS is currently the Owner & Broker at Western Practice Sales and a member of the nationally recognized dental organization, ADS Transitions. You may contact Dr Giroux at: [email protected] or 800.641.4179

The single-most important factor in determining the practice sales price is the collection total of the previous calendar year. Lenders and Buyers like to see stability without large variances from year to year. It should be obvious that steady, slight increases in revenues are always better than even the slightest of decreases. Poor performance of one of three years should not affect pricing, unless it is the last calendar year that shows a significant drop. Therefore, try to maintain a stable practice, make sure you finish strong and make all your December deposits for that last year you will be filing!

Practices are priced based heavily on gross receipts. Let’s work through some scenarios and options. If you plan to practice 2-3 more years, it is not worth investing extra money in the practice. In this case, I would just advise finishing strong, especially to reflect your last tax return which will be filed. If you plan to practice approximately 5 years, spending large amounts of money for new technology may not necessarily return the investment unless it helps to increase your production. However, this being said, purchasing new equipment may increase your enjoyment of practicing dentistry and therefore be a worthwhile investment.

With 8–10 years remaining to practice, modernizing the practice with the latest and greatest is generally a great idea. Leasehold improvements typically last 5-8 years, so making the investment at this time to spruce up the office will enhance the desirability of the sale. It may also give you greater satisfaction of working in a first-rate environment for the entire duration of the leasehold improvements. Most importantly, since practice values are based on gross receipts, keep up the good work!

With factors affecting the current practice market such as a large number of “Baby Boomers” choosing to retire coupled with a lower percentages of Millennials wanting to own dental practices, it is important to make decisions now that will help your practice stand out from the rest when you decide to sell! Call or email us today for a free copy of Dr Giroux’s book “Top Ten Issues for Dentists Contemplating Retirement in Ten Years or Less”.

Your Life’s Work Comes Down To This Decision

What separates us from other brokerage firms?

Western Practice Sales is locally owned by dentists and has been proudly serving dentists in the SCCDS marketplace for over 45 years. Our personal attention to our sellers and reputation of integrity and honesty has made us Northern California’s Preferred Dental Practice Broker.

Our extensive buyer database allows us to offer you…

Better Exposure

Better Fit

Better Price!

800.641.4179

wweesstteerrnnpprraacctiticceessaalleess..ccoomm

Call or email today for a free copy of Dr Giroux’s book

Top Ten Issues for Dentists Contemplating

Retirement in Ten Years or Less

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22 | The Cutting Edge | April, 2020

You've invested time and money in your business and your technology. Now is the time to put measures in place to protect those investments - not after a disaster hap-pens. You wouldn't install a fire alarm, or talk to your kids about an escape plan, after you've had a fire. So why would you wait to establish a disaster plan until after you've had a disaster?

In today's digital age, our technology is the base of our businesses; without it, how much of your day-to-day would you be able to do successfully? Now, think about losing all that technology, and information housed in that technology, due to fire, flood, earth-quakes, theft, employee negligence, vendor error, cyberattacks or ransomware. What is your plan?

The following are some concerns we face daily. I urge you to review them and put a plan in place that makes sense for you and your organization. Disaster preparedness is not a one-size-fits-all solution, and every business has its protocol of importance.

Deferred MaintenanceDeferred maintenance is one of those

things you don't think can truly "hurt" your practice. This isn't a disaster, is it? Ig-noring your technology maintenance and replacement schedule will creep up on you and quickly make itself a priority. If your computers crash and you can't take X-rays, schedule patients, or accept payments, that is an emergency. Also, consider the long-term costs of lost productivity from slow computers and network equipment. Some-times that can add up to more over the years than the cost of proactive, scheduled replacement.

Deferred maintenance also creates cy-bersecurity vulnerabilities. You may have heard that Microsoft is no longer pro-viding support or updates for Windows 7 or Server 2008 as of January this year. Those updates, or patches to security, are a crucial component of your security pos-ture. Without those updates, you open the door for your network to ransom in

a cyberattack. So, how much money are you saving by deferred maintenance, as compared to ransom payments, practice downtime and potential HIPAA fines?

Natural DisastersLiving in California, we expect and

should prepare for natural disasters such as fire, flood and earthquake. As these envi-ronmental factors change, we must adapt our ability to prepare for them so your busi-ness can survive financially intact.

Public Safety Power Shutoffs (PSPS)Businesses are being impacted by

PG&E’s recent process for minimizing damage to life and property by wildfires. There are several factors in this situation:

• Are you under evacuation?• Do you have a generator?• Is your staff able to come in?• Will your patients cancel because they

don't have power?

Technology Disaster Preparedness:What Are Your Expectations for Data Protection and Recovery?by Amy Wood, President, ACS Technologies, LLC

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April, 2020 | The Cutting Edge | 23

• Will your insurance cover this kind of downtime claim repeatedly?

Your answer to these unknowns will de-termine how you customize your Disaster Preparedness Plan.

TheftPhysical theft of servers and paper charts

is still a problem for smaller practices. We've all seen it, the boarded-up door or window because it was smashed in a burglary. Why would someone break into a practice? The same reason they hack into your system. Data is King. It's old school, but it still works, so it still happens. It is important to lock up servers and computers, as well as paper charts. Encryption of servers and backup drives are yet another way to keep clear of any potential data breaches that could close your practice. Yes, you locked your server, but if it was stolen and not en-crypted, you may lose your clients' trust, and that means your business.

Employee Error/Malicious EmployeeAt some point, every business will expe-

rience data loss or data corruption from an errant or malicious team member. Whether accidental or intentional, you must prepare. How? Education is key to those employee errors. Training on what a phishing email looks like and reminders not to click on at-tachments that they are not expecting. Even more so, with spoofing emails, we must be vigilant in looking for what the email is re-questing and deciding whether it's a normal request. If there is a question, ask!

Maliciousness isn't something you can plan for; we all expect our employees to be good-hearted. Unfortunately, that isn't always the case. In this situation, a good backup is essential.

Vendor Error/Ignorance Part of any solid Disaster Prepared-

ness Plan must include Business Associate Agreements (BAA) with your vendors. Ac-cording to a CynergisTek report, "Third-party vendors working with healthcare provider organizations accounted for more than 20 percent of breaches in the health-care sector last year." In fact, the same re-search noted that vendors are responsible for some of the largest breaches to date. If you signed a generic BAA provided by your vendor, there is a good chance you would be left to manage and mitigate and prob-lems. You would be bearing the financial and physical brunt of something that was not your fault. Except it was if you didn't thoroughly review or even have a BAA.

RansomwareRansomware is a type of computer virus

that encrypts and locks all your files and holds your data for ransom. Your business should prepare for this common problem and never be in a position to have to pay the ransom. Ransomware can make it into your systems in any number of ways: employee error, open ports, or unpatched systems, like Windows 7 or Server 2008.

The best way to combat this issue is before it becomes a problem. Train your employ-ees, have a solid firewall in place, and pay attention to the details. If the ransomware still gets in, then you need to know you have a solid, trusted, and tested backup. A trust-ed backup allows you to return to a point in time before the ransomware. You will be able to carry on business without needing to pay ransom. Your data loss and practice downtime will depend on the type of back-up you have.

BackupsBackups come in all flavors and colors

these days. Cloud backups versus on-prem-ise, file-based versus image-based. It all depends on your preference. What is an ac-ceptable recovery time for you? What is ac-

ceptable downtime for your practice, should the worst happen? All have their pros and cons. On-premise is less expensive but can be stolen or damaged beyond repair along with your server and workstations. Image-based can have you up and running in a matter of hours, versus the filed-based in a matter of days. What is your organization's tolerance for getting back to producing after the worst happens?

Making a Disaster Plan Now that you know you need a Disaster

Plan, how do you go about making one? Just like writing, you have to answer the who, what, why, where, and when; when writing your Disaster Plan, you must Identify, Pro-tect, Detect, Respond, Recover, and Test/Repeat.

You must identify each issue, state how you are going to protect it, detect how the disaster would affect the practice, describe how you will respond and then recover from the incident. Lastly, one of the most important aspects that most people forget is to TEST and repeat the process. Having a plan won't help if it doesn't work when you have to use it after the disaster has occurred.

Heading up the Compli-ance and Risk Manage-ment Division at ACS, Amy Wood consults with healthcare practitioners and Business Associate vendors,

both before and after a data breach. She helps minimize the damage after a data breach and implements proactive compliance programs into existing workflows.Amy also provides CE presentations to practices and clinics, dental associations, study clubs, and disability groups as well as to vendors and Business Associate practices. She can be reached at [email protected]

Feature: Worst Day Ever: Preparing Your Practice for Disaster

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24 | The Cutting Edge | April, 2020

Help protect your income as a dentist.

Your income is your greatest financial asset over time. Help protect your livelihood with TDIC’s comprehensive disability coverage, made even more affordable with the group purchasing power of a MetLife insurance plan. Peace of mind in unpredictable times. It’s what we do best.

Apply for disability coverageUp to 60% of your income covered, as much as $15,000 monthly

Benefits may be paid even if you can work but cannot practice dentistry

Future increase option with no medical underwriting1

Learn more at tdicinsurance.com/disability or by calling 800.733.0633.

1 If medical questions are answered unfavorably, then full underwriting may be required and coverage is subject to approval of insurer.TDIC Insurance Solutions offers disability insurance as an agent or broker by agreements with our partner insurance carriers. Available coverage limits and discounts vary by carrier and are subject to carrier underwriting. The information provided here is an overview of the referenced product and is not intended to be a complete description of all terms, conditions and exclusions. Not available in all states. Like most group disability insurance policies, MetLife group policies contain certain exclusions, waiting periods, reductions, limitations and terms for keeping them in force. Contact your plan administrator for complete cost and details. A full description of benefits will be provided in the certificate.

Protecting dentists. It’s all we do.®

800.733.0633 | tdicinsurance.com | CA Insurance Lic. #0652783

Endorsed by the Santa Clara CountyDental Society

Page 25: Worst Day Ever - Santa Clara County Dental SocietyApr 05, 2020  · This presentation will provide an overview of the evaluation of oral abnormalities, with a focus on pre-malignant

April, 2020 | The Cutting Edge | 25

RM Matters: Working From Home? Considerations for Telecommuting

by TDIC Risk Management

Telecommuting is becoming increas-ingly common in the workforce. In fact, a 2017 Gallup survey showed at least 43% of Americans work from home at least part time, a number that has been steadily rising. This is now common in the fields of infor-mation technology, finance, marketing and customer service, but the field of dentistry is quickly following suit. More and more den-tal employees are working from home, par-ticularly those who perform administrative duties such as scheduling and billing.

Many employers still fear that allowing employees to work from home will result in lowered productivity and misrepresented time sheets. However, several studies have shown that allowing employees to work from home on occasion has numerous ben-efits, including improved morale, better em-ployee retention and reduced employer costs.

But the question of whether to allow em-ployees to telecommute often leaves employ-ers uncertain about their responsibilities in terms of managing risk. Who is responsible if an employee becomes injured on the job? How is overtime calculated? What about HIPAA considerations?

The Dentists Insurance Company re-cently had a case reported to its Risk Man-agement Advice Line in which a seasoned office manager was injured while working from home after tripping over a power cord. His employer allowed him to work remotely to plan the annual community outreach pro-gram, as there were fewer distractions in his home office than in the dental office. One day as he was reviewing papers, talking on the phone and walking around his home of-fice, he stumbled over the power cord that

was connected to his laptop and printer. The result was a badly sprained ankle, as well as hand, wrist and forearm contusions — not to mention broken computer equipment. The office manager was taken off work for several weeks and received conservative treatment over the span of seven months. He also filed a workers’ compensation claim.

Crystal Potch, TDIC workers’ compensa-tion claims manager, said the incident could have been prevented had the dentist had a policy in place addressing telecommuting. In this case, the policy should have included a telework agreement and checklist as part of the office’s injury, illness and prevention plan. Prior to working from home, employ-ees should be required to use the checklist to perform a safety inspection of their home-

office workspace. The U.S. Office of Person-nel Management offers a safety checklist and other resources for telework employees at telework.gov/federal-community.

For employees who work from home full time, this inspection should be conducted quarterly. “Employees should review the safety of their workspace to ensure it is free from hazards,” Potch said. “They should complete and sign a checklist confirming that this inspection was completed.”

In another case reported to TDIC, a spe-cial-projects coordinator was in charge of preparing a dentist’s presentation for a con-ference. She was allowed to work remotely to research, analyze and summarize the pre-sentation material. Over the period of a few months, the employee began to suffer from

Help protect your income as a dentist.

Your income is your greatest financial asset over time. Help protect your livelihood with TDIC’s comprehensive disability coverage, made even more affordable with the group purchasing power of a MetLife insurance plan. Peace of mind in unpredictable times. It’s what we do best.

Apply for disability coverageUp to 60% of your income covered, as much as $15,000 monthly

Benefits may be paid even if you can work but cannot practice dentistry

Future increase option with no medical underwriting1

Learn more at tdicinsurance.com/disability or by calling 800.733.0633.

1 If medical questions are answered unfavorably, then full underwriting may be required and coverage is subject to approval of insurer.TDIC Insurance Solutions offers disability insurance as an agent or broker by agreements with our partner insurance carriers. Available coverage limits and discounts vary by carrier and are subject to carrier underwriting. The information provided here is an overview of the referenced product and is not intended to be a complete description of all terms, conditions and exclusions. Not available in all states. Like most group disability insurance policies, MetLife group policies contain certain exclusions, waiting periods, reductions, limitations and terms for keeping them in force. Contact your plan administrator for complete cost and details. A full description of benefits will be provided in the certificate.

Protecting dentists. It’s all we do.®

800.733.0633 | tdicinsurance.com | CA Insurance Lic. #0652783

Endorsed by the Santa Clara CountyDental Society

Feature: Worst Day Ever: Preparing Your Practice for Disaster

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26 | The Cutting Edge | April, 2020

excruciating pain in her neck, shoulders and wrists. Her pain became so severe that she was unable to perform her work. She filed a workers’ compensation claim due to her in-juries and received treatment, which includ-ed injections, physical therapy and surgery to correct what was ultimately diagnosed as a cumulative trauma injury.

Her employer was surprised that she ex-perienced such a severe injury, as he provided her with all necessary office equipment, in-cluding an ergonomic chair, for use at home. It was soon discovered that she failed to use the chair, instead working from her bed or couch, which did not provide her with the necessary ergonomic support to keep her in a neutral working position throughout her work day.

Potch said that employers who allow staff to work from home must outline the requirements of teleworking. Policies must be in place directing employees to work in ergonomic environments free from hazards. These policies must specify that employees who develop pain must follow up with their manager or supervisor, requesting an ergo-nomic evaluation. Employees should sign the policy acknowledging they understand

and accept the conditions of telecommuting. Another consideration regarding tele-

working is regulating work hours and meal and rest periods. Nonexempt employees must still follow state and federal guidelines with regards to overtime and breaks, regard-less if they work from home or in the dental office. This information should be outlined in office policies and signed by the employee.

The Health Insurance Portability and Accountability Act (HIPAA) is another crucial concern. It is an employer’s duty to ensure patients’ protected health informa-tion (PHI) is kept private, and that duty applies both within and beyond the dental office. The greatest concern with regards to telecommuting is the use of email. HIPAA recommends the use of encrypted email and messaging platforms, but should an employ-ee use a personal, nonencrypted email ser-vice from home, it increases the likelihood that the PHI could be accessed by an un-authorized individual. Even the seemingly innocent practice of emailing a patient’s re-cords from a company email to a personal email so that the file can be worked on at home puts the information at heightened risk of unauthorized access. To remain com-

pliant, employers can install virtual private networks (VPN) on employee computers and specify that communication with pa-tients should only be conducted via these encrypted systems, not via Gmail or other web-based email providers. Practices must also be diligent in capturing any relevant communications in patients’ charts.

Ongoing communication is key to pre-venting workplace injuries and protecting your practice from other liability claims — even when the workplace happens to be an employee’s home. Developing a formal telework policy, providing trainings and fol-lowing up with regular emails, phone calls and video chats will keep your employees informed of their responsibilities as remote workers. Teleworking is a privilege that re-quires strict adherence to office policies in order to protect both your employees and your practice.

TDIC’s Risk Management Advice Line is a benefit to TDIC policyholders. To schedule a confidential consultation with an experienced risk management analyst, visit tdicinsurance.com/RMconsult or call 800.733.0633.

M. H. Sadeghi, D.D.S.Anesthesiologist

Ambulatory Anesthesia Practice • Board Certified, American Dental Board of Anesthesiology

• Former Assistant Professor of Anesthesiology, University of Pittsburgh School of Dental Medicine

• Over 20 Years of Experience• General Anesthesia and IV Sedation in the Dental Office• All Pediatric and Adult Patients Practice Limited to Anesthesiology

www.drsadeghianesthesia.com (831) 464-3011

Email: [email protected]

Feature: Worst Day Ever: Preparing Your Practice for Disaster

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April, 2020 | The Cutting Edge | 27

SB 1343 requires employers with five or more employees to provide training to all employees about preventing harassment and hostile workplace issues.ALL employees must take the course by January 1, 2021. Non-super-visory employees will take a one-hour course and supervisors will take a two-hour course. Both courses run concurrently on the dates listed. This training must be renewed every two years.

SUPERVISORS 2 HR COURSE: $75NON-SUPERVISORS 1 HR COURSE: $55

COURSES WILL BE HELD AT THE SCCDS OFFICE1485 PARK AVE., SAN JOSE

WEBINARS MAY BE VIEWED FROM ANY LOCATION

MAY 19, 6 - 8 PMAUGUST 11, 6 - 8 PM

REGISTER NOW AT SCCDS.ORG

Respect

We Save You Time, Money & Take The Stress Away!

www.MakeComplianceSimple.com(408) 362-9550

In-House Compliance Consulting, Training, and Support Services:

Cal-OSHA

HIPAA

Dental Board Education

Human Resources

SEXUAL HARASSMENTPREVENTION COURSE

UPCOMING COURSES

SCCDS CPR TRAINING

COURSE INCLUDES• Registration• All course materials• Lecture• Audio/visual presentation• Demonstrations• Written and practical exam$60

WITH MARK GANLEY OF LIFELINK

Registration and payment required prior to attending the course. Refunds or rescheduling will NOT be given for no-shows. 24-hour-notice required for rescheduling.

Courses are held at the SCCDS Office1485 Park Avenue, San JosePhone: 408.289.1480

DO NOT BLOCK NEIGHBORS’ DRIVEWAYS OR MOVE TRASH CANS.

2020 SCHEDULECPR certification is REQUIRED for ALL dental professionals and is highly recommended for front office staff. Completion of this course provides an American Heart Association CPR card which is valid for two years.

Monday: 6 pm - 10 pm, Friday 9 am - 1 pm, Saturday: 10 am - 2 pmFriday and Saturday are shown in bold type

All CPR courses are now 4 hour certification courses. There is no longer a distinction between

certification and recertification.

Register NOW at sccds.org

April: 13, 20May: 4, 8, 9, 11, 18June: 1, 5, 6, 8, 15

July: 6, 10, 11, 13, 20

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28 | The Cutting Edge | April, 2020

at the Dental Society Office 1485 Park Ave., San Jose

ANNUAL MANDATORY TRAINING COURSE

Every year, HIPAA regulations require practices to designate a HIPAA officer to review the practice’s manuals, policies and information for accuracy and compliance to the current law. This course satisfies that requirement. The

course also covers:

• Privacy Rule • Security Rule • Omnibus Rule • Penalties • Investigation triggers • Breaches • Business Associates

• Technology risks & rewards • How to protect your practice

All tickets: $30Includes 2 units of Category 1 CE

Register today at sccds.org or call 408.289.1480

Maureen Vander Zwaag’s experience first-hand as a business owner and in corporate roles across the organizational spectrum has made her a specialist in developing, streamlining and implementing the business processes that make companies compliant.

Tyna Whipple is the backbone of Make Compliance Simple and is Maureen’s right-hand woman. While Maureen is in the field with clients, Tyna and her team are ensuring that everything is running smoothly from the office. She is an expert in the field of HIPAA and compliance.

April 21 and June 2from 6 - 8 pm

with Maureen Vander Zwaag and Tyna Whipple

of Make Compliance Simple

HIPAA

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April, 2020 | The Cutting Edge | 29

These businesses proudly support our Dental Society. We encourage our members to support them in turn.sponsor index

Connect with SCCDS members!There are many great opportunities for your business to

advertise and connect with dentists.

• The SCCDS website• The Cutting Edge magazine• The Dentist's Mentor magazine• General Membership Meeting

sponsorships

Contact us to learn more!(408) 289-1480

Diaz-Christians Accountancy Corp . . . . . . . 2Tiret & Company CPAs . . . . . . . . . . . . . . . . . . 4Professional Practice Sales . . . . . . . . . . . . . . 4LifeLink CPR . . . . . . . . . . . . . . . . . . . . . . . . . . 4Make Compliance Simple . . . . . . . . . . . . . . . 8Integrity Practice Sales . . . . . . . . . . . . . . . . . 9Vince Oral Rinse . . . . . . . . . . . . . . . . . . . . . . . 10Patterson Dental . . . . . . . . . . . . . . . . . . . . . . . 10Carr Healthcare . . . . . . . . . . . . . . . . . . . . . . . . 13Western Practice Sales . . . . . . . . . . . . . . . . . 21TDIC Insurance Co. . . . . . . . . . . . . . . . . . . . . 24M.H. Sadeghi, DDS, Anesthesiologist . . . . . 26Fremont Bank . . . . . . . . . . . . . . . . . . . . . . . . . 29Dental Temps . . . . . . . . . . . . . . . . . . . . . . . . . 30Northern California Practice Sales . . . . . . . . 30HealthMed Realty . . . . . . . . . . . . . . . . . . . . . . 30Brothers Cleaning. . . . . . . . . . . . . . . . . . . . . . 30TDSC The Dentists Supply Co. . . . . . . . . . . . 31

Equal Housing Lender | Member FDIC | NMLS #478471 | LCOM-0197B-0618

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30 | The Cutting Edge | April, 2020

DENTAL SPACES FOR LEASE IN SAN JOSE 4110 Moorpark Ave. 1,000-2,100 sq ft spaces for GP & pediatric dentists. Owner on site. TI available.

ADA compliant. Parking + storage available. (650) 204-1357 [email protected].

DENTISTS SERVING DENTISTS – Western Practice Sales invites you to view our

ad on pg 21 to claim a courtesy copy of Dr Giroux’s latest book, Top 10 Issues for Dentists Contemplating

Retirement in 10 years or less. Visit our website, westernpracticesales.com to view all of our currently

available practices. 800-641-4179

DENTAL PRACTICE & REAL ESTATE WANTED A General Dentist wants to buy a dental practice. With or without real estate. Open to all options

and arrangements. Please call, text or leave message at (408) 892-8993.

PRACTICE PURCHASE A general dentist with 18 years of experience is looking to buy a practice from a retiring dentist.

Please call me at (650) 823-1667. Thank you for your consideration.

FOR LEASE Fully furnished 1,419 sq. ft. dental office (equip list avail.) FOR LEASE in Berryessa area at 750.

N.Capitol Ave., S.J. Well-maintained dental complex w/ easy access to 680 frwy & VTA light

rail. 5/1000 parking. $2.95/sf Gross – incl. mntce of compressed air & oral vacuum.Contact exclusive

agent: Geri Wong Lic.#01142432 (408) 987-4134

PEDODONTIST OPPORTUNITY Lease in Morgan Hill's most desirable dental

location. Have established GP, Periodontist and Oral Surgeon as neighbors. This location has

newly widened streets, close to city hall, county library, schools and vibrant downtown. Plumbing,

cabinetry and nitrous in place. Contact Jon Hatakeyama via email at:

[email protected] for more information.

FOR LEASE981 SF to 1,535 SF office suites. Compressed air, suction lines and plumbing available to suites.

Plenty of parking onsite. Near shopping center and direct access off of Hwy 680.

Call agent Geri Wong 408-987-4134

FOR LEASE Palo Alto office space for lease. 1,292 SF . 4153 El

Camino Way. Ground floor unit with easy access and signage opportunity. Lots of natural light.

Reserved parking stall for doctor. Call Geri Wong, agent. 408.987.4134

FOR LEASE Dental office space located in an established

location in Morgan Hill. We are looking for an Orthodontist who desires locating in a growing

family oriented community. This location features an established and separate Oral Surgery practice,

Periodontist and one of the most established general/cosmetic dentist in the area. Contact Jon Hatakeyama, DDS at: [email protected] for

more information.

2+ OPS IDEAL FOR SPECIALIST Santa Clara, near 101/Whole Foods

Flexible lease $300/d or TBD/m (408) 390-7707

PRIME SARATOGA LOCATION Dental office for lease, 3 ops, 1050 sq. ft. Call for more

info. Laura (408) 838-7577

DENTAL LAB SPACE FOR LEASE Ideal location in West San Jose. Corner of

South Bascom Ave and White Oaks Rd. 386 square feet. Available May 2020. Please contact [email protected] (541) 729-6573.

SPACE FOR LEASE Dental office in a strategic bank building next to busy

shopping plaza in Milpitas. Already have Ortho/Pedo in building. Ideal for another dentist. Call Amy

408-828-7372 / 408-568-4474

FOR LEASE 1,390 RSF Dental/Medical/Office space available (currently built

out for a dentist). Great Milpitas location on heavily trafficked Calaveras Blvd. Contact Christina Yang

(408) 457-8805 [email protected] for the best available rate and to schedule a tour.

FOR LEASE (continued)FOR LEASE

(408) 457-8805 | [email protected]. 01862052 | www.healthmedrealty.com

Christina Yang

HealthMed Realty is the leading provider of commercial real estate services to the healthcare community. We provide expertise in real estate transactions to dentists, physicians and healthcare systems throughout San Francisco Bay Area.

DENTAL TEMPSDENTAL TEMPS From JSimonStaffing, Inc.

Since 1997

Temporary and Permanent

Job Placement

for Dental Professionals

Dental Hygienists Dentists

Dental Assistants Front Office

Best Rates ~ Best Service

(408) 778-5966

classifieds

FOR SALE

WANTED

Thinking about selling your practice in the next five years?We can help you take the necessary steps to increase its value before you put in on the market. For a free, no obligation, consultation and evaluation, call us.

To receive information on practices currently for sale or comparables of practices that have sold in your area, contact us via email at [email protected].

Northern California Practice Sales

DENTA L PR ACTICE SA LES A ND A PPR A ISA LS

1126 Broadway, # 8 • Burlingame, CA 94010 • Tel: 650-347-5346 • Fax: 650-347-5326

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April, 2020 | The Cutting Edge | 31

Want tosave moreon suppliesthan youpay in dues?

There’s no better time to be an association member! Your benefits now include big savings and free shipping on dental supplies and small equipment through The Dentists Supply Company.

Get the most value from your membership by leveraging collective buying power for your own practice.

SH OP ON LI N E A N DS TA R T SAV I NG TODAY

Page 32: Worst Day Ever - Santa Clara County Dental SocietyApr 05, 2020  · This presentation will provide an overview of the evaluation of oral abnormalities, with a focus on pre-malignant

1485 Park AvenueSan Jose, CA95126

408.289.1480Fax: 408.289.1483

Prsrt StdUS Postage

PaidPermit #5294San Jose, CA

ADDRESS SERVICE REQUESTED

Register for these and more events today at sccds.org

SCCDS General Membership Meetings

The Art of CBCT

Composites

Surgery and TMJ

TBD

Meth, ACEs & CPS: The Strange Relationship

May 14 , 2020

September 10 , 2020

October 8 , 2020

November 12, 2020

December 10, 2020

with Craig Dial

with Dr. Patrick Roetzer

with Dr. S. Thaddeus Connelly

with Dr. Cynthia Brattesani

with Dr. Mitchell Goodis