The Future in Dentistry Is Digital and A Paperless Records Dental Office

Technology in Dentistry
Creating
Paperless
Records
With Dr. Larry Emmott

Emmott on Technology
Dr. Lawrence F. Emmott
1912 E. Medlock Dr.
Phoenix, AZ 85016
(602) 791-7071
e-mail LarryEmmott@drlarryemmott.com
www.drlarryemmott.com
e-Handout
Tech Guides
Blog
Power Practice
Creating Paperless Records
Going Paperless
 EOT Guide
Available on the
Web Page
The Digital Patient Record
 Electronic Schedule
 Paperless Charts
 Front Desklessness
Practice Management Software
Electronic Scheduling
Electronic Scheduling
 Eliminate the Bottleneck
 Data Mining
Paperless Charts
 Does your desk look like this?
Or this?
Paperless Charts
 Is it Possible?
 If Someone Has Done it…
 It is Probably Possible
Omer Reed
Paperless Charts
 Real Life in the Dental Office
 What is in the Chart?
 Process
 Forms & Signatures
 Legal Issues
 Internet
Real Life in the Dental Office
 Follow the Crown
Follow the Crown
 Diagnosis  Schedule
 Review HH  Appointment Card
 Ck X-Ray  Estimate
 Charting  Pre Determination
 Treatment Plan  Copy the X-Ray
 Schedule Note  Financial
Arrangement
 Consent Form
Follow the Crown e nt
in tm
p p o
t A
 Daily Schedule  Ledger Sea u le
h ed u l e
 Review HH  Day Sheet • S c ed
S ch
il y
 Treatment Plan  Invoice • Da o tes
N
 Ck X-Ray  Insurance Form• Chart
M e!
 Chart Notes  Resubmit (lost?) elp
•H
 Tooth Chart  Billing
 Lab Slip  Payment
What’s in the Chart?
 Patient Information  Specialist Referrals
 Financial Information  HIPPA Forms
 Insurance Information  Re-Call Information
 Perio Probings  Insurance EOBs
 Prescriptions  Specialist Reports
 Photographs  Payment History
 Correspondence  Pocket Lint
The “Orphaned” X-Ray
Follow the Crown
 Diagnosis to Payment
 20 to 30 Entries
 Paperwork Burden
 Errors
 Human System
Using Technology
 Things computers do well
 Single Entry
 Data Relations
Paperless Charts
 Process
 Legal Issues
 Internet
Process
 Createthe System
 Stop Making Paper
Create the System
 Digitize
 Enter
 Capture
 Scan
 Import
Create the System
 Personal  Patient Information
 Financial  Forms
 Treatment  HealthHistory
 Consent
 Diagnostic
 HIPPA
Financial
 Financial Arrangements
 Ledger
 Insurance Claims
 EOBs
Treatment
 Tooth Chart
 Treatment Plans
 Treatment History
 Prescriptions
 Lab slips
 Correspondence
 Specialist Referrals
 Specialist Reports
Diagnostic
 Perio Probings
 X-Rays
 Photographs
Process
 Create the System
 Stop Making Paper
 Scan Incoming
 Pull Charts for 6-12 Months
Do NOT Scan all the old
paper!
Paperless Charts
 Process
 Legal Issues
 Internet
Forms 3 levels
1. Paper then Scan
2. Direct Digital
3. Linked
 Interactive
Paperless Forms
 Direct
 Enter with computer
 Signature
Digital Signatures
Paperless Forms
 Tablet PC
 Kiosk
 Secure
 Wireless
 Connected to Chart
 Signature
Paperless Forms
 Online
 Website
 Download
 Linked
 Patient
Commitment
Paperless Forms
 Dent Forms
 Dentrix G
 In office or
 Online
Interactive Forms
 Smart
 Help
Paperless Charts
 Process
 Legal Issues
 Internet
Referral
 Form
 Diagnostics
 Notes
 Phone?
Internet: Web Services
 Electronic Claim
 Electronic Attachments
 Track Insurance Claim
 Insurance Eligibility
 Financing Approval
 Credit Card Processing
Internet
 Web page
 Schedule Appointment
 Confirm
 Make Payment
 Update Medical
 Pt Ed
 Pt Research
Internet
 Communication
 Text Message
 e-Call card
 e-Statement
 Patient Satisfaction Survey
 Refer a Friend
 Photo Share
Internet
 Business Services
 Online Back Up
 Financial Analysis
 Banking
 Record Transfer
 Marketing
Paperless Charts
Are You Ready?
 Essentials of Going Paperless
Do you have (or use)?
1. A Complete integrated Practice Management System.
2. A computer network with a server.
3. Computers that are less than five years old.
4. Electronic Schedule.
5. Microsoft Office.
6. Digital Radiography.
7. Scanner.
Are You Ready?
 Useful but not essential
 Digital Camera?
 QuickBooks?
 High Speed Internet Connection?
Show me the Money!
Recapture Lost Treatment
 3%
 $650,000 gross
 $19,500
Single Entry
Total 10 hours a day
 15 Entries
 20 Patients
 300 Entries
 2 min. ea
 600 min.
Savings
 10 hours / day
 193 days / year
 $15 / hour plus $5
 $20/ hour
 $38,600 / year
Paperless Charts
 Pull Charts 20 x 2= 40 min
 Look for missing Charts 20 min
 Replace Charts 20 x 2= 40 min
 File Stuff 20 x 2= 40 min
 X-Rays
 EOBs Total 3 hours a day
 Misc. 40 min
 Type labels
 Shuffle stuff
 archive
Savings
 3 hours / day
 193 days / year
 $15 / hour plus $5
 $20/ hour
 $11,580 / year
Savings
 Paper
 $2.50 x 2500 = $6,250
 Contents X-Rays,
Photos
 $2.00 x 2500 = $5,000
 Files
 $1,000 x 3 = $3,000
 $14,250
Savings
 $19,500
 $38,600
 $11,580
 $14,250
 $83,930
Digital (Paperless)Work Flow
Patients
Drs. Office
Treatment
Front Room
Pharmacy
Desk
Dental Front Desklessness

Lab
Financing
Specialists Supplies
Insurance
Front Desklessness
 No, It’s Not
 Human System
What is the Front Desk?
 Person
 Place
 Thing
Data Center
The Human System
Fill out these forms.
Hold Please! We are out of toner!

Can I make payments on this? The lab is on hold
Confirm tomorrow’s patients.

Pull the charts for tomorrow.
Call in a refill on the pain pills.
Collection calls.
I already told you I can’t come in on Tuesdays.
I need to speak to the doctor. What will my insurance pay?
Check with the periodontist.
When are my kids due next?
Can I put this on my card?
When is my next appointment?
Judy the Juggler
Front Desklessness
 No, It’s Not
 Human System
 Technology System
Front Desklessness
 Phones
 Schedule
 Hygiene
 Hand Off
 Concierge
Front Desklessness
 Chain Saw?
 Money?
 Pre-Pay
 VIP
Real Life in the Dental Office
Is it Safe?
 Back Up
 Online
 Mirrored Hard Drives
 Professional IT Support
 Cross Train
Professional IT Support
 Hardware
 Network
 Upgrades
 Repair
 Maintenance
Ten “Stupid” Foolish Things
Dentists do with Technology!
1. No training 6. Not enough
2. Lack of training training
3. No follow up 7. Little training
training 8. Self training
4. Dentist doesn’t 9. Poor training
get training 10. Won’t pay for
5. No training on training
updates
Training
 Master
 Maven
 System Failure
 People Failure!
 Cross Training
Get Help
 www.drlarryemmott.com
 Technology Guides
 Consulting
 Advanced Courses
 Technology on the Rocks
Going Paperless
 EOT Guide
Available on the
Web Page
“Technology on the Rocks”
Sedona, AZ
June 3-5, 2010
LarryEmmott@drlarryemmott.com
The Future is Digital
 Talk to the Computer  Virtual Patient
 Interactive Patient  Real Time Claims
Education  Data Base Marketing
 Paperless  Internet Consultations
Communications  Artificial Intelligence
 Front Desklessness  CAD-CAM
 Wearable Computers  Augmented Reality
“The future is coming…and it will be AMAZING”
Dr. Larry Emmott
Dr. Larry Emmott
1912 E. Medlock Dr.

Phoenix, AZ 85016
(602) 791-7071
www.emmottontechnology.com
e-mail: LarryEmmott@drlarryemmott.com

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Technology in Dentistry

With Dr. Larry Emmott

 Essentials of Going Paperless

Dental Front Desklessness

Hold Please! We are out of toner!

Confirm tomorrow’s patients.

“The future is coming…and it will be AMAZING”

1912 E. Medlock Dr.

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