Gregory Taddeo, DDS, Dental Director, Community Healthcare Network

Gregory Taddeo, DDS, Dental Director, Community Healthcare Network

*Participants will be able to identify ways to improve quality of dental care through internal and external referrals, as well as digital radiography. *Participants will learn ways to decrease time spent on chart management via electronic templates, coding & billing. *Participants will learn how integrating EMR can increase revenue for dental services

Our Mission: Community Healthcare Network (CHN) is a not-for-profit organization that provides access to quality, culturally competent and comprehensive community-based primary care, mental health care and social services for diverse populations in underserved communities throughout New York City. Our Care: CHN offers a broad selection of services and programs for people of all ages. Our community health centers, offices, and mobile unit are located in the boroughs of Bronx, Brooklyn, Manhattan and Queens. CHN serves more than 70,000 individuals a year. Our Vision: CHN envisions a time when all people, regardless of their ethnicity, finances, beliefs and citizenship will be provided basic health care throughout their lifespan. We strive to be a leader in providing high-quality, innovative, sustainable and accessible health care that promotes the wellbeing of the entire community.

*CABS (Brooklyn) *Queens (Jamaica) *HBA (Harlem) *LIC (Long Island City, Queens) School Based Program *DBS (Brooklyn) Arriving March/April 2012

Increase quality of care via referrals of ALL patients with a concentration on: *ID (HIV) Leading to an increase in HIV QUAL *Prenatal *Diabetes

*Providing full spectrum, comprehensive care to all patients, especially special needs patients (ID, Prenatal, Diabetes). *Meet regulatory and accreditation requirements (HIV QUAL Compliance). *Increase productivity/patient volume.

Create a clinical pop-up global alert which will notify providers/nurses to refer patients to dental services.

*Daily Morning Huddle *Monthly Provider Meeting *Monthly Clinic Meeting

The benefits of using this feature is being able to attach images such as x-rays, which will eliminate having to send radiographs in the mail and will expedite patient treatment.

*Increases productivity due to speed of taking and developing digital x-rays. *Facilitates and improves diagnosis and treatment planning due to higher image quality and resolution along with caries detection software. *Reduces exposure to radiation. *Shortens patient waiting time and appointments. *Eliminates disposal of lead foil x-ray encasing and possible exposure to harmful developing chemicals which meet Joint Commission compliance. *Eliminates postage cost (digital x-rays can be emailed in reference to pre-authorizations and referrals). *Eliminates cost of purchasing old school x-rays.

Progression from harmful chemicals and lead foil used in developing film to sensor based digital radiography with a fraction of the exposure.

The quality of patient care is evolving everyday with the advancement of digital radiography, which not only facilitates but expands the ability to diagnosis and treat each patient.

Charting Templates Coding / Billing

This can be accomplished by either: 1. Selecting the procedure(s) from the main procedure list. 2. Type the procedure code in the Procedure Code box directly under Enter Treatment 3. Click on one the Quick buttons or click on ALL & select from the list.

Using the Procedure List to select: Click on the Tooth in the Graphical Tooth Chart and then click Procedure List button, it will open this window:

Using the Procedure Code box: If the User knows the ADA Procedure code they can In the Procedure Code box, type the ADA Procedure Code Click the OK Button. If more information is needed the procedure info screen will pop up indicating that a surface or area needs to be selected (it will be highlighted in yellow).

Charting Templates Coding / Billing

This is where we add notes regarding the treatment completed.

* These are pre-made templates so the User does not have to keep typing in the same information each time. * Could be short notes or big complex notes with pop ups for quick selection. * Useful for comprehensive exams or emergency exams. * Notes are practice specific, however, there will be some variation for the different specialties: Pediatrics, General and Perio. * Can be accomplished by clicking on the Auto Note button & double click on the appropriate note.

Charting Templates Coding / Billing

The Assessment/Diagnosis Code V72.2 should appear here The Procedures accomplished today should appear here

*How can integrating an EMR increase revenue for dental services?

Year Location Visits 2006 CABS, QNS, HBA Total: 2,770 2007 CABS, QNS, HBA Total: 2,653 2008 CABS (Dr. Taddeo) 1,024 QNS (Drs. Taddeo/Gera) 933 HBA (Drs. Morgan/Williams) 1,261 2008 Total: 3,218 2009 CABS (Dr. Taddeo) 1,810 QNS (Drs. Taddeo/Gera) 1,616 HBA (Drs. Morgan/Williams) 2,454 2009 Total: 5,880 2010 CABS (Dr. Taddeo) 2,582 QNS (Drs. Taddeo/Gera) 2,783 HBA (Drs. Morgan/Williams) 2,299 2010 Total: 7,665 2011 CABS (Dr. Taddeo) 2,039 (Q1 Q3) QNS (Dr. Gera) 2,470 HBA (Dr. Morgan) 2,289 2011 Total (Q1 Q3): 6,798 2011 CABS (Dr. Taddeo) 750 (Q4 Projected) QNS (Dr. Gera) 850 HBA (Dr. Morgan) 850 LIC 450 2011 Total (Projected): 9,698 * Please note that the 2008 data is for March December ONLY due to No Dentists 10,000 9,000 8,000 7,000 6,000 5,000 4,000 3,000 2,000 1,000 Year 0 Total Visits Visits By Year CABS/QNS/HBA CABS (Dr. Taddeo) QNS (Drs. Taddeo/Gera) HBA (Drs. Morgan/Williams) 2011 (Projected Total) 2,900 2,299 2,289 2,454 2,783 2,470 1,261 1,616 2,770 2,653 933 2,582 1,810 1,024 2,039 2006 2007 2008 2009 2010 2011 2,770 2,653 3,218 5,880 7,665 9,698