Global Dental
DENTAL QUALITY MANAGEMENT
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AGENDA
▪ Introduction to DQM
▪ Case study – India’s largest chain (200+ clinics)
▪ Technology platform
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Confidential, © GDS 2017 Global Dental
DENTAL QUALITY – A KEY CHALLENGEMAINTAINING CONSISTENT QUALITY IS DIFFICULT PARTICULARLY IN CORPORATE CHAINS, SINCE EMPLOYEE MOTIVATION AND INCENTIVES STRUCTURES ARE DIFFERENT
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Incomplete
/ Incorrect
Diagnosis
Poor
Treatment
Quality
Under / Over
Treatment
Inaccurate
Billing
Incomplete
Electronic
Medical data
High Cost of
Consumables
Patient
Issues
Corporate
Issues
Legal Lawsuits &
Insurance Disputes
Patient
Dissatisfaction
Higher Cost and
losses
Brand Credibility
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THE INDUSTRY PROBLEMS
Class Action Law Suits
Insurance proof
Billing Dispute
Over / under treatment
Performance standards
✓ Customized Treatment✓ Each Patient Unique
Social embarrassment
DENTAL QUALITY MANAGEMENT (DQM)IS CRITICAL TO SUSTAINABLE SUCCESS
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DENTAL QUALITY CAN BE MANAGED
Dental diagnosis and treatment are based on
1. Patient provided medical history
2. Oral examination of the cavity
3. Intra-oral images
4. Digital x-Rays, OPGs, CBCTs etc.
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Notes in Patient Management Software
Uploaded to Patient Management Software
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DENTAL QUALITY CAN BE MANAGEDMOST DENTAL TREATMENTS REQUIRE X-RAYS BEFORE, DURING AND POST TREATMENT
Working Length X-Ray Master Cone X-Ray Post Obturation
During treatment X-Ray Post Treatment
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DENTAL QUALITY MANAGEMENT – DQM
GDS has developed proprietary Dental Quality
Management processes and technology along with
a network of board certified Dentists in India
who can review and comments on several
quality parameters.
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THREE COMPONENTS OF DQM
1. Technology platform that can integrate into most (if not all)Practice Management Software❖ Anonymize patient data and dentist information
❖ Ability to route records to a network of dentists for ”peer review”
2. Quality Review Processes and Templates to evaluate each patient record on several parameters ❖ Diagnosis completeness
❖ Treatment completeness and quality
❖ Billing / Insurance check against treatments completed
❖ Patient information and doctor notes completeness check
3. Team of Dentist based in India (across all clinical specialties) who review patient records in a cost effective, outsourced model
DQM SOLUTION AT GDS CONSIST OF PROPRIETARY (PATENT PENDING) PROCESSES AND TEMPLATES. A COMPREHENSIVE REPORTS ARE DEVELOPED ON EACH CASE REVIEWED
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COMPONENTS OF DQM – SAMPLE LIST
Was the case documented?4. Documentation Completeness
• Oral Exam Completeness
• Diagnosis accuracy
• Comprehensive Treatment Plan (right treatment, medical history – diabetic condition, blood thinner etc.,)
1. Treatment Quality
• Review for each Specialty – Implant vs. Prostho, Prescription quality
• Review of Imaging / diagnostic
• Prognosis/results
What Learnings and Improvements ?3. Treatment Analytics
• Statistical study of efficiency in time taken for treatment, man power utilization, optimal material utilization
• Determination of success rate and re-treatment rate
• Training Need assessment for doctors
Were Business Processes completed?2. Commercial Effectiveness
• Invoice Accuracy – verified with treatment right offers/memberships, discounts
• Billing / Collections / Insurance Claims Processing
• P&L evaluation –treatment wise as well as patient wise
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Were highest treatment standards met ?
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DQM FLOW PROCESS
REVIEW BOARD RATING & GRADING
CASE SEGREGATION (SPECIALITY CASES, NON SPECIALITY CASES, GENERAL CASES)
REVIEW REFUTED REVIEW ACCEPTED INFLOW OF CASES (STATISTICALLY VIABLE SAMPLE) OUTFLOW OF RE-REVIEWD CASES DOCTOR DASHBOARD NO SYSTEM ASSIGNED REVIEWERS
(R1, R2, R3………..) YES CASE REVIEWS DONE BY SENIOR REVIEWERS
CASE REVIEWS DONE BY REVIEWERS OUTFLOW OF REVIEWED CASES
POOL OF
CASES
REVIEW
OUTCOMES
CASES
SELECTED FOR
RE-REVIEW
TESTING AND
SCORING CRITERIA
SAMPLE CASES
TESTING AND SCORING CRITERIA
CASE REVIEWREVIEW
OUTCOME
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TREATMENT QUALITY – SOME EXAMPLES
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Incorrect Implant angulation
Incorrect Implant angulation
Implants placed too close to each other
Short Implant with weak bone support
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TREATMENT QUALITY – SOME EXAMPLES
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Crown placed with improper Obturation and infection
Tooth Perforation during Root Canal
Incomplete extraction leaving root piece behind
Excessive tooth structure loss during Root Canal
Confidential, © GDS 2017 Global Dental
AGENDA
▪ Introduction to DQM
▪ Case study – India’s largest chain (200+ clinics)
▪ Technology platform
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Confidential, © GDS 2017 Global Dental
CASE STUDY – INDIA’S LARGEST CHAIN (200+ CLINICS)
25,000+ cases reviewed to date
3000+ cases reviewed monthly,
growing as Client grows
All 500+ Dentist reviewed monthly
Constant feedback provided to
Dentist and reports to Management
DQM HAS IMPROVED CLINICAL AND BUSINESS QUALITY ACROSS ALL METRICS
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Significant Quality improvement in
all treatments & business metrics
Restoration Dislodgement reduced
to 0.5%
RCT protocols compliance
increased to 99.5%
Invoicing accuracy increased
to 98.3%
Clinical records completeness
increased from
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RESTORATIONS DONE WITH POSITIVE
PROGNOSIS
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99.30%100.00%
99.75%
98.55%99.21% 99.48%
92.00%
93.00%
94.00%
95.00%
96.00%
97.00%
98.00%
99.00%
100.00%
May-17 Jun-17 Jul-17 Aug-17 Sep-17 Oct-17
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RCT DONE WITH POSITIVE PROGNOSIS
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98.95%
100.00% 99.82%99.54%
99.80%99.51%
92.00%
93.00%
94.00%
95.00%
96.00%
97.00%
98.00%
99.00%
100.00%
May-17 Jun-17 Jul-17 Aug-17 Sep-17 Oct-17
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IMPROVEMENT IN QUALITY OF BILLING AND
INVOICING
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97.30%
98.10%97.70% 97.52%
97.70%98.30%
91.00%
92.00%
93.00%
94.00%
95.00%
96.00%
97.00%
98.00%
99.00%
100.00%
May-17 Jun-17 Jul-17 Aug-17 Sep-17 Oct-17
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IMPROVEMENT IN DOCUMENTATION
COMPLETENESS
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77.20%78.16%
79.59% 78.90%82.04% 82.02%
50.00%
55.00%
60.00%
65.00%
70.00%
75.00%
80.00%
85.00%
90.00%
MAY-17 JUN-17 JUL-17 AUG-17 SEP-17 OCT-17
Confidential, © GDS 2017 Global Dental
AGENDA
▪ Introduction to DQM
▪ Case study – India’s largest chain (200+ clinics)
▪ Technology platform
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Confidential, © GDS 2017 Global Dental
PATIENT DASHBOARD FOR REVIEWERREVIEWER CAN ACCESS ENTIRE CASE AND PATIENT DETAILS THROUGH THIS DASHBOARD
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PATIENT DETAILS – TREATMENT PLANREVIEWER CAN ACCESS ENTIRE CASE AND TREATMENT PLAN SUGGESTED BY THE DOCTOR THROUGH THIS MODULE
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PATIENT DETAILS – X RAY IMAGESREVIEWER CAN ACCESS ALL X-RAY AND INTRA-ORAL IMAGES
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REVIEW PROCESS – STEP 1 QUALIFYING CRITERIA
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REVIEW PROCESS – STEP 2 CRITICAL CRITERIA
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REVIEW PROCESS – STEP 3 ESSENTIAL CRITERIA
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REVIEW PROCESS – STEP 4 IMPORTANT METRICS
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CASE REVIEW SCORE CARDS
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10 speciality score cards to review cases
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NOTIFICATION FOR DOCTORS ONCE A CASE IS REVIEWED, TREATING DENTIST RECEIVES A NOTIFICATION
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DOCTOR REMARKS ON REVIEWED CASESDOCTOR CAN PUT IN HIS REMARKS/ AGREEMENT / DISAGREEMENT POST CASE REVIEW
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