Holes in Hygiene?…How to Avoid Them
Dr. Gary Shipyard – Case Study #114
It appears that a primary concern from doctors contacting our office is too many openings in hygiene. It is surprising that they are not also concerned about their own production, as 50% of the doctor’s production comes from returning patients through the hygiene department. Dr. Shipyard was concerned about his Hygiene Department. Let’s take a look at his practice stats:
What is Considered “Healthy”?
8 years x 12 months = 96 months x 20 NP/mo = 1,920 new patients.
This indicates that Dr. Shipyard had a retention problem even before this difficult economy…he just didn’t notice it. He should have had 7.5 days of hygiene and only had 4.
Also, based on the nationwide statistics of estimated persons with periodontal disease, an average general practice should be seeing about 33% of their patient base needing periodontal therapy and subsequent 3-4 month periodontal maintenance. Again, Dr. Shipyard was only posting around 15% of periodontal service by his hygienist.
Lastly, his hygienist should be net producing 3x her daily salary. Several reasons were keeping her production at less than optimal:
In order to address Dr. Shipyard’s primary concern of “too many openings in hygiene”, first we must determine what is considered “too many”. If his Hygiene Coordinator was scheduling his hygienist to her daily goal of $1,200 ($350 x 3) and allowing a15% increase for PPO adjustments) it is not necessary to have all the openings filled. With an increase in periodontal services, it is possible to observe openings in the hygiene schedule and still be scheduled to goal. Therefore, more important than “filling the holes”, is scheduling to a daily goal.
5 Monthly Hygiene Follow-up Steps
In order to be responsible for a department in a dental practice, the team member must have a clearly defined job description to follow and is held accountable to the doctor for her performance.
These five monthly tasks were defined for her:
“Dialing for Dollars”
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