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08.26.05 Issue #181
Monitoring Hygiene Daily While You Work

Jean Gallienne RDH BS
Hygiene Consultant McKenzie Management

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Do you know what you produce per day, per week, per month, or per year for your practice? You should know. I know a lot of you may be thinking to yourself, I am a Hygienist not a businessperson. Why do I care what my production is per day? All I care about is providing quality of care to my patients. I am not here to make the doctor money. I am here to take care of my patients. Unfortunately, I have heard these words and many more along the same line spoken by many Hygienists.

Well you should care about the business side of hygiene. One thing you will discover the minute you do care about the business side of hygiene is that you will begin providing the quality of care your patients deserve. This is also what determines raises. If you are not producing, how can you expect a raise ?

The best thing that ever happened to the patients I care for and myself was to monitor my production. I used to go into work, clean my patients and leave, not anymore. It actually matters to me how much I produce in the time that I spend at the office. Oh, then you say, I am already pressed for time, I don't have time to do this. I will need more time per patient. Not true. It takes about 30 seconds to make the notations on a sheet.

I know exactly how much I produce per hour and per year for my practice. Yes, my practice. Yes, I work for the doctor, but my production matters to me as if it were my practice, just as your production should matter to you. There is nothing worse than working on a team with somebody that just comes into work, cleans teeth and goes home. Believe me I have worked with people like this before, and it makes for a long day for those of us that care. I constantly found patients that should have had x-rays taken at the previous appointment or I found myself constantly picking up the slack of my fellow Hygienist. Not a good way to win friends on your team.

Monitoring your daily production is as easy as making a sheet that has:

  1. How many hours you were paid for that day.
  2. All time increments should be based on 10-minute units. So, a 60-minute appointment accounts for 6 units.
  3. The date.
  4. Place for CA's and NS's (Patients that cancel or no show the appointment less than 24 hours before their appointment time).
  5. Open time (Time that was never booked by the front desk).
  6. Procedures charged out of hygiene.
  7. Column for the fee for everything the patient had done that day.
  8. Patients name so you can cross-reference charts if need be.
  9. A place for the total daily amount produced that day.

Now all you have to do is check off what you did on each patient and total it up for that day. To find out what you produced that day per hour, add up your total production for that day and divide by the hours you were paid, not the hours you saw patients. If you work an eight hour day and only saw seven patients that day you will take the total daily amount, let's say it is $1000.00 and divide it by eight if you were paid for eight hours even though you only saw seven patients. Therefore, your hourly production for that day is only $125.00 an hour instead of more. The office lost money in two ways during that open hour. First, it lost money because of the lost production. Second, because of the salary paid to you during that open time.

If you look at the industry standards that the hygienist should produce three times his or her salary to be a profit center for the practice. You may find that you have not been succeeding at being a profit center if you make more than $42.00 an hour and producing less than $125.00 an hour.

You will become a profit center by selling more ancillary products to the patients when they need them. Fluorides, x-rays and periodontal therapy will be provided on a regular basis according to office protocol. Basically you will be providing the quality of care your patients deserve to have every time they sit in your dental chair.

Jean conducts 2 day Hygiene Performance Enrichment Programs for The Center for Dental Career Development and McKenzie Management in La Jolla/San Diego, CA. Contact her at or call 1-877-777-6151 for more information on her Advanced Hygiene Training Programs.

Interested in having Jean speak to your dental group? Email us at or call 1-877-777-6151

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McKenzie Management's Seminar Schedule
2005 Location Sponsor Information Topic Speaker
Sept. 9-11 San Francisco, CA California Dental Association 916-443-0505 Successes Sally McKenzie
Sept. 22 El Paso, TX El Paso Dental Society 877-777-6151 Breakdown Sally McKenzie
Oct. 14 Riverside, CA Riverside Implant Study Group 951-279-7847 Top Issues Sally McKenzie
Oct. 20-21 Santa Barbara, CA Dental Education Lab 877-777-6151 TBA Sally McKenzie
Nov. 10-11 Santa Barbara, CA Dental Education Lab 877-777-6151 TBA Sally McKenzie
Nov. 18-19 Griffin, GA Endo Magic Root Camp 877-478-9748 Top Issues Sally McKenzie
Dec. 1 Cincinnati, OH Cincinnati Dental Society 513-984-3443 Breakdown Sally McKenzie

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