Meeting Minutes
Date: Mar 25, 2010, Thu
Time: 8- 9:50p.m.
Where: TCNW office Rm 208 and Meeting ID 0190631
Purpose: Fixed Dental Location, F2F meeting with Dr Shirley Chen and Dr Daniel Cheng from LA
Attendees at office (12): Dr Stephanie Wang, Leslie Tang, Wu Yuaner, Dr Daniel Cheng, Dr Shirley Chen, Dr C.H. Wong, Wen Hsien Sun, Jack Yeh, Mike Liaw, Amy Yen, C.Y. Huang, Jean So
Attendees online announced (3): Dr Ou, Lin Weiwen, Lihn Hung-Chi
Fixed Dental Location timeline:
April 1, 2010, Thu - Proposal to LA head office.
April 19, 2010, Mon – Press Release and accept dental patient appointments
May 16, 2010, Sun - First day of Fixed Dental Location Clinic.
(all above gated by license approval)
Discussion:
1) Dental Operation Outline: (Bro Jack)
Introduction (Jack)
- Security level of Wiki
- Introduction of Dental Mobile Clinics and Dental Support Team web page, which includes: Background, service scope, community clinic, budget, patient qualification, facility layout, operation layout, volunteer training, service day
- Dental van to be located on the street alongside Rm 309 & 310
- Service day scheduled for Sundays (9a.m.-4p.m.), 5/6, 5/30, 6/20, 7/11, 8/8, 9/5, 10/3, 10/24, 11/7, 11/21, 12/5
Dr Cheng:
- RN on-site optional, may be a slow-start at the beginning (“test the water”). RN and/ or DA can play dual role. We should focus on service scope. Review patients’ expectation and our deliverables.
Dr Cheng:
- Site inspection: we should proactively approach Sis Deborah for license/ legal issues
2) Patient Qualification (Sis Yuaner)
- Should follow guidelines as LA
- Qualification should depend on license approval for service capacity level
Dr Cheng:
- although LA has connection with local agencies (like homeless shelters, inmate transition agency), patients should still be screened, using documents such as bank , tax statements, to avoid system abuse. We may request guidelines from LA.
- Connect with Sis Lillian @ 626.281.3383, fax a copy of requirements, Sis Yuan Ling (front desk)
- Phone receptionist plays a very important role to perform screening of patients.
Sis Yuaner:
- use already existing public domain for low-income recipients (already assessed and issued with certificate) with Medi-Cal, National School Lunch program , FPL
Dr Chen:
- must have well-trained staff, (can be DA, RN, volunteer), best way to make a trip to LA for training. English speaker preferred.
We should also communicate well with referral agencies, and set clear criteria. Patients referred should still be screened.
3) Service Scope (Dr S Wang)
3a) Main services: Tooth extraction, fillings, gross scaling
Drs Cheng/ Chen:
- Receptionist should be clear on what type of free services will be provided. This is a critical step in screening patients.
- Propose modification: first-visit patients, dentists perform screening, write out a treatment plan, including 30-day emergency follow-up at no-charge.
- Detail out what services will not be done before coming up with treatment plan.
- Extended services will be for-fee.
- Once qualified with treatment plan, patient must sign consent form.
- Goal is to take the pain out of patients within service scope (quality of life issue)
- (LA is transitioning from free clinic to community clinic.)
- Free clinic staff should run just like a normal business office, e.g. regular office hours like 9a.m.-5p.m. This applies to both paid staff and volunteers. Have periodic staff meeting for review and feedback. Job description for paid staff must be detailed and well evaluated.
3b) Publicity Flyer should say:
Bro Mike:
- “We provide the following limited dental services to alleviate imminent pain”
Purpose is to welcome more (dental) professional and non-professionals to Tzu Chi.
4) Referral and Community Connection (Bro CY)
- Who should make the referral?
à Sis Yuaner: only professionals
- When do we make the referral and to whom?
à Dr Cheng: anything beyond service scope should be referred, mostly to dental schools/ teaching hospitals. This should be filtered out at the phone receptionist. However, the phone receptionist should NOT provide any suggestions or referrals (liability issue).
Refer to CY’s slide list of clinics, should inquire each clinic on their service scope. DA should check on this. Best resource at county hospital and dental school/ teaching hospitals. Should not refer to specific clinic, but provide a list (liability).
“We have the right to refuse treatment” should be posted at our entrance.
Ambulance fees should be absorbed by Tzu Chi, but not hospital fees.
- What about Specialist:
à refer to county hospital or teaching hospitals.
5) Dental software (Bro Weiwen)
- Practice Web, $895 initial set-up fee, through referral may deduct up to $400. Same fee regardless number of workstations. Contact: Larry. Paperless function is available.
- Another option is Easy Dental, but is not networked. Not considered.
*End*