Dental Trends Aren t Very Interesting Until They Get Really Interesting
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- Dina Manning
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1 Dental Trends Aren t Very Interesting Until They Get Really Interesting 2013 PIAA Dental Workshop James L Willey, DDS, MBA Director ADA Council on Dental Practice willeyj@ada.org Dentistry Keeps On Rolling 1
2 Hindsight Is Always 20/20 Key Forces Converging Declining utilization of dental care among young adults Continued austerity within state budgets Shift from financing procedures to financing outcomes Pressure on dentists to become more efficient Increased integration of health care delivery and financing Increased consumerism in health care 2
3 The Dental Economy 3.9% per year 1.8% per year 0.3% per year Dentist Earnings 3
4 Dental Student Debt 100.0% 90.0% 80.0% 70.0% 60.0% 50.0% 40.0% 30.0% 20.0% 10.0% 0.0% Average Educational Debt is Approaching Average Annual Net Income 85.2% 89.7% 70.2% 72.6% 77.4% 60.3% 61.1% 63.1% 65.1% 55.0% 55.4% Ratio of education debt to average annual net income Source: ADA Survey of Dental Practice and ADA Survey of Dental Graduates. Changing Dentist Demographics (Projected) Average age % Female 23% 36% % in Group practice 3.6% 11.3% % Minority (students) 40% 48% Source: American Dental Association, Health Policy Resources Center 4
5 Large Group Practice Projected Market Share of the Largest Groups Among Private Practitioners 11.2% 8.9% 7.1% 2.9% 3.6% 4.5% 5.7% Source: American Dental Association, Health Policy Resources Center Dental Visits 5
6 Utilization of Care Cost as a Barrier to Care?? 6
7 Dental Spending by Source 100% 80% 60% 4% 2% 4% 8% 66% 48% 44% 41% 40% 20% 0% 48% 50% 49% 28% Private Insurance Out of Pocket CMS Programs Other Source: Centers for Medicare & Medicare Services Note: CMS includes Medicaid, CHIP, Medicare Dental Benefits 7
8 System Capacity Projected System Change by 2018 Adults Added to System 21,000,000 Public 800,000 Private Children Added to System 3,200,000 Public 5,500,000 Private Source: American Dental Association, Health Policy Resources Center Public : Added to Centers for Medicare and Medicaid Services, Private: Added to Private Dental Benefit Programs 8
9 Possible Strategic Actions Decline in utilization of dental care among young adults Increase oral health literacy; Promote value of dental care and dental benefits; Expand scope of practice for dentists. Continued austerity within state budgets Demonstrate that dental benefits are a good buy in Medicaid, e.g. the cost of evaluating toothaches in hospital emergency rooms. Possible Strategic Actions Shift from financing procedures to financing outcomes Lead in the development of quality and outcome measures (DQA). Pressure on dentists to become more efficient Help dentists manage their practices more efficiently, e.g. ADA s CPS initiative. 9
10 Possible Strategic Actions Increased integration of health care delivery and financing Develop a broader vision for the role of the dentist in the health care team. Increased consumerism in health care Increase oral health literacy; Promote value of dental care; Make it pleasant and convenient to see the dentist. Millennials at the ADA Dental Students Student dental association and consultants Success Dental Student Programs Student enewsletters and mobile apps National Dental Board Exam prep Student debt management services 10
11 Millennials at the ADA Dental Students Career path resources State licensure roadmaps Freshman Welcome Drive National Signing Day T-Mobile Advantage Program through ASDA Millennials at the ADA New Dentists New Dentist Committee and liaisons New Dentist Committee network Annual ADA New Dentist Conference New Dentist Facebook group ADA New Dentist News and epubs 11
12 Millennials at the ADA New Dentists Reduced Dues Program New dentist resource kit Understanding the Association Series Practice location demographic reports Ergonomics and stress management Millennials at the ADA - Communications A mania for multi-tasking Interaction and collaboration Authenticity matters Tell a story Expect high achievers 12
13 Millennials at the ADA Needs Improvement More Baby Boomers in ADA House of Delegates Slow turnover in governance structure Leadership ladders are lengthy and crowded Mid-career engagement concerns Mentoring sounds good, but is tough to implement Building Communities and Associations Create spaces and places Make connections happen Share access to resources Involve the youth Listen for ideas Mayor Jim Willey Village of Elburn, IL
14 An Opportunity Awaits The economy continues to struggle Dentists are affected nationwide Dental expenditures are level at best Regulatory environment has increased Our member dentists need help The ADA is uniquely positioned to respond The Basic Premise Dentists are trained for clinical excellence, but often need assistance managing the business side of practice 14
15 The Challenge To provide relevant and impactful solutions to the business problems dentists face every day in their offices With a Long Term Vision to Create a launching pad for practice management resources and innovation 15
16 A Bold New Solution The ADA Center for Professional Success The CPS Web Portal Will Become A home for world class web-based practice management resources 16
17 The CPS Portal Will Also Include A portfolio of online and in-person dental practice business certificate programs And, high quality content to support dentist health and wellness, including their worklife balance Swimming in a Blue Ocean A portal, portfolio and additional content that are unique, simpler, more convenient, more productive, and fun! 17
18 And a Long Term Goal To become one of the top five most highly rated ADA member benefits within five years Uniquely Organized Into three content buckets Practice Manage Your Career Learn Expand Your Knowledge Live Balance Your Life 18
19 Fresh New UX - Homepage Fresh New UX Tag Cloud and Favorites 19
20 With a Go for Launch Soft launch scheduled for May 2013 with a formal marketing launch in September prior to the ADA Annual Session in October 2013 Dental Trends, Millennials and CPS Questions 20
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