Newswire Washington State Society of Orthodontists wssortho.org

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S U M M E R 2 0 1 4 the Newswire Washington State Society of Orthodontists wssortho.org Open Positions Save the Date! October 4, 2014 @ 7 am Washington State Component Breakfast Meeting Marriot Hotel and Conference Center Anaheim, CA Please purchase a component meeting breakfast ticket when registering or contact the PCSO at 1-888-242-3925 We are currently seeking a Communications Committee Chairperson and PCSO Director for Washington State. Please send an email to wsso.board@gmail.com if you are interested in becoming a part of the board. Save the Date! February 27, 2015 Northern Component Regional Meeting Meydenbauer Center Bellevue, WA Registration opens in the Fall

Thank you for a fantastic 2014 WSSO component meeting! Staff Program Andrea Cook Andrea Cook, practice management consultant, spoke with the staff about- Running your clinic on time - how to make the schedule work in our world. Multi-generational team building. Training - clinical training is the key to success. Understanding clinical reports. We are looking forward to next year s staff program! Doctor Scientific Session- Dr David Musich Dr David Musich s program outlined specific strategies that were employed to reduce the percentage of Class III patients who require jaw surgery through a minimally invasive approach and who were able to achieve acceptable long-term outcomes.. 2

Orthodontic Practices 1. AAO has published a new CDT-2014 version of Orthodontic Codes a. New coding requirements go into effect October 2014 b. The guidelines are available at the aaoinfo.org website c. AAO has produced a webinar available for offices to learn more about the CDT codes. Available for a nominal fee through the AAO Website 2. Electronic Health Records (EHR) a. The mandate requiring all medical and dental records be available in electronic format by 2015 applies ONLY to dentists and specialists who chose to participate in (and qualify for) Centers for Medicare and Medicaid incentive programs i. Must have a minimum of 30 percent patient volume devoted to Medicaid individuals over a 90 day span ii. The AAO expects this mandate to affect only be a very small number of orthodontists iii. Keep EHR requirements in mind if your office sees a significant percentage of Medicaid patients and qualifies for Medicaid Incentive Programs iv. Also be aware of EHR mandates if you are considering purchasing new software and/or transitioning from paper to electronic charts as mandates may expand over time to encompass more providers over time 3

Legislative Summary 3. Expansion of Denturists Scope of Practice Substitute House Bill 1271 was signed into law in May of 2013 and is due to take effect on July 1, 2014. It expands the scope of practice for Washington State denturists. The passage of this bill followed modifications made during a Sunrise Review and interaction with members from the Washington State Dental Association (WSDA). A precedent for this action was set in Oregon. This bill authorizes denturists to fabricate and deliver: 1. Non-orthodontic removable oral devices excluding those designed to treat obstructive sleep apnea and TMD 2. Bruxism devices 3. Sports mouthguards 4. Removable cosmetic appliances (i.e. Snap On Smiles ) 5. Snoring devices only following a physician ruling out sleep apnea 6. Tooth whitening services and trays using non-prescription strength materials. On April 25, 2014, there was a Proposed Rule Making Hearing for WAC 246-812-240. The proposed rules established a process to receive an endorsement on a denturist license; established the level of education and training required prior to denturists providing these services; required board approval of programs and curriculums; and established what will be accepted as evidence of adequate education and training. The rules proposal asked for 4 hours of training in snoreguards and sleep apnea, 2 hours of training in bruxism devices, sports mouthguards and cosmetic appliances and 2 hours in tooth whitening. Members of the WSSO, Washington State Dental Association (WSDA) and Department of Oral Medicine at UW attended the hearing to recommend increasing the educational requirements and to voice safety concerns regarding denturists providing these services. Because the bill was passed a year prior in the state legislature, this had little impact on the proceedings although our concerns were voiced. Members are encouraged to watch for any potential negative patient outcomes influenced by denturists providing these services in their communities. 4. Summary from the WSDA Report on the Regular Session of the WA State Legislature a. Legislation to allow both embedded and stand-alone pediatric dental plans in the Washington Health Benefit Exchange passed out of the house and had a Senate committee meeting but died in the Senate. Currently, all medical plans sold within the exchange must have an embedded dental plan. There is passed legislation that will take effect in 2015 that allows stand-alone pediatric dental plans outside of the exchange. b. HB 2351 was signed into law. This allows out-of-state dentists to apply for a temporary dental license to perform uncompensated dental care in Washington. This exists already in most other states. c. Legislation to allow Dental Health Aide Therapists on tribal lands is dead for 2014 legislative session. d. Midlevel provider legislation proposed by the Children s Alliance did not make it out of committee and is considered dead for 2014. e. Bills that would have created an independent dental hygiene board with full regulatory power are dead for 2014 legislative session. 5. Changes to the rules for dental record keeping a. The Dental Quality Assurance Commission (DQAC) is currently finalizing changes to the rules for dental record keeping. b. Changes will be made in rules relating to the required content of records and how long records must be retained. c. Watch for updates from the WSDA and the WSSO for the specifics. 6. Affordable Care Act plans sold on Washington Healthplanfinder a. WSDA is monitoring one of the negative effects of embedded pediatric dental benefits b. Currently, diagnostic and preventive dental services are not exempt from medical deductibles in most plans. This could lead to a lack of coverage for these services. 4

PCSO Director Position Description Qualifications and Term PCSO Directors are appointed by their component society to serve on the PCSO board for a two-year term. A Director can be appointed to a second two-year term by the component society. Position Requirements The Director must attend all meetings of the PCSO Board of Directors. There are three meetings each year: a one-day meeting in March; a one-day meeting on the Thursday preceding the PCSO Annual Session and a one-half day meeting on the last day of the PCSO Annual Session. The Director is responsible for preparing for each meeting by reviewing information provided, accessing information posted on the SharePoint site, and reviewing the PCSO website and other informational sources (Facebook page, The Bulletin, etc.) to enhance knowledge of PCSO programs. The Director has a responsibility to contribute to the success of the PCSO Annual Session by participating in all activities of the meeting including acting as a room monitor as requested and attending all associated receptions and social activities. Additionally the Director must attend the two business meetings at the annual session. The Director may be required to attend additional meetings or conference calls of the PCSO Board of Directors. The Director should volunteer and/or accept appointment to PCSO committees and task forces when such an opportunity exists. The Director should make every effort to attend all meetings and conference calls of such a committee or task force. The Director should actively communicate with their component society to inform those members of PCSO programs, decisions and activities. In addition, the Director should be involved in their component society and provide relevant information regarding society activities to the PCSO Board of Directors. The Director should attend PCSO Regional meetings in their geographic region and AAO Annual Sessions when feasible. Please send an email to wsso.board@gmail.com if you are interested in this position. 5

Membership and Necrology Category Members Active 250 Qualified, pledged to ethics of AAO ADA member, exclusively practicing orthodontic Retired 98 Retired from active practice, active or affiliate member for > 10 consecutive years Affiliate 2 Qualified, pledged to ethics of AAO ADA member, practicing orthodontics and another specialty Life 21 Age 65 + AAO member >30 consecutive years Total Members 371 The following WSSO members have passed since our last Newswire. The WSSO has made a contribution in their honor to the AAO Foundation. Dr. William Gregorak Dr. Kenneth Kahn Dr. Vincent Kokich Dr. William Lindquist Dr. Ronald Robbins Dr. Daniel Taylor The WSSO Membership chairperson is Dr. Tori Matthys. Please email wsso.board@gmail.com to let Dr. Matthys know of any changes, comings or goings you become aware of. 6

SUMMER 2014 Open Position--Communications Division Chairperson 1.Consist of one (1) Chairperson appointed for a period of two (2) years. 2.Collect new items of interest to the Society and publish a spring and fall newsletter of each calendar year with supplemental newsletters as necessary. Newsletters are to include information on membership, political action/legislation, and any pertinent information related to the practice of orthodontics. 3.Supervise release of information to the dental and public media regarding new items highlighting activities of the Society or noteworthy activities of its members. 4.Oversee and maintain the WSSO website adding and removing crucial information as necessary Please send an email to wsso.board@gmail.com if you are interested in this position. Washington State Society of Orthodontists Board Members Dr. Shafeena Chatur, President Dr. Barbara Sheller, Vice President Dr. Graham Jones, Secretary/Treasurer Dr. Jackie Bunce, Immediate Past President Open Chair, PCSO Component Director Open Chair, Communications Committee Dr. Graham Jones, Chair, Orthodontic Practices Committee Dr. Steve Lemery, Chair, Peer Review Committee Dr. Tori Matthys, Chair, Membership & Necrology Committee Dr. Reid Winkler, Chair, Legislative Committee Dr. Greg Huang, Member at Large Dr. Trevor Veltkamp, Member at Large Contact Us-- wsso.board@gmail.com