June 2014 Forensic Dental Identification Dental Professionals and Mass Disasters Emergency Preparation Journacalifornia DENTAL ASSOCIATION and Response
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June 2014 Forensic Dental Identification Dental Professionals and Mass Disasters Emergency Preparation JournaCALIFORNIA DENTAL ASSOCIATION and Response DISASTERS AND THE DENTAL OFFICE Anthony R. Cardoza, DDS You are not a market segment. You are also not a sales goal or a policy number. You are a dentist. One who deserves superior protection, exceptional service and a fair price. That’s something we understand at TDIC. Case in point, the Optimum Bundle. TDIC Optimum Bundle Good discount on Professional Liability when Professional Liability 10 % combined with Workers’ Compensation Commercial Property Better Workers’ Compensation discount on both Professional Liability + 10 % Commercial Property when combined Discounts apply to individual policies and are Optimum not cumulative. To obtain the Professional Liability premium five (5) percent, two-year discount, 20% discount on Professional Liability California dentists must complete the current TDIC Risk Management seminar. Call 800.733.0634 for current deadlines and seminar details. 10 % discount on Commercial Property 5% discount on Workers’ Compensation Bonus Additional 5% discount on Professional Liability when you take the current TDIC Risk Management seminar. Protecting dentists. It’s all we do.® 800.733.0633 | tdicsolutions.com | CA Insurance Lic. #0652783 June 2014 CDA JOURNAL, VOL 42, Nº6 DEPARTMENTS 361 The Editor/Slow to Know or Slow to Show 364 Letter to the Editor 367 Impressions 407 Practice Support/Strategic Continuing Education Planning 410 RM Matters/Considering Dating a Patient? Refer First 416 Regulatory Compliance/ HIPAA Security Risk Analysis 419 Periscope 422 Tech Trends 367 FEATURES 376 Disasters and the Dental Office An introduction to the issue. Anthony R. Cardoza, DDS 379 Forensic Dental Identification in Mass Disasters: The Current Status Training, experience and advances in technology continue to improve the efficiency of the identification process. James D. Wood, DDS 385 The Role Dental Professionals May Play in a Mass Disaster Disasters can occur at any time and California’s dental health care professionals can play an important role as volunteers. Joyce M. Galligan, RN, DDS 389 Dental Property Emergency Preparation and Response There are a number of simple and effective things dentists and staff can do to help prevent and prepare for an unexpected situation. Sheila Davis 393 Business Continuation Planning: How to Recover if Disaster Strikes Drafting a business continuation plan should help to get your office back up and running as quickly as possible after a disaster. Gary Mitchell 397 Forensic Odontology Dentists who work in forensic odontology must understand and adapt to new methodologies, changes in techniques, research findings and legal issues. Duane E. Spencer, DDS JUNE 2014 359 CDA JOURNAL, VOL 42, Nº6 Volume 42, Number 6 JournaCALIFORNIA DENTAL ASSOCIATION June 2014 CDA Classifieds. Free postings. published by the Editorial Upcoming Topics Manuscript California Kerry K. Carney, DDS, CDE July/Medical Management Submissions EDITOR-IN-CHIEF Priceless results. Dental Association of Dental Caries www.editorialmanager. 1201 K St., 14th Floor [email protected] August/TMD com/jcaldentassoc Sacramento, CA 95814 September/Dental/Medical 800.232.7645 Ruchi K. Sahota, DDS, CDE ASSOCIATE EDITOR Collaboration, Part 2 Subscriptions cda.org Subscriptions are available Brian K. Shue, DDS, CDE Advertising only to active members of CDA Offi cers ASSOCIATE EDITOR Corey Gerhard the Association. The James D. Stephens, DDS ADVERTISING MANAGER subscription rate is $18 and PRESIDENT Anthony R. Cardoza, DDS is included in membership GUEST EDITOR [email protected] [email protected] 916.554.5304 dues. Nonmembers can view the publication online Walter G. Weber, DDS Andrea LaMattina at cda.org/journal. PUBLICATIONS SPECIALIST PRESIDENT-ELECT Letters to the Editor [email protected] www.editorialmanager. Manage your subscription Blake Ellington online: go to cda.org, log in TECH TRENDS EDITOR com/jcaldentassoc Kenneth G. Wallis, DDS and update any changes to VICE PRESIDENT your mailing information. [email protected] Courtney Grant Permission and Email questions or other COMMUNICATIONS Reprints changes to membership@ SPECIALIST cda.org. Clelan G. Ehrler, DDS Andrea LaMattina SECRETARY PUBLICATIONS SPECIALIST [email protected] Jack F. Conley, DDS EDITOR EMERITUS [email protected] 916.554.5950 Kevin M. Keating, DDS, MS TREASURER Robert E. Horseman, DDS HUMORIST EMERITUS [email protected] CDA classifieds work harder to Stay Connected cda.org/journal bbringring you resuresults.lts. SeSellinglling a practice Alan L. Felsenfeld, DDS Production SPEAKER OF THE HOUSE [email protected] Val B. Mina or a piece of equipment? Now you SENIOR GRAPHIC DESIGNER can include photos to help buyers Lindsey A. Robinson, DDS IMMEDIATE PAST PRESIDENT Randi Taylor SENIOR GRAPHIC DESIGNER see the potential. [email protected] And if you’re hiring, candidates Management Journal of the California Dental Association (ISSN 1043-2256) is published monthly anywhere can apply right from Peter A. DuBois by the California Dental Association, 1201 K St., 14th Floor, Sacramento, CA 95814, EXECUTIVE DIRECTOR 916.554.5950. Periodicals postage paid at Sacramento, Calif. Postmaster: Send address the site. Looking for a job? You can changes to Journal of the California Dental Association, P.O. Box 13749, Sacramento, post that, too. And the best part— Jennifer George CA 95853. CHIEF MARKETING OFFICER free The California Dental Association holds the copyright for all articles and artwork published it’s to all CDA members. herein. The Journal of the California Dental Association is published under the supervision of Cathy Mudge VICE PRESIDENT, CDA’s editorial staff . Neither the editorial staff , the editor, nor the association are responsible for All of these features are designed to COMMUNITY AFFAIRS any expression of opinion or statement of fact, all of which are published solely on the authority of the author whose name is indicated. The association reserves the right to illustrate, reduce, help you get the results you need, revise or reject any manuscript submitted. Articles are considered for publication on condition Alicia Malaby that they are contributed solely to the Journal. faster than ever. Check it out for COMMUNICATIONS DIRECTOR Copyright 2014 by the California Dental Association. All rights reserved. yourself at cda.org/classifieds. 360 JUNE 2014 Editor CDA JOURNAL, VOL 42, Nº6 Slow to Know or Slow to Show Kerry K. Carney, DDS, CDE t a recent conference on interprofessional education, one of the speakers challenged Trust and congeniality, that was the basis upon the audience to guess the which information could not only be communicated average length of time between Athe publication of a therapeutic innovation but also incorporated into everyday practice. and its adoption into accepted, everyday practice. The answer was 17 years.1 That is an average. Some innovations are rapidly adopted while others can of the cleaning and sterilizing agents were we like. We imbue them with an languish for many decades. A recent already known and not available to patent. interest in the welfare of our practice article by surgeon and journalist Atul Antisepsis depends on understanding and our patients above their own self- Gawande examined what factors may and believing in germ theory, as well as interest. Once we trust they are not affect the speedy adoption of some ideas patient follow-up to compare outcomes going to “steer us wrong,” we are much and how other “slow ideas” might be over time. Anesthesia needed no more open to trying their product. accelerated along their road to adoption.2 fundamental understanding of how it That positive human interaction The article began by contrasting the worked to appreciate its effectiveness. One can be the pivotal factor in behavior rapid adoption of anesthesia and the slow could see immediately that it worked. change. Educational interactions with adoption of Lister’s antisepsis techniques. Gawande discussed how one health care counselors more predictably William T.G. Morton, a Boston can effectively shortcut the long achieve patient behavior change than dentist, popularized inhalation anesthesia and costly delays in adoption and one-way information without the human in 1846 after a surgical demonstration implementation of some important element. Patients with diabetes who of its effectiveness at Massachusetts but slow ideas. As his example, he simply watched an instructional video General Hospital. Though it met some examined the adoption of good, healthy without that human interaction with a initial resistance, especially from those birthing practices and neonatal care counselor were less likely to change their with religious objections to its use in through a pilot project in India. behavior. Health counselors were able childbirth, it was rapidly incorporated into The project revealed that personnel to move the behavior change forward surgical procedures around the world. could know what they should be doing, by establishing a therapeutic alliance There were factors that but unless they liked and trusted the between themselves and the patients.3 facilitated adoption: training agent, they would not reliably The pharmaceutical industry ■ The potential for fi nancial gain (patent change their practices to include the new has a long history of friendly gifting attorneys were gainfully employed techniques. Trust and congeniality, that behaviors to try to speed