2. Conflict of Interest Disclosures for Speakers
1. I do not have any potential conflicts to disclose.
2. I wish to disclose the following potential conflicts of interest:
Type of Potential Conflict Details of Potential Conflict
Grant/Research Support
Consultant
Speakers’ Bureaus
Financial support
Other
3. The material presented in this lecture has no relationship with any of these potential conflicts, OR
4. This talk presents material that is related to one or more of these potential conflicts, and the following
objective references are provided as support for this lecture:
1.
2.
3.
X
XX
3. The Circle of Care!
“If you build it,!
they will come”!
19. Strategy: Communication!
•! Create Systems for Communication!
•! Specialize My Team!
•! Design Correspondence!
!
In-House Team:!
•! SM Correspondence
Coordinator
20. Strategy: Communication!
•! Word Merge Document!
!
Dr. <Sleep_clinFname> <Sleep_clinLname>!
<Sleep_clinName_name>!
<Sleep_clinAdr1>!
<Sleep_clinAdr2>!
!
Re: <PatinfoFname> <PatinfoLname>, dob: <Patinfo_dob>!
!
Dr. <Sleep_clinFname> <Sleep_clinLname>
21. Critical Components to
Communication!
•! What it should say!
•! Necessary details in concise and easy to
read format!
–!Statement of intent!
–!Significant Medical Hx!
–!SOAP format!
22. Critical Components to
Communication!
•! Statement of Intent!
–! “I am referring my patient, <Pat_Name>, for an
evaluation of suspected Sleep Disordered
Breathing.”!
•! Significant Medical History!
–! “Significant medical history includes…!
•! SOAP !!
–! S: “The patient presents with chief complaint of…!
–! O: “Examination revealed…!
23. Critical Components to
Communication!
•! A: Asks for Diagnosis!
“Please evaluate and prescribe treatment!
as you see appropriate.”!
•! P: Requests a plan!
“If you feel that a Mandibular Advancement
Device (MAD) is recommended care I have
included a referral form, a letter of medical
necessity and prescription for treatment.”!
24. Critical Components to
Communication!
•! Why collaborate with me?!
–!I have Credentials!
–!I follow AASM Practice Parameters!
“Cahill Dental Care is an Accredited Dental
Sleep Center and all patients are managed in
accordance with practice parameters
established by the American Academy of
Sleep Medicine.“ !
25. Critical Components to
Communication!
•! Why collaborate with me?!
–!Your patient won’t disappear!
!
“If the patient is treated with a MAD I will keep
you informed of our progress. When we feel
the patient has attained Maximum Medical
Improvement (MMI) with their device, they will
be referred back to your office for medical
evaluation.”!
26. Why Won’t The"
Doctor Refer?!
1. Unknown Dentist!
2. Unknown Expertise!
3. Patients Disappear!
4. Unknown Outcomes!
–!Physician unsure of
efficacy and side
effects of MAD therapy!
!!
29. Why Won’t The"
Doctor Refer?!
•! Unknown Dentist!
•! Unknown Expertise!
•! Patients Disappear!
•! Unknown Outcomes!
•! Medical Reimbursement!
–!Physician concern that
patient may incur large out
of pocket costs!
42. Virtual Team:"
Communication!
–! Patient presents for consultation!
–! Patient cancels consultation!
–! Patient starts treatment x3!
–! Patient does NOT schedule treatment!
–! Patient reaches MMI/MMB !
•! referred back to MD!
–! Patient on long term follow up x3!
–! Patient fails long term follow up x3!
•! Certified letter to patient!
–! Patient discontinues use of MAD x3!
•! Certified letter to patient!
