Bringing Teledentistry Into Practice Series: DELIVERING … · • COVID-19 Impact on Health...

DELIVERINGEXCEPTIONAL CARE WITHINTERPERSONAL SKILLSDentaQuest Partnership Continuing Education Webinar

June 2, 2020

Bringing Teledentistry Into Practice Series:

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Housekeeping

• All lines will remain muted to avoid background noise.

• A copy of the slides and a link to the recording will be shared after the webinar

concludes.

• In order to receive CE credit you must fill out the webinar evaluation, which

will be shared at the end of the presentation. The evaluation must be

completed by EOD Friday, June 12 to receive CE credit. CE certificates will

be distributed a few days after the webinar takes place.

The DentaQuest Partnership is an ADA CERP Recognized Provider. This presentation

has been planned and implemented in accordance with the standards of the ADA CERP.

*Full disclosures available upon request

3

Q&A Logistics

After the presentations we hope to have some

time for Q&A

We will be monitoring the chat box throughout

the entire presentation and we will do our best

to answer all questions.

• Type your question in the chat box

and make sure you send it to all

panelist.

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Presenter:

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• Consultant, Dentaquest Partnership for Oral Health Advancement and

Elevate Oral Care

• Clinician, Clinica Family Health – Denver, CO

• Adjunct Faculty, University of Colorado School of Dental Medicine

• Member, Motivational Interviewing Network of Trainers

Matt Allen, DDS

PresidentM David MI Inc

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• Consultant working with

DQP and other clients

• IHI Improvement Coach

• Former Dental Director

• Teledentistry since 2009

Carolyn Brown, DDS

Senior Strategic Advisor DentaQuest Partnership for Oral Health Advancement

• DDS, University of Maryland School of Dentistry

• Certificate, Value-based Care, Geisel School of Medicine, Dartmouth College (In progress)

• MAEd, University of the Pacific

• BS, University of Maryland

• Speaker, researcher, expert advisor, review panel

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Today’s Objectives:

After this training, participants will:

1. Understand the importance of and barriers to effective communication and

patient engagement during synchronous teledentistry

2. Explore how various elements of technical setup and conversational skills

can help or hinder the effectiveness of a teledental visit

3. (Re)imagine the value of preventive dental telehealth to patients and

practitioners

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Setting the baseline

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TELEDENTISTRY: A PRACTITIONER PERSPECTIVE

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Searches for “Teledentistry” in the US

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TeleDentistry

TeleDentistry

Google trends “teledentistry” Jan 1- May 16, 2020

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Searches for “Teledentistry” & “Re-Opening Dental” in the US

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TeleDentistry and Re-Opening Searches

TeleDentistry Reopening

Google search trends “teledentistry” and “ Dental Re-opening” Jan 1- May 16, 2020

12Photo courtesy of The Oral Health Progress and Equity Network, OPEN.

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TELEDENTISTRY:A PATIENT PERSPECTIVE

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Patient Health Priorities

26%

30%

32%

36%

39%

50%

34%

37%

39%

45%

47%

51%

Dermatologic/skin

Mental

Digestive/gastro-intestinal

Ophthalmologic/eye

Cardiac/heart

Dental/oral

Patients Parents (for children)

Top

Concern

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Even Before COVID-19, patients welcomed teledentistry

https://dentavox.dentacoin.com/blog/teledentistry-surteledentistry-survey-shows-patients-are-ready-to-welcome-it/

78% of patients

are likely to start

using teledentistry

within the next 5 years

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The best use cases for teledentistry according to patients

https://dentavox.dentacoin.com/blog/teledentistry-surteledentistry-survey-shows-patients-are-ready-to-welcome-it/

65%

Health Promotion

& Education

50% 27%

Diagnosis & Dental Disease

Risk Management

Preventive Procedures

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TELEDENTISTRY: REIMAGINING OUR ROLE

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Primary Care ProvidersSurgical Sub-Specialists

vs.

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Diagnosis & PreventionTreatment

vs.

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AuditoryVisual/Tactile

vs.

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THE SHARE FRAMEWORK

Accepted by the British Dental Journal in Practice for publication July 2020.

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Learning to SHARE: Five Essentials for

Patient-Centered Communication During Synchronous Teledentistry

1. Setting and Speech matter

Accepted by the British Dental Journal in Practice for publication July 2020.

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Learning to SHARE: Five Essentials for

Patient-Centered Communication During Synchronous Teledentistry

1. Setting and Speech matter

2. Hold eye contact by looking at the camera

Accepted by the British Dental Journal in Practice for publication July 2020.

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Learning to SHARE: Five Essentials for

Patient-Centered Communication During Synchronous Teledentistry

1. Setting and Speech matter

2. Hold eye contact by looking at the camera

3. Ask open-ended questions

Accepted by the British Dental Journal in Practice for publication July 2020.

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Learning to SHARE: Five Essentials for

Patient-Centered Communication During Synchronous Teledentistry

1. Setting and Speech matter

2. Hold eye contact by looking at the camera

3. Ask open-ended questions

4. Relationally share information

Accepted by the British Dental Journal in Practice for publication July 2020.

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Learning to SHARE: Five Essentials for

Patient-Centered Communication During Synchronous Teledentistry

1. Setting and Speech matter

2. Hold eye contact by looking at the camera

3. Ask open-ended questions

4. Relationally share information

5. Express warmth and gratitude

Accepted by the British Dental Journal in Practice for publication July 2020.

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SETTING AND SPEECH MATTER

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Precovid photo of dds/rdh greeting pt Post covid photo of dds greeting pt

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Precovid photo of dds/rdh greeting pt Post covid photo of dds greeting pt

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Precovid photo of dds/rdh greeting pt Post covid photo of dds greeting pt

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Precovid photo of dds/rdh greeting pt Post covid photo of dds greeting pt

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33sarrelldental.org

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Precovid photo of dds/rdh greeting pt Post covid photo of dds greeting pt

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HOLD EYE CONTACTBY LOOKING AT THE CAMERA

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Precovid photo of dds/rdh greeting pt Post covid photo of dds greeting pt

placeholder

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Precovid photo of dds/rdh greeting pt Post covid photo of dds greeting pt

placeholder

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ASK OPEN-ENDED QUESTIONS

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What is your chief complaint? What matters most for you to

cover today?

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What is your chief complaint? What matters most for you to

cover today?

Do you have any questions? What, if any, questions might I

be able to help you answer?

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What is your chief complaint? What matters most for you to

cover today?

Do you have any questions? What, if any, questions might I

be able to help you answer?

Where does it hurt? Tell me about what’s been

bothering you.

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RELATIONALLY SHARE INFORMATION

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Explore-Offer-Explore

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Explore: What does the patient know?

Offer: Share information

Explore: What does the patient think?

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EXPRESS WARMTH AND GRATITUDE

46https://www.youtube.com/watch?v=df7KWFCTUYs&t=261s

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“How do I assess

caries risk?”

“Where does

the dental team

fit in?”

Using teledentistry…

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“How do I assess

caries risk?”

“Where does

the dental team

fit in?”

“Types of health

education tools?”

Using teledentistry…

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Drink tap water (containing fluoride)

Floss Leave toothpaste foam in mouth at bedtime

Use xylitol

Visit dentist every _ months

Use Clinpro 5000, MI Paste or

ReminPro daily

Family receives dental treatment

Limit juice, soda and sports drinks

to mealtime

Eat healthy snacks (nuts and cheese)

Use fluoride mouthwash nightly

Brush with fluoride toothpaste at least

2 times daily

Chew sugarless gum

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Moving the baseline

5

4

3

2

1

52

Setting and

SpeechHold eye contact

Ask open-ended questions

Relationally share

information

Express gratitude

and warmth

Learning to SHARE: Five Essentials for

Patient-Centered Communication During Synchronous Teledentistry

Accepted by the British Dental Journal in Practice for publication July 2020.

QUESTIONS?

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Webinar Evaluation

https://www.dentaquestpartnership.org/node/199250

*Must complete by EOD Friday, June 12 in order to receive CE credit

Upcoming Webinars:

• COVID-19 Impact on Health Inequity (June 11th at 1:00 PM – 2:00 PM)

• Bringing Teledentistry Into Practice Series – Webinar 3: Directing Patient

Care in a New and Innovative Format (June 22 at 1:00 PM – 2:00 PM)

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