View/Open
Transcription
View/Open
·R·A·S·K·A ASSOCIATION 3120 "0" Street, Lincoln, Nebraska 68510 VOLUME 94, Issue 1 Golden Apple Presentation by Tom Bassett We thought l\f1)A members might want to see some proof that their Officers and E, cutive Director attended the ADA's meeting in San Francisco. I knew the DA was going to receive the prestigious Golden Apple Award, Drs. Dr.Jctck Harris (Rigbt), President of Corcoran and Vigna the ADA, presents tbe Goldell Apple didn't know. I made Award to (from Left) Tom Bassett, Dr. sure both attended the Ed Vigna & Dr. Bill Corcorml. Awards Luncheon hy guaranteeing tJ1em a free lunch and $20. llied about the loot. The award, as mentioned in last month's Newsletter, was for excellence in Legislative Activity. The honor was for our work in keeping dentistry for adults in ebraska's Medicaid program. I want to th~ll1k all the dentists who testified at the State Capitol and who contacted their senators via phone calls, letters and personal contact. Also, thanks to our Administrative A,'sistant, .Julie Berger, for helping prepare the Golden Apple entry materials. No wonder we won! January 1994 NEDPAC/ADPAC Needs You Check out these statistics, then please get out your check book. ADPAC Membership Report - 1993 # of full dues 1993 PAC members paying members % who are PAC members South Dakota 252 252 100 North Dakota 150 266 56.4 Kansas 363 933 38.9 California 4,250 12,861 33.0 Toral ADA 34,819 106,392 32.7 Nebraska 163 714 22.8 Half of Nebraska's state senators face re-election in 1994 and the issue of health care reform is atop many political agendas. Do the dentists of Nebraska really need any more reasons for spending $50 to join both AOPAC and NEOPAC' A check from your personal account to the NOA will do the trick. That address is NDA, 3120 "0" Street, Lincoln, NE 68510. NEOPAC in 1994 will be as strong as its bank account. PDA,NHCD,OPU hy T Bassett Precision Dental Associates (PDA), the marketing company that's actively promoting the discount dental plan endorsed by Nebraska Farm Bureau, has company. National Health Care Discount (NHCD) is asking dentists and optometrists to sign-up for the privilege of giving away certain services and discounting everything else they provide their patients. As usual the marketing company makes money off of the labor of dentists. Don't forget to ask anyone you know who is associated with Farm Bureau when they will be taking a 60-80 percent cut in pay. Since the overhead in a dental office ranges from 60 to 73 percent, a 20 to 30 percent discount of fees is a pretty big hit in the profit column. i "vemld imagine the folks at Farm Bureau, PDA and NHCD will be happy to give up 60 percent of their income in 1994 so they can match the level of sacrifice they're asking dentists to make. Wouldn't you agree? LEAD Workshop: Dentistty needs grassroot support. Marketshare: How to get the Max. NDA Annual Session: Fantastic Speakers. Information For Patients: UCR's and Reality PLUS some articles that fell out of Dr. Doug de Shazer's briefcase (Finders Keepers). A NEWSLETTER SERVING THE DENTISTS OF NEBRASKA 2 NEBRASKA DENTAL ASSOCIATION A Message From the President l'(li/lialll Corcoml/. D.D.S. PrC'sic!C'I// NC'/)mska [)C'/I!(// Associ(//io/l Welcome to 1994!!! The new year promises to be an exciting one according to advance billing. The World Health Organization has designated 1994 "The Year of Oral Health." As dentists, we should be pleased that this was singled out as an important contributing factor in the overall quality of life. As the year unfolds, let us also hope that state and federal health care reforms allow us to continue making contributions. The federal government is expected to have several legislative proposals covering health care reform to consider by April or May. Hence, the House of Delegates of the ADA has authorized the spending of two million dollars from the reserve fund to assure the interests of Dentistty. Dr. Bill Corcoran Governor Ben Nelson has appointed a Blue Ribbon Coalition to evaluate health care delivery in Nebraska. This committee is headed by Mr. Frank Barrett, a fonner state insurance director. The purpose of this coalition is to make recommendations for possible health care reform on the st~He level. This may be independent of any national initiatives. The result of this study is a concept called "NebrasKare. ,. The Governor also has a concern regarding the quality of health care being provided in the state. Thus, we (Nebraskans) have a Panel on Professional Discipline. The purpose of which is to beef-up oversight and regulation of health care professionals. The NDA had an Oppo11unity to provide written testimony to the panel. As president of the NDA, I had an opportunity to provide verbal and written testimony at a Health and Human Services Committee hearing. State Senator, Don Wesely chairs this committee which is also considering possible health care measures for the state legislature. With these issues pending, and who knows what else will arise, it is little wonder that The new year will not be dull. To help prepare for the challenges of the coming year, the NDA is sponsoring a workshop. The ADA will be prOViding the expertise for a Legislative Education and Awareness for Dentists program. The workshop will be held Thursday afternoon, January 20, from 1-4:00 pm prior to the Legislative Reception. Anyone interested in attending one or both may do so simply by notifying the NDA office. Hope to see you there!!' Remember - support ADPAC and NEDPAC!!' - - - - - - - Congrats, Thanks, Etc. - - - - - - Thanks to Dr. Jim Smith (Omaha) and Dr. Dick Marshall (Lincoln) for attending meetings with Senator Bob Kerrey and his staff. The meetings were held recently in Nebraska to familiarize healthcare organizations with President Clinton's health reform bill. There were 18 people at the meeting in Omaha, 4 were from the news media and 3 were representing the NDA (not bad). Dr. Bob ZaimJn of Omaha was featured in an article in the Omaha World Herald. Football hero Gale Sayers was in Omaha to speak about minority-owned businesses. Bob & Gale attended Central High School together. In the photograph in the World Herald, Gale Sayers is asking Bob for his autograph. Shouldn't that have been the other way around? Dr. Jim Huerter of Omaha said in the Omaha World Herald that kids are better informed than they were 40 years ago. He had a little red-haired girl who recently visited him, accompanied by her brown-haired mother. The dental hygienist said to the child: "Oh, what pretty hair you have! Where did you get it?" The girl replied: "Recessed genes." Go figure. 3 NEBRASKA DENTAL ASSOCIATION MORE FOR YOUR MONEYI Quality, name brand equlpmentandsupplies -=plus the service you deserve. BARBER DENTAL SUPPLY, INC. UALITY & VALUE SINCE 1908 4507 S. 88 St. • Dmaha, NE 68127-1590 • (402) 339·4710 HeyN bras a! THE 1994 MIDWEST DENTAL CONFERENCE offers you an opportunity to revisit your days as a dental student and to catch first-class presenters, over 150 technical exhibits, parties, receptions and Kansas City's fair weather, fine dining, unique shopping, and fun! THE LINEUP Dr. Gerald M. Bowers, Periodontics Dr. Peter Glazer and Mrs. Susan Glazer, Conflict Dr. Gerard Chiche, Crown and Bridge Ms. JoAnn Gurenlian, Future Challenges Dr. Charles Cobb, Malpractice in Periodontics Dr. William "Bud" Mopper, Esthetics Dr. Dominick Depaola, Nutrition Dr. Alan Glaros and Ms. Cindy Amyot, Fearful Patients Dr. Howard Farran, The Business of Dentistry Dr. John Kanca, Adhesion Dentistry Dr. David Federick, Restoring Decimated Dentition Ms. Cathy Jameson, Team Building Dr. Harold Shavell, Amalgams & Complete Porcelain Rehabilitation MARCH 24-27, 1994 KANSAS CITY, Mo. Call 816-235-2060 or write the UMKC School of Dentistry, Midwest Dental Conference, 650 E. 25th St., Kansas City, MO 64108. People who are speech or hearing impaired can cOlllact the School of Dentistry by using Relay i."lissouri. 1-800-735-2966 CIT) or 1-800-735-2466 (Voice). Presented by UMKC School of Dentistry Alumni Association. 4 We're The Last To Know, So We Need Your Help by T. Bassett As dentists, you receive contracts from PPO's, information from referral plans ancl oth('r assorted ·'offers." As an office for a non-profit organization we get bills from utility companies, little calendars from insurance s;lles people ;lnd brochures selling coffee mugs in 31 colors. We want to help members evaluate contractual offers, referral plans ;lncl other such dent;l] agreements that clutter your desk. Hmvever, since we're not dentists \ve don't receive the material that you do. Our Council on Third Party Care is supposed to keep a record of the dental plans that exist in Nebraska. At present it's a pretty small file. compared to \vhat we believe is in place and being offered to the dentists in our state. Before you toss or file one of these persuasive offers (insurance, referral, ,vhatever) send it to the NDA or at least mail us a copy of the 'Igreem ~nt you're supposed to sign. We want to keep track of what's going on in the ever changing and xpanding world of dental benefit plans. The ADA has a division that w rks with contract analysis. J\ilembers can use this service, as can the NDA office. S Idom does an idea pop-up in Nebraska regarding a new dental benefit plan (soy-bean research - yes - dental benefit plans - not too often). If the ADA has seen a contract from Prudential or Sears or A'YZ, they can share information with us very rapidly. If it's ne\;v to them, the analysis might take several weeks but the wait may save members from signing something they will later regret. NEBRASKA DENTAl ASSOCIATION Several weeks ago an "on the hall" NDA member spotted a statcment in a cover letter from the Prudential Dental i\et\Vork that seemed out of line. He called the NDA and we contacted an attorney \vith the State Insurance C< mmissioner's Offic<:.'. Sure enough, Prudential was making a statement (more like a threat) that ,vas against Nebraska's freedom of choice law, Prudential has heen put on notice to rl:word th ir "invitation" to join the PPO. Another NDA member called recently to report that one should not helievl: everything he 01' she reads on lists of providers often accompanying imitations to sign-up. There is at 1l'ast two lists cin:ulating in Nebraska th~lt name a number of providers who have told colleagues. "no \vay did I agree to be one of their providers." Of course one of the prohlems here is that a marketing company can play under different rules than a licensed healthcare provick'r. That is if there were any ru1l's for them to ahick: hy, The NI)A has contacted 1>oth the Attornt'Y General's ollict' ~Ind the Insurance Commissioners office in recent months to update them as to our concerns. \Ve need our memhers to help us stay on top of false claims and hogus names. So ~·hen a dental plan is offered to you. sign if you think ifs right for your practice. However. if you han:, qUl:'stions. use the ADA's toll free numher to get some answers from their legal staff (HOO) (J21-HO<)<), and ask for l'vlichele Thorne. Also. don't forget to let the NDA office knm\' what's going on. Plelse send us brochures. packets, etc. before you ross them in ye olde round file 'neath your desk. Anyone "'ant a brochure offering a gre~lt selection of nifty coffee mugs i Amendment To Unprofessional Conduct Law For Health Care Providers (Dr, Mark Hortoll, Director of the Depm1mellt q/Healtb has requested that /I'e sbu re tbis With the passage or LI3 536 during the 1993 legislative session, the Nebraska Statutes were amended to include a change in definition of unprofessional conduct. This definition specifies acts which will now be considered violations for which licensees could be disciplined. The new language of the statutes reads as follows: "71-148, For purposes of section 71-147, unprofessional conduct shall mean any departure from or failure to conform to the standards of acceptable and prevailing practice of a profession or occupation or the ethics of the profession or occupation, regardless of whether a person, patient, or entity is injured, or conduct that is likely to deceive or defraud the public or is detrimental to the public interest, including, but not limited to: ...... (17) Commission of any act of sexual abuse, misconduct, or exploitation related to the practice of the profession or occupation of the applicant, licensee, certificate holder, or registrant; (18) Failure to keep and maintain adequate records of treatment or service; (9) Prescribing, administering, distributing, dispensing, giving, or selling any controlled substance or other drug recognized as addictive or dangerous for other than a medically accepted therapeutic purpose: il~/imJl{,/tiOIl l/'ith 0/1 r rel/dcJ:\·. (20) Prescribing, administering, distrihuting. dispensing. giving, or selling any controlled substance or other drug recognized as dangerous or addicriv<:.' to olK'self or, l'XCl'pl in the case of a medical emergency. to (lO<:.'\ spou,'ie or child: and (21) Such other acts as may he defined in rules and regulations adopted and promulgated by the board examiners in the profession of the applicant. licensee, certificate bolder. or registrant with the approval of the department. Nothing in this section shall be construed to exclude determination of additional conduct that is unprokssion~d hy adjudication in inclividual contested cases," This new law applies to the following professions: advanced emergency medical Lire, ~Iudiology, cbiropr~letic. cosmetology, dentistry, dental hygiene. emhalming. environmental health specialists, funeral directing. hearing aid instrument dispensing ancl fining, licensed practical nursing, massage therapy, medicine and surgery, mental health practice, nursing home administration, nutritionists. occupational therapy, optometry, osteopathy. pharmacy, physical therapy, podiatry, professional counseling, psychology. registered nursing, respiratory C~lre, social work, speech-language pathology, vl't<:.'rin~IIY medicine and surgt'ly This law became effective June 11, 1993. ; NEBRASKA DENTAL ASSOCIATION . - Em-press Wears Like Natural Teeth ~ High Flexural Strength ~ Excellent Esthetics ~ Unsurpassed Fit L\.I L-..=• L·\.I U•.: ' . , L.. "\..:: LJ..~",,:~L· LL:-~L:LLLL:~~~ HEUMI1NN and dssociates Dental Laboratory Box 33. 520 East Fifth SI. Topeka. Kansas 66601 Telephone (913) 235-9293 Toll-Free WATS Line (Kansas Only) 800-432-3586 (Nationwide) 800-255-2412 AFull-service Laboratory I 6 NEBRASKA DENTAL ASSOCIATION Dental Association Celebrating 126 Years "Leading & Learning into the 21st Century" April 10-12, 1994 Holiday Inn Central- Omaha, Nebraska I • Dr. Michael Schuster Dr. Ronald Goldstein Dr. Schuster, of Scottsdale, Arizona, will discuss principles of personal and practice development. His presentation is deSigned to teach concepts of personal growth, managerial excel lence and economic freedom using what he calls the PROFITABILITY MANAGEMENT METHOD. A great opportunity for the whole dental team and spouses. Dr. Goldstein is an internationally known expert on dental esthetics. He has written and lectured extensively to both professional and lay audiences. He will speak about esthetics in 1994. lim ited seating for this exciting presentation. (6 Hours CE) TUESDAY, April 12 Dr. Ronald Attanasio Dr. Attanasio is currently the Chairperson of the Department of Adult Restorative Dentistry and the Director of the Section on TM] and Orofacial Pain at the Uni versity of Nebraska College of Dentistry. He will identi fy Temporomandibular Disease (TMD) and discuss its diagnosis and treatment. Another topic for the whole dental team. (4 Hours CE) Grab That New 1994 Calendar Plan now to join your colleagues at the DAS 1994 Annual Session. Bring your spouse and your staff as your Association presents Leading and Learning into the 21 st Century. The NDAS Council on Annual Sessions has planned a meeting that promises to be memorable and very likely a record breaker. Registration packets will be in members' mailboxes in late February. NEBRASKA DENTAL ASSOCIATION 7 ...a promise to defend... HERE ARE THE FACTS: Over 25% of America's Dentists will be em broiled in a malpractice issue during their career. More than 80% of those malpractice allegations will be closed without an award for dam ages. Your professional reputation and your personal assets are on the line when your professional liability carrier is not both financially sound and experienced in the law and the judicial system. WHEN THE ISSUES A E LEGAL, NOT ENTAL·· when the allegations are frivolous, or highly emotional-- you need a company and legal repre sentation that understands the problem and has the experience to resolve the issue. The Medical Protective Company has specialized in defending doctors since 1899. Our legal and claims management experience is unmatched by any other insurer in the U.S. FOR MORE INFOR AllON on how we can protect your professional reputation and your personal assets, call your local Medical Protective General Agent at 1-800-344-1899. THE MEDICAL PROTECTIVE COMPANY FORT WAYNE, INDIANA Professiona{ Protection 'E{.dusivefy since 1899 A+ (Superior) A.M.Sest AA (Excellent) Standard and Poor's 8 NEBRASKA DENTAl ASSOCIATION Guest Editorial Call to Action Get out a piece of lerterheacl and your fa\'orite pen. Sit down, as soon as you finish reading this and write a len r to your senator and representative. Don't worry about typing If: your own handwriting is more sincere anyway. In your lener, u,'e your own words to tell your elected leader about the great job denristlY has done in the past 30 years to reduce basic dented disease. We believe in prevenrion; we teach our patients evety day that regular denral care ,...·ill maintain their oral healrh and help them avoid major restorative work. Explain to your senator that dentistry already has a great system of cost containment in deductibles, c -pays and yearly maximums. Traditional dental benefit plans are design d to promote regular, preventive care. Increasing the numher of traditional dental benefit plans, not managed care plans, will guarantee more pe pie will seek regular are; in turn, they will rec iv the high quality care everyone deserves. It seems that pe pIe drafting health care policy in Washington do not have a dear idea of the differences in the delivery of dental cue and medical care. The analogy of a surgeon and a dentist might help: a surgeon does invasive procedures on patients and charges a fee for those procedures. During the surgery, the :urgeon does not have to pay the nurses' sabries, the mortgage on the hospital or the leaseholds n the equipment. I bet the surgeon doesn't even wash the nurses' scrul jackets. A dentist. who performs invasive procedures on almost evelY patient, will pay all those costs and more. A surgeon who joins a PPO and takes a 20 percent cut in fees will still take home 80 percent. For a dentist, a 20 percent cut in fee' means little or no profit and ;j disincentive for excellence. Current word from D.C. is that the White House has decided to concentrate on the budget before announcin t'>a health care reform proposals. It \vill probably be September before we know what form they will take. In the meantime, \,y are left to wony that financing for health care reform will me fr m taxing dental benefits, either by :.1 tax on employees r the elimination/reduction of the existing employer deductibility. That might cause employers to drop denral benefit plans if there is a tax liability; then the publiC \v uld have less access t oral health care. There are no easy answers. The money to fund health . re reform has t come from somewhere. The I oint we need to make is that denti try, while :.111 essential part of lerall health care, has distinct and important differen 'es nsid rati n. that deserve thoughtful The leaders at th ADA level have worked dili Tently t get our mes 'age heard in C ngress, w they are a. king us, the memh rs and voters, to pick up a pen or a ph ne and reinforce dentistry's message. Get out that pi ce of letterhea I, and t StL rted now. Elizabeth A. Ward, D.D.S, Editor Missouri D nt l] LIma!. reprint d witll MDA ermission (Jkre's lI'ho 10 cOlllacl. Edilor) The Hon l"dble J. James Exon LnileJ Sl..tes SenaWr 'i2H Han S<.:mt· FFice Bldg. \\ ashington. D.C. 2ll'i III The Hon rable Peter Hoa~land l'.S. 1louse of Herre. l'nlali, '. 1'710 l.on. ~ onh Ilouse !lIel' IIIJg. \\'a 'hington, D.C. 20'; I '; The Honorable J. Rohert Kerre • l·nitl·J States SL'n ..llor :\ 16 I Lin Scnate Offic<.: I3IJg. \\'ashinglon. D.C. 10'; 10 The Honol"dble William Barren l'... II 'Us<.: of Repres<.:ntali\'l's 1iJ7 l"n,,'\\"(>I1h llol~ 'Oflke Bldg. \\ ashinglOn, D.C. 20'> I '; The Honorable Douglas K. Berelller I.:.S. House of Representat;"e, 23-tH IlavhurI1 !lous<.: Office lllug. Washington. D.C. 10') I 'i Your Colleagues Our featured dentists this month are husl and and "vife, Drs. Scott and Cynthia Schroeder of Om:.1ha. Both are in general practice and 1987 graduates of UNMC. We assume that by now they've paid off all their loans and are rolling in loot (HAl). Some of the interests they share are golf, enjoying countly music and chO'l:5ilIS keeping up with daughters Madison 8 and Macey 6. Their goals are to continue to grow with their dental practice, to broaden horizons with new and varied interests and to have a happy and healthy family. Both Scott and Cindy have been active at the state and district levels of organized dentistly and the NDA aims to keep it that way. They are indeed a dynamic dLio and we are pleased they allowed us to brag a liule aboLit them this month. Drs. Scott & Cindy Schroeder with Madison (left) and Macey 9 NEBRASKA DENTAl ASSOCIATION New Members, Phone Numbers and Addresses Please keep liS updated re: lie/V address, new pholle numbers, or corrections in the membership directory New Members New Addresses As always, please 1I,C'lcome nell' cnlleagues, new lIIellll?el~" Clnd nell' neigbbors. Dr. Chris Lippold Dr. Rober Crownover 32] . 50 Avenue Omaha, NE 68132 (402) 39]-0459 P.O. Box 607 Hemingford, NE 69348 (308) 487-3706 Om~lha, NE 68114 (402) 39]-8802 Dr. Norton F. Rinne 6918 Spring Street. ApI. 2]6 Omaha, NE 68106 (402) 397-5308 Dr. Arthur Voss .~407 Comstock Street Omaha, NE 68]23 (402) 292-6055 Dr. Bradley O. Braasch RFD 4, Box 124 York, NE 68467 (402) 362-3624 Dr. Joseph Bates 409 S. 78th Street, #] The Nebraska Dental Association is pleased to host the 1994 LEAD workshop. The American Dental Association will be providing the speaker. If YOllr name alld/or address appeared i/1 tbe 1993/94 NDA Membersbip DirpctOIY with (//1 incor rect ~pellillg or incorrect address, please phone Peggy or Cbristy at tbe NDA qilice with llece.':'CllycoIH!ctions. legislative Education and Awareness for Dentists This is your invitation to attend the LEAD workshop in Lincoln on Thursday afternoon, 1:00 - 4:00 p.m.,January 20th. The workshop site is the conference room in the Blue Cross/Blue Shield Building**, 1233 Lincoln Mall. Not so coincidentally the NDA's Legislative Reception follows the workshop, just 3 blocks away. We can make a difference in the future of healrhGlre reform in Nebraska, if we know how. The LEAD workshop will help liS develop the necessary knowledge. National Health Care Reform NebrasKare Dental Referral Services NebrasKare Managed Care Provider Taxes Medicaid NebrasKare Anti-Trust Laws Become a LEADER. LEAD is a political education workshop for dentist. LEAD takes an in-depth look at the entire political and legislative environment as it impacts the dental profession. At the LEAD workshop you will: * * * * Examine the legislative structure and players Learn to develop an effective grass-roots lobbying effort Analyze political campaigns Strategize - How can dentistry affect the legislative process? - How do we convey a strong and cohesive message? - How do we neutralize or defeat opposing interests? - 0......-~- - ··Parking Note: Parking along Lincoln Mall is prohibited, you may wish to use the Cornhusker Hotel lot or FirsTier's lot. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Clip and mail to: NDA, 3120 "0" Street, Lincoln, NE 68510 - - .p - ~- Yes, I will attend the LEAD Workshop Your Name: Address: _ City: _ Your Phone: Slate: Zip: _ _ 10 NEBRASKA DENTAL ASSOCIAnON The Metropolitan Denver Dental Society Presents IIAROLD SHA vet/. I(ENN£UMAN LINDAMILfS THE DENVER'MIDWINTER CHARLES UUlIR DENTALCON~VENtlON Preview the 87th Denver MIDWINTER "DENTISTRY IS FUN. EXCITING AND REWARDING· "STAFF MEETINGS· "SYSTEMS FOR SUCCESS (FILING COLLECTION ETC.y Ms. Linda Miles. CSP "CONTROLLING PRACTICE OVERHEAD BY KNOWING YOUR NUMBERS· Dr. Charles Blair "COSMETIC DENTISTRY / COSMETIC IMAGING "NEW VISTAS IN COMMUNICATIOW Dr. Ken Neuman "THE AESTHETICS OF OCCLUSION; FROM. FUNCTION FINESSE· Dr. Harold Shavell "ESTHETIC IMPLANT RESTORATIONS· Dr. Brian Broda "DENTAL IMPLANTS AND NATURAL TEETH: A COMPARISON OF PLAQUE CONTROL DEVICES· Ms. Myra Bender. RDH "SUCCESSFUL IMAGES· Ms. Kathleen Collins JANUARY 13 -15, 1994 DENVER, COLORADO • Hygienist Programs • Specialist Mini-Clinics • General Mini-Clinics (TwOTracks) • lG,l.F, Giant Party " Dental Assistant Programs • Delta Dental Team Luncheon • Table Clinics • Social Activities • 265+ Exhibits FOR MIDWINTER INFO: (303) 488-9700 Candy Candy is sweet, That's a treat, I got a sweet tooth, And [ crave for Candy, Candy, Candy. My dad's a dentist, And he says, "No candy for you!!" But I don't care. I eat all kinds of candy, Some are soft, And some are hard, Some are small, And some are large. But I don't care, Candy is Candy, And that's all I eat. J by Ashley Howard (Asble)l is 10 years old and the daugbter 0/ Dr. jel! Howard a/Hastings. She's eVide11t(y helping drum lip business/or Dad.) Ads Help "The Cause" The DA Newsletter has recently started accepting fulJ page ads. This was done at the request of several advertisers who place similar ads in dental journals throughout the U.S. The income from ads in the ewsletter and other NDA publications helps offset printing and aclministrative costs. If you know of a potential advertiser, call Peggy at the NDA and she can send them our 1994 rate sheet. Members are also eligible to place an ad. If you have a cancio in ski country of Ha waii or Shipwreck, Oklahoma and wish to place a display ad, give Peggy a call ancl she'll send you a rate sheet. 11 NEBRASKA DENTAL ASSOCIATION Burnout In The Helping Professions Licensee Assistance Program Working in the helping professions can be a v Iy rewarding experience. In fact, most people who vvork in the helping professions choose to do so because they enj y working with people and want to make a difference. However, the proces. of helping others has its stressful sides as well. The emotional investment we make in our work may drain us of emotional and physical energy and cause hurnout. Ayala Pines, author of Heal Thyself: The Health of Health Care Professionals, defines burnout as "a state of physical, emotional, and mental exhaustion. It is marked by physical depletion and chronic fatigue, by feelings of hopelessness and helplessness, and by the development of negative self concept and negative attitudes toward work, life, and people." Burnout is an indicator that something is wrong and that we need to make some changes in our life. Burnout can give us an oppol1llllity for self-evaluation and growtl1 in new directions, but only if we recognize it and deal with it in a positive manner. Are you experiencing burnout? The following list can help you assess if you are hurned out. • • • • • • • • Feeling tired, lack of energy Increased use of sick leave, tardiness or leaving early Health probl ms, sleep and appetite disturban Increased use of alcohol, nicotine, or other drugs Chemical addiction relapse Consistently feeling emotionally drained Persistent negative thoughts and attitudes Decreased interest in family, recreational, or spiritual activities • Increase in time spent alone • Decline in interest in personal recovety program • Dread of going to work or loss of enthusiasm for job. New Restorative Government and industry scientists say a look-alike, mercury-free restorative could be in dental offices in three years. A new metal-fusing restorative process uses metallic povvders in a form easily applied to prepared cavities by dentists using treatment procedures similar to those in current use, the National Institute of Dental Research and National Institute of Sta ndards and Technology announced. Dentsply International, a material manufacturer, has a cooperative research and development agr· ement with NIST to help develop the silver-tin restorative. New Product Not Likely To Be Promoted The president of Bolivia has announced a plan to promote international sales of products other than cocaine that are derived from or associated with the coca leaf. One such product is Co-Dent, which is advertised as "different and very Bolivian." Co-Dent is a toothpaste laced with coca leaf. Coca leaf is not cocaine but it does contain cocaine. Don't look for this product on your neighborhood supermarket shelves any time soon. Source: Journal of Clinical OrthodontiCS, August, 1993 Nebraska Dental Association Dentists Concerned For Dentists Program Dentists helping dentists with problems of alcohol or drug dependencies. i' What can you do if you are feeling burned out? Dealing with burnout means establishing a reasonable sense of balance in life. Some indicators of that balance are: • PrioritiZing personal needs (physical, emotional, social and spiritual) • Setting realistic expectations and goals • Getting regular exercise, sufficient rest, and eating well • Maintaining satisfying relationships • Being aware of personal weaknesses and accepting limitations • Having a sense of purpose and belonging If you are dealing with burnout and tllis has caused substance abuse/addiction issues to surface in your life, there is help available. The Licensee Assistance Program can assist state licensed professionals with substance abuse/addiction problems and help you regain balance in your life. If you feel you need assistance with these issues, please contact Tim Lee, M.S.W., Licensee Assistance Program Coordinator, at 1-800-851-2336. COMPLETELY CONFIDENTIAL <: ~ ~ .. ' Please call/or assistance: Committee Members • Dr. John O'Brien, No. Platte (308) 532-6285 Dr. William Kathrein, Omaha (402) 397-3400 Dr. Norman Carlson, Lincoln (402) 474-5504 Dr. James Doyle, Norfolk (402) 379-2775 Dr. Vic Lofgreen, Hastings (402) 463-2471 Dr. F.A. Pierson, Lincoln (402) 423-4825 Dr. John Seberg, Hastings (402) 463-0625 • COlll/cil Cbairman 12 NEBRASKA DENTAL ASSOCIATION "Protection From Fine Up To $7,500" Well that's what the heading on the letter said. Of course all we had to do to avoid this huge fine \Vas to send the creator of this friendly warning a check for 5129. For this amount we at the DA office would receive 5 or 6 posters relating to state and federal labor la \Vs. It's a nice service this company is providing except for one thing. All of the posters are free for the asking. So send the DA $10 for the Relief fund and go have a pizza \vith the remaining $19 you're sa ving by contacting the following offices, instead of the company asking $29 for a handful of freebies. Here's a listing of items available from Federal and State sources. POSTER TITLE: ORDER FROM: U.S. Department of Labor Wage &. Hour Division Fair Labor Standards Act" 106 South 1'lth St., Hm. 715 Publication;; 10SH Omaha, NE 68102 (Federal Minimum Wagc (402) 221-4 )R2 Child Labor) 2." otice" Employee Polygraph Protection Act - Puhlication ;;1462 3. "Notice to Employees" Nebraska Dept. of Labor ( ehrasb Minimuill Wage) Labor &. Safery Standards 13 J3 farnam St.. 3rd Floor Omaha, NE 6H102-1H9H (402) 595-3095 or Nebraska Dept. of Labor Lab >1' &. Safety Standards 301 Centennial Mall So. L.L. P.O Box 95024 Lincoln, NE 68509--024 (40Z) 471-Z239 U.S. Equal Employment ,t "Equal Employment Opportunity Commission Opportunity is the Law" 1845 Sherman, 2nd Floor Denver, CO 80Z03 (J03) H66-1300 or 1166-1301 or Toll Free 800-872-3.3)2 5. "Discrimination In Employment, Nebraska Equal Housing, Public Accommodations Opportunity Commission State Office Building Is Prohibited by State Law" 1313 farnam St.. 3rd Floor Omaha, NE 6HI02 (40Z) 595-2028 or Nebraska Equal Opportunity Commission 30J Centennial N[all So .. 5th Fl. Lincoln, NE 68509 (402) 471-2024 or Toll Free 800-642-6J 12 Occupational Safety and •• 6. "Job Safety and Health Administration (OSHA) Health Protection" 6910 P~lcifil' Street Omaha, NE 68106 (40Z) 221-3J82 or 1-800-642-8963 1. "Your Rights Under The •• The NDA Office has a small supply of these OSHA posters. Call us if you need one. Strong Correlation Between Oral Health and Self-Esteem of Elderly A recent surv y conducted by a team of dental gerontologists found a strong correlation between oral health and self-esteem, especially among the aging population, Thorough clinical examination of older patients is especially important due to a variety of factors. The following were found to be of greatest clinical significance in senior patients: 1. Xerostomia 2. Coronal and root caries (especially in patients 80 and older) 3. Periodontal disease (especially in patients 80 and older) 4. Alveolar ridge resorption (especially on the mandibular) 5. Denture related pathology 6. Oral cancer 7. Chewing problems The elderly represent a golden marketing opportunity for your practice. Demographic studies repeatedly show seniors to he the fastest grovving market segment (by age) in the U.S. (From Dental pdate, Nov. 1993) Zowie * CE Credit Via ADA Magazine Continuing education credit for dental hygienists and assistants will be offered next year in Dental Teamwork, the six-times a year ADA public.ltion for members of the dental team. The program will help dental hygienists fulfill a portion of the continuing education requirements set by state dental boards and will help certified assistants meet recertification requirements or the Dental Assisting National Board. The program is a collaborative arrangement with the Continuing Dental Education Office of the University of Colorado School of Dentistry. Each issue of Dental Teamu10rk will feature a clinical or practice management article follO\"'ed by a multiple choice exam. After reviewing the article, readers can complete the exam and submit it with a $10 processing fee to the university's CDE ofTice. Once scored, exams will be returned. Successfully completed exams will be awarded one unit of CE credit by the U/C dental school. Participants must score at least 70 percent to receive credit. The first article will appear in the January-l~ebruary1994 Dental Teamwork and will explore children's perceptions of dental office infection control practices. 13 NEBRASKA DENTAL ASSOCIATION Dentistry Today Good News (for a change) Surveys done by the ADA aod the u.s. Depal1ment of Health and Human Services reveal some velY positive things about dentistly. Dental Economics • Dental offices were the third highest ranking category of start-up businesses most likely to survive, according to the most recent survey of nearly 1.5 million companies reported in inc. magazine. • In 1991, the average net income of all general practitioners was $93,530; the mean net income of dental specialists was $146,520. • The average net income f r dentist under 35 ye-ns of age was $88,990 and for those from 45-49 years of ag it was $124,400 in 1991. Specialists in the 45-49 age group averaged $178,540 a year net income. • The average income of a dentist is in the highest 8% of U.S. family income. • Currently, approximately 100 million people are covered under dental benefit plans. According to a Gallup Poll, 52% of American adults are covered I y a dental plan that pays for all or part of their dental expenses. Private dental insurance payments a c unted for 44.4% of the nation's expenditures for dental care. Dental Practice • Among dentists out of dental school less than four years, about 42% own their own practice; by six years after graduation this figure increases to 53%. • On average, dentists work 37.3 hours per week, spending 34.0 hours a week (about 91% of their time in practice) treating patients. Those working fewer hours are often older dentists who are limiting their hours or younger dentists who are huilding a practice. • 68.7% of dentists are in solo private practice; 31.3% are members of group practice; and 78.5% are the sale owners of the practice where they treat patients. • More than 35% of the first-year students in dental school in 1992/93 were women. Minorities comprised approximately 30% of the first-year class in 1992/93 (6.8% Black, 5.1% Hispanic, 0.4% American Indian, 18.0 Asian) The numhers of women and minority practitioners are growing. • The average number of dental patient visits per week in 1991 (including hygiene appointments) was 82, or an annual average of about 3,949. • On average, dentists work with and supervise about four staff members (2 full-time and 2 part-time). In 1991, 97% of all dentiSLs employed at least 1 staff member. Of these, 21% employed 1 or 2 and 54% employed 3.6. Dentistry Tomorrow • The demand for dental services will continue to grow. Due to the success of preventive dentistry in reducing the incidence of dental disease, the growing population will retain their teeth longer, and will be even more aware of the importance of regular dental care. Demand for dentists' nC\Ner selvices, such as cosmetic dentistry, also will contribute to this growth. • The number of first-year places in Jental schools has decreased from a high of 6,301 in ]978 to 4,072 in 1992. • Enrollment trends over the past two decades suggest that the proportion of women in Jenti"try will continue to increase. Projections indicate that by the year 2000, more that 26,000 women will be active practitioners, almost twice the present number. 1994 Legislative Reception Ahout the time you receive this issue of the NDA ewsletter the opening gavel for Nebraska's Unicameral will be sounding. Three new senators will be among the 49 legislators, a new Speaker will be elected and a new Lt. Governor will be presiding. Their collective wisdom and wishes may affect health care and its delivery more than in any pa [ session and that trend is likely to continue for several years to come. The NDA's Legislative Reception is a great opportunity to meet and greet senators and other state government officials. However, it's always nice if dentists out number our guests, that's where membership participation is crucial. The Reception is scheduled for Thursday evening, JanualY 20th, 5:30 - 7:30 pm. The site of this popular social event is the Nebraska Club, high atop FirsTier Bank in beautiful downtown Lincoln at 13th & M streets. The cost to NDA members is $10 for a single ticket ancl $15 for a couple. The NDA picks up the tab for an open bar ancl a variety of hot and cold hors d'oeuvres. "Yes," we realize it's a good deal anJ "No" you cannot bring your neighbor who loves buffets and beverages. The more dentists who attend this reception the better. Make your reseIVation now and encourage a colleague to attend. It's a fun evening and a wise investment of your time and effort. -------------------~ Clip & Mail to NDA, 3120 "0" St., lincoln, NE 68510 Your Name: Name(s) of Guests: _ _ Your Address: _ Please enclose $10 jar a single licket, $15jor a couple. Make cbecks payable to Nebraska Dental Association. Tickets will not be mailed, tbey will be beld at tbe registratioll desk (Nebraska Club). 14 NEBRASKA DENTAL ASSOCIATION MostCommon OSHA Citations Words To Live By by T Basselt While it's a relief to organized dentistry to hear that the ADA has "won" several rounds on OSHA citations, it's important to point out that OSHA is still conducting unannounced inspections of dental practices. Most often, these inspections are triggered by the written complaint. Regardless of the source of the complaint, here is what we're finding are the most c0111mon types of citations issued: • failure to have a complete written communication plan • missing labels for hazardous chemicals • sloppiness in work practice controls hazard All of these are necessary steps that can be accomplished with a commitment from the doctor and the entire team. (Dental Update, Now. 1993) The trouble with learning from experience is you never graduate. Hospitals Not Prepared to Implement Changes. Hospital executives agree that the fin;:mcial reality of Health Care Reform will compel them to make changes in their hospitals, but many admit they're not yet ready to begin implementing needed initiatives or that they even know what those initiatives should be, according to Frank Cerne, in Hospitals & Health Networks. Cerne said that chief executive officers and chief operating officers surveyed agree that a number of developing issues will be critical to the success of their organizations, among them the establishment of clinical guidelines programs, the development of physician/hospital organizations, and efforts to lessen the shortage of primary care physicians. But those efforts are expected to develop in a difficult environment: many executives fear that reform will require hospitals to expand their services at the same time reimbursements are curbed. In fact, more than 80 percent of the respondents said that reform will fail to address adequacy of payment. Cerne said the study, conducted by Hospitals & Health Networks in conjunction with Premier Hospitals alliance of Westchester, Ill., surveyed 402 CEOs and chief operating officers. (Medical Benefits, Oct. 15, p.3) "rIi, shoftld Sll"eJ'<f s#-CliJ'ctjJlil2e-. .9h8 !lJ'tiaiJ!e,:'J' (q/' 6tAic<f Jpootae I'tt!e& [ / cOlitlact, ., :ktlf ethics oJ'f:!PLt{l/2daot leaf'l"ted &; Sitayt'tzy a I'tl!66o·ot1/. ,9(; M' imJeI'atiu-& toe, coad/c( ot/f'o'/e!ued' so thoL tAbJu6t2o if· COl"lolizced Ottf' ail"!'l t~ to sefve< » F.A. Pierson, D.D.S. 1952 These words are now on display in the Fritz Pierson Conference Room at the NDA Office Building. Dr. Pierson expressed these thoughts 9 years after he was President of the NDA and 11 years before serving as President of the ADA. When some of Nebraska's state senators held hearings recently on ethics, Dr. Pierson's thoughts were part of the DA's written testimony. Wouldn't this be a wonderful world if people in all walks of life \vould adhere to Dr. Pierson's advice. Among his many contributions to organized dentistry, Fritz Pierson authored the Code of Conduct which encompassed relationships with fellow practitioners, patients and the public at large. It serves as a model t this d3y and for the future. The above quotation should be a guide to all of us and is likely worth sharing with others. We Need Nominations • Hall of Fame • • Outstanding Young Professional • In January the Officers of the NDA will elect several members to the NDA's Hall of Fame. Your assistance is needed in the nominating process. Generally speaking, two living members are selected for this honor along with one member who has passed away. Names submitted in the past are carried over for future consideration. However, don't let that fact stop you from submitting a name. Please include any information you believe pertinent to the nomination process. The second categolY for which we are seeking nominations is the Outstanding Young Professional Award. Nominees must be age 40 or younger, be active in organized dentistry and serve the community in some positive manner. Again, names are "carried over" but a second or third letter on behalf of a young dentist is appreciated by the selection committee. 15 NEBRASKA DENTAL ASSOCIATION Understanding VCR by Third-Party Payers ~y Beth DeBarga, Florida Dental Associatiun, dell/al bene::fits cansultam Dentists and their staff deal with several problem areas regarding patients' claims, One aspect of claims review which is particularly frustrating both dentists and patients involves the use of UCR by third-party payers. Most insurance companies which undenvrited dental indemnity plans base insureds' reimbursements for dental services on usual, customary and reasonable fees. The ADA council on Dental care defines "usual" as the fee that an individual dentist most frequently charges for given dental services. "Reasonable" is defined as the fee charged by a dentist for a specific dental procedure that has been modified by the nature and severity of the condition being treated and by any medical or dental complicHions or unusual circumstance. "Customary" is the fee level determined by the administrator of a dental benefit plan from actual submitted fees for a specific dental procedure to establish the maximum benefit procedure. Often, patients fail to realize that the reimbursement they receive from an insurance company for dental services is based on what the insurer believes is a reasonable fee for a given procedure and not the dentist's actual fee for that procedure. If their dental JXllicy reads "coverage is provided at 100 percent" for the prophylaxis performed every six months, insureds may believe that they will receive 100 percent of a dentist's usual fee, when actually they will receive 100 percent of the carrier's UCR fee for the prophylaxis. Patients are often first introduced to the vagari s of UCH when they receive their explanation of benefits forms from an insurance company. When the insurance company reduces patients' reimbursement to control claims costs the explanation on the form may re-ld that "the dt ntist's fee su bmitt(xl exceeds the usual. reasonable and custom,lly allow:mce in geographic area." Patients may then bring this form into a dental otlice and may place the dentist on the defenSive by asking him or her to explain a methodology in which he or she had little or no input, or inf1uence in developing. In order to help foster good dentist/patient rclations, as \'-,ell as to help clarify the UCH issue to consumers, the Council has developed some questions which plan purchasers may wish to ask insurance carriers prior to purchasing dental coverage. Some questions are: What data are used to establish UCR fee levels' Are the levels based on national, regional, zip code, or other demographics' How often are the fee levels updated? At \vhat percentile is payment made? For what percent of claims in the past year has the program denied the patient coverage of a part of the dentist's charges due to the "customary" fee screen;> What portion of the premium is used for administration' The Council also recommends that third-party payers establish standard terminology for identifying benefits in policies, explanations of benefits forms, and other descriptive materials, di "close how the region and specialty care considered in setting the customary fee screens, and demonstrate how they have set their screen and how they have determined insufficient data were employed. The Council also has drafted a sample letter for dentists' use which offers reasons to patients for the discrepancy between a dentist's usual fee and an insurance company's UCR fee, The letter can be printed on a dentist's stationary and copy of the letter follows this article, (Thanks to the FDA for letting us reprint this article from their Journal, Nov. 1993) Dear Patient: During the past decade, dental benefits plans have become an integral parr of health care planning for many families. Dent::11 benefit plans are made available to employees or members, through companies, unions and associations, and may vary considerably from one plan to the next. The range of benefits depends solely on what the plan purchaser wishes to offer employees or members, Some plans may cover as little as 30 percent or as much as 100 percent of dental services, with most falling in the 50 percent to 80 percent range, Some plans exclude certain types of services, e,g., orthodontiCS, while other plans will cover a full range of dental services. Some plans base the amount of benefit on a chart or schedule of fees arbitrarily developed by third-parry payers. For this reason, you may receive a lower percentage of the reimbursement level indicated in your dental plan. For example, if you plan states that it will pay 80 percent of the cost of dental treatment, it means 80 percent of the fee as determined by the insurance company, and not the actual fee charged by me. As the number of patients covered by dental benefit plans has increased, certain assumptions have become evident and I would like to make the principles of my practice, as well as the type of service and care I provide my patients, very clear: • My fees are based on the overhead involved in my practice, the treatment plan selected, and the time it takes me to provide you \vith the necessary dental care. I do not believe it is in either of our best interests for me to compromise my recommended treatment in order to accommodate a dental plan's maximum benefits that may be considerably less than optimal. However, I am more than happy to discuss a treatment plan's advantages and disadvantages with you, thereby involVing you, not the third-parry payer, in the decision-making process. • The type of treatment you need and receive from me is based upon my professional judgment, and not on \vhcther you are co ereel by ~I dental benefits plan. • As a court s!' to you, my staff will complete th' dental portion of the claim form. To expedite processing, make sure that your parr of the form is filled out completely and accurately. • (Include this next paragraph ONi Y if it relates to your practice) If you direct the insurance company to pay this share of the cost directly to my office, you will receive credit for this amount and be billed for the balance. Upon receipt of payment from the third-party, my staff will reconcile the amount and bill or refund any difference. • If your dental benefit plan requires a "predetermination" or "prior authorization," I will submit a treatment plan for revie\v by the third-party payer. However, please remember that the financial obligation for dental treatment is between you and this office, The third-parry payer is responsible to you and not to this office. • If you receive a communication from the third-party payer suggesting that my fee is over and above the uSll3l and customary rate for the services provided to you, please do no accept this as fact without first discussing the matter with me. The third-parry payer's fee data may be extremely out of date. It may not take into consideration local factors pertaining to (QIy) in establishing its schedule, and its geographic area may include the entire county or state. • If, after our discussions, you believe that the dental benefits provided by your plan are inadequate, you may want to discuss the matter with your employer, union, or association, so that appropriate alternatives can be investigated. I will help you in every way in filing your claims, handling insurance queries, processing follow-ups, lost claims, etc. No question is too small for you to ask, whether it is about your treatment, benefit plan, or statement. Stop in or call any time you have a question. I am here to help you, _ _ _ _ _ _ _ _ _ D,D.S. and staff. 16 NEBRASKA DENTAL ASSOCIATION InMemoriam True or False (AIlSluers: see Classi/ied Ads) Dr. Clifford Ivloss of Syracuse. passed away on Decemher 11, 1993. He was 69. Dr. Moss was a 19S9 graduate of IlNMC College of Dentistry and was a Life memher of hoth till' ADA and NDA. Our sympathies to his family. *'::*** The Nehraska Dental Association Newsletter incorrectly listed in the December issue that Dr. Don Taylor, 5r. was a past President of the J DA. He was past President of the West District and also served as Trustee for that district. Dr. Taylor passed away on Octoher 25, 1993. We apologize for tilL' error. 1. There is no such thing as a slow or under3ctive metabolism. 2. Exercise isn't much use for dieters because it hums relatively few c:tlories. ) Exercise can help prevent the loss of muscle tissue from the hody. 4. Walking one mile burns nearly the same numher of ctlories as running one mile. S. Expensive exercise suits 3re worth th money hecause their special materials help the body. 6. Climbing the stairs requires more energy per minute than traditional exercises like swimming or jogging. The ingredient that adds the most calories to a banana split is a spoon. 7. No exercise can help you lose fat in specific parts of your body. 8. sing stairs is a convenient and accessible way for m:II1Y people to increase activity. 9. AmericlI1 adults are physically more aLTive th:1I1 they were 200 years ago. 10. You should not exercise if you feel hunglY because exercise will increase your appetite. (From Nutrition Action Health Letter, Dec. 1993) Gallup dental survey shows rise in computer use in dental practices New national research conducted by the Gallup organization and sponsored by Healthcare Communications, a practice management software developer, indicates that over h:tlf (53 percent) of all dental offices are computerized. Of those computerized, 81 percent use their computers for word processing and various practice-mamtgement activities such as billing, ace lunting, management reports, insurance claims and electronic scheduling. Survey results were published in the September 1993 Proofs, the Magazine of Dental Sales and 1\brketing. Office managers reported they spent an average of 62 percent of their day interacting with their computer system. The average age of computer systems was 3.5 years. In the same offices, dentists were on a computer only 8 percent of the time. When asked about electronic submission of insurance claims, 32 percent of the office managers said they \vere unaware of the process. 45 percent of the computerized offices said tbe ability to electronically submit claims was available with their current computer system, but only 9 percent of those aW:lre of electronic claims repolted using it. America's Kids and Tobacco Each <.by in the US., about 3,000 young people become regular cig:lrette smokers. During their lifetimes, out of these 3,000 children, we can expect that: • 30 will he murdered • 60 will die in traffic accidents, <lI1d • 750 will be killed hy smoking-related diseases. Source: Former U.S. Surgeon General Antonia C. Novello, MD. in Progress magazine, Fall 1993. Free Poster (again) The poster that was inserted in I:1st month's Newsletter was compliments of the Dairy Council of the Central States. Should you wish to order more or acquire (for free) some "Toothbuddy" dental stickers, just give the DailY Council a call. In Omaha call 592-3355, outside of Omaha call 1-800-279-2643. 17 NEBRASKA DENTAt ASSOCIAnON Maximize Your Market Share: Case Presentation I~JI Calby.!a III eso/l , MA Thl' presl'n tat ion of t rl':1\ Illl'n I rl'collllllend :11 ions i:-. \'C1lI I' opporlunit,· a:-. a dl'nl:t1 l·duel\or 10 inforlll patil'nh ahoul thl' nl',:ds of .'/lL'cilk ekntal treatlllents. This presentalion also presents \'()U \\illl lhe cll:t1il:nge of llloli":l\ing:1 perS(ln 10 accl'pt "(lur rl·colllllll'nd:l\ion:-.. ThL' purpo:-.e of "our consull:l\ion j:-. 10 Illakc il po,ssihil: for a patienl 10 sa\' ""l':-''' 10 Ihe denial Irl':ltml'nl. Step #1 in GI:-'l' presel1lalion is 10 build the relationship. Bu ..inl'SS db u:-. Ih:il in order 10 allrau a nl'\\' dil'nl inlo "our husincss :lnd, in "our C:ISC, into ,'our pr:lclill'. "OU IllUSI firsl huild :1 rclalion:-.hip of confidl'llCe and of trusl. I ',u:ilh' 111l: firsl plTson 10 1ll:lke conlact \\'ilh a pOlenli:iI p:lliL'nl i,s lhe person :\I1S\\ l'ring lhL' tdephone, Thl' [L'll'plllllll' is orll'n l'onsiliL'1'L'c1 till' IllI):-.1 important insirullleni in lhl' dL'nlal pral'licL', A plTson calling your lil:nt:t1 office Illakes a dcci.sion ahoul thl' denial Irc:il Illl'nl Ih<:" \\'i11 rl'cl'i'l' h,' Ihl' lre:l\nll'nt lhe" rL'Cl'i'l' on lhl' Idephl >ilL'. The pL'rs()n :\Il:-'\\'lTing I he 1,'il:pIH lIl" Ill'nls t" l)l'l'11Ihllsi:ISlic. \\'arlll, kno\\·lnlge:l!lle. :Ind IllllSl ,'llIKl'nlralL' ,dlL'n :1I1S\\'l'l'ing lhal ll'il:phl lIlL', Thl' rl'l:ilion.sllip i.. fUrlhl'r dl·,dopl'd In- Ille rl'l'l'plion rL'cl'i"l'd upon l'nll'ring lhl' officl'. The plTson \\'110 i.s grl'l'ling Ihl' p:l\il·nl.s nl'l'li..; 10 ,slOP \\'h:1I Ihe" :lrL' eloing aIII I Illakl' :1 con . ;ci(lll:-' dlorl 10 grl'L'l tilL' p:llient I),' n:lllll·. :\n inlrmlUl'lion is llL'sir:lhle'. Apph'lhL' ,:lllll' L'!iqUL'lle lh:ll you U:-'L' in "our hc )1llL' to Ihe dent:t1 office. l'su:l!h' lhl' nl'xt person :1 palil'nl Illl'ets is till.' dinietl :lSsistanl. I l'ncouragl' 11ll' dinietl assiSl:lnl addn':-.s Ihl' person in lhi,,, \\:1\'. "\Ir. Slllilh, 1'111 I'arell, 1'111 Dr. J;lIl11'sOn's dinit·:t1 :lSsisl:lnt :Ind I \\ill hl' \\'orking \\'ilh "OU 10Ll:I", You 111:1" COllll' \\'ilh nll·... Thl'n IhL' ,'Iinietl :lSsisl:lIll L'St'< 'Ib IhL' persl,n to lile dinil,:t1 :lre:1 \\'herl' she rl" il'\\':-' Illl' Ileallh 11I,"lol,\,. m,lking sure Ih:1I il i.. t·C)lllple'lnl. asking Sl 1I1ll' plTI inl'lll queslion,s, IL'lI ing Ihl' plTson kno\\' lhal she ",anl.s I" gl'l 10 kn(,,\' thel1l as :111 lI1di"itlu:t1 ,Iml thai ,he noli,'l', :1Il\'thing :1!>OUl Ihl'lll Ih:1\ l1lighl alln'l llll'ir lrL':ltllll'nl. She Illakes Surl' lhal sill' !lOll':-' thL' rt'krr:t1 source, Thi:-. :ilIO\, s her 10 l'sl:lhlish :1 poinl of il11l11l'diall' r:lpport \\'ilh till' per:-.on, ['pon lhl' l'ntr:IIKt' of thl' /)ouor. I \\'oulLl rL't'(Hllllll'llll 111:I[ lhl' ,'Iini,'al : I.".'; i,.;t:lf1t illt rod lit l' the ])(l<'!or If for :-'0 11 ll' rl':lson till' dinicil :lSsisl:lllt is 1101 in till' roolll, lhell Ihe doclor illtroducL's hiln "I' hl'rsdf. The dod"r ,':111 noll' "n Ihl' p:tlil'nl inforl1l:ilion shl'L'! ."'"lle points of C"'IlIlHll'l ground up"n \\'hi,'h to hl'gin l'st:lhli.shillg:1 r:lpp"rt \\ilh Ihl' pLTs"n. Oil 'our p:llienl illfl>nllalion Slll'l'ts h:l'L' qUl'stiolb Ihat thl' PlTSllll t':11l :In.S\\ l'r ahoul lhl'ir alliludl' 11)\,'ard Ihl'ir dl'nlal Ill'alth or lhL'ir :llIilulle' lo\\'ard 11ll' :lppl':lr:lIKL' "ftlll'ir ,..mill,. If "(IU d(). l'arL'fulh' rl'kr 10 Ihl'.';l· C"l1ll1ll'nl.S. \\'hile' Ihe P:iliL'nt is silling up, (hl' doclor 1110"l'S his or hlT dlair :Iroulld ," Ihal l'Yl' t'lllll:ld is l',~\;lhli:-.IlL't1 \\'ilh I Ill' p:llienl. This l'nl'ourages :111 :Idull 10 adull rd:llionsllip, II is 110'" :Ippropriall' for I ilL' I)ot'lor to :\..;k que:-.tions :lhOUI tilL' P:lliL'lll'S SiIU:lli( Ill. Step #2 (If I hL' ,':I.Sl' prl',sl'l1\:lli()1l i.s establishing the need, One hdps a palienl g:lin :1 SL'nSl' of ,ilKlTl' t'llllt'LTIl \\'Ill'n \'()U sel'k illforl1ulion ahoul Illeir t'()Ilt'lTIlS, I)() Ihis h,' :I.skillg qUL'slioll:-' :lIld lisll·llillg. Ask SUdl que,sliolls :IS: ",\Ir. Smilll Idl me, 110'" l':l1l I ilL'ip ,·ou lod:I\"" Ask A Question, Thl'n -STOP - aIIII LISTEN. ()o 1101 p!:tCl' ''(lUI' O\\'n ,':t1Ul' on I Ill' p:lliL'IlI, hUl rdkd h:lt'k 10 tilL' p:llielll \\'IUl you he:lr Ilwlll S:I,·illg. Follo"'ing lilal inili:iI qUL'Sli(lll "OU 1Il:1Y :I...k slldl questions :1.';: "\'\'h:ll :Ire your go:ils for your le<.:lh, ,'our l1louth :lnd "our smiIL"" '-'I'd I 111L'. Mr. Smitll. ",11:11 :Irl' your eXlll'l't:llions of nlL"" Ont'l' you h:I\'l' L'st:lhlishl'd till' nl'l'd :Illd Ihl' llel'l'SS:lry tk-nlislr,' h:ls ht:L'1l t'h:u'll'd lile 1l1'Xl .SIL·p is to INSTILL THE DESIRE, i\ singular ,Yord for "in.slilling lllL' dL'.. ;irt·" is to molil'll/e, j\IOli":ilioll in"oh'l's lilL' l'duellioll:ll pnlt'L'ss, AS:I dL'IlI:t1 pnn'ider "ou :Ir,' :111 t:dul':llor o!' dL'nlistry. I'eopk- dOIl't t'Ollll' to lhL' d,,'lll:t1 oITiL-L' \\'illl "ery mUt'h delll:t1 kllo"'kllgl', In LIl'l, tilL' = I r,':I.S01l people' don't L'OIlIL' 10 llll' dellli.sl or do nol say "y<.:s" 10 I Ill' rl'l'Olllllll'ndL'tllrl':lllIll'nl is "no pl'rcL'i"t:d 11L'L'd or I:lck of dL'nl:t1 educalion," Fducalioll - or Illoli":ltion - is on goillg hUI is 1ll0.st nilit':t1 :11 lile lim<.: of till' consuli:llion, At lh<.: consull:llion :lppOilllllll'lll l','elYllling in Ille consull:Ilion area is pr<:p:lrL'd prior 10 Ihe palieill's :Irri,·al. !\pproxim:lldy H3'V<, 01':1 person's L'dUl':lllon or k-:lrning lakes place "isu:lII)', l'llciersl:lnding Ih:1l THIS is llll' Illain I1HldL' of 1e':lrning for 1110:-.1 Pl'Ople' il hl'nefits us 10 :Iccess l'xeL'ilenl "isu:t1 :Iids to slul\\' :I per.,;on lhL' t:nd results :lIld tile hen<.:fits of Ire:1lIllent 111:11 \\ l' are rl'colllmellding. Tlul i.,; \\'11:11 pt:oplc realh' \\ :lnl 10 kno\\', ,,[ 10\\' is litis going 10 alleu ml" \\'h:ll i.s in this for IllL'~ 110\\' i.s Ihis goillg to :t1Tl,t't 111)' 1l<'::lllh, 111\' loob. m,' pockl'thook, ll1y sehL'dule'" ()ul'nnilll' thl'ir ll1:1in llu)li":llor' I)irecl ''!lur COll1ll1l'nls :llld ,uur prL'sl'nt:llion tll\\':lrd til:lt Ill:lin 1l10ti'·:llor. Ortl'n timL's \\l'. as dl'nlal prokssillll:t1S, g<':l so im'lll'l'd \\ith till' Il'lhlliqul' lilal \\'e tot:t1h' lose thL' palil'nlS, \'(il' forgel Ihat Ihl'~' 1l:1"1'Il'1 h:ld :I,s Illllt'h dl'nlal l'XPl'l'il"nl'e :IS \\'C Iun:, \Vt: eonfu.sL' lhelll, :lnd :1 l'onfused person can not 1l1:lkl' :I decisi"n, So '\'C' nl'l'd 10 kl'L'p tile lL't'llIlil':t1 aspet'l.s .sill1ple, I.e 1 Iill' pL'rsoll SL'L' \\Ilal Ille l'ml rl'sults :lnLi Ihl' !wllefits :lrl' going 10 he, Tll:ll i.s rl'all,' \\'hal l11aller.'; 10 lllelll, Step 4 in the case prl'senLltion is ASKING FOR THE COMMITMENT, You ll1u:-.l :lsk for :1 t'Ol11ll1itIlll'nt or \'(lU \\'ill 11:1\ e :1 101 of Pl'Ople' \\'alking OUI lile door :lIld 'uu re:t1h d(>J1'1 kno\\' if 111L'" arc going allL'ad \\'ilh lrl'alll1l'nl or nol. ,\n L'xall1pIL' of SUdl a COll1ll1ilml'nt qUl'stion miglll hl' :!'; 1'0110\\'" ".\lr. Sl1litll, do "ou il:I\'l' :IIlY qUl'.';lion:-. :Ihout tile IrL':llll1l'nl [ h:1\ L' rL'l'oll1mL'ndl'd to \'(lll' If IlO!. h there am' rt:aSOll Illen ,\'II" \\'L' shouldn'l go :llle:ld :llld :-.t'ill'duk an :lppointIllL'nt 10 hegin "our trL'all1lL'lll' Oncl' :t11 qUl'slions Il:t"l' hl'l'n :llls\\'erl,d :lI1d Illl' 1)L'rsoll illdieltl" 111:I( thL'" \\ould likl' III go ahe:ld \\'illl tre:IlIl1L·nl. lilen the hl!';illl':-'.,; 111:1 n:lgl'r 111:1 kes fi na llcia I a rr:l ngellleni s :I nd seiledu k:-. I hl' appoillll1ll·nl. Tilerl' is no <:xe<:ption 10 llli." RULE: FINANCIAL ARRANGEMENTS ARE MADE BEFORE THE THE APPOINTMENT. CHEDULI G OF Here are the 6 Steps of case presentation: 1. Build the relationship. 2, Establish the need. 3. Instill the desire. 4. Ask for a corrunitment 5. Make financial arrangements. 6. Schedule an appointment. " "ou 1'0110\\' Ihi.s .simpk- hut efkdi"l' () SlL'p proce.", of elSt: prl'sL'nl:1 iOIl you \\'ill filld 111:11 your cas<.: prl'Sl'nl:ilioll ralL' "'ill illcrease, Till' kl'" 10 lhis is huilding the rL'iatiollship. 1l1'Iping llll' pl'rsoll !'L'1'1 ill\'()h'ed illlhl' case pr 'sent:llion. In\'()h'e:1 pl'rsoll in CISl' prl':-.ellt:lli( III h,' asking que:-'lions :lI1d finding out \\'h:lt Ill' sill' \\':Ints or nL'eds :md, tlll'Il, rl',"polld to IILIl Ill'ed or dl'.. ;irl', ['Sl' "isu:t1 aid:-. ,so Ih:1l :1 pl'r.. ;on C:lll Sl'l' lhl' 1'Ild resull.'; :llld the hl·IlL'fil.s of lhl' lrl':llll1l'lll. Alld :Isk for :1 n)llllllitI11L'n!. C0l111l1l1niellioll is lhe kl'" 10 sut't'L'ssful l'a:-.l' prL'Sl'lll:llioll,S, FITLTli"L' cOIlll11uniellioll ill\'oh'l'S:1 l'\'(l \\':1\' L'xdungL' of informalioll. induding till' Ihougllh. COlll'l·rns. and l·IlHllion:-. of l':leh P:lrlil'ip:lnl. Till' d:I\' of Idling :1 pLTson \\'1l:lt IIlL'\' lleed :lnd 1l:I\'ing Ihl'lll imII1L'dialL'iy :It't'l'pl h:I' UlIlIl'lo :In l'nel. Till' inforll1l'd p:llil'lll ofloda" \\':lntS to p:lrlit'ip:lll' in lre:llll1el1l pl:lI111ing :md tIL,t'i"i(lIl :ll1d :1 rl',spL'u for lh i.s illlL'rpLTS( lll:l/ l'xdlange of c( )-di:lgllosi ... :llld t'I)( 'PlT:lt iOIl. (.'(/lbl'.!lll/leSUIl is Il.>e j)I'esidelll ({IIIIII('SUIl ,lIll1/1I.r..:el//l'1I1 ('-I'UlljJ. illll'}'II(/liulI(/! delll(/! eUlIsllllill,~ jlml ill !J(/ris, 1111 0"', Sl.>e is UI/ 1/'(' (/tll'isul'l' hu{{/d ul' !Jelll(/! '1i'llIllIl'ud', is (/ II/('II/h{'/' (l1'11.>i' ,lel/cI('II/I' I >C1I1(/!.1I(1 II I Igi'IIIi'1i I (.'lIl1slI!lm lis 1/1 II I is 1/ II/I 'IIi/WI' Assc ieil/lil 11/. u/ or YI/lillill/!.\/ WI/~'('I-' 18 NEBRASKA DENTAL ASSOCIATION ORAPRINT plus Vinyl Polysiloxane Impression Material Available From: HEUMANN & ASSOCIATES DENTAL LABORATORY Oraprint plus cartridge kits include: • 4 - 50 ml auto-mix cartridges • 12 - mixing tips • instructions Available in: • light body (low viscosity) • regular body (medium viscosity) • heavy body (high viscosity) • bite registration material Top quality for For only HALF THE PRICE. Our bulk purchases SAVE YOU MONEY! - Kit Oraprint plus putty kit includes: • 1 - 305 ml jar each catalyst and base • 2 - scoops • instructions Oraprint plus tube kits include: • 90 ml base • 90 ml catalyst • 1 - mixing pad and 1 - tray Available in: • light body (low viscosity) • regular body (medium viscosity) • heavy body (high viscosity) • bite registration material For only $30 00 For only $1450 - Kit HEUMaNN and ~ssociatEs DEntal Laboratory Box 33,520 East Fifth St. Topeka, Kansas 66601 Telephone (913) 235-9293 Toll-Free WATS Line (Kansas Only) 800-432-3586 (Nationwide) 800-255-2412 A Full-Service Laboratory $4850 - Kit 19 NEBRASKA DENTAL ASSOCIATION Dental office for general practice. Three operatories fully equipped and leasehold improvements. Quality location in Greeley, CO. Great opportunity for a minimal investment. Specialist moving to a new location. Write: Dental Practice. POB 3317, Greeley. CO 80633. NEED CPR or Re-certification;> Emergency Training anel Public Awareness will custom tailor a class for your office needs. Offering all levels. Leave a message at (402) 685-5337. "CROW" lARGE OMAHA DENTAL PRACTICE: I oking for associate or dentist who wants to increase his/her patient load. Send inquires to NDA Box 1118. MODERN MIDWEST DENTAL PRACTICE: £700,000 plus gross, 6 ops., pan. computerized. Has 3000 (plus) active patients, 3 hygienists and/or 80 acres scenic riverfront with horse facilities. Reply to NDA Box 728. PRACTICE FOR SALE: 1,400 sq. fr. facility, 3 operatories, nicely equipped. Rural setting within easy drive distance to Lincoln and Om~dla. Nice net on 4 1/2 day week. For more information reply to NDA Box 1122. PRACTICE FOR SALE: Practice and/or eqUipment Illust be sokl. If interested in one or both please contact Mrs. Lorraine Moss, 269 \'(fest 9th Street, Syracuse, NE 68446 or phone (402) 269-2644. CDA 'eeking full time position in Lincoln. Three years experience. Available iIllmediately. 488-8044. Answers to True or False Quiz: l.F 2.F 3.T 4.T 5.F 6.T 7.T 8.T 9.F lO.F All ads with an NDA box number should be mailed to: Nebraska Dental Association NDA Box # _ 3120 "0" Street L~coLn,~ 68510 CLASSIFIED ADVERTISEMENTS: Must be submitted in typewritten form. Indicate the number of issues in which the ad is to be published. Rates for NDA Members (per issue): $6.00 for 30 words or less; 20 cents for each additional word. For replies to NDA box number, an additional $1.00. For Non-NDA Mem bers add fifty percent to these rates. NOTE: Advanced payment for classified ads MUST accompany order. For Display Advertising rate card, contact the NDA office. Send classified ad with remittance to: Nebraska Dental Association 3120 "0" Street Lincoln, NE 68510 DEADLINE: 20th of the month prior to publication IRA and SEP are safe ways to invest your retirement dollars. (Personal Financial Planllers. IDS Fina/lcial Services Inc. compiled byJobn C. Snare and Ron Spal.mi ofLincoln) If you're seeking safe ways to invest your retirement money, you might want to consider either an Individual Retirement Account (IRA) or, if you're self-employed, a Simplified Employee Pension (SEP). lRAs aren't the fantastic deals they used to be, when taxable income was lowered by the full amount of the contribution. These days, you probably can't deduct the full amount of your contribution if you palticipate in an employer's retirement plan and your adjusted gross income exceeds $25,000 (single taxpayer) or $40,000 (joint filers). However, even if you're totally or partially ineligible to make deductible contributions, you still can make nonde ductible investments each year of up to $2,000, minus any deductible contributions. Both spouses can contribute if they both qualify, and a married person can contribute up to £2,250 for an unemployed spouse. An IRA offers advantages even if your contribution doesn't lower your taxable income: • Taxes on IRA earnings are deferred until you With draw funds from the account. • You can put your money into any type of investment you want with some limits (no collectible, etc.) • Money can be contributed for the current tax year right up until the time you file your return (this would be April 15, 1994, for the 1993 tax year). Remember, though, that money taken out of an IRA account before you reach age 59-1/2 will mean a 10 percent penalty, and you must start withdrawals by age 70-1/2. Business partners, sole proprietors, owners of corpora tions and anyone who has any self-employment income also have the option of setting up a SEP. Similar to an IRA, SEPs mean a lot of flexibility in the timing of contributions. Accounts can be opened, ancl contributions made to them, until the tax due date. For sole proprietors, business net earnings (subject to certain adjustments) are used as the basis for calculating SEP contributions. Self-employed persons, therefore, don't have to incorporate and pay themselves a salary to be able to deduct up to $30,000 for SEP contribution. If you're considering setting up an IRA or a SEP, talk first to your accountant, tax preparer or financial planner. These professionals know all the rules covering these accounts. and they can help you avoid the pitfalls. They also can ensure that any investments you make fit in with your overall financial goals. 20 NEBRASKA DENTAl ASSOCIATION February 1 January 10 LDD" Board of Director's Ivleeting, 5:50 p.m., NDA Office. January 11 - ODDS Cen "ral i\lemhership Meeting, Spt'aker - Dr. Alan Thomsen, "Aclvanct'c1lmplanl Restorations," I hr. C.E. Course hegins promptly at 6:00 p.m. Dinner ~!ncl meeting - 7:00 p.m. January 20 1:00 p.m. - Half day workshop, "Grassn ots Lobhying and other Lohbying strategies." Speakers from the ADA and NDA's Lohhying Firm. Contact the NDA for more lnforma tion. January 20 NDA Legislative Heccption, 5:50 p.m. - 7::30 p.m., Nehraska Cluh. \1(f alch your [DA 'ewsletter for further ddails. January 21 LDOA Annual Continuing Education Program. "Update in Orrhoclontics," presented by Lincoln Orthodontists. Registration - 8:00 a.m., Course - 8:30 a.m. - 4:30 p.m. 6 hours of CE. January 22 Grealer Nehraska Dental Hygiene Assn. CE. Course on Perioclontics. Dr. Ibncly J larris - Speaker. Kearney Puhlic Library, 9:30 - 12:30 1'.111 .. Pre-registration required l Call Dawn at (402) 401-4]74 or Kathy at (402) 4t)1-3691. January 28 CE. Course, "What's New In Dentistry: 1994," UNMC College Faculty, Nehraska Center for Continuing Educttion (5.5 hI'S. CE.) For more information. Contact UNMC College of Dentistry. N·E·B ·R·A·S·K·A DENTAL ASSOCIATION DDS Board of Directors Medin ',Olive Garden, 6:30 LODA General Memhership Meetin u • Speaker - Dr. Joe Stavas. Ibcliologist, "TMJ Imaging," 1 hr. CE. Social hour 5:30 p.m.. Dlnner - 6 p.m.. February 15 ODDS General Memhership iVleering, Speaker - Dr. James Summitt, (.1:.0 - '51'.111.). Table Clinics (5-6 p.m.). 4 hI'S. C.E. Dinner and USAF Speaker - 6 .111. February 18 & 19 Diagnosis & Trcatmt'nt of Facial Pain &. TMJ Disorders" and "Current Management of Medically Compromised l'atit'nts." Dr. Martin.J. Dunn, course lleld in Jackson Hole, Wyoming. For more information contact: Concord Dt:nt:il Seminars. 5(i Northeast Village Rd .. Concord, NH 03301 or call (605) 22';-4146. February 25 CE. Course, "Implams in Dentistry," Drs. BruL't~ 13avilz. Srcenivas Koka and Glenn Maze, UNMC College of D "ntistr)'. (6 hI'S. .E.J Febmary 26 C.E. Course sponsored hy the \Vest District, speaker - Dr. Gayit' Nelson. Topic - Pedodontics. Held at Sidnt'y Country Cluh. <) a.m. - 4 r.m. For more information contact Dr. {\'Iike i\eal at 1-308-2'54-2')')') • {lNMC «JIll:,,, N"gis/mtioll /402) 559-,·J')2.~ For [1I/eml/(l/iOIl /-102) ';59-4/52 ('II/·/,,,;:\·i/.I' (~l Ol'ig!l/oll n!,!iis/rCitioll ({I/(I illtimll({/ioll i17 Onw!l(/ 280-';()54. Oil/sid" ()JlltI!lr( 1-800- ';4·-/- 50 7.2 Nebraska Dental Assocation 3120 "0" Street Lincoln, Nebraska 68510 PUBLISHED BY The Nebraska Denral As,~ol'iation 3120 "0" Street, Linwln, NE oK)1 0 (402) 476-1704 1-ROO-234-3120 FAX (402) Li76-2041 OFFICERS Dr. William Corcoran Presidell! Dr. Eel Vigna Presidell/-Elecf Dr. Bill Thiemann Vice President Dr. Eugene ,v!erch'lI1t Secre/CIIY Dr. Hichard Hrunmeier Treasl/rer Dr. R(JbL'([ Howell .)jJerlker "l/be HOllse Dr. Fred I)iedrichsen II/l/lledia/e Pas/ Pn!sidl!lI/ Dr. Myron Pudwill AnA Del"ga/e Dr. Benron Kuder ADA Dele,U.{[/(' TRUSTEES Dr. James Smith Dr. Max Martin Dr. Mark Pinkerton Dr. SCOtt' Wieting Dr. Donald Theophilus Dr. Daniel McClenahan Dr. Robert Wilson Dr. Dennis Kent Tom Bassett Julie f3erger Peggy Sumption Omalla Lincoln Southe;IS! Central North Northwest Southwest West Executive Direcror &. Editor Administrative Assi.sunt Ilu~iness Manager .Ill .. February 7 Gary Westerman DDS 1106 So. 91st A~e Omaha, NE 68124 ~O!\-l'l{QFIT O!{G U.S. POSTAGE PAID LlNC LN. NEBRASKA PEIUvllT . '0. 0'13