Jonathon Kimes 5-13

Editor’s Report October 2016

sunset

Sunset Review – Part III

The latest info to come out of the Sunset Advisory Commission regarding our state Dental Board is the “Sunset Staff Report with Commission Decisions.”  This report contains the final decisions of the Commission which will form the basis of the agency’s Sunset Bill during Legislative Session, which begins January 10, 2017.

Issue 1 – The Unusually Large Dental Board Inappropriately Focuses on Issues Unrelated to Its Public Safety Mission.

The original recommendations were for a reduction in the total size of the board from 15 to nine, with a reduction in the number of dentist board members from eight to four.  The final recommendation was somewhat of a compromise, recommending a reduction to a total size of 11 members, including six dentists, three hygienists, and two public members.

The Board will also be directed to create a more detailed system for stakeholder input as well as informal settlement hearings, both of which aim at increasing the Boards concentration on public safety

Issue 2 – State Regulation of Dental Assistants Is Unnecessary to Ensure Public Protection and Is an Inefficient Use of Resources.

Again a compromise between current regulation and the original recommendation.  The final decision, in lieu of the original recommendation to discontinue the licensure of dental assistants, is to combine the board’s four dental assistant certificate programs into one registration for dental assistants.  This one registration will cover radiology, nitrous monitoring, sealants, and coronal polishing.  Whether or not current dental assisting licensees with be grandfathered in or will be required to show proof of CE or take a new examination remains unclear.  Dental assistant registrations will be renewed biennially.

Issue 3 – The Board Lacks Key Enforcement Tools to Ensure Dentists Are Prepared to Respond to Increasing Anesthesia Concerns.

The Board will be authorized to conduct inspections of dentists administering parenteral sedation in office settings.  The Board will also establish four levels of sedation permits, with appropriate education and standards for each, with an additional limitation to be placed on pediatric and high-risk patients.

Dentists with one or more anesthesia permits will also be required to maintain adequate written emergency plans, and will have requirements for necessary equipment and drugs prior to administering sedation/anesthesia.

A nine-member board-appointed standing Advisory Committee on Dental Anesthesia will be created to advise the Board on the development and revision of rules related to dental sedation and anesthesia.  The board will track and report anesthesia-related data and to make publicly available on its website aggregate enforcement data by fiscal year and type of license.

The Board is directed to define portability, methods to obtain a portability permit, and establish advanced didactic and clinical training requirements for the permit.

Issue 4 – Key Elements of the State Board of Dental Examiners’ Licensing and Regulatory Functions Do Not Conform to Common Licensing Standards.

The Board will be required to monitor licensees for adverse licensure actions, and be allowed (i.e. encouraged) to deny applications to renew a license if an applicant is not compliant with a board order, be allowed to require evaluations of licensees suspected of being impaired, and be allowed to remove unnecessary qualifications required of applicants for licensure or registration.

There is also a recommendation to stagger registration renewals, but the details have not been given yet.  Maybe every two years?

Previous recommendation didn’t address any prescription drug issues, but the final decisions do contain a Prescription Monitoring Program.

As of September 1, 2018, dentists will be required to search the Prescription Monitoring Program and review a patient’s prescription history before prescribing opioids, benzodiazepines, barbiturates, or carisoprodol.  A dentist who does not check the program before prescribing these drugs will be subject to disciplinary action by the Dental Board.

The Board will be required to query the Prescription Monitoring Program on a periodic basis for potentially harmful prescribing patterns among its licensees.  The Board will work with the Pharmacy Board to establish potentially harmful prescribing patterns that the Board should monitor by querying the database for dentists who meet those prescribing patterns.  Based on the information obtained from the Prescription Monitoring Program, the Board will be authorized to open a complaint for possible non-therapeutic prescribing.

By Jonathon R. Kimes, DDS
Editor, CADS

 

 

 

 

LaMOM-FULLVERSION-web

The Louisiana Dental Association is in need of support for the Louisiana Mission of Mercy on Sept 30 – Oct 1

* Updated Information from the Louisiana Dental Association – Timeframe for Temporary License Extended (In Bold Face, below) * 

Dear Colleagues:
 
You are all no doubt well aware of the flooding disaster affecting much of South Louisiana.  Thankfully, the LDA office was not affected and the impact on staff has been minimal and generally indirect. (Not that it was fun to be without power in my home for two days in August in Louisiana, but I feel SO blessed compared to many others.)
 
As you may have heard, 20 parishes (counties) were declared federal disaster areas.  So far, we have reports of about 40 dentists who had flooding in their practice, home or both. (The attached photos were included with dentists’ disaster grant applications.) But, the latest official estimates are that as many as 80,000 homes in the Greater Baton Rouge area were flooded.  That figure does not include areas around Lafayette, LA and New Iberia (home of Tabasco sauce) that also had significant flooding.  So, we are quite sure that the number of dentists with flooding in their homes or practices will climb significantly higher as our outreach efforts result in contact with more and more dentists in the flooded areas.
 
Moreover, the number of members that have been indirectly impacted by the flood is likely to be huge.  Many of our members in South Louisiana have friends and family that were flooded and are helping them out by providing housing, help with clean up and more. (The same is true for most of the LDA staff.)
 
This has led to concern on the LDA Foundation board that we will have so many dentists still preoccupied with flood recovery, either for themselves or for their family and friends, that it will be especially difficult to entice those members to volunteer to work at our MOM (LaMOM) in the New Orleans area that is now just five weeks away (Sept. 30-Oct. 1).  We are well short of having the volunteers needed at this point and very concerned that the usual last minute rush to sign up will simply not materialize with so many people fatigued from the stresses of flood recovery.
 
So, I am asking for a favor from all of you. (For the record, we normally, say “y’all” down here, not “all of you.” 
J)  Would you be willing to let your members know that LaMOM is facing a potentially significant shortage of volunteers and ask if some of them will sign up?  The attached Word document includes the basic information they would need; the rest can be obtained by following the link in the attachment to our web site.
 
Please note that there is a time factor here. The LDA handles everything with the Louisiana State Board of Dentistry (LSBD) as far as obtaining temporary licensure in Louisiana for out of state volunteers. Ordinarily, it can take up to 30 days to process the temporary license application. LSBD staff has assured the LDA that the processing will be expedited in recognition of the unusual circumstances.  Out of state volunteers will need to register no later than Sept. 22 (i.e., one week prior to LaMOM) to be assured of being licensed in time for the event. (Dentists and hygienists who sign up less than one week prior to LaMOM may still be able to get licensed, but if not, could still work at LaMOM in other areas that don’t involve actual treatment.)
 
I realize this is a lot to ask in many ways.  Many of you likely have challenges getting sufficient volunteers for your own MOMs and don’t want to burn out your own supply of volunteers.  So, I COMPLETELY understand if you feel as though you have to decline my request for help.  But thanks in advance to those of you who may be able and willing to give us a hand.
 
Ward Blackwell,
Executive Director/CEO
Louisiana Dental Association/Louisiana Dental Services, Inc.
7833 Office Park Blvd.
Baton Rouge, LA 70809
(225) 926-1986 <tel:%28225%29%20926-1986
FAX (225) 926-1886 <tel:%28225%29%20926-1886
www.ladental.org <http://www.ladental.org/
ward@ladental.org <mailto:ward@ladental.org
 
UPCOMING LDA/ADA EVENTS:
ADA 12th District Caucus Meeting
, August 28, 2016, Embassy Suites DFW Airport North, Grapevine, TX.
LDA Board of Directors Meeting, September 9, 2016, LDA Office, Baton Rouge, LA.
ADA Annual Session, October 20–24, 2016, Denver, CO. 
LDA Last Chance Seminar, December 9, 2016, Baton Rouge, La. 
For more information or to register for any LDA event, go to www.ladental.org <http://www.ladental.org> .
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CADS New Dentist of the Year 2015

Congratulations to Dr. Trisha Kimes!  

Thank you for your dedication and contributions

to the Austin dental community!!!