Hurricane Practice Prep

We’ve all seen the dramatic effect hurricanes can have, both the initial wind and rain and the floods and devastation that follow. There are steps you can take to stay safe and reduce damage to your property in the event of a storm.

BEFORE A HURRICANE

  • Install storm shutters.
  • Remove yard debris, such as dead tree limbs, that could become flying missiles.
  • Make sure your practice communication plan is in place and ready to be put into effect.
  • Make sure you and/or employees know how to shut off utilities, including water main.
  • Look through your emergency kit to ensure it is fully stocked and up to date with necessities for preparing your practice.
  • Back up computer records and store them at least 50 miles off-site.
  • Gather important papers to take with you if you must evacuate, including inventory lists and insurance information.

DURING A HURRICANE

  • Know your community’s evacuation plan and, if asked to evacuate, do so immediately.
  • Stay inside and away from windows, skylights and glass doors. Avoid elevators.
  • Avoid washed out and wet roads that can hide downed electrical lines or underlying currents that can carry your vehicle away.

AFTER A HURRICANE

  • Water is a major cause of damage after hurricanes. The longer your house is exposed to water, the more damage you’ll see to your roof, ceiling, walls and floors, as well as any personal belongings inside. After the storm has passed, it’s important to dry out anything water damaged.
  • Open windows and doors to allow air to circulate and speed up the drying process.
  • Clean up any broken glass and remove debris.
  • Board up broken windows and doors.
  • Cover roof damage with tarps or plywood.
  • Save receipts for any temporary repair expenses.
  • Move any wet items to a dry place.
  • If possible, place any damaged items in a safe, secure area where they can be inspected later.


Content provided by Safeco Insurance.

This article was originally published in FDA Services’ Hurricane Guide, “Storm Proof.” Be prepared for the 2021 hurricane season with articles about how to prepare, loss and damage, and making a claim. Visit fdaservices.com for more information.

Are You Prepared for Hurricane Season?

June 1 is the official start of the 2021 Atlantic Hurricane Season! Don’t let that important date pass you by without reviewing your storm readiness plan and ensuring you have the right coverages in place to protect your practice. Creating an airtight plan now will give you the peace of mind to focus your attention on other challenges your dental practice may face in the coming months. 

Here are a few points to keep in mind this season:

  • Flood policies have a 30-day waiting period before they become effective.
  • Your office insurance could have some gaps that leave you vulnerable to storms (i.e., wind damage coverage). FDA Services (FDAS) can help identify and fill those gaps.
  • It is important to review the value of your building and its contents every few years to ensure that you have enough coverage.

Call or text FDAS at 850.681.2996 to review your coverage today!

2021 Hurricane Guide

Make sure you check out the 2021 FDAS Hurricane Guide, “Storm Proof,” which is full of helpful resources that will help you prepare for this year’s hurricane season with plenty of time to spare.

Closing a Dental Practice: Patient Safety Considerations

By David O. Hester, FASHRM, CPHRM, Director, Department of Patient Safety and Risk Management, The Doctors Company

Dental practices undergo closure for many reasons, including dentist illness, death, relocation, or the dentist’s decision to sell, practice solo, join another group or retire. As a service to our members, the Department of Patient Safety and Risk Management of The Doctors Company provides this information to make the transition easier.

What should be done in an emergent situation?
During any change in practice, the continuity of patient care to ensure that no patient is neglected is of paramount concern. If the change is abrupt — as in the circumstance of a death — the safety measures below will assist in ensuring patient safety and continuity of care.

Review all previously scheduled appointments to determine the appropriate action. Immediately contact a dentist of the same specialty to arrange patient care or provide patients with a list of dentists of the same specialty within the area. You also should take the following steps:

  • Ensure the availability and accessibility of dental records as needed for the continuity of patient care.
  • Post a notice of closure in the office and in the local newspaper. (Contact your patient safety risk manager for a sample notice.)
  • Call all dentists who customarily refer patients to the practice and all contracted managed-care organizations, and the medical malpractice carrier.

Who should be notified if it is a non-emergent closure?
If the practice closure is non-emergent, notify the following individuals and entities:

  • all patients and legal representatives in the “active” caseload; this includes any patient seen in the past six months to three years or others the dentist considers “active,” and any patient in an acute phase of treatment
  • all peer dentists within the community
  • local dental societies
  • all third-party payers (including Medicare and Medicaid) and managed-care organizations
  • the DEA (if you are retiring or if you are moving to another state)
  • the state licensing board
  • professional associations in which you hold membership
  • your CPA or financial adviser
  • your employees
  • landlords, lenders and creditors
  • insurers that cover the practice, the employees and the physical facility

How should the notice be communicated?
Draft a letter to each patient that contains all the necessary details. The same letter can be used for everyone listed above. (Contact your patient safety risk manager for a sample letter.) It’s recommended that letters be sent with return receipt requested and that a copy of the letter and return receipt be kept. If a patient is considered high risk, send the letter certified with return receipt requested. Post a notice in a local newspaper to inform inactive patients or those who have moved away. Include directions for obtaining acute, critical or emergency care if a new dentist has not been selected by the time the practice closes.

Is there a time limit for sending the closure notice?
Yes. In a non-emergent situation, send the notice at least 60 days prior to the anticipated closure. This gives patients an opportunity to locate a new dentist and to obtain copies of their dental records without undue stress.

What other responsibilities should be undertaken by the practice that is closing?

  • Provide patients with easy access to their dental records by enclosing an authorization document in the notification letter you send to them. (Contact your patient safety risk manager for samples.) When the signed authorization is returned, you can provide copies and apply appropriate charges.
  • Provide information on where the dental records will be stored in the future, the length of time (in years) that the records will be retained, and a permanent mailing address or post office box number for all future record requests. Arrange a secure storage place for the original dental records that is safe from theft, fire, flood or other weather-related disasters.
  • Maintain the dental records in accordance with The Doctors Company’s recommendations: 10 years after the last adult visit and 28 years from birth for pediatric patients. The records should be easily accessible and retrievable.
  • DO NOT give original records to patients. The easiest method is to find another dentist to take over the practice and turn the records over to that provider or turn the records over to another dentist of the same specialty.
  • Stress the importance of continuing care for all patients. Provide information about where they can find another dentist, such as the Yellow Pages and the local or state dental society.
  • Make provisions for the completion of all dental records.
  • Place a notice of closure in your waiting room and in the local newspaper for at least one month, giving pertinent details of the closure.
  • Consult with your personal or practice attorney and the state licensing agency to ensure that you have met all regulations.
  • Destroy remaining prescription pads.
  • Keep the narcotics ledger for a minimum of two years.
  • Dispose of any drugs.

 

Contributed by The Doctors Company. For more patient safety articles and practice tips, visit www.thedoctors.com/patientsafety.

The guidelines suggested here are not rules, do not constitute legal advice, and do not ensure a successful outcome. The ultimate decision regarding the appropriateness of any treatment must be made by each health care provider in light of all circumstances prevailing in the individual situation and in accordance with the laws of the jurisdiction in which the care is rendered.

Disaster Preparedness for Your Dental Practice

By Julie Brightwell, JD, RN, Director, Healthcare System Patient Safety, The Doctors Company

Recently, hurricanes, floods and fires nationwide have highlighted the importance of planning for disasters. Hurricane and flood damage in Texas and Florida left practices without power for days or even weeks. Wildfires in California forced several dentists to quickly relocate their practices ― some permanently ― and to move scheduled procedures to different facilities. Is your practice prepared for this type of situation?

A disaster can overwhelm a dental practice, with damage that can include shattered windows, flood debris, power outages, disrupted telephone systems, computer and system outages, unsafe drinking water, destroyed dental records, medication exposure to temperature and humidity extremes, contaminated instruments and building structure failure.

Disaster preparedness requires a continuous cycle of planning, organizing, training, equipping, rehearsing and evaluating. Dentists are critical participants in disaster preparedness, ensuring that patient care and critical services are not interrupted.

Plan Ahead Now
Before the next disaster strikes, make sure your practice has a plan in place. A checklist, ordered by priority and customized to specific types of disasters, can provide the framework for a comprehensive plan. The checklist should include these elements:

  • A full-circle call tree that outlines who contacts whom.
  • Instructions for setting up instant messaging technology that enables staff to communicate without a wireless network or cellular data connection.
  • A Certificate of Insurance for your dental malpractice coverage, or instructions for contacting your agent or insurer directly to obtain proof of coverage. This document will be necessary if you are forced to temporarily relocate your practice or procedures.
  • Steps to follow upon returning from evacuation.

When Disaster Strikes
Planning today makes accomplishing the following tasks more feasible during a disaster:

Communication

  • Contact staff immediately to determine realistic time frames to return to work.
  • Notify external vendors and business associates of your practice interruption and targeted resumption of operation.
  • Implement staff briefings at the beginning and end of each day.
  • Create temporary phone, fax and answering services.
  • Establish patient telephone triage.
  • Implement temporary controls to ensure HIPAA compliance.

Computers and systems

  • Contact computer service vendors to ensure integrity and recovery.
  • Verify insurance coverage for repair or replacement costs and losses.
  • Evaluate applicable warranties and consider an information technology restoration service contract.
  • Inventory and document hardware and software.
  • Document the type and extent of both lost electronic and paper data.
  • Ensure data backup and periodically test compliance.
  • Re-establish filing systems and internal programs.

Dental records

  • Determine the extent of damage to, or loss of, patient records and filing systems.
  • Attempt to restore all damaged charts and document inventory findings.
  • Notify the state dental board for specific guidance pertaining to lost or damaged records.
  • Document all efforts to restore and protect existing records.
  • Reconstruct lost charts at the next patient encounter.
  • Contact your insurance carrier for restorative services and/or claim procedures.
  • Re-establish a filing system and temporary storage if necessary.
  • Obtain legal guidance for patient notification during recovery efforts.
  • Contemporaneously date and initial all late entries and duplicate information in context of recovery efforts.

In addition, create an inventory of all equipment and medications that may have been exposed to water or extremes in temperature. Repair, replace or discard damaged items appropriately.

Once your plan is in place, regularly re-evaluate its steps and update all contact information. Practice and rehearse the plan’s protocols. An effective disaster preparedness plan will help keep your practice focused on delivering care during an emergency.

The guidelines suggested here are not rules, do not constitute legal advice and do not ensure a successful outcome. The ultimate decision regarding the appropriateness of any treatment must be made by each health care provider in light of all circumstances prevailing in the individual situation and in accordance with the laws of the jurisdiction in which the care is rendered.

Reprinted with permission. ©2017 The Doctors Company. For more patient safety articles and practice tips, visit www.thedoctors.com/patientsafety.