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Clinical Integration in a Dental School Clinic Through an Enhanced Patient Intake Process
Fonda G Robinson1, Henry Fischbach2, Jessica Salisbury2
1Fonda G. Robinson, DMD, is Associate Dean, Clinic Administration and Patient Care, and Associate Professor, Division of Restorative and Prosthetic Dentistry, The Ohio State University College of Dentistry; Henry Fischbach, DDS, is Assistant Dean, Predoctoral Clinic Operations, Division of Restorative and Prosthetic Dentistry, The Ohio State University College of Dentistry; Jessica Salisbury, BSDH, MS, is in private practice and Chief Operations Officer, Grove City, OH; Dawne Stefanik, DDS, is Assistant Professor, Division of Restorative and Prosthetic Dentistry, The Ohio State University College of Dentistry; Rachel Kearney, BSDH, MS, is Division Chair and Associate Professor, Division of Dental Hygiene, The Ohio State University College of Dentistry; and Henry W. Fields, DDS, MS, MSD, is Division Chair and Professor, Division of Orthodontics, The Ohio State University College of Dentistry. robinson.1490@osu.edu.
Implementing Lean management principles in dental schools improved patient flow and integrated dental and dental hygiene students. This process enhancement boosted access to care, patient satisfaction, and teamwork in dental education.
Area of Science:
- Health Services Research
- Dental Education
- Operations Management
Background:
- The U.S. dental care system often operates on a general practice model, with opportunities for enhanced team integration.
- Dental schools with dental hygiene programs offer unique settings for interprofessional education and team-based care.
- Lean management principles, focused on waste elimination and value addition, can optimize healthcare processes.
Purpose of the Study:
- To improve patient throughput and enhance educational experiences by integrating dental and dental hygiene students.
- To apply Lean process improvement techniques to an inefficient patient intake process at a dental college.
- To foster teamwork and collaboration among dental and dental hygiene students within a clinical setting.
Main Methods:
- The Ohio State University College of Dentistry faculty and staff implemented Lean process improvement techniques.
- The patient intake (admissions) process was analyzed, streamlined, and key phases were relocated.
- Focus was placed on improving patient flow and integrating educational clinical experiences.
Main Results:
- The initiative successfully improved patient access to care and continuity of care.
- Patient satisfaction and the scope of dental services offered were enhanced.
- Collaboration and teamwork between dental and dental hygiene students significantly improved.
- New patient retention and cancellation/no-show rates remained largely unchanged.
Conclusions:
- Process improvement initiatives, such as Lean management, can effectively integrate dental healthcare teams.
- Streamlining operational processes in dental schools enhances both patient care and student education.
- Interprofessional education within a Lean framework positively impacts student collaboration and clinical outcomes.
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