IN THIS ISSUE - Creighton Digital Repository

19
·R·A·S·K·A ASSOCIATION -------------------- 3120 "0" Street, Lincoln, Nebraska 68510 Volume 103, Issue 4 A MontWy Publication April 2003 2003 AN NUAL SESSION APRI L 25-27 Donations Needed Time to Register We'll have 2 fundraising activities during the 2003 Annual Session. A silent auction will be conducted in the exhibit area (Alliance booth) on day 1 and 2 of the meeting. A separate silent auction will be at the Dinner (also known as Dmner wlth Joe Garaglola). So - HELP!! We need donations to help the cause. Sports memorabilia, gift certificates to restaurants, bottles of wine, gift baskets, golf items, or something else of value. Funds raised go to the NDA's Relief Fund and the NDA's Foundation. Let us know what you come up with so we can give it a lot number, etc. Assure any merchant who donates an item or two that we will give them appropriate recognition. Now get out there and beg! ************ * * * LB 411 * Have You Contacted Your State Senator? * * It's not too late to contact your State Senator and ask * * them to not eliminate Adult Dental Medicaid. If passed as * * originally written LB 411 would do just that. The Health & * Human Services Committee has voted to amend the bill * * and save adult dental. Now the entire body needs to adopt * that amendment. * !. * Therefore, it's best that you urge senators to adopt LB , i 411 as amended and to "not eliminate adult dental * * Medicaid." The bill also contains provisions for reducing * * care by chiropractors and several other health professions. * The state's looking to save money and it's doubtful that * they'll save much by completely cutting adult dental. When * * folks are in pain they'll go to a medical clinic or a hospital * emergency room --- that's not going to save anybody any * money. * * Call the NDA if you need a phone number or an e-mail * * address for a senator. Grassroots support is essential * * ** **** * ***** ** Welcome to the 135thAnnual Session THE DENT' A T PROFESSION- United We Stand - 2003 Annual Session Doubletree Hotel Civic Auditorium Omaha, Nebraska April 25, 26, 27, 2003 NCDHM Stats National Children's Dental Health Month was a busy time for the postal can-iers that service 3120 0 Street in Lincoln. (that's us). We sent the following to NDA members: Toothbrushes - 2,094 Free, 1,300 Paid for Stickers - 5,569 Boolunarks - 4,394 We also received 700 posters from 50 grade schools as entries in our annual dental health poster contest. The NDA spent over $500 in postage sending videos and assorted goodies to members. IN THIS ISSUE NDA Annual Session .Time to Register Long Term Care Insurance Vocabulary Lesson Decision Making Treating the Elderly ADA Surveys Services Rendered PLUS, photos of 3 handsome NDA members who traveled to D.C. to save the free world (from the anti-flossing advocates) A NEWSLETTER SERVING THE DENTISTS OF NEBRASKA

Transcript of IN THIS ISSUE - Creighton Digital Repository

·R·A·S·K·A ASSOCIATION

-------------------- 3120 "0" Street, Lincoln, Nebraska 68510

Volume 103, Issue 4 A MontWy Publication April 2003

2003 AN NUAL SESSION APRI L 25-27

Donations Needed Time to Register We'll have 2 fundraising activities during the 2003

Annual Session. A silent auction will be conducted in the exhibit area (Alliance booth) on day 1 and 2 of the meeting. A separate silent auction will be

c~nducte~ at the Lead~rship Dinner (also known as Dmner wlth Joe Garaglola).

So - HELP!! We need donations to help the cause. Sports memorabilia, gift certificates to restaurants, bottles of wine, gift baskets, golf items, or something else of value. Funds raised go to the NDA's Relief Fund and the NDA's Foundation.

Let us know what you come up with so we can give it a lot number, etc. Assure any merchant who donates an item or two that we will give them appropriate recognition.

Now get out there and beg!

* * * * * * * * * * * ** * * LB 411 *

Have You Contacted Your State Senator?* * It's not too late to contact your State Senator and ask **

them to not eliminate Adult Dental Medicaid. If passed as * * originally written LB 411 would do just that. The Health & * Human Services Committee has voted to amend the bill *

* and save adult dental. Now the entire body needs to adopt * that amendment. *!. * Therefore, it's best that you urge senators to adopt LB

,i 411 as amended and to "not eliminate adult dental* * Medicaid." The bill also contains provisions for reducing * * care by chiropractors and several other health professions.

* The state's looking to save money and it's doubtful that * they'll save much by completely cutting adult dental. When* * folks are in pain they'll go to a medical clinic or a hospital * emergency room --- that's not going to save anybody any * money.* *

Call the NDA if you need a phone number or an e-mail * * address for a senator. Grassroots support is essential* *

* * * * * * * * * * * * * *

Welcome to the 135thAnnual Session THE DENT'A T ~

PROFESSION-United We Stand

­

2003 Annual Session Doubletree Hotel • Civic Auditorium Omaha, Nebraska April 25, 26, 27, 2003

NCDHM Stats National Children's Dental Health Month was a busy time

for the postal can-iers that service 3120 0 Street in Lincoln. (that's us).

We sent the following to NDA members:

Toothbrushes - 2,094 Free, 1,300 Paid for

Stickers - 5,569

Boolunarks - 4,394

We also received 700 posters from 50 grade schools as entries in our annual dental health poster contest.

The NDA spent over $500 in postage sending videos and assorted goodies to members.

IN THIS ISSUE NDA Annual Session .Time to Register Long Term Care Insurance Vocabulary Lesson Decision Making Treating the Elderly ADA Surveys Services Rendered PLUS, photos of 3 handsome NDA members who traveled to

D.C. to save the free world (from the anti-flossing advocates)

A NEWSLETTER SERVING THE DENTISTS OF NEBRASKA

2 NEBRASKA DENTAL ASSOCIATION

A Message From The President This is my final column as President of the NDA, (I can hear some of you cheering).

I have enjoyed this past year especially getting to know many of my colleagues better. I want you to know how well our central office functions. Tom has helped me

immensely this year. Tom, Julie, and Niki have had experience working in organized dentistry, and this is a great benefit for the NDA.

Many of you serve as Officers, Trustees, and council or committee members. You are what really makes the NDA. You represent the dental profession in your community. Thanks for your contributions.

Dr. Sandi Larson will soon take over as your President. I trust you will help her as much as you have me.

Sue and I look forward to seeing all of you in Omaha for the Annual Session. Dr. Bob Roesch

Thanks for the memories,

Bob

Visiting Spotting an Washington D.C. Old Geezer By Tom Basse"

I may be prejudice but I think the NDA was well represented at the ADA's Legislative Leadership Conference in Washington, D.C. Just a couple weeks ago, Drs. Ed Vigna and Rich Fitzgerald plus yours truly decended on D.C. for a bliefing from ADA officials, presentations by a selection of government officials (Senators, Congressmen and the head of OSHA) plus a visit to "the Hill."

We promoted several ADA legislative endeavors asked for support for Medicaid, and financial assistance for a project at UNMC's College of Dentistry. We got a warm reception at all five offices. Attending the Nebraska Breakfast on Wednesday mornings is a must.

Say "thanks" to Ed and Rich when you see them. They gave darn near a week to represent your interests.

Left to Rt. - Rich Fitzgerald, Ed Vigna, Sen. Chuck Hagel, Tom Bassett

At sporting events, during the playing of the National Anthem, Old Geezers hold their caps over their hearts and sing without embarrassment. They know the words and believe in them. Old Geezers remember World War I, the Depression, World War II, Pearl Harbor, Guadalcanal, Normandy and Hitler. They remember the Atomic Age, the Korean War, The Cold War, the Jet Age and the Moon Landing, not to mention Vietnam.

If you bump into an Old Geezer on the Sidewalk, he will apologize. If you pass an Old Geezer on the street, he will nod or tip his cap to a lady. Old Geezers trust strangers and are courtly to women. Old Geezers hold the door for the next person and always, when walking, make certain the lady is on the inside for protection.

Old Geezers get embarrassed if someone curses in front of women and children and they don't like any filth on TV or in the movies. Old Geezers have moral courage. They seldom brag unless it's about their grandchildren.

It's the Old Geezers who know our great country is protected, not by politicians or police, but by the young men and women in the military serving their country.

This country needs Old Geezers with their decent values. We need them now more than ever. Thank God for Old Geezers!

Pass thiS on to all the Old Geezers you know

I am proud to be an old geezer and I hope I will always uphold our tradition .....

Courtesy ofDr. Robert Craig) Retired Oral Surgeon, Lincoln

3 NEBRASKA DENTAL ASSOCIATION

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4 NEBRASKA DENfAL ASSOCIATION

House Puts Patients, Doctors First By Approving Medical Liability Reform

WASHINGTON (March 13) - Listening to the nationwide concerns of patients and their doctors, the House of Representatives today passed H.R. 5, "the Help Efficient, Accessible, Low-Cost, Timely Healthcare (HEALTH) Act of 2003," by a vote of 229-196.

This legislation addresses the rapidly escalating health care crisis facing many states throughout our nation. Due to the rising cost of medical liability insurance, many doctors are shutting their doors, moving to other states or retiring because they can no longer afford their medical liability insurance premiums. This has left many patients, especially women, children and people in rural areas, without specialty doctors and quality health care.

"Instead of demagoguing about our current health care Cl1sis, we have put together a time-proven formula that puts into place medical liability reforms that will protect patients while restoring sanity to the judicial process. Our bill is modeled after a law that has been working in California for more than 27 years," stated House Energy and Commerce Corrunittee Chairman Billy Tauzin (R-LA). "The bottom line: doctors are fleeing states like West Virginia but lawyers are not leaVing California. That should tell you what the real problem is today."

Under the Health Act, an injured patient may fully recover economic loss, without limitation. In addition to unlimited economic loss recovery, a claimant may recover up to $250,000 for non-economic damages and up to two times the economic loss awarded for punitive damages. The bill does not preempt any state law that limits damages at specific amounts, whether they are higher or lower than the limits provided under H.R. 5.

"Today the House stood up for the hidden victims. They are the doctor who has invested his whole life into helping others only to be forced into retirement because he can't afford his medical liability premiums, or the pregnant women who wants to have a natural childbirth but is forced to undergo a C-section instead because her OB-GYN doesn't want to take on the risks associated with natural birth. And let's also not forget people like Tony Dyess, who now suffers permanent brain damage follOWing an auto accident, because the trauma center no longer had a neurosurgeon on staff. It's time now for the Senate to stand up for these hidden victims as well," concluded Chairman Tauzin.

(The ADA supported H.R. 5. We believe our 3 Congressmen from Nebraska voted as follows: Bereuter and Osborne - For Terry - Against)

Kiess Kraft Dental Labs., Inc. 6601 South 118th Street

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Lincoln, NE 68503 402-477-6969/800-825-0077

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5 NEBRASKA DENTAL ASSOCIATION

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Doug Eversall Memorial Fund (Submitted by Susan Norby, U. ofN. Foundation)

As many Nebraska dentists know, Dr. Doug Eversoll was one of our dental college's most accomplished and active alumni, and he was a true leader in oral health care services for our city, our state and the Midwest region. He earned three degrees at the University of Tebraska (B.S. in 1981; D.D.S. in 1984; and his M.S.D. in Orthodontics in 1986); he had a successful full-time private practice in orthodontics here in Lincoln; he was a gifted musician and was part of a local rock band of dentists who performed regularly for charity events; and he was a true leader in personal service to and promoting active involvement in professional dental and orthodontic organization.

A memorial fund has been established here to honor Doug Eversoll's life and to pay tribute to his memory at his alma mater. Doug's family has recemly finalized the allocation purpose for the Doug Eversoll Memorial Fund: it will be permanently endowed with annual net income allocated to fund sending postgraduate orthodontic students to attend and participate in local, state, regional or national annual orthodontic professional meetings. This fulfills a standing need within our Orthodontic Program and will definitely help enhance the educational experience our postgraduate orthodomic studems can enjoy at the UNj\lIC College of Dentistry.

For more information, please contact the University of Nebraska Foundation, Susan Sac Norby, (402) 472-2151

All programs are subject to credit approval. Some restrictiON may apply. InCluding limits on the amount of personal and consumer debt that may be consolidated. Consult your tax advisor for your specific benefits.

Link Found Between Pediatric Cavities and Secondhand Smoke

A study published in the March 12, 2003 issue of the Journal of American Medical Association has found a link between pediatric cavities and secondhand smoke. Researchers from the University of Rochester at New York and the Center for Child Health Research conducted the study.

Children who inhale secondhand cigarette smoke have a higher risk of getting caVities. The study included 3,500 children ages 4 to 11, finding that one quarter of the children would not have developed cavities in their primary teeth if they had not inhaled environmental smoke. Secondhand smoke, also known as environmental tobacco smoke, is associated with decreased vitamin C is associated with the growth of cariogenic bacteria, causing cavities. Environmental tobacco smoke may also reduce the protective properties of saliva that operate against caVities.

An abstract of the study is available at http://jama.ama-assn.org/issues/v289n10/abs/joc21865.html

Journal of Medical Association www.jama.ama­assn.org March 12, 2003

------

6 NEBRASKA DENTAL ASSOCIATION

COMPETENCE, CAPACITY, AND THE RIGHT TO MAKE DECISIONS by Randy Musselman, Elder Rights Specialist WHAT IS COMPETENCE AND CAPACITY?

In order to carry out an act which will stanel up under law, the person who performs the act must be competent and have the capacity to understand what he or she is doing. Competence and capacity requires that the person have the legal ability to carry out the act and the ability to understand the nature of the act. The legal ability of a person is usually relatively easy to determine, such as in the case of a 16-year old person wanting to vote. Under Nebraska law, you must be at least 18 to vote. So, even if the 16­year old knew the issues and the candidates, he or she would not have the legal ability to vote.

However, it can be much more difficult to determine if a person has the actual capacity to carry out the act. A person can be totally confused in some areas of his or her life, but still have the capacity to carry out other acts. For example, if a person thought that all elected officials were made of green cheese and lived on the moon, and that he or she was sending a Christmas card when they voted, that would tend to show he or she might not have the capacity to cast an informed vote. But, it doesn't necessarily prevent them from doing something else, such as make a will If that same person also knew what he or she owned, what a will is, and how he or she wants to dispose of property, that person can still make a will. So, actual capacity is not always easy to pin down.

LEGAL IMPliCATIONS OF COMPETENCE AND CAPACIlY

Competence and capacity are, generally speaking, legal issues. A physician, or psychiatrist, can declare that a person lacks the ability to make decisions and recommend legal action, but that declaration and recommendation does not automatically make the person legally incompetent. Only courts of law can declare a person legally incompetent. Courts can hear the opinions of health care professionals and others as eVidence, but only the court can make the determination that a person is not competent and lacks capacity.

Also keep in mind that a person who meets the minimum requirements of the law is considered to be competent until a court declares othelwise. So, even if an adult starts acting in an odd manner and appears to lack the capacity to make a decision, that person keeps the right to make those decisions until a COUll

declares otherwise. Do not assume that odd behavior automatically means incompetence.

GUIDEliNES FOR DETERMINING COMPETENCE AND CAPACIlY

There is no "magic formula" for determining competence and capacity. Each person's competence and capacity. Each person's competence and capacity has to be determined individually, taking all facets of his or her life into account. However, there are some guidelines you can use if you have a question about the competence:

1. Does the person understand the nature of what he or she proposes to do?

For example, if a person is proposing to make a Will, does he or she realize that this is a document that instructs others what to

do with his or her property after death? Does the person know what his or her property is?

2. Does the person understand the natural consequences of the act? For example, if the person refuses surgery for cancer, does he or she realize that physical pain, loss of function, and possibly death could result, or does the person believe nothing will happen if he or she refuses the surgery?

3. Does the person have a rational reason for his or her decision? If the person in the previous example refused surgery because they were tired of treatment and did not want to endure the pain and trauma of a major surgery, that sounds rational. If the person believes that a magic dog will come and magically cure him or her if there is no surgery, that doesn't sound rational. This standard only asks if the reasoning is rational, not if you agree with the decision.

IF YOU HAVE QUESTIONS

If you have questions or want more information about the issues raised in this article, you can contact the Legal Selvices program at your local Area Agency on Aging for assistance or the State Unit on Aging at 1-800-942-7830.

(From The Older Nebraskan's Voice, Winter 2002)

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7 NEBRASKA DENTAL ASSOCIATION

Thanks for giving us the opportunity to

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Prodenco could not be more honored to sponsor the

Nebraska Dental Association's Annual Session, Of course,

what truly makes the NDA so special is that it gives us a

chance to work with so many of our state's outstanding

dentists, We are both humbled and incredibly appreciative of

your decades of trust in Prodenco, Please visit our "island" at ~p"Odenco the show and allow us to thank you personally. ~group fJ:;~~TORIES

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8 NEBRASKA DENTAL ASSOCIATION

April 25, 26, 27 Session IA Friday, April 25 (9:00 -11:45 a.m. & 1:45 - 5:00 p.m.) "5 Keys to Predictable Occlusal Therapy in Restorative Dentistry" A.M. Presentation

"Pops, Clicks and other strange noises...UnderstandingTemporomandibular Joint Disorders" P.M. Presentation (6 hrs. CE) DeWitt C. Wilkerson, D.M.D.

Dr.Wilkerson is a 1982 graduate of the University of Florida, College of Dentistry. He is currently in private practice in St. Petersburg. He is on faculty at the Dawson Center For Advanced Dental Dr. DeWitt Wilkerson

Study and is a guest lecturer at the Pankey Institute. His emphasis is on problem solving cases involving Restorative Dentistry, Occlusion and TM Disorders.

Session IB Frida)!, April 25 (9:00 - 11:30 a.m. and 1:30 - 5:00 p.m.) "How To Develop a More Profitable and Enjoyable Practice: Mastering the 'Business of Dentistry'" Mr. Gary Takacs (Co-Sponsored by the Nebraska Dental Assistants Assn.)

The dental world is changing at an unmatched pace! These changing times require new solutions. Ever-advancing technology and the development of new and improved dental materials and treatment techniques allow you to help more patients attain optimal oral health.This seminar will provide state-of­the-art business solutions that will allow your practice to thrive in these changing times.

Session II Saturda)!, April 26 (8:30 - 11:30 a.m. & 1:30 - 4:30 p.m.) "Empowering the Dental Team to Deliver 'Quality' Periodontal Care" (6 hrs. CE) Samuel B. Low, D.D.S, M.S., M.Ed (Co-Sponsored by the Nebraska Dental Hygienists Assn.)

Dr. Samuel Low is presently a Professor and Associate Dean for Administrative Affairs at the University of Florida College of Dentistry, with Board Diplomat status in the American Academy of Periodontology. He is an Associate Faculty member at the Pankey Institute and maintains a private practice of periodontics and placement of implants.

Session III Sunday, April 27 (8:30 - 11:30 a.m. & 1:30 - 3:30 p.m.) "To Metal or not to Metal: Predictable Esthetic Restorative Dentistry" (5 hrs. CE) Bruce W. Small, D.M.D., MAGD

A big "Thank You" to the Prodenco Group for sponsoring Dr.~p"Odenco Small. Their financial support has made it possible to bring~grouAff:J~TORIES this prominent speaker to Nebraska. Be sure to say "Thanks. "

Using 30 years of clinical experience, Dr. Small tells it like it really is and shows you how to achieve the most consistent successful restorative results. With a combination of classic dental techniques and new ones, he will lead you through restorative cases from a single tooth to full mouth reconstruction .

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All insurance products are un.derwritten by nw .Medical Protective Company unless otherwise indicated. The Medical Protective C01llfJ(t·n), if licensed in aU stales and the District of CoLumbia.. Product availability vmies based upon business and reguwtory ap-proval. *Medical Protective can offer individual physicians and dentists the right to written am­sent beJar-e seUling a claim. Contact Medual Protective and see ifyou are eligible to receive this important pruuision at your location.

10 NEBRASKA DENTAL ASSOCIATION

In many ways, we believe that what you look at is less important than what you see. As one of the country's leading providers of dental professional liability insurance, you can depend on us to look beyond the obvious, to see yoU!" needs in a different light. We call this Leading Through Ingenuity, and it's demonstrated in all

we do: • In-depth risk analysis and program design

• Proactive loss prevention programs and consulting

• Unsurpassed claims and defense service

• Personal, office/property and extended liability protectinn

Because our entire focus is on helpin"g dentists,

physicians, hospitals and integrated health networks manage Jisk, we're able to offer you unparalleled expertise. Contact us to locate a PIC WISCONSIN agent or broker

near you.

PIC WISCONSIN Leading Through Ingenuity

(800) 279-8331 www.picwisconsin.com

11 NEBRASKA DENTAL ASSOCIATION

The Long and Short of Long-term Care Insurance As America ages, LTC coverage is becoming a vital member

benefit.

Consider these figures from the u.s. Census Bureau. Thirty-five . million Americans are 65 or older today - a figure expected to double by 2030. Of the resulting 70 million, 8.5 million will be 85 years of age or older. At least 24 percent of all person 85 and older can be expected to live in a nursing home, and many more will require some form of daily assistance. The national average for the cost of one year in a nursing home is $54,9001 in 2002 dollars.

The impact of this developing situation is staggering. As baby boomers approach their own retirement, many are already caring for an elderly parent. They're watching their parents' resources being depleted for ongoing assistance care, and they're beginning to worry about their own health and financial future.

Everything points to the need for assistance on a long-term basis.

A BROAD RANGE OF CARE

Long-term care is a broad term that refers to assistance and services required by an individual over a long period. It includes care in a variety of settings, such as nursing homes, assisted living facilities, hospitals, and private residences, and it encompasses degrees of care, from acute nursing care to assistance with daily activities.

Not always an elder issue, long-term care also refers to services used by people of any age who are recuperating from severe accidents or illnesses or those who have chronic conditions that impair their physical or cognitive abilities.

Typically, people requiring long-term care are those who are unable to perform one or more specific functions called "activities of daily living" (ADL) without assistance. Activities of daily living include bathing, continence, dressing, eating, toileting, and transferring.

Assistance is clearly needed, but determining where to receive the assistance and how to pay for it are two major obstacles.

PAYING FOR TIIE CARE

Medicaid and Medicare are available to offset some of the costs of long-term care, but their support is limited. Medicare pays for some hospital costs and for some home health care, but not for the ongoing assistance that many elderly people need. Medicaid pays only when the patient's financial resources are exhausted and then provides very limited choices in care facilities. Most health insurance plans cover hospitalization and shOit-term acute care, but are not designed for long-term assistance.

Long-term care insurance, purchased individually or through a group policy, provides a means for closing the gap on expenses. This insurance typically covers actual expenses for:

Nursing home care

Home health care

Services in assisted living facilities

Services in adult day care centers

Selvices in other community facilities

Services are covered based on the loss of a specified number of activities of daily living and/or a qualifying cognitive impairment or mental incapacity.

INSURANCE OPTIONS

Long-term care insurance is becoming more widely available ­and sought after - as a member benefit. Depending on the policy

selected, long-term care insurance reimburses the insured a regular amount that covers some or all of the expenses for nursing home or at-home care. Policyholders pay an ongoing monthly premium for the product, typically paying less if they purchase the policy at a younger age.

Many associations and organizations are now adding long-term care insurance as an essential component in their member benefit portfolios. While some members may not yet be in the market for long-term care insurance for themselves, many plans are available for their spouses, parents, or parents-in-laws who are.

• Some points to consider when evaluating long-term care insurance include:

• Home health care - People often view home health care as their preferred option, for as long as it remains possible. However, many group plans do not pay the fujj daily benefit for in-home care.

• Survivorship clause - This feature allows that if a spouse dies after the policy has been in effect for a designated period and no benefit payments have been made, the surviving spouse's policy is fully paid up. This feature is highly desirable for many families.

• Elimination period - Some plans begin reimbursement for home health care from day one; others have a longer elimination period during which the insured is responsible for the costs of care.

• Benefit options - Some plans offer families the option of covering both spouses (or siblings or domestic paltners) under the same policy. This "shared benefit" provides the insured with policy discounts. Other plans offer options such as unlimited benefits.

• Claims payments - Prompt and regular claims payment is an essential characteristic of top-quality, long-term care insurance plans.

VALUE-ADDED SERVICES

When it comes to long-term care insurance, one size Goes not fit all. Comparing long-term care insurance policies and evaluating their benefits can be an arduous undertaking.

Benefits executives often find that professional assistance is an invaluable asset when selecting group long-term care insurance for their member benefits program. Plan administrators that provide established consultative services can help organizations determine the best program for their groups and secure the coverage at affordable group rates. These benefits professionals also provide unbiased information as they work on behalf of the organization and its members.

Just as important as providing advice, professional administrators deliver support services that relieve the organization of time-and resource-consuming responsibilities. Through systems that integrate benefit communications, call center technologies, and interactive web sites, the administrator can selvice the benefit needs of the membership on behalf of the organization.

As America's elderly population rapidly grows, so does the obvious need for long-term care. Associations are considering these two undeniable facts as they look to add long-term care insurance as vital and timely benefit to meet the needs of their member populations.

(From Affinity Connections, 3rd Qu.arter 2002)

12 NEBRASKA DENTAL ASSOCIATION

ADA Survey Results: Dental Services Rendered

Three Most Common Procedures by Dental Specialty, 1999

Dental Specialty/CDT-2 Codes National Estimates

General Practice

01110-01120 Prophylaxis (child or adult) 209,547,900

00120 Periodic oral evaluation 177,328,200

00270-00274 Radiographs, bitewings 105,657,100

Oral and Maxillofacial Surgery

07230-07250 Surgical extraction, bony 9,959,100

07210, 07220 Surgical extraction, soft tissue 4,747,600

07110 Single tooth extraction 4,144,900

Endodontics

00220, 00230 Radiographs, periapical 4,566,500

03330 Molar endodontic therapy 2,761,900

00140 Limited oral evaluation 1,725,700

Orthodontic and Dentofacial Orthopedics

08070-08090 Comprehensive orthodontic treatment 43,922,000

08050, 08060 Interceptive orthodontic treatment 6,000,800

08010-08040 Limited orthodontic treatment 5,082,300

Pediatric Dentistry

01110-01120 Prophylaxis (child or adult) 12,268,100

01201-01205 Fluoride treatment 11,982,900

00120 Periodic oral evaluation 11,913,500

Periodontics

04910 Peridontal maintenance 8,173,500

00120 Periodic oral evaluation 2,676,200

04341 Scaling and root planning, per quadrant 1,647,200

Prosthodontics

01110-01120 Prophylaxis (child or adult) 2,896,100

00120 Periodic oral evaluation 1,895,700

00220, 00230 Radiographs, periapical 917,600

Delta Dental Supports NDA Foundation

Delta Dental recently contributed $2,500 to the NDA Foundation. We believe this is the biggest donation received from an entity other than a district society. "Thanks" Delta Dental!

Tom Bassett; teft, receives a check from Delta Dental Board member Dr. Rich Fitzgerald of Omaha.

NDA Insurance Council Grants Approvals

The NDA's Insurance Council has recently given "approval" to 3 long-term care insurance programs. Those companies receiving the approval are Blue Cross Blue Shield, Mutual of Omaha and G.E. Coffered by Harold Diers and Associates)

In recent years the NDA has also awarded an approval to the long-term care programs of Prudential and CNA, the quality of each plan is evaluated by the Insurance Committee. The insurance company must also offer a premium discount to NDA members.

Several of these companies will be among the exhibitors at our annual session. A good opportunity to learn more about their plans.

Congrats, Thanks Congratulations to Dr. John and Judy

Ahlschwede of Central City, on the birth of their new grandson. Elijah Philip Green was born on February 25 and weighed in at 8 lbs. 11 oz. Parents Matt and Mindy are doing well!

"Thanks" to the International College of Dentists for their $250 donation to the NDA's Foundation. Also, a check for $500 was donated by the NE Society of Orthodontists.

A Big Thank-you to the Northwest District. They gave $2,500 to the NDA's Relief Fund and a whopping $5,000 to the Foundation.

Great article on Dr. Tom Heuke, of Lincoln, in the Lincoln paper. Tom makes fishing lures and was an exhibitor at the Nebraska Walleye Association Expo. He owns patents on six different lures. His website is www.jigabait.com.

In Memoriam Dr. Mark Dougherty of Scottsbluff, passed away

on March 3, 2003. He was 69. Dr. Dougherty was a 1961 graduate of UNMC College of Dentistry and was a Life member of the ADA and NDA. The NDA extends their sympathies to his wife Delores and family.

13 NEBRASKA DENTAL ASSOCIATION

Bring Your HIPAA Questions to the Annual Session By Cynthia Peterson, ExtendEnt Inc.

Under HIPAA many dentists are ExtendEnt Inc. is a local source for your business practices with HIPAA privacy considered a covered entity - a health care federal HIPAA-Administrative Simplification (and security) requirements in mind. provider who electronically transmits and Privacy compliance assistance. HIPAA ExtendEnt also has HIPAA compliant certain health information through a vendor standards (1) Govern the transmission, software solutions for practice management, or billing service. Covered entities who do storage, and handling of electronic health network security, and more. not make reasonable efforts to comply with care transactions; and (2) Protect the privacy We will be in the exhibit area at the these standards are potentially subject to and confidentiality of patient health NDA's Annual Session, feel free to stop by filles and penalties. Privacy standards take information. the booth with your HIPAA questions. effect on April 14, 2003. ExtendEnt's Protecting health information is simply We can also be reached via e-mail at knowledgeable Professional Services the right thing to do. And as awareness [email protected] or phone CynthiaRepresentatives (PSRs) can help insure your about privacy tights increases, patients will Peterson 402-525-3724 or Frank Johnsondental practice complies with all HlPAA expect compliance regardless of the method 402-331-0362.privacy and (upcoming) security used to transmit the information. ExtendEnt requirements. PSRs can review, recommend, and enhance

2003 Hall of Fame Inductees Three longtime NDA leaders will be honored at the These awards will be among the highlights of the

2003 Annual Session in Omaha by being inducted into the Recognition Luncheon, Thursday, April 24th, at the NDA's Hall of Fame. Receiving this honor will be Dr. Fred Doubletree Hotel in downtown Omaha. If you haven't Diedrichson, Holdrege; Dr. Wayne Barkmeier, Omaha; Dr. made your reservations for this function, please do so Doug de Shazer, Omaha. ASAP. It's always a memorable and enjoyable event. Give

Dr. Jessica Meeske of Hastings will be presented the Julie or Niki a call at the NDA office.

Outstanding Young Professional's Award.

Nebraska Dental Foundation 2003 Contributors (as ofMarch 20, 2003)

International College of Dentists Dr. Richard Bradley Dr. George Schlothauer Dr. James States Dr. William Campbell Dr. Robert Butz Dr. Charles Anderson Dr. Bob Roesch Dr. James Walker Dr. Paul Holm Dr. Paula Harre Dr. Richard Tempero Dr. Mark Chase Drs. Pietro & Odorisio Dr. Harold Rosenau Dr. Bernard]. Moran Dr. Bryce Bonness Dr. Karl Bruce Dr. Rich Fitzgerald Dr. Steve Anderson Dr. Myron Pudwill Dr. Fred Diedrichsen Dr. Dennis King Northwest District NE Society of Orthodontists Delta Dental Dr. David Spann Total Contributions -- $11,1100 Dr. Jack Knodle

14 NEBRASKA DENTAL ASSOCIATION

April 22, 2003 ODDS Board of Director's Meeting & House of Delegates Caucus, Metro Omaha Medical Society, 6:30 - Board Meeting, 7:30 - Caucus.

April 24, 2003 NDA Board of Trustees in A.M.; House of Delegates in afternoon

April 25-27,2003 NDA Annual Session, Doubletree Hotel, Omaha April 25 - Dr. DeWitt Wilkerson and Gary Takacs, April 26 - Dr. Sam Low, April 27 - Dr. Bruce Small

June 6, 2003 CE Course, "TMD", Dr. Jeff Okeson, UNMC College of Dentistry..

June 27, 2003 CE Course, "Establishing An Aesthetic Practice", Dr. Tom Trinkner. Sponsored by the Nebraska Academy of General Dentistry. The course will be held at Embassy Suites, Downtown-Old Market, Omaha. Registration - 8 a.m., Course begins at 8:30 a.m. For more information, contact Dr. Steve Wegner at 402/498-0400 or Julie Berger at 402/476-1704. (7 hrs. CE) (This course was previously scheduled for May 30, 20030

April 25-28, 2003 Minnesota Dental Association Star of the North Meeting, Touchstone Energy Place at River Center, Sr. Paul, MN. For more information contact Ms. Dianne Blake at 651/646-7454.

May 3-5, 2003 Iowa Dental Association Annual Session, Polk County Convention Complex, Des Moines, LA For more information contact Ms. Suzanne Lamemdola at 515/282-7250.

May 8,2003 ODDS Golf Outing, Player's Club.

July 25, 2003 NDA Board of Trustees Meeting, 1:00 p.m., Mahoney State Park, Ashland.

July 31 - August 3, 2003 5th International Congress on Dental Law and Ethics, "Rights, Access and Justice in Oral Health Care", sponsored by International Dental Ethics & Law Society, Creighton University School of Dentistry and Center for Health Policy and Ethics. For more information contact Dr. Jos Welie at 402/280-2017 or [email protected]

May 15, 2003 ·UNMC Course Registration 402/472-2175 South Dakota AGD presents: "Dentistry's Response to For more information 402/472-9457 Bioterrorism", Ramkota Inn, Sioux Falls, SD, 1 - 5:00 p.m. For more ·Creighton University registration & information in Omaha 402/280­information, contact the South Dakota Dental Association at 5054, outside Omaha 1(888) 273-6576 605/224-1194.

May 15-18, 2003 South Dakota Dental Association Annual Session, Sioux Falls, SD. For more information, contact Mr. Paul Knecht at 605/244-9133.

June 4, 2003 LDDA Annual Golf Day. 12 noon, Location - TBA.

DA Supports LB 420 If enacted this bill will increase the price of a pack of cigarettes by 20 cents. It will also increase the

tax on other tobacco products by 25%. Here's some interesting statistics on just what an increase in cigarette tax (and prices) will accomplish.

NEBRASKA CIGARETTE EXCISE TAX INCREASES ESTIMATED NEW REVENUES, COST SAVINGS, AND OTHER BENEFITS & EFFECTS

Current State Cigarette Tax Rate: 64 cents a pack State cigarette tax last raised: 10/01/02 Rank Among All States: 22nd (l is highest) Average rate among all states: 62.0 cents per pack Average Pack Price in State: $3.62 (including all taxes) Smoking-Caused Costs in State Per Pack Sold: $7.19

Tax Increase Per Pack

Additional New State

CigTax Revenue

IIMilliollS/Yr)

Additional New State sales Tax Revenue

(MilliollS/Yr)

Fewer State Packs Sold/Yr

(Millions)

Youth Smoker Decline

Fewer Future Youth

Smokers

Related lifetime Health

savings (Millions)

Adult Smoker Decline

Fewer Adult Smokers

Related Ufetime Health savings

(Millions)

Youth Future

Smoking Deaths Avoided

Adult Smoking Caused Deaths Avoided

Overall long-Term

Health savings

(Millions) 0.10 $11.2 $0.3 -1.8 -1.9% 2,600 $31.2 -0.5% 1,300 $10.7 800 200 $41.9

0.15 $16.6 $0.4 -2.7 -2.8% 4,000 $48.0 -0.8% 2,000 $16.5 1,200 400 $64.5

0.20 $22.0 $0.5 -3.6 -3.8% 5,300 $63.6 -1.0% 2,700 $22.3 1,600 500 $85.9

0.25 $27.3 $0.7 -4.6 -4.7% 6,700 $80.4 -1.3% 3,300 $27.2 2,100 700 $107.6

0.30 $32.5 $0.8 -5.5 -5.7% 8,000 $96.0 -1.5% 4,000 $33.0 2,500 800 $129.0

15 NEBRASKA DENTAL ASSOCIATION

DENTIST PERFECT TEETH is seeking Senior Dentists in Arizona, Colorado and New Mexico with a compensation range of $90,000 to $200,000. Successful p!ivate or group experience required. Salary with bonus package, plus benefits that include health insurance, 401(k), malpractice, professional dues, and continuing education. Also seeking Associate Dentists With compensation range $75,000 to $95,000. Specialist opportunities also available for part-and-full time Oltho, Perio, Oral Surgery, and Endo disciplines with exceptional compensation. Call Dr. Mark Bimer at 303/691-0680, Fax your resume to 303/691-1874, or mail your resume to 3801 E. Floriday Ave., Suite 508, Denver, CO 80210 or e-mail usatwww.bdms-perfecteeth.com

ASSOCIATE POSITION AVAIlABLE: Metro-Omaha Area. Immediate placement and buy-in. Excellent opportunity. Call Day­402/781-2525 or 402/359-2226 Evening 402/758-2952.

GP, SOUTIIWEST NEBRASKA. Gross $277K, 4-1/2 days/week 4 ops. NE1834. Call Peter Mirabito DDS, Precise Consultants, dentalsales.com. 1-800-307-2537

GP, SOUTIIWEST NEBRASKA. Buy in/buyout. Gross $493k. 4 ops. NE3081. Call Peter Mirabito DDS, Precise Consultants, dentalsales.com. 800-307-2537.

GP, CENTRAl NEBRASKA. Gross $698K, 4-1/2 days/week. FFS. 5 ops, stand-alone building also for sale. NE1812. Call Peter Mirabito DDS, Precise Consultants, dentalsales.com. 800-307-2537.

GP, SOUTIIEAST NEBRASKA. Gross $267k. 3 ops. Newer equipment. Call Peter Mirabito DDS, Precise Consultants, dentalsalescom. 800-307-2537.

IMMEDIATE OPPORTUNIlY Associate with opportunity to buy into a 3-doctor practice. Northeastern MN location. 25 yr. Old Vibrant, general, family, "fee for service" practice. Excellent oppoffimity to step in, and be busy from day one. Work with an experienced, capable staff. Newly remodeled office, 8 operatories, modern, computerized practice. Abundant outdoor recreation, regional medical center, safe environment, quality schools, low stress lifestyle.

This opportunity could be ideal for a dental couple.

Attn: Dr. David Perell, 411 East Howard Street, Hibbing, MN 55746, evening 218-262-5801, Day, 218-263-8381, [email protected]

GP, OMAHA. Gross $640k. Buy-in solo group 28 hours/week Doctor retiring. NE7463. CaU Peter Mirabito DDS, Precise Consultants, dentalsales.com. 800-307-2537.

BRENlWOOD DENTAL GROUP is looking to hire an associate dentist on full or part time basis. Excellent facility with tremendous visibility and new patient flow. Highly productive office. Dentist must be kind and caring to staff and patients. Minimum of three years experience is preferred. Please contact Dr. Michael Obeng at 402/597-2777.

"ESTABIlSHED PRIVATE PRACTICE FOR SALE," Sioux Falls ­good gross - low overhead - great staff - Never been marketed so growth potential is great. Send inquiries to: Resident, 2801 So. Holly Ave., Sioux Falls, SO 57102

DENTAL OFFICE available for lease in the prestigious Indian Hills Professional Building. Excellent referral possibilities. 1187 sq. ft. Office in a medical area near 90th & Dodge St., Omaha, NE (402) 397-8700.

ST. LOUIS ORTHODONTIST associateship leading to partnership or buyout. Excellent opportunity. Call (314) 344-1121.

ASSOCIATESlllP POSITION available in the Omaha, NE/Council Bluffs, IA area. Potential buy-in opportunity. Please contact Valorie Wiley at 402/733-3932 if interested

GENERAL DENTIST NEEDED for Emergency Dental. FuU and Part time hours available. Must be comfortable with root canal therapy and oral surgelY Minimum of three years experience preferred. Call Dr. Michael Obeng at 402/597-2777.

FANTASTIC OPPORTUNTIY for serious associate or purchaser. Large fee-for-service practice in growing community one hour from Wichita, KS. Earning potential $100K first year' Tom Gillaspie: 888-444-9112 or [email protected]

WEST OMAHA Established practice (30 years). Associate for two years. Seller will then fmance. Cash flow easily retires debt. GREAT Staff, friendly low stress office. Will teach the business of dentistry Must have a friendly "people oriented" personality. Dr. Walt Fahey (402) 333-0186.

FOR SALE - 2 A-DEC 5512 Dr consoles, 2 ADEC 5522 ASST consoles, excellent condition, 1-1/2 years old, purchased new from Patterson Dental, neutral tan and white in color. Also 2 Digital Doc wireless Intra Oral Cameras, excellent condition also. The cameras were purchased from Great Plains Technology. They are also 1-1/2 years old. Call for pricing or just to come view the equipment. Call Dr. Shay McGowen, 308/382-7813 (office) or 308/382-5340 (home). Grand Island, Nebraska.

FOR SALE: Pelton Crane Chairnran Chair (blue) $1,000; Pelton light $200; Demal-eze J Chair $500; Orrho Chair $50; Various assistant chairs $50-75. Inquires Dr. Cori Amend 474-5504

PRACTICE FOR SALE/LINCOLN. Excellent net. CaU Amy with Patterson Detnal at 402/714-0686

DENTAL CLINIC located in Rapid City, SO is seeking a Dentist to proVide care to the local population. Clinic is privately owned and situated in the beautiful Black Hills of South Dakota. Graduation form an accredited School of Dentistry required. A minimum of two years experience in a clinical sening required. Current unemcumbered dental license in the state of South Dakota, or the ability to obtain licensure in South Dakota required. Competitive wages and benefits. Please send CV/Resume. Box #830.

FOR SALE: Curing light - $125 Cephalometic Collimator with head holder - $450 Unitek Olthostudy Articulator - $175 Cabinets wall mount - $25 each Bracket trays with bracket arm - $50 each Dental chairs (3) - $500 each Olympus SmartMedia Color Printer P330N - $300 Unitek Ortho Spot Welder - $250 Intra Oral Camera with TV Out - $500 FUji Digital Macro Camera -- $250 Phillips Intra Oral X-ray Maclline Cabinet with drawers and shelves $500 Amalgamators (3) $75 each Lincoln 402-423-3111

NEBRASKA & IOWA ASSOCIATE/PARTNERSHIP OPPORTUNITIES - Iowa opportunities include: Council Bluffs (20 minutes from Omaha); Missouri Valley (30 minutes from Omaha); Logan (45 minutes from Omaha); Woodbine (60 minutes from Omaha). Nebraska opportunities include Omaha; Gretna 05 minutes from Omaha). Great opportunity to gain diagnostic, clinical and treatment planning proficiency, tap 20 years experience from senior doctors, earn an income of $75,000 to $175,000 and learn the business of dentistry. Contact: Jeffrey Galvey, DDS, Midlands Dental Center, 214 East Erie Street, Missouri Valley, IA 51555 or call (712)642-4136 (ask for Jean)

DENTAL SUBSTITUTE available on ShOlt notice to cover for injury, illness, maternity leave, etc. References on request. James R. Haver DDS 308/537-2202, [email protected]

DENTAL PRACTICE FOR SALE - CENTRAl NEBRASKA Potential for new graduate to get started. Additional income opportunities available. Contact NDA box 328.

All ads will1 an NDA box number should be maUed to: N"braska Dental Association NDA Box" _

3120 "0" Street • Lincoln NE 68510

CL>\SSIFIED ADVERTISEJ"IENTS: Must be sLlbmlued in l'ypewnnen form. lndiC3lc the number of issues in which the ad is to be published. Rates for NDA Members (per

issue): 59.00 for 30 words or Ie&;; 30 cents for each additional word. For replies to

NDA box number, an additional $1.00. For non-NDA Members add fifry percent to these mles. Classified Ads can appear on the l\roA's website for an addilional SS per month. NOTE: advanced payment for classified ads MUST accompany order. For Di.splay Advertising rate card, contact the NDA office. Send classified ad wilh fl..:millance LO:

Nebf"3ska Dental Association· 3120 "'0" Street. Lincoln NE 68510

DEADLINE: Three weeks before publication. The inclusion of em advertisement in any NDA publication does nol

imply endorsement of the produci or selVices, and NDA reserves Ihe righl 10 reject any advertisement for any reason.

16 NEBRASKA DENTAL ASSOCIATION

PRACTICE AVAILABLE NOW/!!!!! $$$$ 527k last year's gross. (Don't need any money) A trained staff will stay.

GREAT LIVING CONDITIONS! -Top-Iowa school •3 Lakes with water sports -Golf course with new Clubhouse -Ultra Modern Hospital •Air port (learn to fly?) -Plenty of hunting and fishing -Nascar Racing -I 1/2 hours from Omaha

Give me a call Monday through Saturday after 7am. Dr. Muschamp 641/322-3040.Adams County Iowa (Corning)

PUBLISHED BY The Nebraska Dental Association

3120 "0" Street, Lincoln, NE 68510 (402) 476-1704 1-800-234-3120 FAX (402) 476-2641

Nebraska Dental Association 3120 "0" Street Lincoln, Nebraska 68510

PRSRT SID u.s. POSTAGE

PAID LINCOLN, NEBRASKA

PERMIT NO. 643

e-mail: [email protected] website: www.nedental.org

OFFICERS Dr. Robert Roesch Dr. Richard Brunmeier

President Treasurer

Dr. Sandra Larson Dr. George Schlothauer President-Elect Immediate Past President

Dr. John Ahlschwede Dr. Kevin Low Vice President Secretary

Dr. Gary Westerman Speaker ofthe HOltse

TRUSTEES Dr. Scott Morrison Omaha

Dr. Jim Walker Lincoln Dr. Terry Malcolm Southeast

Dr. Mark Minchow Central Dr. Charles Skoglund North

Dr. John Herrman Northwest Dr. Douglas Hohman Southwest

Dr. Kevin Low West

Tom Bassett, CAE Executive Director & Editor Julie Berger Assistant Director

Nicole Kosek FinanciaVMembership Coordinator Cheryl Peterson Office Assistant