Current Initiatives for Expanded Duties for Dental Assis.pptVIP

History of the Expanded Functions Dental Assistant What do dentists who use a low degree of delegation in Colorado think? There is a shortage of trained expanded functions dental assistants available Do not want to pay higher staff salaries for expanded functions Do not have case mix, office size or design to utilize expanded functions fully Lack the time to train and unsure how to integrate expanded delegation into practice (cited with permission of the ADA, from Domer, 2005) 9/25/2010 * History of the Expanded Functions Dental Assistant A Study of Expanded Duty Dental Assistants in Colorado Private general dental practices can increase patient visits and efficiency with delegation of more duties to dental assistants Challenges exist to train dentists on the effective use of expanded duties It may be more effective to train dentists to practice more efficiently than to increase the number of dentists (cited with permission, ADA HPRC, 2009) 9/25/2010 * What is an Expanded Functions Dental Assistant? 40 states + DC define EFDA or similarly titled auxiliary In 6 states, CDA = EFDA and is called CDA In other states, CDA meets requirements, but called EFDA In other states, CDA is below EFDA 9/25/2010 * What is an Expanded Functions Dental Assistant? In some states, RDA ~ EFDA In other states, RDA is below EFDA In some states, dental board evaluates EFDA/RDA apps and issues permits/maintains rosters In other states, dental board leaves this process (evaluation and delegation) to DDS (and state rosters are not maintained) 9/25/2010 * What is an Expanded Functions Dental Assistant? In some states, EFDA can perform a list of duties (or all but a list of duties) In other states, RDA or EFDA earns an endorsement by individual duty What about ortho assisting duties? What about levels of supervision? 9/25/2010 * Duties considered to be EFDA duties 9/25/2010 * Table prepared for Virginia Table prepared for Nebraska Duties considered to be EFDA d