Welcome to the Updated Advantage Dental Secure Provider Portal

May 21, 2020

Summer Business Hours:


Memorial Day:

    Closed May 22nd & May 25th


June:

    Closed June 19th


Independence Day:

    Closed July 2nd & July 3rd


August:

    Closed August 7th


Labor Day:

    Closed September 4th & September 7th


May 21, 2020

COVID-19/PPE Update:


We appreciate that many of you are slowly ramping up non-urgent care in accordance with the Governor’s guidance and we understand that some have been constrained by PPE availability.  Advantage Dental’s Director of Practice Support has been engaged almost full time researching sources for PPE and he located a source we’re able to share. This source has been vetted and determined to be reliable but, as with other sources, there is much competition for limited supplies during this time of shortage and practices are advised to do their own research for compliance. If you are having difficulty securing PPE, you can try contacting Shane Erickson:          

 

Shane@imcsuccess.com

IMC Success

Cell -612.865.4624

 

The Oregon Dental Association has also published a list of possible PPE source on their website at:

https://www.oregondental.org/government-affairs/regulatory-information/coronavirus/ppe-resources

 

We have successfully opened most of our staff model offices for elective care, but we are also constrained by availability of PPE.  To conserve PPE, we are following CDC guidance for extended use and limited reuse of N95 masks. Below is a summary of the guidance from CDC for your information:

 

RECOMMENDED GUIDANCE FOR EXTENDED USE AND LIMITED REUSE OF N95 RESPIRATORS IN HEALTHCARE SETTINGS

 

The decision to extend use or reuse N95 respirators should be made by the professionals who manage the respiratory protection program. All recommendations and plans will follow current OSHA and CDC guidance and statements as well as input from the state/local public health departments.

 

The decision to implement these best practices should be made on a case-by-case basis taking into account the following:

• Respiratory pathogen characteristics (e.g., routes of transmission, prevalence of disease in the region, infection attack rate, and severity of illness);

• Local conditions (e.g.., number of disposable N95 respirators available, current respirator usage rate, success of other respirator conservation strategies, etc.).

 

Healthcare facilities may wish to implement protocols for extended use and/or limited reuse of N95 respirator when supply shortages become critical.

 

The following sections outline specific steps to guide implementation of these recommendations, minimize the challenges caused by extended use and reuse, and to limit risks that could result from these practices.

 

Respirator Re-use Recommendations

** Current guideline for care group emergency practices**

To help limit potential N95 respirator surface contamination:

·       Use of barriers to prevent droplet spray contamination

·       Cover N95 respirator with disposable level 3 mask

Reminders for team members:

·       N95 respirators must only be used by a single wearer

·       Follow the manufacturer’s user instructions, including conducting a user seal check

·       Minimize unnecessary contact with the respirator surface

·       Maintain strict adherence to hand hygiene practices

·       Properly don and doff PPE and when appropriate, store N95 for reuse (review the N95 re-use and our Sterilization videos)

https://twitter.com/i/status/1245678763574206464

https://vimeo.com/349141076/fa57980d07

 

Please take the following steps to reduce contact transmission:

 

Discard N95 Respirators:

·       Following use during aerosol generating procedures

·       If contaminated with blood, respiratory or nasal secretions, or other bodily fluids from patients

·       Provider should use best clinical judgment if question arises as to whether to discard or not discard

·       Discard if there are any defects noted (e.g., broken or worn straps, bent or torn mask)

 

N95 Re-use:

Extended use and reuse can affect the integrity of the mask. A self-seal check and inspection must be performed each use to ensure a proper seal is in place and there are no defects in the mask.

·       If available, use a cleanable face shield (preferred) and cover N95 mask with a level 3 mask and/or take other steps (e.g., masking patients, use of engineering controls), when feasible to reduce surface contamination of the respirator

·       To minimize potential cross-contamination, store mask in container by itself. Clean or replace storage containers regularly (Please see video link above)

·       Storage containers should be disposed of or cleaned regularly using:

o   Cavicide wipes (*preferred)

o   Using warm water and soap

·       Clean hands with soap and water or an alcohol-based hand sanitizer before and after touching or adjusting the respirator

·       Avoid touching the inside of the respirator

·       Use a pair of clean (non-sterile) gloves when donning a used N95 respirator and performing a user seal check

·       Discard gloves after the N95 respirator is donned to ensure the respirator is sitting comfortably on your face with a good seal

https://www.youtube.com/watch?v=3I_kKVNrEMo

 

At our staff model practices as we begin scheduling patient appointments previously cancelled, we continue to offer a telehealth option to triage and prioritize care. Attached is the ADA Guideline for Coding and Billing to be used as a reference if you are using teledentistry in your practice during the COVID-19 crisis.


Gary W. Allen, DMD, MS

Vice President of Clinical Services