Standard Of Practice: Dental Facilities Accreditation

3y ago
52 Views
3 Downloads
1.39 MB
59 Pages
Last View : 2m ago
Last Download : 2m ago
Upload by : Dani Mulvey
Transcription

Standard of Practice:Dental Facilities AccreditationCopyright 2011 by the Alberta Dental Association and College.

Table of ContentsATHE DENTAL SURGICAL FACILITY ACCREDITATION STANDARDS . 5A1A2A3Summary of Roles and Responsibilities . 5The Law . 6Credential Approval . 7BACCREDITATION OF A DENTAL SURGICAL FACILITY . 7B1B2B3Full Accreditation Status. 7Interim Accreditation Status . 8Dental Facilities Accreditation . 8CC1C2C3C4C5MANAGEMENT AND OPERATION OF A DENTAL SURGICAL FACILITY . 9Role of the Dental Operator . 9Non-Owner Facility Dentist . 10Administrative Standards . 11Dentists Who Administer General Anaesthesia or Neurolept Anaesthesia . 11Clinical Support Personnel . 12DPATIENT CARE. 13D1D1.1D1.2D2D3D4D5Patient Care – Pre-Operative . 13Patient Selection . 13Patient Assessment and Care . 13Patient Care – Intra-Operative – Anaesthesia . 14Patient Care – Intra-Operative – Surgical . 16Patient Care – Recovery Room . 16Patient Care – Discharge . 17EINFECTION PREVENTION AND CONTROL . 18E1E2E3Occupational Health/Immunization . 18Air Flow and Traffic . 19Patient Care Practices. 19FDSF PHYSICAL REQUIREMENTS. 20F1F2F3General Physical Requirements . 20Operating Room Standards . 20Recovery Room Standards . 21GEQUIPMENT AND SUPPLIES . 22G1G2Anaesthetic Gas Equipment . 22Drugs . 23Alberta Dental Association and College Standard of Practice:Dental Facilities Accreditation May 20112

HH1H2H3H4H5H6H7INFORMATION AND RECORDS MANAGEMENT . 24Personnel Records . 24Dental Surgical Facility (DSF) Records . 24Patient Clinical Records . 25Incident Reports . 26Reportable Incidents . 27Annual Report to the ADA&C . 28Storage and Retention of Patient and DSF Records . 29II1I2I3I4SAFETY STANDARDS . 29General DSF and Patient Safety. 29Medical Compressed Gases . 30Electrical . 31Fire . 31JCONCERNS AND COMPLAINT MANAGEMENT . 32KQUALITY ASSURANCE AND IMPROVEMENT . 32K1K2K3Structure . 32Process . 32Outcome . 33LDENTAL SURGICAL FACILITY MANUALS . 33L1L2Dental Surgical Facility Policy and Procedure Manual . 33Dental Surgical Facility Equipment Manual(s) . 34APPENDIX A . 35Dental Surgical Facility Required Drug Supply . 35APPENDIX B . 36Glossary of Terms . 36APPENDIX C . 39Companion Documents to ADA&C Dental Facilities Accreditation Standards . 39Section I . 39Section II . 39Section III . 40Section IV . 41Section V . 41APPENDIX D . 42Outline for a Reportable Incident in a Dental Surgical Facility. 42A. Documentation Required . 42B. Mandatory Notification . 42Alberta Dental Association and College Standard of Practice:Dental Facilities Accreditation May 20113

APPENDIX E . 47Annual Report Table – Types of Procedures by Case . 47APPENDIX F . 48ADA&C Manuals and Documents – List . 48APPENDIX G . 49Sample Format Dental Surgical Facility – POLICY . 49APPENDIX H . 50Sample Format Dental Surgical Facility – PROCEDURE . 50APPENDIX I . 51Non-Owner Facility Dentist – Letter . 51Form A . 52Form B . 53Form C . 54Form D . 59Alberta Dental Association and College Standard of Practice:Dental Facilities Accreditation May 20114

ATHE DENTAL SURGICAL FACILITIES ACCREDITATION STANDARDSThe Dental Facilities Accreditation Standards (DFA Standards) are the standards that apply todentists who are providing Dental Surgical Services in a Dental Surgical Facility (DSF). The DFAStandards also apply to dentists who provide Dental Surgical Services in a Non-Hospital SurgicalFacility (NHSF).Specifically, the DFA Standards apply to the following: Dentists who provide Dental Surgical Services in a DSF or a NHSF; Dentists who are qualified to administer neurolept sedation or general anaesthesia in aDSF or NHSF (Qualified Dentists); Facilities that provide Dental Surgical Services; Dental procedures where there is a risk to a patient that requires that the procedures beperformed in an DSF or NHSF but does not have to be performed in a hospital; Clinical personnel who provide surgical or anaesthetic support to dentists; The provision of neurolept sedation or general anaesthesia; Any setting or dentist where the administration of any modality of sedation is likely torender, or renders, the patient unconscious; and The administration of any modality of sedation that results in a depression or partial or fullloss of reflexes, including: Loss of consciousness; Irregular respiration; Irregular protective reflexes; Lack of, or incoherent verbal communication; and Inability to maintain an airway.Along with the requirements of accreditation in these standards, a DSF must be approved by theMinister of Health and Wellness as a designated DSF. The applicant must obtain this designationdirectly from the Minister or Health and Wellness.It is unprofessional conduct to breach the DFA Standards and to fail or refuse to cooperate with arequest of the DFAC. The DFAC must make a referral to the complaints director if, on the basis ofinformation obtained, the DFAC is of the opinion that a regulated member may be guilty ofunprofessional conduct.A1Summary of Roles and ResponsibilitiesA DSF must have a Dental Operator. A Dental Operator is a dentist who is an Operator and theregistered owner or the person who has the apparent care and control of the DSF. ADental Operator must apply to the ADA&C in accordance with the regulations foraccreditation with respect to providing Dental Surgical Services and procedures for renewal ofthat accreditation.There may be dentists in an accredited facility who are not owners or Dental Operators.These dentists are called Non-Owner Facility Dentists (NOFD). A Non-Owner Facility Dentist is adentist who provides Dental Surgical Services in a DSF or NHSF but is not the owner orOperator of the facility. The Dental Operator is responsible to obtain written confirmation fromthe Non-OwnerFacilityDentistofof Practice:compliance with the DFA Standards.The Non-Owner5AlbertaDental Associationand tyDentistis May 2011

responsible to provide written confirmation of his or her compliance with these Standards to theDental Operator or Medical Director.A Non-Hospital Surgical Facility must have a Medical Director. A Medical Director is a physicianwho is an owner or operator of the facility. This facility is accredited and regulated by theCollege of Physicians and Surgeons of Alberta and the Alberta Dental Association and College ifDental Surgical Services are provided in the NHSF.Dentists who provide Dental Surgical Services in a NHSF must comply with the DFA Standards.Where anaesthetic services are provided by a Medical Director, the College of Physicians andSurgeons of Alberta is responsible for accreditation and regulation relating to the practice ofmedicine and anaesthesia services provided by physicians.The College of Physicians and Surgeons is responsible for regulation and accreditation of theservices provided by a physician in an accredited facility. If a physician practices medicine orprovides anaesthesia services in a DSF or a NHSF facility, the facility must register and maintainaccreditation as a NHSF with the College of Physicians and Surgeons. In a DSF/ NHSF wherephysicians administer anaesthesia, some of the responsibilities of a Dental Operator and MedicalDirector may be shared.A2The LawThe Health Professions Act (HPA) requires that a DSF and a NHSF must be accredited before adentist provides Dental Surgical Services in it. The HPA, the Health Care Protection Act, theDentists Profession Regulation and the Bylaws of the ADA&C establish the overallregulatory framework and authority regarding DSFs and NHSFs. Under this authority, theDental Facility Accreditation Committee (DFAC) was established to uphold and enforce the DFAStandards.Dental Surgical Services include major and minor surgical services. Some minor surgicalservices may be exempt from these Standards. Section 3(1) of the Health Care ProtectionRegulation sets out that minor surgical services are not exempt from needing to be performedin an accredited DSF if in the circumstances under which the Dental Surgical Service isperformedthere is significantrisk of anyof the following: intra-operativeor post-operativehaemorrhage; intra-operative or post-operative airway compromise; compromise of the patient’s cardiovascular or respiratory status; or injury to a major vessel in the operative field.The Health Care Protection Act establishes the overall regulatory framework for surgical facilitiesthat applies to both dentists and physicians. This Act defines “insured surgical services” and alsostates that in order to operate a DSF at which insured surgical services are provided, the DSFmust: be accredited; have an agreement with a Regional Health Authority; and be designated by the Minister.Alberta Dental Association and College Standard of Practice:Dental Facilities Accreditation May 20116

The restricted activities that can be performed by dentists are outlined in the Dentists ProfessionRegulation, Health Professions Act. With respect to anaesthetics, section 12(k) authorizes alldentists to prescribe or administer nitrous oxide for the purpose of anaesthesia or sedation.Section 13 of the Dentists Profession Regulation requires that, other than for nitrous oxide, dentistsperforming general anaesthesia and neurolept anaesthesia must successfully complete aneducational program approved by Council for credentialing purposes, and be authorized byCouncil to perform the anaesthesia.A3Credential ApprovalDentists obtain credentials through a number of ways and from a number of sources. TheADA&C is not a credentialing body.The ADA&C must approve the educational program or credentials before the dentist isauthorized to perform certain anaesthetic activities.Dentists performing surgical, diagnostic or anaesthetic services in a DSF, or a NHSF, must haveapproval by the ADA&C of their anaesthetic or specialty credentials as well as authorizationto perform the related anaesthetic or specialty procedures in such facilities.BACCREDITATION OF A DENTAL SURGICAL FACILITYIn order to become accredited, the DFAC will determine if a DSF or NHSF has met theaccreditation requirements. The DFAC may then grant Full Accreditation Status or InterimAccreditation Status.The DFAC may also grant Full or Interim Accreditation Status based on approval or confirmationof Standards from another source, where the Committee recognizes those as the equivalent of theDental Facilities Accreditation Standards such as the College of Physicians and Surgeons ofAlberta, Non-Hospital Surgical Facility Standards and Guidelines.B1Full Accreditation StatusThe DFAC may grant or renew accreditation to a DSF or NHSF resulting in Full AccreditationStatus if the DSF or NHSF meets/complies with the accreditation requirements as laid out in theDFA Standards.The ADA&C may revoke accreditation if any practice in the DSF or NHSF is considered unsafe.An Accreditation Certificate will be issued by the ADA&C to all facilities with FullAccreditation Status. Accreditation is limited to 4 years from the date of last approval unlessextended by the ADA&C and may be renewed through a process of re-accreditation whichwill follow the same steps as those of the ADA&C Dental Facilities Accreditation Process.Alberta Dental Association and College Standard of Practice:Dental Facilities Accreditation May 20117

A spot inspection of an accredited DSF or NHSF may be ordered by the DFAC and conductedwithout prior notice. This may affect the existing accreditation status of a DSF or NHSF andrequire the resulting DSF or NHSF to comply with the directions of the DFAC to affect FullAccreditation Status. Spot inspections are at no cost to the DSF or NHSF.B2Interim Accreditation StatusThe DFAC may require a DSF or NHSF to make certain changes in order to receive accreditation,or may grant accreditation for a specified time period resulting in Interim Accreditation Status, asoutlined below.1. The DFAC grants Interim Accreditation Status to the DSF or NHSF with written reasons andprovides a time frame for the Dental Operator to provide more information or evidence ofrequested changes to the DFAC to ameliorate accreditation deficiencies.2. The DFAC will decide whether such follow-up information will be collected in writingand/or at a re-inspection. A written response to each deficiency may be required of thedental operator.3. A follow-up inspection may be required at the sole discretion of the DFAC.4. Interim Accreditation Status may be granted for an indefinite period at the discretion of theDFAC.5. The status of “Full Accreditation” may be granted when deficiencies regarding the DFAStandards have been corrected to the satisfaction of the DFAC.B3Dental Facilities AccreditationA Dental Operator of a DSF or a Medical Director of NHSF where dental surgical servicesare provided must complete and submit an Application Form for Accreditation to the ADA&Cand DFAC for review. The process for approval includes the steps outlined below.1. The DFAC determines the need for an Accreditation Review of the DSF or NHSF.2. If YES, the Dental Operator or Medical Director completes and subm

Alberta Dental Association and College Standard of Practice: 5 Dental Facilities Accreditati on May 2011. A THE DENTAL SURGICAL FACILITIES ACCREDITATION STANDARDS . The Dental Facilities Accreditation Standards (DFA Standards) are the standards that apply to dentists who are providing Dental Surgical Services in a Dental Surgical Facility (DSF).

Related Documents:

DENTAL SCIENCES 1 Chapter 1 I Dental Assisting— The Profession 3 The Career of Dental Assisting 4 Employment for the Dental Assistant 4 The Dental Team 6 Dental Jurisprudence and Ethics 12 Dental Practice Act 12 State Board of Dentistry 12 The Dentist, the Dental Assistant, and the Law 13 Standard of Care 13 Dental Records 14 Ethics 14

Cigna Dental Care DMO Patient Charge Schedules 887394 09/15 CDT 2016 Covered under Procedure Code1 Dental Description and Nomenclature Cigna Dental 01 and 02 PCS Cigna Dental 03 PCS Cigna Dental 04 PCS Cigna Dental 05 PCS Cigna Dental 06 PCS Cigna Dental 07 PCS Cigna Dental 08 PCS Chair Time Per Y/N Minutes Code # (if different) Y/N Code # (if .

is a detailed list of dental services provided by a dental office and given to Delta Dental for payment. Delta Dental means Delta Dental Plan of Michigan, Inc., a service provider for dental benefits under the Michigan Dental Program. Delta Dental ID Card is a permanent (not monthly) card. We send

Mid-level dental providers, variously referred to as dental therapists, dental health aide therapists and registered or licensed dental practitioners, work as part of the dental team to provide preventive and routine dental services, such as cleanings and fillings. Similar to how nurse practitioners work alongside physicians, mid-level dental .

Jun 14, 2016 · active duty Soldiers treated at any of five dental clinics on Fort Bragg. These clinics included Davis Dental Clinic, Joel Dental Clinic, LaFlamme Dental Clinic, Pope Dental Clinic, and Smoke Bomb Hill Dental Clinic. For each appointment the appointment type, date, and dental wellness class

DEN 131 Dental Hygiene Clinic 1 3 credits . Summer 2022. DEN 125 Dental Office Emergencies 1 credit DEN 140 Dental Hygiene Theory 2 1 credit DEN 141 Dental Hygiene Clinic 2 2 credits DEN 222 General and Oral Pathology 2 credits . Fall 2022. DEN 123 Nutrition/Dental Health 2 credits DEN 220 Dental Hygiene Theory 3 2 credits DEN 221 Dental .

Dental Blue for Individuals. SM - a consumer-driven dental plan for individuals and their eligible dependents . Dental Blue for Seniors. SM - a consumer dental product for individuals and their spouse age 65 and older . Dental Blue For Federal Employee Program - offers federal employees a dental supplemental plan to

Abstract . The aim of this paper is to build on the Pragmatic Stochastic Reserving Working Party’s first paper (Carrato, et al., 2016) and present an overview of stochastic reserving used with a one-year view of