Friday, June 17, 2011

Another Kool Smiles "Chop Shop" opens on taxpayer dime in East Chicago, IN

Here ya go folks, taxpayers get to pick up the tab for another Kool Smiles "chop shop".  Wonder if these lawmakers realize they are opening an illegal clinic, sure they do! Many of these dental mills stay out of Illinois due the their Medicaid system.  It's low and slow.  But not Kool Smiles or Dental Dreams, nope they don't care how low they go or how long it takes to get your tax dollar.  If you have something to say about these illegal clinics, email me at cckaddie@yahoo.com.  I want to hear what you have.

 

New Office Marks Extension of Successful Public/Private Partnership Inaugurated in Gary, Indiana



EAST CHICAGO, Ind., June 17, 2011 /PRNewswire/ -- East Chicago residents will soon have something new to smile about. Kool Smiles, a leading dental health provider dedicated to expanding access to quality dental care for children and families in underserved communities, is opening a new office in East Chicago in partnership with the East Chicago Community Health Center (ECCHC).



The new location will open June 20 and is located within the East Chicago Community Health Center at 1313 West Chicago Avenue. It will be the company's third office in the area, bringing East Chicago residents a convenient option for quality dental care. The grand opening was celebrated on June 15th. Attendees included State Representative Earl Harris, State Representative Charlie Brown, State Senator Lonnie Randolph, Ms Gilda Orange, Chairman East Chicago CHC and East Chicago Councilwoman, Frank Mrvan Township Trustee, Mayor Anthony Copeland, Ms Te-Reika Chambers, representing Congressman Visclosky, Mark Vanderheight, Primary Healthcare Associates, Dr. Gerri Browning, East Chicago CHC Chief Medical Director, Mr. Dwayne Mitchell, CEO East Chicago CHC, Dr. Ricardo Hood, East Chicago CHC Medical Director and Health Commissioner of the City of Gary.


This new office aims to replicate the success of the 2010 launch of a similar center in Gary, IN which is celebrating its one year anniversary. In only 3 months after the Gary public/private partnership was established, dental patient access more than doubled from 12 patients receiving oral health care to over 30 patients receiving oral health care each day.  To establish a similar access opportunity for East Chicago residents, the new office will increase access to the area's residents who need it the most, offering families a centrally located resource for dental care that will complement the existing medical offices.  The East Chicago Community Health Center is funded by taxpayer dollars through the federal Health Resources and Services Administration.

Read the entire Press Release

Thursday, June 16, 2011

Kool Smiles Dental Clinics (Chop Shops) - Dr. Tu Tran–King of the Hill-

7729 Stables Dr Atlanta front view
In 2002 the dentist who owns this $1.2 million dollars home in the suburbs of Atlanta was merely a dentist working at a Medicaid clinic in Denver Colorado.  The clinic was owned by Dr. Edward (Eddie ) DeRose and his son Michael DeRose.

Dr. Tu Tran and his buddy Dr. Pham both worked for the DeRoses.  They learned the business model, tore out on their own and opened up their first chop shop in Atlanta in 2003. 

In 2004 they lured Friedman Fleischer and Lowe, a private equity firm in San Francisco, to hop on the gravy train and spread illegal Kool Smiles dental centers across the nation.

Send me your Kool Smiles information or documentation its time they too stop torturing children and raping the Medicaid system in their illegal clinics.

DSC00820

cckaddie@yahoo.com

Here is the sign off highway US41 in Terra Haute, Indiana pointing to one of the Kool Smiles Dental Centers.

I recently took this during one of my stops on my “where in the world is the next illegal dental clinic” tour which I began in April. 

I also took the time to check out the clinic and even spoke with the next door business owners, who had a lot to say.

There was a cute little shop right next door that two lovely grandmother type ladies owned.  I was in need of a wedding gift so I went in to see what they had.  After I picked out a couple of nice items, the graciously offered to gift wrap them, which gave me time to ask them about the dental clinic next door. 

Immediately the woman scowled.  I knew that she knew it was a bad bad place.  Just a few inquisitive questions got her to talking.  She told me about the horrible and terrifying screams they hear through the walls.  She told of the many times her patrons who would be shopping would look at her and gasp.  She told me there are times where customers have become extremely upset hearing the shear terror in the tiny screams coming through the walls. 

IMG_0885She said it was where a lot of Medicaid children went, she didn’t know I l already knew all about these folks.  This day, it was nice outside, sun shining and a slight breeze, they had their backdoor open to let the breeze flow though.

She said her and her partner had stepped out back earlier and listened at the back door of the Kool Smiles and it made them both sick.  They had called in a complaint a time or two but nothing was ever done, it’s a dentist office, that treats children, who cares if there are screams she was told.

Who cares?  I do.  Don’t you? 

If you are a former employee please contact me, send me what evidence you have, your identity is strictly confidential.  I couldn’t know all I know if I didn’t keep my informants identity a secret.  Heck, just send me some documents anonymously, that’s fine too.

cckaddie@yahoo.com

Wednesday, June 15, 2011

Is Church Street Health Management the new World Wide Association of Specialty Programs and Schools?

 

Is Church Street Health Management-Small Smiles Dental- the current World Wide Association of Specialty Programs and Schools (WWASPS)?  What about NCDR.LLC-Kool Smiles Dental?

WWASPS billed itself as an “umbrella organization” of independent institutions for education and treatment of troubled teenagers.  So does CSHM.  CSHM insists it only manages independent dental clinics.

WWASPS mistreats minor for federal dollars.  So does CSHM.  In fact CSHM’s top management, who are 4 of it’s board members, operated the same kind of facilities WWASPS does, under the name Keys Group Holding,LLC.  Isn’t that odd. 

WWASPS sued a mom who spoke out against their cruelty to children.  So did CSHM.  - Me.

WWASPS sued for mistreating children.  So is CSHM.

WWASPS expose’ was featured by PBS. 

 

Related:

Crimes and Corruption
Romney, Toture and Teens
Over The GW , by Nick – film about these camps for abuse

Tuesday, June 14, 2011

UHS Youth facilities were owned by same group of misfits who now run CSHM and Small Smiles Dental Centers

Much like the DeRose family built their crooked empire then sold out,  the current Small Smiles Dental Centers management created these horribly torture facilities and sold to Universal Health Services.  Current patient advocate for Small Smiles Dental Centers came over from UHS to work with her old friends  - Angela Newberry

Rick Santorum And Universal Health Services: Presidential Hopeful Serves On Board of Hospital Chain Being Sued By DOJ
Huffinton Post

 

Attention former residents and employees – the HP wants to hear from you.  Email them! jason.cherkis@huffingtonpost.com.

June 7, 2011
WASHINGTON -- Former Pennsylvania Sen. Rick Santorum, who announced his bid for president Monday, has spent the past four years serving on the board of Universal Health Services Inc. (UHS), one of the country's largest and most troubled hospital chains.

It turns out Santorum may have had a more personal stake in railing against President Barack Obama's signature health care legislation and beating the drum for less government intrusion in our health care system. Both federal and state officials have routinely cited UHS for a seemingly endless number of violations, ranging from Medicaid fraud to patient neglect and abuse. Investigations have uncovered everything from riots to rape to homicide at UHS facilities.

Monday, June 13, 2011

Kentucky requirement for Automated Electronic Defibrillator (AED) at dental offices a step in the right direction

 

AED REQUIREMENT
201 KAR 8:550, only dentists who perform general anesthesia/deep sedation and moderate sedation would be required to have an automated external defibrillator in their office. 

General Dentists and Minimal Sedation permit holders would not be required to have an AED.

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

General Anesthesia/Deep Sedation - A drug-induced depression of consciousness during which patients cannot be easily aroused, but respond purposefully following repeated or painful stimulation. The ability to independently maintain ventilatory function may be impaired. Patients may require assistance in maintaining a patent airway and spontaneous ventilation may be inadequate. Cardiovascular function is usually maintained.

How can a male registered nurse afford to give his family a home like this?

 

Value: $1,329,000
5,746 sq. ft.
1652 Jacobs Drive
Gallatin, Tennessee
Sumner, County

1652 Jacobs Drive Street Gallatin TN

1652 Jacobs Drive Sat View Gallatin TN

1652 Jacobs Drive Plot Gallatin TN

Saturday, June 11, 2011

Michael G. Lindley, Al J. Smith, Brad Gardner, Rodney Cawood and Mike McCulla of Church Street Health Management/Small Smiles Dental Centers have let children die on their watch before it appears

A Pattern of abusing children for profit going back to the 1980's. 
Chad Youth Center deaths in 2007
Former Chad Employee Speaks Out
Quote from Tennessee Hall of Shame
Death ruled a homicide at youth center
Chad administrator McDuffie assured DHS that Chad was a "nurturing and positive environment." He said the facility had hired more staff and made children's safety a priority. The former owners of Chad also said it was a safe and therapeutic place for children when they handed over the keys to Universal Health in October 2005. "Our goal was to effect treatment in as nonphysical a way as possible," former chief executive officer Michael G. Lindley said. Al Smith, another former top executive with Chad's former owner, said: "Did untoward events happen? Absolutely. But was it a culture? I don't believe so."
DHS staffer Haiying Xi reported, a youngster had been cut on the chin in a restraint, requiring stitches. Chad had not reported this to regulators, DHS learned. Finally, DHS official Stephen Rosenberg wrote to Chad. "The investigation could not determine any pattern for the use of illegal physical restraints," Rosenberg wrote.  But children died.
Neil Campbell and Michael Lindley
Above Neil Campbell and Michael Lindley (right) pictured at NAPHS in 2003

Your tax money for Wall Street, no not the bailout-Worse!

From WAFF

In 2009 the Richard J. (John) and Leanne Malouf home rated 42 in top 100 most expensive homes in Dallas!  He’s just a dentist!  What did his neighbors think he did?  How did he explain he was screwing his neighbors as well as taxpayers to live like this?  He’s only 45 years old!
by BYRON HARRIS
Bio | Email
June 8, 2011

Last year, lax state regulations allowed dentists to legally collect nearly $200 million to straighten the teeth of poor children in Texas at taxpayer expense.
That's more than the rest of the United States combined.
Orthodontic treatment for children is generally an elective, cosmetic procedure that many parents spend thousands of dollars on for their children. But Texas pays for orthodontics under Medicaid like no other state in the country.
In 2010, Texas spent $184 million on Medicaid orthodontics.
Medicaid is designed to provide health care for the poor.

Friday, June 10, 2011

Want out of your employment contract with your dental mill? Tell ‘em to shove it! The company is operating an illegal operation, and they know it.

You might want to read up on Penny v OrthAlliance 2003
Corporations practicing dentistry is down right illegal, always has been.  Now, when is someone going to enforce the laws?

Currently, some Dental Boards say they do not have the authority.
Well, what the hell do we need them for?  Monthly dog and pony shows?

Thursday, June 09, 2011

American Association of Dental Boards

Our Mission Statement

  • To serve as a resource by providing a national forum for exchange, development and dissemination of information to assist dental regulatory boards with their obligation to protect the public.

  • Values Held by the AADB

  • AADB values protection of the public whenever it seeks dental     health care.

  • AADB values collaborative relationships within organized dentistry among educators, accreditors, examiners and regulators.

  • AADB values meeting the needs of all its members.

Really?? 

Monday, June 06, 2011

Small Smiles Dental closing one of it’s Oklahoma City dental centers.

 

I’m hearing is only temporary, hope to reopen in the fall.  I hope that is NOT possible by the time fall gets here!

Isn’t Oklahoma where that waterboarding dentist, Megann Scott worked?

Saturday, June 04, 2011

Church Street Management - Small Smiles Dental Centers - New Malpractice Carrier

I'm hearing it's CNA.

So folks, when you are making your complaints and reporting incidents and "adverse events" at the dental centers, don't forget to shoot off a report to CNA!

Massive influx of foreign-trained dentist and complete take over of our medical and dental health care profession? You decide

Someone found this on the Internet and sent it to me.  I felt it absolutely should be reposted as it is yet another picture of what is happening right under our noses and we all need to wake up from our peaceful slumber:

 

We will soon see a massive influx of foreign-trained dentists. While everything else has been outsourced, the last majorly unaffected areas of the American economy are health care and the service sector. By virtue of the logic that health care not be outsourced, we as a profession were complacent.

Thursday, June 02, 2011

Small Smiles Dental Centers, more lawsuits filed, this time in Rochester, NY

June 2, 2011

Sheila Sawyer joining Small Smiles Dental Centers as In House General Counsel–the previous candidate backed out.

Sheila Sawyer is leaving Wallar Lansden, where she was partner.  
“For the past five years, Sheila’s practice has focused on litigation and government investigations and during that time she has been instrumental, acting as our outside counsel, in assisting the Company with numerous state investigations, successfully resolving all of them.”
Sheila will be leading the Human Resources team, with consists of among other, DeRose relatives, Jacob and Jenna Kochenberger.  Combing “legal” and “human resources” should be a hoot.
It’s said, Sheila has been “a fan of, and terrific advocate” for Small Smiles Dental Centers Church Street Health Management. 
Sheila’s start day is July 18 if all goes well.

Texas gone hog wild and pig crazy with taxpayer sponsored dental care

 

2007    $399,000,000
2008    $768,000,000
2009    $961,000,000
2010    $1,235,000,000

In essence, Medicaid expenditures in Texas for dental services have gone up 300% in 4 years.  I suppose it’s a case of out of control kids going to sleep with Sippy cups.  Or theft on a monumental scale.  No wonder every dentist in the country wants to come to Texas to make his/her fortune!

Actually you don’t have to actually be a dentist to profit, just hire one.  I’m packing now, look out Texas, here I come.

Section 5 page 6 of Texas Medicaid and CHIP 8th edition – January 2011

Yet today, Texas announced it was “expanding” it’s Medicaid spending for dental care!  Texas taxpayers, your Texas government has lost it’s ever lovin’ mind!

Here ya go, Texas, bend over!  Oh wait, sorry, you already are bent over, well, stand back up and do it again.

Tuesday, May 31, 2011

VA infection issues lead to 13,000 veteran’s tests

May 29, 2011 4:10 PM CDT Sunday,
May 29, 2011 5:10 PM EST

By DAN SEWELL
Associated Press

DAYTON, Ohio (AP) - Herman Williams came home safely after fighting in the jungles of Vietnam as a Marine. He was shocked to learn four decades later that his military service had again placed him in jeopardy - this time, because he got a tooth pulled.

Williams is among 13,000 U.S. veterans who have been warned in the last two years that their blood should be tested for potentially fatal infections after possible exposures by improper hygiene practices at five VA hospitals in Ohio, Florida, Georgia, Missouri and Tennessee. This Memorial Day finds the Department of Veterans Affairs under political fire and numerous veterans upset after enduring fear and uncertainty over their health.

More…..

Texas has 33% less population but spends 10 times more than California on orthodontic care. Please Explain!

 

California  Population   36,961,664
Texas Population         24,782,302  
Difference                   12,179,362

  • Texas has 12.1 million less  people than California.  That is 33% less people. 
  • California's total budget for orthodontic (braces) care for children on Medicaid is $19 million.
  • Texas spent $184 million on Orthodontics for children on Medicaid in 2010.
  • Texas spent 9.68 times, almost 10 times as much of their tax dollars on 33% less people! 

How do you explain this!

How do you explain how one Texas dentist, all by himself, was paid $22 million.  This is 1.16 times as much as the entire state of California has budgeted!  One dentist!!

Yes, Carlos Navarro, and his Orthodonix center brought home 1.16 times as much of your tax dollars as the whole state of California used.

Texas Citizens Picking Up Tab for Unnecessary Orthodontics

Sunday, May 29, 2011

Get your bonus here!

“Centers that achieved business performance bonuses must verify Compliance criteria, A/R criteria, and supply budget criteria.”

I have a whole lot of problems with the above.  Don’t you?  First, even having a bonus program structured on production breaks all Compliance criteria!!!!  Get this, they are starting a pilot program in one of the Ohio clinics to base the hygienist pay on production.

Second, is the “supply budget criteria”.  This is where they don’t change rubber gloves, reuse disposable nose pieces for the Nitrous.  Like use only 3 a day!!  This is where the tubes used for suction, which are also disposable, are reused throughout the day!  This is where the infection starts and this is where this shit needs to end!

Dr. Mazorow to retired after killing second patient-Marissa Kingery

 

It’s a damn shame he’s retiring and not having his dental licenses revoked as it should be.

 

Friday May 27, 2011
By KELLY METZ
kmetz@MorningJournal.com

ELYRIA — Dr. Henry Mazorow, the dentist performing oral surgery when a 13-year-old patient became ill and later died, has announced he will voluntarily retire from practicing effective Sept. 1.

Marissa Kingery died from the lack of oxygen to the brain, Cuyahoga County Coroner’s Office spokesman Powell Caesar said. Powell could not provide further comment about the results, but did say the death was accidental.

Kingery, of Elyria, was having baby teeth removed in Mazorow’s office on Dec. 21, 2010, when she was rushed to Mercy Regional Medical Center. She was later taken to Rainbow Babies and Childrens Hospital in Cleveland and placed on life support, but never recovered. She died Jan. 3.

Mazorow, who has an office at 209 W. 21st St., Lorain, appeared before the Ohio State Dental Board this week and announced he would be retiring, according to dental board records. While his official retirement date is set for Sept. 1, he has also agreed to limit his dental practice by not administering any form of general anesthesia or conscious sedation to any patient in the interim.

According to the voluntary retirement form, Mazorow made the decision to retire last month.

Mazorow announced he would stop using general anesthesia in January following Kingery’s death, his attorney Ron Mingus has said. Mingus could not be reached for comment yesterday.

Mazorow has been practicing since 1956. There are no disciplinary actions on his record.

Mazorow’s office declined comment yesterday.

Saturday, May 28, 2011

Miciah Bonzani - Another Teenager Dies During Dental Treatment

Miciah Bonzani 05072011
update: May 28, 2011

The dentist’s who killed Miciah Bonzani May 4, 2011 was Dr. Raymond Seitz and had been Miciah's dentist for 12 years.

It was just the dentist and his receptionist that worked in the office do this procedure.
 
Miciah's sister had her wisdom teeth removed the month prior to Miciah.  According to her , there were no monitors, no pulse/ox, no heart monitor and she didn't recall seeing an Automated External Difibulator (AED)/Crash cart of any kind.   


Question still remain as to whether CPR was even performed on Miciah until the paramedics arrived.

On Angie's List, it says "Surgery is not performed at this site"
Dr. Raymond Seitz, DMD
General Dentist
2797 Leechburg Rd
Lower Burrell PA 15068
724-339-3220
According to Dr. Raymond Seitz he carries a Anesthesia Permit-Restricted II license.


Here is the application for a Restricted II license in Pennsylvania:  Application. 
According the the Restricted II license Dr. Raymond Seitz is only allowed to administrate Nitrous Oxide (laughing gas), nothing more!!





A fundraiser is being held July 9, 2011:
 Visit the Miciah Bonzani Memorial Run facebook page by clicking here.


There is another child death for 2011, I believe that makes 4 so far.  Miciah Bonzani from outside Pittsburgh died May 5, 2011.  Story plus video at the link below.
New Kensington Teenager Dies Unexpectedly - News Story - WPXI Pittsburgh
I will be updating when I can dig up more details. 
Prayers to her and her family. 
God help us!

Wednesday, May 25, 2011

Know your ABC’s-Small Smiles Office Managers being rated, promoted and/or fired.

Are you a Small Smiles office manager?  I’m told you are being graded as we speak.

A’s – you will get a promotion and be called a “Practice Administrator”, I know your dentists are going to love you even more.

B’s- you will be promoted to A’s.

C’s- expect termination

Don’t waste your time and call HR – Brandon Dyson, he’s resigned I’m told.

Tuesday, May 24, 2011

Texas "Chop Shops"

Below is a report from WFAA-TV reporter Byron Harris on illegal dental clinics in Texas. But it's not just "chop shops" like these that are operating illegally,just about every corporate owned clinic in Texas is illegal in one way or another.


WFAA TV
Report Byron Harris
May 20, 2011

Illegal dentistry entrenched in North Texas
MESQUITE - Illegal dentistry performed by unlicensed dentists used to happen in back rooms with makeshift equipment, where vulnerable customers gambled on low-quality care.

While the problems with quality are still there, what used to be an underground business is becoming an entrenched business.

Illegal dentistry is now an institution, with thriving permanent clinics practically daring authorities to take action.

Just off Central Expressway in Richardson, a neon "open" sign blinks for new customers. Inside, a dentist from Coahuila, Mexico requires cash up front, even though she's not licensed to practice in Texas or the United States.

In Mesquite, smack in the middle of a residential neighborhood, a three-bedroom house has been an established clinic for five years. It has security fencing, a parking lot and surveillance cameras - in part to insure the safety of the all-cash business. Inside, there are three dentist chairs and patients say at least one X-ray machine.

The property is owned by Rogelio Esparza. His brother, Arturo, said he is a dentist in Mexico, but does not practice here. That does not account for a bag of what appeared to be dental waste found in the parking lot.

Monday, May 23, 2011

Former Compliance Officer for Small Smiles Dental Centers, Allison Luke, is on the hunt for a J O B.

 

Post Job Free resume.

In case anyone needs to know anything about her:

ALLISON K. LUKE, JD, CHC *** *th Avenue N. #***
Nashville, TN 37203
(404)***-**** (mobile)
wzetss@r.postjobfree.com
Primary Areas of Expertise
All aspects of healthcare compliance, generally, and strong knowledge of federal and state laws and regulations affecting healthcare providers, facilities and systems, including Federal and State False Claims Acts, Federal Anti-kickback and Stark laws, Medicare and Medicaid Regulations, HIPAA, and others;
Corporate compliance program development and implementation, including Corporate Integrity Agreement implementation; compliance investigations, resolutions, and development/implementation of corrective action plans; development of compliance audit programs, including creation of audit tools, and determination of audit criteria and implementation of compliance audits; policy development and training for healthcare providers; and
Representation of hospitals, healthcare systems, home health agencies, dental practices, and other healthcare providers in compliance investigations before federal and state authorities.

 

Some dentists reluctant to treat kids on Medicaid


I don’t know why, other than they have not been reading this blog!  Otherwise they would know exactly how to set it up!

 

May 23, 2011
Dentists Reluctant To Treat Kids On Medicaid, by Maureen Salamon HealthDay Reporter

Sunday, May 22, 2011

Dental mills concentrated with nitrous oxide, are you in danger-yes; your children-yes, them too.

 

There is a problem with high levels of exposure to Nitrous Oxice.  Two studies done along with the ADA showed a higher incidence of hepatic, renal and neuralgic disorders among exposed personnel.  More importantly it showed an increase in spontaneous abortions in chairside assistants and the wives of dentists.  It also showed an increase in congenital abnormalities in children of assistants.  These two studies pointed to a problems for females who were pregnant and working in dental offices where nitrous oxide was used.
Cohen et al., 1980; Brodsky et al., 1981

In another study, Swedish midwives exposed to nitrous oxide showed they had trouble getting pregnant if they were exposed to Nitrous Oxide more than 30 times a month. G Axelsson, G Ahlborg, Jr, L Bodin Occup Environ Med. 1996 June; 53(6): 374–378.

Adverse Effects of Nitrous Oxide

Tuesday, May 17, 2011

Mom of 6 year-old, Jacobi Hill, Plans to Sue VCU Medical Center

 

Mom of 6 year-old Plans to Sue VCU Medical Center - wtvr

RICHMOND, VA (WTVR) - The mother of a 6-year-old boy who died after a dental procedure last May says she plans to sue VCU.

"People say it gets easier day by day. No, it doesn't", says Crystal Lewis.
One year later, Lewis, the mother of 6 year-old Jacobi Hill still wonders why a simple dental procedure killed her son.

"It's always going to be a question in the back of my mind like, what happened, but I guess we'll never know until I get to the bottom of things", she says.

An Intelligible Principle To Restrain Unelected Government Officials

 

An Intelligible Principle To Restrain Unelected Government Officials

Leave out the adjectives and adverbs and it’s informative and shows exactly what is happening from Congress all the way down to your local City Counsel, stopping at state agencies and boards, like your state Dental Board, along the way.

Saturday, May 14, 2011

Jenny Olenick died in April. Here is a statement sent to us from Jenny’s mother on May 14, 2011



"During the April 17 Celebration of Jenny's life I told the young people present not to worry about having dental procedures because Jenny's death was a freak accident.
That's what I truly thought at the time. But after learning there are at least 8 other children in the nation who have died as a result of dental procedures in US dental offices within the past 1 1/2 years, I no longer see this as a "freak" accident.
I now look at dental office-related deaths as relatively common, and believe these are needless deaths that could have been prevented.

These children did not have to die. And if we wish to honor these childrens' memories, we need to make certain not one more child dies as a result of having a procedure done in a dentist's office".
Cathy Garger, Mother of Jenny Olenick.

17 year old Jenny Olenick dead during oral surgery–April 6, 2011–Freak Accident? Not anymore!
(written Thursday May 12, 2011, prior to receiving the statement from Jenny’s mom.  Blogger was down and was not able to post until today.)

Marriottsville, Maryland

Jennifer Michelle Olenick died April 6, 2010. Jenny went into a coma on March 28, 2011 during a wisdom tooth extraction being performed by Dr. Domenick Coletti.

When the dental community is averaging killing one child a month, it’s not a freak accident!
Answers sought in dental surgery death of Howard County teen
Jennifer-Olenick-April-6-2011_thumb2By Kellie Woodhouse kwoodhouse@patuxent.com
The state Medical Examiner’s Office is investigating the death of a 17-year-old Marriotts Ridge High School junior, who died last week after complications arose during routine wisdom tooth surgery.

Jennifer “Jenny” Michelle Olenick, of Woodstock, an aspiring professional singer, went to a Columbia oral surgeon on March 28 for a tooth extraction procedure and went into cardiac arrest during surgery, her mother said.

She was taken by ambulance to Howard County General Hospital and then flown to Johns Hopkins Hospital, in Baltimore, where she died 10 days later, on April 6.

Cathy Garger, Olenick’s mother, said her daughter’s sudden death was baffling.

“Her heart tests at Hopkins showed normal functioning of her heart. She was in the best of health,” said Garger, who accompanied her daughter to the surgery with Olenick’s father, John Olenick.

Dr. Domenick Coletti, the Columbia-based oral surgeon who performed the operation with the assistance of an anesthesiologist, said he was “deeply saddened” by Olenick’s death.

Texas Citizens Picking Up The Tab for Unnecessary Orthodontics

 

by BYRON HARRIS
Bio | Email 


DALLAS — Nobody has ever died from crooked teeth, some orthodontists say. 

Historically, straightening teeth with braces is viewed largely as a cosmetic procedure, done for cosmetic purposes.

Yet, last year, Texas taxpayers paid for braces for more than 120,000 children under Medicaid. The total bill was more than $184 million, which was far more than the next 10 states combined.

A News 8 investigation found that Navarro Orthodontix, which controls 11 clinics across the state, was paid more than $22 million in Medicaid last year. That's more than the entire state of California, which paid out $19.4 million.

All told, Texas paid out over $184 million for Medicaid orthodontics last year, which is nearly double the amount from 2008. The money is supposed to go for teeth determined to be so crooked they could handicap a child, usually between the ages of 12 and 19 according to state rules. Judging by the increased payouts, the teeth of Texas children are growing more crooked each year.

"There's a large population of people that are somehow qualifying for Medicaid treatment that seven years ago weren't qualifying," said Dr. Greg Greenberg, a Dallas orthodontist.

While the worsening economy has put more kids into poverty, it's also true that orthodontics is booming.

On Garland Road in Dallas, two clinics are paired off like gas stations across from one another. All Smiles Dental sits directly across the street from the Smiley Dental Clinic. Smiley's vans, used to pick up patients, prominently display "Medicaid Accepted" in their bright yellow paint scheme.

Last year, Smiley took in nearly $2 million in Medicaid through its affiliates in North Texas. All Smiles collected $7.5 million. Together, the two chains collected more than twice as much as the entire state of Illinois paid out last year.

In Tarrant and Parker counties, doctors Sheila Birth and Charles Stewart run six offices, and like all the clinics mentioned in this story, they employ several orthodontists. All told, they collected more than $5 million in Medicaid last year, according to state records. That's twice as much as all the providers in the state of Florida.

Birth declined to be interviewed on camera for this story. In e-mails, she pointed out that a lawsuit in Texas forced the state to expand its Medicaid coverage in 2007, and that states have differing criteria for Medicaid reimbursement, which makes comparison inappropriate.

Texas was successfully sued over Medicaid underpayment, dental care included, but orthodontic care was not part of the lawsuit. Texas specifically prohibits Medicaid reimbursement for cosmetic orthodontic care
.

Critics say the state simply doesn't evaluate claims.

"There's no accountability," said Dr. Larry Tadlock, an orthodontist with a private practice who's also an associate professor at Baylor Dental School in Dallas.

Friday, May 13, 2011

Leesburg Virginia couple charged for practicing dentistry without a license

 

Posted at 11:48 AM ET, 05/13/2011

Leesburg couple accused of illegal dentistry

By Maria Glod

A Loudoun couple who allegedly ran a dental office in the basement of their Leesburg home have been charged with practicing dentistry without a license, officials said.

Nelson A. Castro-Diaz, 47, and Matilde A. Lindarte-Vargas, 35, had a full-service office in their home in the 1200 block of Tennessee Drive that included a dental chair, waiting room and a receptionist desk, according to Loudoun Sheriff’s officials. Authorities said the office catered to the Latino community.

The couple told investigators they had worked as dentists in their native country, according to sheriff’s spokesman Kraig Troxell. Troxell said he didn’t know what country the couple were from.

Castro-Diaz and Lindarte-Vargas were released on their own recognizance, authorities said.

Tuesday, May 10, 2011

Small Smiles Dental Center wants to put my child to sleep for dental treatment-Good idea?

 

I can’t answer that. 

But I can tell you that the nasal spray of “midazolam” along with nitrous oxide gas- inhalation sedation (IHS) - was studied on 100 children between the ages of 3 and 13, who were originally referred for “general anesthesia” and 96% of the required dental treatment was completed successfully.  There was no need for general anesthesia and parents were present with the children during the procedure. 

The National Institute of Health recommends this technique instead of Dental General Anesthesia. (DGA)

You can read the study for yourself here:
The safety and efficacy of intranasal midazolam se... [SAAD Dig. 2010] - PubMed result

Of course skilled dentists and staff as well as life saving equipment and medication is a must! 

I can tell you general anesthesia is close to death, and I’ve lost count of the number of children who have died in the last two years. (8) and rising.

I can tell you seven studies of Inhalation sedation, using nothing but nitrous oxide (along with local numbing), without the nasal spray have taken place.  These studies also used children who had been referred for general anesthesia.

The studies were reported to have a “remarkable degree of consistency in the reported treatment effectiveness despite other differences in patients”. 

What were the results? 

Monday, May 09, 2011

No more secret meetings and backroom deals for health care professionals who screw up in Washington state

Washington State HB 1493–Signed Into Law April 22, 2011, Effective July 22, 2011

HB 1493 - 2011-12

What is it?

It provides greater transparency into health professional’s disciplinary actions taken by state licensing boards, such as the Washington State Department of Health Dental Board

 

HB - 1493

  • ŸAllows a complainant in a disciplinary proceeding under the Uniform Disciplinary
  • Act to supplement the contents of his or her complaint.
    Requires a disciplining authority to promptly respond to inquiries regarding the status of a complaint.
  • Requires a disciplining authority to provide a complainant with the file relating to the complaint.
  • Requires a disciplining authority to allow a complainant to submit an oral or written victim impact statement.
  • Requires a disciplining authority to inform the complainant with a report on the complaint's final disposition.
  • Allows the complainant to make a request for reconsideration of the disciplining authority's decision.

HB 1493 – Analysis

The Original Bill – 1.5 Simple Straightforward pages of meaningful legislation

The Final Bill – Instead of watering down it seems to have been strengthened

The Bill had NO impact on the state budget.  None.  Nada.

There was a substitute bill presented by the Senate.  Compared to the Original Bill:

  • Allowed the license holder to respond to any supplemental information submitted by the complainant.
  • Required the disciplining authority to promptly respond to status inquiries by the license holder (in addition to the complainant).
  • Required the disciplining authority to provide a copy of the file to the license holder (in addition to the complainant).
  • Changed "victim impact statement" to "impact statement."
  • Limited the circumstances in which the complainant may request reconsideration to situations in which (a) there has been no statement of charges or allegations and (b) there is new information relating to the original complaint or report.
  • Required the disciplining authority to notify the license holder of any request for reconsideration and allows the license holder to respond.

On March 1, 2011 the Third reading of the bill took place in the House and a vote was called.  Twenty-nine (29) representatives voted no, all Republican.

They are:

Gary Alexander - R
Jan Angel - R
Mike Armstrong - R
Katrina Asay - R
Barbara Bailey - R
Vincent Buys -R
Cary Condotta - R
Larry Crouse - R
Bruce Dammeier - R
Richard DeBolt - R
Susan Fagan - R
Larry Haler - R
Mark Hargrove -R
Paul Harris - R
Norm Johnson - R
Brad Klippert - R
Joel Kretz - R
Dan Kristiansen - R
Jim McCune - R
Jason Overstreet - R
Kevin Parker - R
Kirk Pearson - R
Charles Ross - R
Matt Shea - R
Joe Schmick - R
Shelly Short - R
Norma Smith - R
David Taylor  - R
Hans Zeiger - R
Bill Hinkle - R was “excused”

 

By April 7, it was voted on by the Senate.   One “Lone Ranger” Senator voted no.  Who you ask?  That would be Senator Doug Ericksen (R) of Washington state.

Thursday, May 05, 2011

Another Teenager Dies During Dental Treatment

Miciah Bonzani 05072011There is another child death for 2011, I believe that makes 4 so far.  Miciah Bonzani from outside Pittsburgh died May 5, 2011.  Story plus video at the link below.
New Kensington Teenager Dies Unexpectedly - News Story - WPXI Pittsburgh
I will be updating when I can dig up more details. 
Prayers to her and her family. 
God help us!

Small Smiles Dental Centers: Reporting of Adverse Events


The Corporate Integrity Agreement requires Church Street Health Management to self report what is referred to as “Reportable Events” that take place at their Small Smiles Dental Centers across the US. 
What is a “Reportable Event” as seen by Small Smiles Dental Clinics:
  1. Billing that would generate more than $4000 in overbilling – Keep erroneous or any fraudulent bilking billing under that mark and they are good to go.  Is that per child?  Could also be defined as a matter that a reasonable person would consider a probable violation of civil, criminal or administrative law applicable to federal health care programs . Or a matter that a reasonable person would consider likely to render CSHM insolvent.
  2. Quality of Care Reportable Event– Adverse Events (AE).  These are a bit more difficult to define, since they are in the eyes of the beholder.  Basically anything that involves a violation of the obligation to provide items or services of a quality that meets professionally recognized standards of care.  In my opinion, that would include unlocking the door to any of the now, 72 clinics. The great White Paper King, Steven Adair is making those decisions.  Not a good choice in my opinion.  What is his pay based on?   Does he get a “production” bonus too? It may be that these are only events reported that cause a Corrective Action Plan (CAP) to be initiated.  What is a CAP, you ask?  Well, it could be a simple letter of instruction to the treating dentist/staff member,  a DVD for them to watch, or further training that they decide will do.
  3. Event that would cause law enforcement to be notified–  I wonder if that means local law enforcement or the Feds?  You know what I mean, a dentist punches a patient in the face or staff forges names and signatures on documents?  Could also be defined as a matter that a reasonable person would consider a probable violation of civil, criminal or administrative law applicable to federal health care programs .  Again I feel that unlocking the doors on these houses of horrors should be criminal since I promise something illegal happens in each one of them everyday.
If CSHM doesn’t correct the billing within 30 days or

Wednesday, May 04, 2011

Don Meyer–Rubin Meyer Communication

rubinmeyerIf  you read much or post complaints about Church Street Health Management (CSHM) and their illegal dental clinics, Small Smiles Dental, you are bound to run across the name Don Meyer at some point.

Mr. Meyer is their talking headlindleyonrubinmeyer, spin doctor, public relation person at Rubin Meyer Communicaiton, founded in 2007. The sweet page they have set up especially for CSHM is here.

So who is Don Meyer?  Well according to Source Watch, he helped craft the Pentagon’s Public Affairs strategy on September 11, 2001 after the WTC attacks.  “Meyer devised public affairs tactics to support military actions in Afghanistan and Iraq.” 

In May 2004 he left Donald Rumsfeld side and returned to H&K (Hill & Knowlton as VP.  Meyer worked to promote the United Arab Emirates owned company, Dubia International Capital.  Funny how he now promotes another Arab company, Arcapita who owns the CSHM/Small Smiles Dental Centers.  He also spent 6 years on Capital Hill.

Tuesday, May 03, 2011

No surprise - Congress blocks midlevel dental providers

 

May 3, 2011

Congress Blocks Midlevel Dental Healthcare Provider Projects

No big surprise is it?  Midlevel care providers were simply out lobbied.

Full Medscape Story:

May 3, 2011 — After making strides in recent years, advocates for midlevel oral health provider programs ran into setbacks this year in both state legislatures and the US Congress.

The law allocating spending for the US government through September 30, 2011, prohibits spending on alternative oral health provider pilot programs, and some bills in state legislatures have stalled or died in committee in recent months.

Much of this legislation has pitted hygienists associations and oral health foundations against the largest organizations of dentists.

At the national level, proponents are pushing to fund the "alternative dental health care providers demonstration projects" authorized by last year's healthcare reform law. President Barack Obama has asked Congress to fund 6 such programs with $800,000 each in 2012.

The midlevel providers in these pilot programs could be community dental health coordinators, advance practice dental hygienists, independent dental hygienists, supervised dental hygienists, primary care physicians, dental therapists, or dental health aides.

They would be evaluated for their ability to "increase access to dental health care services in rural and other underserved communities."

Congress debated funding the pilot programs while working on the continuing resolution that allocated money for the US government through September, but in the end they specifically prohibited such funding.

In a written statement, American Dental Hygienists' Association (ADHA) President Caryn Solie, RDH, said her organization was working with "more than 60 others" to get the funding for 2012 "and beyond."

"ADHA is disappointed with the inclusion of a provision in the Continuing Resolution prohibiting funding for the Alternative Dental Health Care Provider Demonstration Grants this year," she said.

She argued that the programs would allow hygienists to help Americans who currently are not able to get oral healthcare.

The American Dental Association (ADA), in contrast, has lobbied against the pilot programs. "We have a long-standing position against any pilots for any program that involves nondentists doing irreversible procedures," said Matthew J Neary, DDS, a New York City periodontist who chairs the ADA's Council on Governmental Affairs.

He said there are better ways to improve access to oral health, such as preventive health programs and dental residency programs in underserved communities.

The ADA does support one model of new oral healthcare provider: the community dental health coordinator, trained to help people in underserved communities navigate through the healthcare system, Dr. Neary said.

However, that proposal falls short of a new practitioner "midlevel" between a hygienist and a dentist, as advocated by the ADHA and some activist groups.

"The more professionals look into folks' mouths and provide education the better, but the fact is that folks need treatment," said David Jordan, director of the Dental Access Project of Community Catalyst.

With funding from the W.K. Kellogg Foundation, Community Catalyst is organizing coalitions in 5 states to advocate for midlevel providers who can prepare and place fillings and extract teeth, in addition to doing educational and preventive work.

Such providers — dental health aide therapists — are already doing this kind of work in Alaska through a federal program for indigenous people, and dental therapists are also being trained along similar lines in Minnesota as a result of a 2009 law.

Community Catalyst supports new dental therapist legislation in 5 other states, Jordan said. He gave the following overview of state legislation:

  • Kansas: A dental therapist bill is under consideration in both the state House of Representatives (HB 2280) and the (Senate SB 192).
  • Washington: HB 1310 is stalled in the House of Representatives Healthcare and Wellness Committee and is unlikely to be heard until next session.
  • New Mexico: HB 495 bill died in the business committee of the House of Representatives.
  • Vermont: HB 398 is in the House of Representatives Human Services Committee, but is unlikely to be heard until next year.
  • Ohio: A bill has not yet come to the legislature, but on April 27 a public opinion poll funded by Catalyst showed two thirds of Ohio voters in favor of starting a dental therapist program in that state.

Although the group could not claim any clear victories, "We're happy that there was attention, and the need was brought to light," said Jordan.

Sunday, May 01, 2011

Corporate Dentistry–A history

One of the major birth places for corporate dentistry is Texas.  Around 1995, Texas allowed managed care programs or HMO's.  The  insurance companies quickly created and sold these dental programs to employers.  However, there was one big problem.  General dentists would not sign up to be a provider because the fees were too low and the dentist would be forced to do "managed neglect" not "managed care". 

The insurance companies, primarily Aetna, decided that they could establish needed offices by guaranteeing a monthly income to a practice in Aetna's preferred location.  There were a couple of dentists in Texas who took them up on the offer. 

They did stock offerings and corporate dentistry was born in Texas even though it was and is still illegal. This relationship continues today.

Under these corporate practices, the insurance companies lists the dental provider as the corporate entity, not a licensed dentist.  Under your HMO dental plan, if you call for your free or low fee cleaning, you are told there is a one to two year waiting list.  If you complain to the Dental Board, their response is they only control licensed dentists not corporate practices. 

If you go in for an exam, you are suddenly told you need hundreds to thousands of dollars worth of work, much of which is barely covered by insurance. The dental work may not even be needed.  Check the complaints on Monarch Dental as an example.  You would think the Dental Board would have stopped the damage by now.

The insurance companies will try to further enhance their profits by using these offices to keep costs low in this economy.  In this economy employers are dropping their PPO dental insurance for the cheaper HMO policies.  Dental insurance companies can then assign these PPO patients, who use to have freedom to chose their dentist, to these corporate offices.  Dental insurance is always beneficial to the insurance companies..  It is non catastrophic unlike health insurance.  It is rarely cost effective for the insured.

Medicaid in the corporate practice has been a recent addition.  Mainly because state and federal agencies have allowed them to see Medicaid patients when it is against many of the state laws. 

To stop the corporate practice of dentistry, you must stop the dental insurance companies from funding it.  Can you imagine the potential liability of assigning and paying insurance monies to illegal corporate practices? 

They are fully aware of the liability, however, to date no one has challenged them.  The potential liability was mentioned to one national dental director now that the public is waking up and complaining.  He is in the process of having the actuaries calculate what it will take to convert the HMO policies to in-network PPOs.
 
Bottom line is that the economy and media exposure like the Ortho story will cause Medicaid to begin to correct itself.  Medicaid was there before corporate dentistry and will be there after. However, the slow economy will fuel the insurance companies to want to foster more corporate dentistry. 

If litigation is contemplated, then the insurance companies have the most to lose.  There is no argument that they are guilty of paying illegal corporate practices and also have large potential antitrust violations. 
a Concerned Texas Dentist

Monday, April 25, 2011

Dental Treatment Codes- Sections

I. Diagnostic                                 D0100-D0999
II. Preventive                                D1000-D1999
III. Restorative                              D2000-D2999
IV. Endodontics                            D3000-D3999
V. Periodontics                             D4000-D4999
VI. Prosthodontics, removable      D5000-D5899
VII. Maxillofacial Prosthetics          D5900-D5999
VIII. Implant Services                     D6000-D6199
IX. Prosthodontics, fixed                D6200-D6999
X. Oral and Maxillofacial Surgery  D7000-D7999
XI. Orthodontics                            D8000-D8999
XII. Adjunctive General Services   D9000-D9999

Another BS study that will only lead to more dental deaths?!

 

Who Paid for the study?

 

Children can be safely sedated by nonanesthesiologists

April 25, 2011 -- NEW YORK (Reuters Health) - Many specialties perform pediatric procedural sedation with no differences in major complication rates, according to findings published online today in Pediatrics.

Intensivists, emergency medicine physicians, radiologists, and hospitalists, among others, have increasingly been providing pediatric sedation, but whether complications are more or less associated with any particular group of specialists has been unclear.

Dr. James H. Hertzog from Alfred I. DuPont Hospital for Children, Wilmington, Delaware, and colleagues in the Pediatric Sedation Research Consortium investigated that question using data from 38 sites on patients who ranged in age from newborn to 18 years. The research team defined major complications as aspiration, death, cardiac arrest, unplanned hospital admission or level-of-care increase, or emergency anesthesiology consult.

Out of 131,751 cases of sedation given outside of the operating room, there were no deaths, and other major complications were rare (122 total).

Sedation was most often administered by intensivists (58,222), emergency physicians (38,293), anesthesiologists (18,343), and pediatricians (12,113). Children were also sedated by pediatric residents or fellows, radiologists, surgeons, dentists, advanced practice nurses, certified registered nurse anesthetists, or registered nurses.

There was no statistical difference between providers' major complication rates either before or after adjustment for possible confounding variables.

Moreover, there was no significant difference between the types of major complication among providers.

"The rapid growth in the use of sedation services by nonanesthesiologists has been the subject of some concern," the researchers conclude. "Our data reveal that, within our consortium, there was no increased danger associated with pediatric procedural sedation provided by nonanesthesiologists."

"The application of our data to sites outside of our consortium will require rigorous evaluation of the skill level of the providers and the institution's systemic safeguards for the care of a sedated pediatric patient," they caution.

Source: http://bit.ly/ggVsDk

Pediatrics 2011;127:e1154-e1160.

Last Updated: 2011-04-25 14:56:07 -0400 (Reuters Health)

 

 

 

Impact of Provider Specialty on Pediatric Procedural Sedation Complication Rates

Kevin G. Couloures, DO, MPHa, Michael Beach, MDb, Joseph P. Cravero, MDb,c, Kimberly K. Monroe, MDd, James H. Hertzog, MDa

aDepartment of Anesthesiology and Critical Care Medicine, Nemours Children's Clinic-Wilmington, Alfred I. duPont Hospital for Children, Wilmington, Delaware;
Departments of bAnesthesiology and
cPediatrics, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire; and
dDepartment of Hospital-Based Medicine, Children's Memorial Hospital and Northwestern University, Chicago, Illinois

Objective To determine if pediatric procedural sedation-provider medical specialty affects major complication rates when sedation-providers are part of an organized sedation service.

Methods The 38 self-selected members of the Pediatric Sedation Research Consortium prospectively collected data under institutional review board approval. Demographic data, primary and coexisting illness, procedure, medications used, outcomes, airway interventions, provider specialty, and adverse events were reported on a self-audited, Web-based data collection tool. Major complications were defined as aspiration, death, cardiac arrest, unplanned hospital admission or level-of-care increase, or emergency anesthesia consultation. Event rates per 10 000 sedations, 95% confidence intervals, and odds ratios were calculated using anesthesiologists as the reference group and were then adjusted for age, emergency status, American Society of Anesthesiologists physical status > 2, nil per os for solids, propofol use, and clustering by site.

Results Between July 1, 2004, and December 31, 2008, 131 751 pediatric procedural sedation cases were recorded; there were 122 major complications and no deaths. Major complication rates and 95% confidence intervals per 10 000 sedations were as follows: anesthesiologists, 7.6 (4.6–12.8); emergency medicine, 7.8 (5.5–11.2); intensivist, 9.6 (7.3–12.6); pediatrician, 12.4 (6.9–20.4); and other, 10.2 (5.1–18.3). There was no statistical difference (P > .05) among provider's complication rates before or after adjustment for potential confounding variables.

Conclusions In our sedation services consortium, pediatric procedural sedation performed outside the operating room is unlikely to yield serious adverse outcomes. Within this framework, no differences were evident in either the adjusted or unadjusted rates of major complications among different pediatric specialists.

Key Words: pediatric sedation • pediatric anesthesia • procedural sedation • patient safety

Abbreviations: ASA = American Society of Anesthesiologists • PPS = pediatric procedural sedation • PSRC = Pediatric Sedation Research Consortium • OR = odds ratio • CI = confidence interval • NPO = nil per os


Accepted Jan 24, 2011.

Saturday, April 16, 2011

Aspen Dental Fix it: Toothache Becomes Headache

Published in The Daily Journal print book April 16, 2011

Nicole Leonhardt
nleonhardt@daily-journal.com

Michael Christ, of farming Grant Park, had a toothache so he went to the dentist to put together the problem, but assumingly the caring he received landed him in the crisis room — twice, his doctor told him.

On Mar 18, Christ’s 21st birthday, he went to the appointment his father, Ron Christ, done for him at Aspen Dental, 1501 N. Illinois Route 50, Bourbonnais.

The dentist took X-rays, wrote him a medication for amoxicillin and told him to make an appointment for possibly an descent or base waterway when the infection settled. The subsequent to week the infection had gotten worse so Michael called for other appointment.

This time Christ was then seen by a not similar dentist, a woman. She suggested him to go to the crisis room, since she mentioned Michael had been prescribed the incorrect antibiotic.

Christ went to Provena St. Mary’s Hospital, where they administered a not similar antibiotic, clindamycin.

“She mentioned he should have been on clindamycin when he was seen the initial time. She mentioned it was it was improper to be on amoxicillin,” mentioned Christ’s father.

After Christ was administered the scold antibiotic he proposed to feel better, but struggled to secure an appointment to have the tooth fixed. The infection came back and this time his eye proposed to swell. On April 9, Christ’s parent called Aspen Dental for an crisis appointment for his son. He was told there was no permanent dentist at the trickery and nothing could be done that day.

But that dusk Christ’s parent received a call from Dr. Shamohammadi, a proxy dentist hired April 5 by Aspen. Shamohammadi suggested the parent to ensure Christ went back to the crisis room. The dentist betrothed to see the group initial thing this past Monday.

Christ received a stronger sip of verbal clindamycin and an injection during his second crisis room revisit and the lump subsided.

This past Monday, Shamohammadi saw Christ and endorsed two other area dentists for a base canal. Because Shamohammadi’s location at Aspen was temporary, he would be leaving the trickery on Friday and longed for Michael to be seen by a veteran who could follow by with his care.

Christ’s parent asked the front table receptionist for a return for his son’s two appointments — the first, that cost $19 and the second, that was $50.

Instead of a return being issued, the military were called. Shamohammadi told military the parent had done nothing incorrect and the situation was dropped. Later that day Shamohammadi left the trickery for good, 4 days before his appointment at Aspen was ostensible to end.

Christ’s father, Ron, contacted Fix It! that evening.

He longed for his allowance back since his son had not received proper care. He suggested Fix It! to verbalize with Shamohammadi. Shamohammadi told Fix It! he was essay a e-mail to the Illinois Department of Financial and Professional Regulation, Aspen Dental Management, Inc., the Better Business Bureau, and the Illinois Department of Human Rights to inform multi-part instances of bad high quality caring he’d witnessed during his partial time at Aspen, inclusive the Christs’ situation. He sent Fix It! a duplicate of the complaint.

“The military subdepartment forthcoming to a dental use due to your pacifist activities is about as far as we can take it,” Shamohammadi mentioned in the letter.

Present at the rumpus that resulted in military involvement, Shamohammadi told Fix It! Ron Christ had not acted inappropriately — he acted similar to a parent whose son received bad caring that could have lead to serious complications such as blindness.

“In my veteran viewpoint a stronger antibiotic indispensable to be used and a follow-up fast was vital to ensure safety,” mentioned Shamohammadi. Because of that he endorsed a return is to Christs.

Referring to the complaints about Aspen minute in his letter, Shamohammadi mentioned he believed many patients deserved refunds since similar to Christ they received reduction than preferred caring after being seen by multi-part proxy doctors.

Shamohammadi mentioned in his e-mail it was clear at least 8 or 9 doctors had been “providing not similar diagnoses” and modifying and varying treatment plans. He told Fix It! he could not pick out the dentists who saw Christ by his map out since there were “so many scribbled signatures.” The bills the Christs received did not add doctor names.

When Fix It! spoke Wednesday with Kasey Pickett, executive of communications at Aspen Dental Management, Inc., she mentioned both doctors whose licenses are related with Aspen’s Bourbonnais location — Isam F. Hamati and Nadia Z. Chowhan Iqbal — did not work at the location.

“They are seeking for a new full-time dentist,” mentioned Pickett.

To keep Aspen open after Shamohammadi’s leaving a one-time proxy dentist was called back to the location, mentioned Pickett.

Pickett mentioned an scrutiny had been non-stop at the Bourbonnais Aspen location to look in to the problems Shamohammadi spoke of in his letter.

She moreover had great headlines is to Christs.

“We are refunding allowance related with caring at Aspen together with casing the ER bills,” mentioned Pickett. “The studious didn’t have a great experience and that’s what the use is striving for.”

Ron Christ mentioned he received a examine Thursday for $300 to cover Michael’s visits and mislaid wages. It had been sent overnight mail. He mentioned he will send Aspen the crisis room bills when he receives them. He estimated the complete at around $1,200. The Christs mentioned they feel Aspen done its most appropriate bid to pill the situation, but Shamohammadi is not satisfied.

He mentioned he has right away sent the e-mail that includes other complaint from his time at Aspen — a managerial staff that pushes dentists to see too many patients in a day to be able to enlarge profits — to dental regulatory bodies in every state that has Aspen locations since he believes the same problems are widespread.

“I am abashed for my colleagues of the contention that act for your organization. we am moreover abashed of what you have done to my profession. You have managed to take this prestigious industrial specialization and have incited it in to a reason for profiteering,” mentioned Shamohammadi in his letter.

Pickett mentioned whilst the firm will look in to the allegations done about the Bourbonnais location “the things that are summarized are of course not indicative” of how other Aspen offices operate.

Friday, April 15, 2011

Who Wrote This? Superman Cape Technique

 

Anyone want to take credit for writing this?

Comments are open, let’s hear it.

 

PROTECTIVE STABILIZATION

Protective stabilization, broadly defined, is the restriction of a patient’s freedom of movement to decrease the likelihood of injury to the patient or the dental personnel while allowing safe completion of the dental procedure.

Protective stabilization may involve another human (dentist, dental team member, or parent), a stabilization device (protective wrap, mouth prop, towel), or a combination. Use of a mouth prop as an aid for a cooperative

patient is not considered to be stabilization.

In your discussions with parents regarding protective stabilization, remind them that active stabilization - stabilization by the dentist and/or dental assistant – is described in the list of behavior management methods that they approved when they signed the health history form. Review this type of stabilization with the parent again, if necessary.

Dental staff who stabilize children should use their hands to limit the patient’s movement. Lying next to the child or partially on the child is not acceptable. The dental team should use the least restrictive stabilization that is safe and effective.

One example of a less restrictive form of stabilization is the use of a pillowcase to restrain hand and arm movements in a patient who is otherwise compliant.

The pillowcase is held open behind the patient; the child inserts his arms into the pillowcase, the pillowcase is pulled up to the child’s armpits, and he is then assisted into the dental chair. Once the patient is supine and lying on the pillowcase, his arms are stabilized.

Colorful children’s pillowcases are available, and can be described as a “Superman cape” or other child appropriate analogy.

Thursday, April 14, 2011

Dr. Paul Casamassimo Happy Medicaid Dental Coffers Still Open For Business - Small Smiles

Well of course he's a happy man.  He's on the advisory board of Small Smiles & Church Street Health Management.  The Governor kept the coffer open for him and his buddies today! 

There are 7 Small Smiles locations in Ohio~








Maybe Dr. Casamassimo didn't have this run across his desk.
Burns Ohio Complaint




Dr. Paul Casamassimo has been with Church Street Health Management since 2007 when it was FORBA Holdings, LLC, along with Dr. Arthur Nowak, and Dr. Joe Bernat. Other than adding Dr. Anupama Rao Tate. Dr. Tate was the only addition to the board after the $24 million fraud settlement and Corporate Integrity Agreement was implemented.

With the budget crunch in so many states, to get Governor Kasich, whom I really like, to NOT cut some of the wasted funding to adult and children Medicaid dental programs is astounding. However, like us all, he is a layperson when it comes to "dental" needs, and can't tell fact from fiction. No fault of his own. It's the perfect example of letting the "professional" take the reins.

Now, if Ohio, like all states, would cut the reimbursement fee just for stainless steel crowns by 30% it might, just might, get the Medicaid fraud from these dental mills back under control.

No, I do NOT apologize to Dr. Paul Casamassimo, he was the fool who put out this video, he's the fool who hooked up with Dr. Adair and Small Smiles all by himself.  In this video statement what was he trying to suck or kiss?

Related:
Small Smiles Quality Initiatives are Rubbish

Allison Luke - No longer Chief Compliance Officer at Church Street Health Management

Lorri Steiner has been with Church Street Health Management for a very long time.  I would say at least 4 years, maybe a little longer.

Up until last Friday, April 8, 2011, she has been SVP of Financial Operations.  Currently she is carrying the title of Chief Compliance Officer!

Well, at least she is going into this eyes wide open!  She's been around long enough in the financial operations to know how much they need to make each day and how to get it done.  Now, does she know how to cover it up so that it goes unnoticed?  Time will tell.

Anyone notice Lorri was put into this position just about the same time they were able to land an in house attorney, Erika Ruiz.  I'm sure Lorri and Erika can get the job done.

(By the way, there is NO Erika Ruiz listed at the Tennessee Bar Association.  There is only one Ruiz and it's not Erika when you search the Board of Professional Responsibility here )

What happened to Allison Luke, you ask?  

Allison Luke was hired in November 2008, according to Church Street Health Management's own press release, dated 11-5-2008.
Lately her job has been more of that of "fireman" putting out fires created by Small Smiles dentists, staff and corporate heads who are determined to continue on with their bad ways.  After just over a year into the Corporate Integrity Agreement you would think things would be getting a bit better, well, not so much.
Did she figure out it was a lost cause trying to maintain any kind of "Compliance" with Small Smiles Dental Centers?  

Did she get tired of stretching the truth?  Was she tired of rounding 4.2 percent to 5 when it benefited the companies appearance.  Did she tire of rounding a 3.9 to 3.0 when told to do so?

Well, maybe she will do the right thing now and spill her guts to the OIG.  Keeping crimes a secret kind of makes you guilty doesn't it?  Especially when it's you that writes that quarterly report and you sign it, Allison Luke, SVP of Compliance.

Keeping big secrets and covering up fraud will sure weigh heavy on your mind.

Lorri, do you really know what you are in for here?  Me thinks you are in way over your head and guess whose head will role when the rubber meets the road.  Yours.

Related: