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Automation of practice management in a Lebanese University Health Clinic.

Interest in technology and the recognition that clinical practice analysis data is crucial for planning have stimulated the development of information management solutions at all levels in developing countries. The spectrum of such endeavors remains restrained due to the limitations in human resources skills. This paper describes an inexpensive operation for automating practice analysis in a Lebanese University Health Clinic. The system was developed in piecemeal fashion to accommodate the needs of the staff and their computer expertise. It demonstrates the impact of such automation on patient care, including missing medical records, appointment scheduling, referral rates, and repeat prescriptions.

Database Management Systems↗

Midwives' knowledge of newborn feeding ability and reported practice managing the first breastfeed.

Continuous uninterrupted skin-to-skin contact is known to facilitate newborn transition to extrauterine life, the ability to actively find the nipple and establishment of effective breastfeeding but is not promoted consistently in practice. The Newborn Feeding Ability Questionnaire (NFAQ) was developed to measure midwives' knowledge and practice in supporting the first breastfeed. The NFAQ was administered to 3 500 midwives in Australia through a mailed survey. A response rate of 31.6% (n=1 105) was achieved and the sample was representative of the national midwifery population for age sex, education and experience. Mean total score for knowledge was 85.94 (range 40-110 out of 110), SD=10.55) and mean practice score was 95.89 (range 57-117 out of 120), SD=9.19). Knowledge of newborn feeding ability was consistently associated with best practice in managing the first breastfeed. Almost all midwives reported that skin-to-skin contact for newborn infants immediately after birth was important, but few understood the significance of 'continuous uninterrupted' skin-to-skin contact to facilitate correct attachment and effective suckling. One-third reported separting mother and baby for routine interventions before allowing the opportunity to demonstrate pre-feeding behaviour or actually breastfeed. Although midwives attempt to ensure the first breastfeed is facilitated soon after birth, the practice of continuous uninterrupted skin-to-skin contact seems poorly understood and not uniformly practised. Further research is needed to investigate how midwives teach mothers' positioning and attachment for the first breastfeed. Education of midwives so they can optimally facilitate the first breastfeed is required to improve breastfeeding initiation rates.

Australia↗

Basic practice management systems. Part II of the dental management pyramid series.

Mastering basic management systems is the first of six levels in the Dental Management Pyramid that determines the future direction of your practice. It is important to avoid the temptation to move from one level to the next until you have addressed all aspects of the current level. All too often, dentists attempt to move up the pyramid without completing each level, leaving incomplete management in other areas. Business systems allow for the highest level of profitability, the lowest stress, and the most enjoyment for you and your team members. They serve as the very foundation on which you build your successful dental practice. In the next installment of this series, leadership skills and team development will be discussed.

Appointments and Schedules↗

Ten resolutions to improve your practice management skills.

Good management is like good medicine. It is paying attention to details. It is also doing the right things at the right times. We find that most practices do some of the steps that follow. However, many do not do all the steps and therefore their results are not as effective. The well-run practice in 1990 is one that achieves results by closely adhering to most of the following steps. We at Conomikes & Associates hope this will help you get off to a good start.

Appointments and Schedules↗

Practice management.

Laser treatment is now state-of-the-art in many disciplines of dentistry and is rapidly being recognized as the standard of care for many procedures. Seamless, efficient, and successful integration of lasers into a dental practice takes time and effort on the part of the dentist. Restructuring of fee schedules to reflect superior laser-based care and an internal and external marketing plan are essential for the dentist to recoup his or her investment in this new technology. Training the staff in laser technology and becoming familiar with new reimbursement codes (for medical and dental insurance) may become necessary. The mission statement and practice philosophy of providing superior care with less discomfort now can be realized with the integration of lasers into a dental practice.

Dental Equipment↗