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DSI ERST1.1 (202X) : The Dental Practice Medical Emergency Kit
COMMENT IN ADA LETTER TO DSI 4.27.20: The goal of this proposed standard is to define the most likely medical emergencies within a dental practice based on procedures performed in that office and define a system to address them effectively. This goal is very problematic due to the wide variety of practice settings that can vary from single-dentist, freestanding offices, to complex dental practices in large institutional settings that include practice in the operating room. Provider qualifications, patient needs, and presenting medical conditions also vary widely among dental practice settings.
In addition, this proposed new standard would include materials as well as clinical practice guidelines that are set by professional organizations and that vary due to differing requirements of state statutes, state board of dentistry regulations, federal law, and institutional regulations. A single standardized homogeneous approach to dental practice emergency kits is neither possible nor desirable. Best practices given the multidisciplinary nature of this subject is an appropriate discussion to be shared but creating a standard within the dental profession is inappropriate.
DSI RESPONSE: DSI has a different perspective on this issue that is stated in the Standard draft. This Standard draft will seek to allow for the variations that concerns you.
If these are truly the concerns that the ADA SCDI has, DSI would request that the SCDI wait to see the draft to see if the Standard draft has these issues and we will work in harmony to address them.
BSR/DSI RCST1.1 (202X) : Systemization of Notifications Regarding Dental Patient Recall (DPR)
COMMENT IN ADA LETTER TO DSI 4.27.20: This new proposed standard jeopardizes the dentist’s current ability to provide consistent quality patient care for recalls over time, exercise appropriate clinical judgment, and interferes unnecessarily with an already highly developed and continuously evolving clinical decision support tool that has been used successfully for delivery of quality care for over 30 years.
The ADA SCDI considers this a professional and business determination, not a technical matter for SDOs. Most standards-based EHRs enable users to build a comprehensive set of notification templates that can be used to create message content such as patient recall notifications. This allows dental offices to determine how they want their messages to appear each and every time they send one out.
DSI RESPONSE: DSI has a different perspective on this issue that is stated in the Standard draft.
DSI TDST1.1 (202X) : The Usage of Teledentistry For Remote Prediagnostic Dental Care
This Standard defines the category of Prediagnostic Teledentistry (PDTD), as well as the subcategories within the category. The goal of this Standard is to address the need for differentiating prediagnostic remote care from definitive remote care, as well providing convenient, secure, consistent, interoperable communication between dental care providers and patients remotely. In addition this Standard will address some of the most problematic areas of providing teledental care today, including the need for easy documentation and efficiently managed quality remote dental care screening.