### 1 0 / 2 1 / 2 0 1 4 S a f e t y N e t D e n t a l C l i n i c M a n u a l

h t t p : / / w w w

. d e n t a l c l i n i c m a n u a l

. c o m / i n d e x

. h t m l 1 / 2 

### C h a p t e r s 1 2 3 4 5 6 H o m e R e s o u r c e s F e e d b a c k H e l p S e a r c h 

# S a f e t y N e t D e n t a l C l i n i c M a n u a l

W e l c o m e t o S a f e t y N e t D e n t a l C l i n i c M a n u a l , w h i c h i s d e s i g n e d t o h e l p s a f e t y n e t d e n t a l

c l i n i c s t a f f w i t h a l l a s p e c t s o f c l i n i c d e v e l o p m e n t a n d o n g o i n g o p e r a t i o n s

.

C h a p t e r 1 : P a r t n e r s h i p s & P l a n n i n g
C h a p t e r 2 : F a c i l i t y D e s i g n & S t a f f i n g
C h a p t e r 3 : F i n a n c e s
C h a p t e r 4 : C l i n i c O p e r a t i o n s

C h a p t e r 5 : Q u a l i t y I m p r o v e m e n t

C h a p t e r 6 : P r o g r a m S u s t a i n a b i l i t y N a t i o n a l M a t e r n a l a n d C h i l d O r a l H e a l t h R e s o u r c e C e n t e r

O h i o D e p a r t m e n t

o f H e a l t h

S a f e t y N e t S o l u t i o n s

I n d i a n H e a l t h S e r v i c e

A s s o c i a t i o n o f S t a t e & T e r r i t o r i a l D e n t a l D i r e c t o r s

N a t i o n a l N e t w o r k f o r O r a l H e a l t h A c c e s s H o w w i l l y o u u s e t h i s m a n u a l ? E x p e r i e n c e d c l i n i c d i r e c t o r ? N e w c l i n i c a d m i n i s t r a t o r ? E i t h e r w a y , y o u ' v e

c o m e t o t h e r i g h t p l a c e

. Y o u m a y v i e w t h e c h a p t e r s a s a s e r i e s o f s t e p s t o f o l l o w w h e n l a u n c h i n g a d e n t a l c l i n i c o r f o c u s o n p a r t i c u l a r t o p i c s o f i n t e r e s t

. T h e m a n u a l i s p r e s e n t e d i n a n e a s y - t o
- u s e f o r m a t , a n d i n c l u d e s t o o l s a n d r e s o u r c e s l i k e c l i n i c p o l i c i e s , e f f i c i e n c y t i p s , p r o f e s s i o n a l

s t a n d a r d s , s u p p l y l i s t s , f l o o r p l a n s , d e s i g n t i p s , p h o t o s o f e q u i p m e n t , c u s t o m i z a b l e b u d g e t w o r k s h e e t s , f u n d i n g s t r a t e g i e s , q u a l i t y i m p r o v e m e n t p l a n s , f a c t s h e e t s , a n d W e b s i t e s

.

W h o n e e d s t h i s m a n u a l ? P e r h a p s y o u a r e a s a f e t y n e t d e n t a l c l i n i c d i r e c t o r f a c i n g m a j o r c h a l l e n g e s

. Y o u r c l i n i c h a s a l o n g w a i t i n g l i s t a n d h a s b e e n m i r e d i n r e d i n k f o r y e a r s

. Y o u w a n t t o m a k e t h e c l i n i c e f f i c i e n t a n d s u s t a i n a b l e

. Y o u d o n ' t k n o w

w h e t h e r t h e s o l u t i o n l i e s i n i m p r o v e d s t a f f i n g p a t t e r n s , r e v i s e d c l i n i c p o l i c i e s , o r f a c i l i t y d e s i g n

. O r i s t h e p r o b l e m t h a t y o u l a c k a b u s i n e s s p l a n ? T h i s m a n u a l d i s c u s s e s t h e p r o s a n d c o n s o f v a r i o u s o p t i o n s a n d l i n k s t o o t h e r r e s o u r c e s t o h e l p y o u m a k e d e c i s i o n s

.



### W h a t i s t h e d e n t a l c a r e s a f e t y n e t ? T h e d e n t a l c a r e s a f e t y n e t i s w h e r e p e o p l e g o

W h e n t h e y d o n ' t h a v e a r e g u l a r d e n t i s t

B e c a u s e t h e y k n o w t h e i r M e d i c a i d c a r d w i l l b e a c c e p t e d

B e c a u s e t h e y w o n ' t b e t u r n e d a w a y w h e n t h e y a r e i n p a i n a n d c a n ' t a f f o r d c a r e

B e c a u s e t h e c l i n i c i s c l o s e t o h o m e a n d l i n k e d t o t h e i r o t h e r h e a l t h c a r e p r o v i d e r s

T h e I n s t i t u t e o f M e d i c i n e ' s r e p o r t , A m e r i c a ' s H e a l t h C a r e S a f e t y N e t ( 2 0 0 0 ) , d e f i n e s s a f e t y n e t p r o v i d e r s a s t h o s e w h o " o r g a n i z e a n d d e l i v e r a s i g n i f i c a n t l e v e l o f h e a l t h c a r e a n d o t h e r h e a l t h

- r e l a t e d s e r v i c e s t o u n i n s u r e d , M e d i c a i d , a n d o t h e r v u l n e r a b l e p a t i e n t s

. " S a f e t y n e t c l i n i c s m a y b e o p e r a t e d b y f e d e r a l l y q u a l i f i e d h e a l t h c e n t e r s , l o c a l h e a l t h d e p a r t m e n t s , n e i g h b o r h o o d h e a l t h c e n t e r s t h a t a r e p r i v a t e n o t

- f o r - p r o f i t a g e n c i e s , r u r a l h e a l t h

c e n t e r s , I n d i a n H e a l t h S e r v i c e o r t r i b a l u n i t s , i n s t i t u t i o n s , s c h o o l s , h o s p i t a l s , o r o t h e r e n t i t i e s

.

W h y d o w e n e e d a d e n t a l c a r e s a f e t y n e t ? T h e S u r g e o n G e n e r a l ' s R e p o r t , O r a l H e a l t h i n A m e r i c a ( 2 0 0 0 ) , p r o v i d e s a t h o r o u g h r e v i e w o f t h e n a t i o n ' s o r a l h e a l t h a n d t h e n e e d f o r b o t h c o m m u n i t y - b a s e d a n d i n d i v i d u a l a p p r o a c h e s t o p r e v e n t i o n a n d t r e a t m e n t o f o r a l

c o n d i t i o n s

. I t a l s o e m p h a s i z e s t h a t o r a l h e a l t h i s e s s e n t i a l t o g e n e r a l h e a l t h a n d t h a t s y s t e m i c c o n d i t i o n s i n f l u e n c e
o r a l h e a l t h

. D e s p i t e a d v a n c e s i n t e c h n o l o g y a n d t h e s c i e n t i f i c u n d e r s t a n d i n g o f o r a l d i s e a s e s , s i g n i f i c a n t d i s p a r i t i e s
e x i s t i n o r a l d i s e a s e r a t e s a n d a c c e s s t o d e n t a l c a r e a m o n g s u b g r o u p s o f t h e p o p u l a t i o n

. T h e d e n t a l s a f e t y n e t

a t t e m p t s t o b r i d g e t h e g a p f o r t h e s e d i s e n f r a n c h i s e d g r o u p s

.

### 1 0 / 2 1 / 2 0 1 4 C h a p t e r 2 : F a c i l i t i e s a n d S t a f f i n g , S a f e t y N e t D e n t a l C l i n i c M a n u a l

h t t p : / / w w w

. d e n t a l c l i n i c m a n u a l

. c o m / c h a p t 2 / 1

_ 1

. h t m l 1 / 2 

### C h a p t e r s 1 2 3 4 5 6 H o m e R e s o u r c e s F e e d b a c k H e l p S e a r c h 

# S a f e t y N e t D e n t a l C l i n i c M a n u a l

C h a p t e r 2

. F a c i l i t i e s a n d S t a f f i n g

F a c i l i t y D e s i g n a n d C o n s t r u c t i o n

E q u i p m e n t
a n d S u p p l i e s
S t a f f i n g 

### F a c i l i t y D e s i g n a n d C o n s t r u c t i o n

W h a t a r e b a s i c c o s t s f o r a f i x e d d e n t a l c l i n i c , a m o b i l e c l i n i c , a n d a c l i n i c u s i n g p o r t a b l e e q u i p m e n t ?

U s e t h e f o l l o w i n g c h a r t t o " q u i c k l y " c o m p a r e c o s t s f o r f i x e d c l i n i c s d e p e n d i n g o n s i z e a n d s t a f f i n g i s s u e s

. C o s t f i g u r e s f o r m o b i l e c l i n i c s a n d c l i n i c s u s i n g p o r t a b l e e q u i p m e n t a r e a l s o i n c l u d e d

. M a i n t o p i c s i n t h e c h a r t a r e d i s c u s s e d

s e p a r a t e l y a n d l i n k e d t o m o r e d e t a i l e d i n f o r m a t i o n

. R e v i e w i n g t h i s c h a r t s h o u l d e n a b l e y o u t o d e t e r m i n e w h a t s i z e f a c i l i t y y o u c a n a f f o r d t o b u i l d a n d s t a f f

.

D e n t a l C l i n i c C o m p a r i s o n C h a r t : C a p a c i t y a n d C o s t s f o r F i x e d C l i n i c s , M o b i l e C l i n i c s a n d C l i n i c s U s i n g P o r t a b l e E q u i p m e n t

F i x e d * M o b i l e P o r t a b l e

S i z e 3

- c h a i r ( 1 8 0 0 s q f t ) 6

- c h a i r ( 2 9 2 5 s q f t ) 9

- c h a i r ( 3 4 9 0 s q f t ) 1 2

- c h a i r ( 3 9 7 0 s q f t ) 2

- c h a i r 2

- c h a i r

P a t i e n t s T r e a t e d / Y e a r 1 0 0 0

- 1 8 0 0 1 8 0 1

- 3 6 0 0 3 6 0 1

- 5 4 0 0 5 4 0 1

- 7 2 0 0 5 0 0

- 8 0 0 5 0 0

- 8 0 0
V i s i t s / Y e a r ( D D S + D H ) 3 0 0 0

- 3 4 0 0 6 4 0 0

- 6 6 0 0 9 5 0 0

- 1 0 0 0 0 1 2 8 0 0

- 3 2 0 0 0 1 4 0 0

- 2 0 0 0 1 2 0 0

- 1 8 0 0
S t a r t
- u p C o s t s R e m o d e l i n g ( $ 1 4 8 / s q f

t )
C o n s t r u c t i o n ( $ 2 1 5 / s q f

t ) $ 3 8 7 , 0 0 0 $ 6 2 8 , 8 7 5 $ 7 5 0 , 3 7 0 $ 8 5 3 , 5 5 0 $ 4 0 5 , 1 9 8 N / A

L a r g e E q u i p m e n t $ 1 8 5 , 2 3 4 $ 2 8 7 , 1 9 3 $ 3 7 0 , 5 0 0 $ 5 0 1 , 0 2 5 $ 2 1 , 8 1 3 M o s t e q u i p m e n t i s b u i l t i n t o u n i t $ 2 0 , 9 8 2

S u p p l i e s , I n s t r u m e n t s a n d S m a l l E q u i p m e n t $ 5 2 , 2 1 8 $ 1 0 0 , 1 4 9 $ 1 4 7 , 4 8 0 $ 1 9 4 , 9 6 3 $ 2 6 , 3 1 9 $ 2 6 , 3 1 9

A n n u a l O p e r a t i n g C o s t s S t a f f D e n t i s t s ' A v e r a g e S a l a r y D i r e c t o r $ 1 4 0 , 5 6 8 S t a f f $ 1 0 6 , 0 3 7 1

$ 1 4 0 , 6 5 8 2

$ 2 4 6 , 6 9 5 3

$ 3 5 2 , 7 3 2 4

$ 4 5 8 , 7 6 9 1

$ 1 0 6 , 0 3 7 1

$ 1 0 6 , 0 3 7

D e n t a l A s s i s t a n t s ' A v e r a g e S a l a r y $ 3 3 , 9 8 5 2

$ 6 7 , 9 7 0 4

$ 1 3 5 , 9 4 2 6

$ 2 0 3 , 9 1 2 8

$ 2 7 1 , 8 5 5 2

$ 6 7 , 9 7 0 2

$ 6 7 , 9 7 0

D e n t a l H y g i e n i s t s ' A v e r a g e S a l a r y $ 6 5 , 4 3 6 0

. 5

$ 3 2 , 7 1 8 1

$ 6 5 , 4 3 6 1

. 5

$ 9 8 , 1 5 4 2

$ 1 3 0 , 8 7 2 N / A N / A

C l e r i c a l / R e c e p t i o n i s t s ' A v e r a g e S a l a r y $ 3 7 , 1 3 5 0 1

$ 3 7 , 1 3 5 1

$ 3 7 , 1 3 5 1

$ 3 7 , 1 3 5 N / A N / A

U t i l i t i e s A v e r a g e $ 9 , 4 6 7 t o $ 1 2 , 9 2 4 $ 9 , 4 6 7 $ 1 0 , 6 1 9 $ 1 1 , 7 2 3 $ 1 2 , 9 2 4 V a r i e s $ 0 t o $ 4 , 0 0 0 N / A

R e n t o r M o r t g a g e P a y m e n t A v e r a g e $ 3 1 , 2 1 2 $ 2 9 , 2 3 8 $ 3 0 , 4 0 8 $ 3 3 , 0 0 0 $ 3 4 , 0 8 3 N / A N / A

D e n t a l S u p p l i e s $ 7 , 6 4 9 / o p e r a t o r y $ 2 2 , 9 4 7 $ 4 5 , 8 9 2 $ 6 8 , 8 3 9 $ 9 1 , 7 8 6 $ 1 5 , 2 9 8 $ 1 5 , 2 9 8

O t h e r ( c h a r t s , o f f i c e s u p p l i e s , e t c

. ) $ 2 , 6 1 1 t o $ 5 , 7 6 2 $ 2 , 6 1 1 $ 3 , 9 8 6 $ 4 , 8 5 6 $ 5 , 7 2 6 $ 2 , 6 1 1 $ 2 , 6 1 1

T o t a l S t a r t
- U p C o s t s $ 6 2 4 , 4 5 2 $ 1 , 0 1 6 , 2 1 7 $ 1 , 2 6 8 , 3 3 0 $ 1 , 5 4 9 , 5 3 8 $ 4 5 3 , 3 3 0 $ 4 7 , 3 0 1
T o t a l A n n u a l O p e r a t i n g C o s t s $ 3 0 5 , 6 0 9 $ 5 7 6 , 1 1 3 $ 8 1 0 , 3 5 1 $ 1 , 0 4 3 , 1 8 0 $ 1 9 5 , 5 2 8 $ 1 9 1 , 9 1 6
T o t a l F i r s t
- Y e a r C o s t s $ 9 3 0 , 0 6 1 $ 1 , 5 9 2 , 3 3 0 $ 2 , 0 7 8 , 6 8 1 $ 2 , 5 9 2 , 7 1 8 $ 6 4 8 , 8 5 8 $ 2 3 9 , 2 1 7

* F i x e d l o c a t i o n s m a y i n c l u d e a f r e e
- s t a n d i n g f a c i l i t y , c o m m u n i t y h e a l t h c e n t e r , h o s p i t a l , s c h o o l o r o t h e r l o c a t i o n

. * * C o s t i s b a s e d o n 2 0 0 4 s a l a r i e s i n t h e S o u t h w e s t a n d 2 0 0 4 e q u i p m e n t / s u p p l y c o s t s a d j u s t e d f o r i n f l a t i o n f o r 2 0 1 0

.

### 1 0 / 2 1 / 2 0 1 4 C h a p t e r 2 : F a c i l i t i e s a n d S t a f f i n g , S a f e t y N e t D e n t a l C l i n i c M a n u a l

h t t p : / / w w w

. d e n t a l c l i n i c m a n u a l

. c o m / c h a p t 2 / 2

_ 1 1

. h t m l 1 / 1 

### C h a p t e r s 1 2 3 4 5 6 H o m e R e s o u r c e s F e e d b a c k H e l p S e a r c h

D e n t a l C h a i r 1 5 y e a r s O p e r a t i n g S t o o l 1 5 y e a r s D e n t a l H a n d p i e c e ( d r i l l ) 3 y e a r s X

- r a y u n i t 5 y e a r s U l t r a s o n i c c l e a n e r 1 0 y e a r s A u t o c l a v e 1 0 y e a r s C a b i n e t s 1 5 y e a r s D e n t a l U n i t s 1 0 y e a r s A i r C o m p r e s s o r 1 2 y e a r s V a c u u m S y s t e m 1 0 y e a r s 

# S a f e t y N e t D e n t a l C l i n i c M a n u a l

C h a p t e r 2

. F a c i l i t i e s a n d S t a f f i n g

F a c i l i t y D e s i g n a n d C o n s t r u c t i o n

E q u i p m e n t a n d S u p p l i e s
S t a f f i n g 

### E q u i p m e n t a n d S u p p l i e s

W h a t i s t h e u s e f u l l i f e o f d e n t a l e q u i p m e n t ?

E v e n w i t h t h e b e s t p r e v e n t i v e m a i n t e n a n c e d e n t a l e q u i p m e n t w i l l w e a r o u t

. I n o r d e r t o a i d i n p l a n n i n g f o r r e p l a c i n g e q u i p m e n t t h e f o l l o w i n g e s t i m a t e s o f u s e f u l l i f e o f e q u i p m e n t a r e p r o v i d e d

.

T h e e s t i m a t e s w e r e d e v e l o p e d b y t h e V e t e r a n s A d m i n i s t r a t i o n a n d t h e U S A r m y

.

© 2 0 1 1 N a t i o n a l M a t e r n a l a n d C h i l d O r a l H e a l t h R e s o u r c e C e n t e r

S i t e C r e d i t s | D i s c l a i m e r a n d C o p y r i g h t

## From: skolo@ncemch.org [mailto:skolo@ncemch.org] On Behalf Of Sarah Kolo

Sent: Monday, May 23, 2011 12:38 PM To: Robert Chew Subject: Re: Safety Net Dental Clinic Manual Question



# Hello, again, Rob,

Thanks for your patience! I reached the original author and he sent information about your questions.

(1) I was wondering where the start

- up cost information comes from,

particularly for the “Construction”, “Large Equipment” and “Supplies, Instrument s and Small Equipment” categories. I see in the footnote that the data was collected in 2004 but I was wondering if you had any information about the source of the information (is it survey data or were the cost figures determined through equipment costs provided by vendors?).

The cost of the equipment was obtained from equipment suppliers Henry Schein and ADEC. The equipment list was the one used by the Indian Health Service when they construct a new facility. This was for large and small equipment as well as supplies. The prices had been adjusted for inflation up until 2010.

(2) Is there information for the “Construction”, “Large Equipment” and “Supplies, Instruments and Small Equipment” categories that are broken out into more specific line it ems? For example, do you have information on what equipment is included in the “Large Equipment” category and how much each piece of equipment cost when the table was put together?

When we were originally designing the site we were going to have all of th e materials on the attached lists included on the site. But it was decided that this was too much information. Attached are various tables that I worked up and they include all equipment including dental vacuum system and air compressor.

Hope this hel ps, Rob. Let me know if you would like further information.

Sarah Kolo National Maternal and Child Oral Health Resource Center Georgetown University Box 571272 Washington, DC 20057

- 1272 (202) 784

- 9553

# sk22@george town.edu

www.mchoralhealth.org

# Equipment Cost Table

6 Chair Clinic: 5- Ops Open Concept, 1 Op Private Cost from 2003

DESCRIPTION QTY COST COST EXT RETAIL RETAIL EXT

Dental Chairs, Hydraulic Base, Multifunction Footswitch 5 $4,400.00 $22,000.00 $5,495.00 $27,475.00 Operators Stool 5 $475.00 $2,375.00 $595.00 $2,975.00
Assistants Stool 5 $550.00 $3,300.00 $690.00 $3,450.00 Spirit Duo-Flexible Work Station, Wall Mount 2 $4,925.00 $9,850.00 $6,150.00 $12,300.00 Spirit Duo-Flexible Work Station, Cabinet Mount 3 $4,815.00 $14,445.00 $5,990.00 $17,970.00 Built In Fiber Optic System 5 $299.00 $1,495.00 $390.00 $1,950.00

Fiber Optic Handpiece Tubing (6-pin), 2 per unit 10 $155.00 $1,550.00 $195.00 $1,950.00
Built In Piezo Scaler 5 $1,165.00 $5,825.00 $1,445.00 $7,225.00

Self Contained Water System With QD ( Included) 5 Wall Mounted Operating Light, LFIII 2 $1,999.00 $3,998.00 $2,495.00 $4,990.00 Cabinet Mounted Light, LFIIIcb 3 $1,999.00 $5,997.00 $2,495.00 $7,485.00
Drs Lower Cabinet with Sink Left 3 $1,495.00 $4,485.00 $1,860.00 $5,580.00 Assistants Lower Cabinet, Sink Right 2 $2,110.00 $4,220.00 $2,615.00 $5,230.00 12 O'Clock Cabinet W/ Upper Storage 5 $3,600.00 $18,000.00 $4,500.00 $22,500.00 Central Console With X-Ray Pass Thru 3 $7,998.00 $23,994.00 $9,950.00 $29,850.00 BiFold Doors for X-Ray Pass Thru, (Included) 3 Focus X-Ray Unit, (Digital Ready) 5 $3,895.00 $19,475.00 $4,650.00 $23,250.00 Panoramic X-Ray, Ceph Ready, (Digital Upgradeable) 1 $23,999.00 $23,999.00 $29,050.00 $29,050.00 Film Processor with Chemistry Replenisher 1 $4,085.00 $4,085.00 $5,365.00 $5,365.00 Daylight Loader for Film Processor 1 $925.00 $925.00 $925.00 $925.00 Air Compressor, Dual Oilless With Cover 1 $5,260.00 $5,260.00 $6,850.00 $6,850.00 Dry Vacuum System Dual Motors 1 $10,500.00 $10,500.00 $13,690.00 $13,690.00
10" Autoclave 1 $3,735.00 $3,735.00 $4,645.00 $4,645.00
Cassette rack for Autoclave 1 $136.00 $136.00 $170.00 $170.00 Statim Quick Cycle Sterilizer 1 $3,715.00 $3,715.00 $4,950.00 $4,950.00 Hydrim Instrument Washer 1 $2,790.00 $2,790.00 $2,995.00 $2,995.00

Sub Total Major Equipment $196,154.00 $242,820.00

Digital Radiography (Optional)

Direct Digital Sensor Kit # 2 Size 1 $8,995.00 $8,995.00 $8,995.00 $8,995.00
Additional #2 Sensors 2 $6,600.00 $13,200.00 $6,600.00 $13,200.00
#1 Direct Sensor 1 $5,545.00 $5,545.00 $5,545.00 $5,545.00
Additional USB Interface Box 5 $2,230.00 $11,150.00 $2,230.00 $11,150.00

NOTE: Prices do not include Computer Hardware Panoramic Direct Digital Upgrade 1 $29,100.00 $29,100.00 $29,100.00 $29,100.00 NOTE: Panoramic Upgrade includes Computer Workstation

Sub Total Direct Digital $67,990.00 $67,990.00

### Supplies/small equipment/instruments

Table top Amalgamator 6 $398.00 $2,388.00 $425.00 $2,550.00 Dental Laboratory Equipment 1 $3,750.00 $3,750.00 $3,750.00 $3,750.00 Hi Speed Fiber Optic Handpieces (4 per Op) 24 $635.00 $15,240.00 $825.00 $19,800.00 Slow Speed Motors 6 $525.00 $3,150.00 $699.00 $4,194.00 Slow Speed Contra Angle Sheaths 24 $175.00 $4,200.00 $195.00 $4,680.00 Slow Speed Latch Heads 24 $170.00 $4,080.00 $225.00 $5,400.00 Slow Speed Straight Cones 6 $240.00 $1,440.00 $195.00 $1,170.00 Curing Lights 6 $690.00 $4,140.00 $899.00 $5,394.00 Misc Instruments and Supplies 6 $6,000.00 $36,000.00 $7,500.00 $45,000.00

Sub total Supplies/small equipment/instruments $74,388.00 $91,938.00

Total Equipment/Supplies/Instruments 

## $338,532.00 $402,748.00 Note: Total Cost includes Digital X-Ray; substract $67,990 if using standard X-ray.