Re-releasing a DAT listener favorite! Dr. Dave Moghadam joins Kiera to discuss getting your hygiene team on the same page and at the same point of understanding. He shares his approach, and goes deeper into the following: Gather all information and establish a flow of procedure Hold a longer meeting for your hygiene team to review and add their own ideas Allow a period of follow-up for questions Transition into monthly or quarterly meetings to continually update Dr. Moghadam utilized the Dental A-Team's hygiene course to help him come up with this approach to calibrate his hygienist team. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: speaker-0 (00:05) Hey everyone, welcome to the Dental A Team podcast. I'm your host, Kiera Dent, and I have this crazy idea that maybe I could combine a doctor and a team member's perspective, because let's face it, dentistry can be a challenging profession with those two perspectives. I've been a dental assistant, treatment coordinator, scheduler, filler, office manager, regional manager, practice owner, and I have a team of traveling consultants where we have traveled to over 165 different offices coaching teams. Yep, we don't just understand you, we are you. Our mission is to positively impact the world of dental. And I believe that this podcast is the greatest way I can help elevate teams, grow VIP experiences, reduce stress, and create A-Teams. Welcome to the Dental A Team Podcast. Hello Dental A Team listeners. This is Kiera. And you guys, I am so excited to bring back on one of my favorite guests, one of your favorite guests, somebody who is in the real life with you guys. He is a practicing dentist, rocks our office. I've known him for quite a while. And he's a man that creates systems, implements and executes. And today I'm jazzed to bring him back on. Dr. Dave Moghadam, how are you today? speaker-1 (01:13) Wonderful, Kiera. Thanks for having me back. appreciate it. It's gonna be a blast as always. speaker-0 (01:17) It's gonna be great if you guys have not heard his other ones we've talked about we've gone from acquiring practices Bringing on associate doctors. We've talked about team quarterly calibrations and now we're gonna dive into something that you started I actually think you started it maybe COVID maybe you're doing it pre-covid ⁓ But but it's going to be diving into hygiene calibration, which I think is so relevant. I mean right now hi, Janice are like more Harder to find than unicorns in my opinion. They're like real real tricky But we just know that they're real. I think it's a great time actually to bring this in. So Dave, kind of walk us through, like I said, you're practicing, Dennis, this is your real life. This is what you're doing really in your practice, which is why I love having on the podcast. So kind of take us away on this hygiene calibration, how you even got the idea for it, what spurred that. I'd love to hear. speaker-1 (02:08) Yeah, so I think as far as like, how did this come about? What was the situation? Everything like that. Some of the key things that were happening were I had focused a lot on a lot of the rest of the practice, like a lot on systemize this, do this, let's grow and everything else was just really just taking off. But the one thing year after year after year that was kind of like fairly consistent, not really like, my God, really, you know, growing was the hygiene department. So I started to look into things of, how can we just improve? And I always feel like if we improve some of the other basic stuff, the numbers fall. So I think a lot of the things that I was ⁓ looking to do was just getting some consistency, make sure everybody's on the same page. At that point, had gotten, yeah, this was about two years ago. So we had just gotten a new hygienist to join our team who's been with us ⁓ since then. We had another hygienist who was only there a day a week at that time. So it was kind of a little difficult to try and get everything all buttoned up. the way I went about it was one, I first took the big chunk of what we had in our operations manual, such as protocols, expectations, standards, record keeping, all that stuff. And then the other thing is I contacted you and I said, Hey, what do you have for this? Because we're all going to be on our butts for a while when the world closed down for a little bit. we went through the hygiene course. I took some, some pearls from there. tried to organize things a little bit more. Uh, we did a little bit of coaching with, Tiffany as well, uh, virtually then. So we basically, the, outline for this, you know, it was basically protocols standards, you know, what ⁓ record keeping, know, what if you encounter some hiccups with patients, you know, as far as, know, those types of situations, ⁓ you know, what's the appointment flow like, what's the communication, like what are the key points that we want to hit on, ⁓ teeing up the doctor, pre-teeing up the doctor, which I'll get into in a little bit. ⁓ And then, you know, a lot of this is kind of reviewing our, basically chunking out our routes. is very detailed and that kind of like highlights a lot of this stuff. And then we get into you know some basis of treatment planning, incorporating some bundles which is a concept that you guys helped us you know incorporate and bring in, and then just talking about some of the other basic stuff like how do we talk about fluoride, you know why is it important to ask for referrals, and then you know financial discussions which basically means just don't have the financial. speaker-0 (04:56) Right. Yes, I love it. Well, and I love it. Something I wanted to point out is I feel like there's actually a ton of opportunities all around us. It's just, we willing to see them and then actually execute on them? So you saw COVID as a time we're all hanging out. We've got nothing to do. This is the area that I haven't spent any time on. So like, let's make this rock solid. And I think there's so many opportunities like that. Hopefully not another pandemic shutdown, but there. all around us all the time. So Dave, let's actually deep dive if you don't mind on a lot of these topics. I know that's kind what we came today for just so people get an idea of how you calibrated your hygiene team on this. Like you gave the resources. Yes guys, if you want to get our hygiene course, we're constantly updating it. It's getting ready to move to all videos. Once you purchase the course, you have it for life. definitely speaker-1 (05:43) You're kidding, right? I wonder who gave that suggestion. speaker-0 (05:46) That was Dave, which is great because I came in with steal of a deal and said like give me honest feedback and then I felt bad your team was going through as we were rampantly speaker-1 (05:56) That's really going to button it up. ⁓ speaker-0 (05:59) Good good. So we're working on videos working on audio, but we're constantly updating and innovating it and asking for your guys's feedback So if that's helpful for you fantastic, like Dave said we did do virtual calls with his hygiene team very spot specific but kind of like walk us down through this Of like what exactly does this calibration look like you listed those items kind of deep dive with us on it. Yeah speaker-1 (06:19) Yeah, that was just a lot of verbal diarrhea there. I just kind of threw it out there. So we'll break it down. We'll go section by section. Yeah. is what happens. So basically, as far as protocols and standards and things like that, I mean, that's just kind of the basics of what are we expected to do. It's kind of like if you think of onboarding, it's repetitive. It's a review. But kind of like, what do you expect to do in the morning, during the appointment, at the end of the day, kind of going through, making sure everybody knows what the all that looks like, making sure that they're very clear on like what's expected for the end of day sheets that, you know, that they take pictures of and turn in every day, all that stuff. You know, record keeping, you know, how often are we doing, you know, probing, how often are we taking x-rays, you know, what kind of photos do we expect? And then as far as like pickups that relate to that, I mean, we, I think of it in a positive way, half our patient base is 60 and a I love it. It's a really a wonderful type of practice, but in over the past five years of, ⁓ know, initially early on transitioning and taking over a practice like that, and then taking in other practices like that, we get a lot of stuff where people think that the X-ray head is gonna melt their faces. And, you know, because of that, it's kind of like, well, let's figure out a way, what's gonna be our kind of standardized way of how we're gonna address these concerns. What are we going to go ahead and do? So we like a little pamphlet basically that shows some examples of things, why we take x-rays, what could be missed, all that stuff. Very simple, very straightforward. Has a little chart that we just kind of found somewhere on Google about radiation, the mouse, like that. And they kind of have their set kind of like, hey, we go through all that stuff. And if it kind of becomes a push versus shove moment, they have to come grab me, which I don't really love, but it is what it is. And then we kind of go from there. So that's not to get sidetracked, but that's kind of, you know, one of those things. Like when we have situations where things may not necessarily go smoothly, it doesn't matter what the actual answer is. Everybody just has to know it. speaker-0 (08:23) Right, right. No, I love that. And I was going to say, Dave, based on our last podcast we did, you know, they've to come get yo