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Volume 97 Number 2 Summer 2012A Publication of the Kansas Dental Association www.ksdental.org

In This Issue...KDA Summer Get Away 1

President’s Message 2

Board of Regents Task Force 3

From the Office 6

KDCF Update 9

Editorial 10

New OSHA Guidelines 14

KanCare Improves Medicaid 14

Classified Advertisements 15

Meet New KDA President, Dr. Craig Herre

CHiCAgo....it’s My KiND of towN

We recently sat down with newly elected Kansas Dental Association President Dr. Craig Herre and spoke with him about his family, his career in dentistry and his plans and ambi-tions as KDA President. Life and FamilyDr. Craig Herre was born and raised not far from where he now practices dentistry in Leawood, Kansas. He attended Shawnee Mission High School and studied fine arts at the University of Kansas before attend-ing UMKC School of Dentistry. It

was there that he met his wife, Joanne, while playing baseball. “She came to one of my games with a friend and she fell head over heels in love with me right there,” Craig joked. “We’ve been married now for almost thirty-four years.”

The KDA is thrilled to announce the inaugural KDA Summer Get Away with the destination of Chicago on July 11-13, 2013. This will be a unique opportunity for doctors, spouses, team members and families to expe-rience the adventure that is Chicago. And you won’t have to worry about snow and sleet storms. It’s Summer!Your events committee is hard at work securing great accommoda-tions (Done! It’s the Ritz!), arranging for some cutting edge CE, and set-ting up a smorgasbord of choices for sight-seeing, exploring, dining and nightlife. It’s Chicago! You’ll have choices galore.If, by chance you have a group of colleagues and spouses/families that you know would enjoy a trip to the Windy City, put these dates on your calendar and make the arrangements now. Airfare is still reasonable and transport in Chicago is excellent.

For those young romantics there is still a train that runs directly from Kansas City to Chicago. Hotel rates have been negotiated through the ADA and are very reasonable.If you have had previous experiences in Chicago that you would like to share, please sign up on the KDA Facebook page and let us know what you’ve enjoyed in the past. This is also a perfect venue for sharing plans and setting up a rendezvous among other groups.All of our informal and formal sur-veys have indicated a very positive response to the idea of this format. It is our hope that this type of KDA-sponsored CE/social event will be an exciting draw. Remember, it is your Get Away. So if you have sugges-tions that might enrich others’ Chica-go experiences, get online and share.See you at the Ritz!

2012 KDA TAILGATEROcTObER 27, 2012

The Annual Football Tailgate has become a tradition for the KDA and its members. The 2012 KDA Football Tailgater will return to the campus of Kansas State Uni-versity on Saturday, October 27 for the first time since 2009. Due to the fierce demand for KSU game tickets

and tent availability, the KDA has been forced to make a few changes from the “Sunflower Showdown” format of the past. This year’s tail-gater will feature the Kansas State Homecoming Game against Big 12 rival Texas Tech. Please join us beginning three hours before kickoff in Cat Town just west of Bill Snyder Family Stadium for the KDA tailgate party; just look for the KDA Banner! The KDA Board of Delegates is Friday, October 26 at the Comfort vs.

Suites. A room block has been set up for Friday night for those wishing to attend the game. Reserve by calling 785.539.9449 and mention you are with the Kansas Dental Association.We’ve taken care of the location, the food and the beverages. Wear your purple and join us for the fun!

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Last year, KDA president Hal Hale and the KDA staff successfully lead us in our battle against the Kan-sas Dental Project and their goal of bringing mid-level providers to our state. Through their steadfast leadership, we were very successful in passing our own bill (2631) that meets the needs of our dentists and we feel is in the best interest of the public at large in Kansas. The Kan-sas City Star newspaper reported that the KDA was one of only three “winners” during the 2012 Legisla-tive Session. While we had success last year, we cannot lose our momentum as the opposition is on record saying this next year will be the focus of their three year effort to pass their bill for mid-levels in our state. Let’s con-tinue the fight that has been well defended by the KDA for the past two years. George Bernard Shaw said, “In a battle all you need to make you fight is a little hot blood and the knowledge that it’s more dangerous to lose than to win.”Personally I have two initiatives that I feel are crucial for the future

of organized dentistry. I would like to lay the ground-work for future on-going efforts relative to these issues.

First is membership. We need to engage our young 1. members and our experienced non-member den-tists to join the ADA the KDA and to get active in their chosen profession. The ADA has projections out to the year 2030 that are very troubling as far as number of dentists who choose to belong. There are a variety of reasons such as perceived value, cost, economics, more women dentists, and generational changes. We have already seen a small decline in our own KDA numbers, as has the ADA in the last few years. Currently the KDA is at around 72% and the ADA at 67% membership. I am asking for your help in recruiting non-member dentists that you know personally. Several states such as North Dakota have membership percentages in the 90th percentile and so we should as well. Why not?? As President, I will be asking the Executive Committee and the Board of Delegates to work together with the dentists of Kansas to start the process of mak-ing this a reality. We may create a task force or ask for a study to guide our actions. However the bot-tom line is that this will be a grass roots effort that we all will need to be a part of.Second, I am strongly in support of fee for service 2. dentistry. Managed care including Delta Dental is gaining a stronger foothold in our profession and has become a large percentage source of new pa-tients, production and revenue for many dentists. In fact, 10% of practices in the US derive greater

than 60% of their collec-tions from managed care. This will be an ongo-ing, difficult battle. We need to develop a strategy to keep dentists autonomous and work-ing for the patient and not the insurance companies. This is a very challenging problem that this body can take as an issue and make a difference for all of our members, especially the younger ones and recent gradu-ates.

So please join me and the KDA leadership in working together to keep the KDA and organized den-tistry strong and viable. Next sum-mer we will be in Chicago for our first annual summer CE and social meeting. Let’s make it a fabulous inaugural event with strong atten-dance, lot’s of fun and great memo-ries. Bring your families and even your staff. We can use this to build camaraderie and to be a must have event for our state’s dentists.I am looking forward to a fantastic year!

Dr. Craig W. HerreKDA President

PresIdenT’s Message

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JKdaJournal of the Kansas Dental Association

ISSN# 08887063

PUBLISHED QUARTERLY BYKansas Dental Association5200 SW HuntoonTopeka, KS 66604-2398

EDITORDr. Eugene F. McGill

MANAGING EDITORKevin J. Robertson, CAE

PRINTINGJostens4000 SE AdamsTopeka, KS 66609

PRODUCTION Niki Sadler

KDA Executive Committee

PRESIDENT Dr. Craig W. Herre

PRESIDENT-ELECTDr. Jason E. Wagle

VICE PRESIDENTDr. Cynthia E. Sherwood

SECRETARYDr. John T. Fales, Jr

TREASURERDr. Steven L. Hechler

IMM. PAST PRESIDENTDr. Hal E. Hale

Although the KDA publishes authoratative news, committee reports, articles and essays, it is in no respect responsible for contents or opinions of the writers. Advertising rates and circulation data will be furnished by request.Annual subscription price is $5.00 for member den-tists, $25.00 for non-members, and $40.00 for Canada and foreign mailings. Single issue price is $10.00.

august30 Southern District Meeting

september10 Wichita District Meeting, Wichita10 Seventh District Meeting, Wichita16 Southeast District Meeting, Baxter Springs17 Fifth District Meeting, Overland Park19 First District Meeting, Lawrence20 Flint Hills District Meeting, Emporia21 Northwest Golden Belt, Manhattan

October5-6 Central District Meeting, Dodge City26 KDA Board of Delegates, Manhattan27 KDA Football Tailgate, Manhattan18-21 ADA Annual Session, San Francisco

november22-23 KDA Office Closed for Thanksgiving Holiday

KdaCalendarof events

At its meeting in Topeka on June 21, the Kansas Board of Regents Oral Health Task Force released recom-mendations to educate more dentists to help address the needs of the un-derserved populations in the state. Last year the Regents appointed an 11-member Oral Health Task Force to study and make recommenda-tions on improvements needed in the delivery of oral health in Kansas. The recommendations (below) call for a two-phase approach to educat-ing more dentists to serve Kansans. The first phase would focus on securing more seats at institutions in surrounding states, while requiring those students to return to Kansas. The second phase calls for a more thorough analysis of a dental school in Kansas.“Kansas dentists and all Kansans should be encouraged by the recom-mendations which call for maintain-ing access to quality care by continu-ing to grow the number of dentists in our state,” said Kevin Robertson, Executive Director of the Kansas Dental Association and member of the Task Force. The Kansans who served on this task force were aided in their work by

Board of regents oral HealtH task force Make recoMMendationsdata developed by the Kansas Department of Health and Environment. The “Dental Care Service Deserts” describe geographic areas where there are no dental services and where the closest dental office is at least a 30-minute drive from an individual’s home. Less than 2 percent of all Kansans live in these “dental deserts.” Some additional access issues exist for Kansans who are low income, aged and disabled.“We know the challenges for dental care won’t be tackled by a single approach,” noted Robertson. “A lot of progress is being made in Kansas to expand access to care. We especially thank the Kansas Legislators for their enactment of HB 2361, the Comprehensive Oral Health Initiative. In addition, the Kansas Dental Associ-ation has partnered with Delta Dental of Kansas Foun-dation to create the Kansas Initiative for New Dentists (KIND) to encourage dentists to locate in rural areas of Kansas.”The measure includes expanding services trained den-tal hygienists can provide after additional training and encourages work performed in charitable settings by current and retired dentists.Leawood periodontist Dr. Dan Thomas chaired the Task Force while Dr. Jim Van Blaricum, a dentist from Pratt also served on the 11—member panel. ORAL HEALTH TASK FORCE RECOMMENDATIONSListed below is a two-phased recommendation the Task Force as a whole believes is needed to begin addressing the oral health care issues in Kansas. Following those are the recommendations that were the result of the work of each subcommittee.Phase I Purchase seats from institutions in surrounding states (Missouri, Nebraska, and Oklahoma) and require that the students in those seats return to Kansas and begin working with underserved populations (e.g., Dental Care Service Deserts, persons with disabilities, Medic-aid/HealthWave populations, persons without dental insurance, etc.). It is believed this action will help ad-dress the immediate issues of access to oral health care and fill the need for additional dentists in Kansas. Phase II Simultaneously prepare a future, long-term, logisti-cal plan for establishing a Kansas dental school that includes clinical sites in underserved areas. Once the

school is operational, there should be a decision made regarding wheth-er to continue purchasing seats from dental schools in neighboring states.Subcommittee Recommendations Charge: Feasibility of a Dental School in Kansas

It is feasible to build a dental • school in Kansas under a set of guiding principles if numerous measures cited in this report are employed:

A new dental school should 1. be designed to encourage graduates to serve Kansas by delivering oral health care to all Kansans - regardless of where they live or their finan-cial circumstances.The academic institution that 2. has the dental school should be required to prepare dentists who will treat underserved patients – and be accountable to this mission.

Develop a dental school using • models such as the East Caro-lina University School of Dental Medicine and/or KU Medical School Salina, using the logic that where students train is gener-ally where they tend to practice. Locating dental school facilities (i.e., satellite clinics or mobile grade school-based clinics) in ru-ral settings: 1) would attract rural students to the field of dentistry; and 2) would train students in a low resource and/or rural setting to encourage them to stay in the locale to practice dentistry.Initiate formalized recruitment • and admissions processes that give preference to (1) rural stu-dents; and (2) students with

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Kansas State UniversityCat Town

Bill Snyder Family StadiumManhattan, KS

2012 KDA TAILGATEROcTObER 27, 2012

Limited Tickets Available! (Limit 5 •game tickets per member dentist)

Member dentist must attend game•

Tailgate Tent in Cat Town will open •three hours before kickoff (TBA)

Tailgate includes catered barbe-•cue beef and fried chicken with all the extras!

Beer and other beverages will be •provided.

Tickets can be picked up at the Tailgate Tent before the game. Kick-off time will be announced approximately two weeks prior to the game. Official game time will be available at www.ksdental.org and will be sent to you via email.

If you already have a game ticket or are not going to the game, come join the fun and tailgate with your colleagues before kickoff! Don’t miss this KDA social event!

$90 Game Ticket and Tailgate*$60 Tailgate Only

* Game Ticket and Tailgate price includes game ticket at face value.

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Photo by: Scott Dressler-Martin and VISIT DENVER

by Greg Hill

When Dr. Molly Reynolds and her four-month old son Rex crossed the finish line of the 5th Annual Yona Ju-lian Memorial Fun Run in Indepen-dence, KS, it was longest distance she had ever pushed him before and on the following Monday, her arms were still sore. Her husband Dan finished in 3rd place of his age divi-sion. For most runners, that would be enough to feel good about a race.But for Reynolds, a 2010 graduate of UMKC Dental School who practices in Cherryvale, KS, the success of the race was greater than just finishing. For her and her family, it was about carrying on the legacy of her sister Yona who lost a battle with Non-Hodgkin’s Lymphoma five years ago this upcoming November.“After she was diagnosed, we talked about how we would run a mara-thon together after she was cured,” Reynolds said. “After she passed away, I still wanted to run a mara-thon with her.”In a way, she did. Reynolds regis-tered to raise money for the Leuke-mia and Lymphoma Society and ran the Nike Women’s Marathon in Oc-tober 2008. She and Yona’s husband Brent Julian then ran the Honolulu Marathon just two months later.“On the back of my shirt, I wrote ‘I’m running for my sister Yona –

dr. Molly reynolds of cHerryvale Helps create a lasting legacy

She would have passed you.’ And she would have,” Reynolds said. “The medals they gave after Nike had two women running together. I couldn’t help but think that she was there with me. When we ran the Honolulu marathon, Brent wrote on his jersey ‘I won’t quit, be-cause she never did.”Those words echo the physical toughness of Reynolds’ sister who competed in sports her entire life, earning distinction in every sport she played. As a senior in high school, she tried out for the boy’s baseball team because at the time, Independence High School did not have a girls’ softball team. She was the volleyball coach at Inde-pendence Community College and continued to coach, even while undergoing treatment.Reynolds and Julian, along with members of the family, including Yona and Brent’s four children, decided five years ago they would continue Yona’s legacy with a run.“She was so into sports and we thought that was a good

way to remember her. It is something she would have liked,” Reynolds said. “The t-shirts say, ‘Yona Strong.’ This year about 300 people ran the race. Last year on her 40th birthday, we had almost 400 runners.”Following the race, participants and supporters enjoy the birthday cake Reynolds’s mother Becky Brown prepares every year to continue to celebrate Yona’s birthday which falls on September 8th. The run is held the weekend closest to her birthday.“When we started raising money for the Leukemia and Lymphoma So-ciety, we were amazed at the out-pouring of support,” Reynolds said. “There were people we didn’t even know who supported us. It really showed just how far she reached in this world.”As she pushed Rex crossed the finish line, she thought about how this run will be a part of his connection to his aunt.“I hope that between this run and the stories I tell him, he’ll know his Aunt Yona as best he can.”*****Authors Note: I had the privilege of knowing Yona (Brown) Julian. In 2007, after I learned she was diag-nosed with cancer, I began raising money and training for the P.F. Chang’s Rock and Roll Marathon in her honor. She lost her battle about two months before I ran my marathon. Yona and I were in the same high school graduating class of 1990.

Independence KMOM volunteers will recognize Molly’s father Ken Brown who presented a history of Independence during one of the KMOM dinners.

Dr. Molly Reynolds (Center) waits for the start of the Yona Julian Memorial Fun Run.

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Kevin Robertson, CAEKDA Executive Director

FrOM The OFFICeThis past Winter and Spring I had the oppor-tunity to visit several communities in what has been dubbed the Dental Deserts of Kansas by the Bureau of Oral Health. Karen Finstad,

Executive Director of Delta of Kanas Foundation, and I visited with the community leaders from the towns of Greensburg, Sublette, Coldwater, Ness City and Wakeeney to promote the KDA’s Kansas Initiative for New Dentists (KIND) program and discuss their desire for a dentist in their community. Everyone we spoke to were very accommodating and interested in having a dentist live and work in their town. Many talked of the dentists that had been in town in the past and why they did or did not succeed. Some past dentists had retired without finding someone to purchase their practice to continue providing dental care to the locals while other dentists had left due to the allure of the big city or simply not being economically successful. Everyone we visited rolled out the red carpet for us while showing tremendous pride in their community - both its facilities and people. The most encouraging thing from a dentists’ perspective is that all the com-munities had either already put together an economic incentive package or were willing and able to do so in order to help lure a dentist to their community. The incentives discussed included gas breaks, low interest loans, low rent on available space, local contractors renovating office space and actually providing office space at no or low cost. We were surprised to find that at least two of the communities we met with – Coldwater and Greensburg – each had some access to different dentists who provided dental services in their communi-ties at least twice per month. The KDA’s effort to promote the KIND program also included

Lunch and Learns at some area dental schools – UNMC, UMKC, Oklahoma and Creighton at this point. While we received a great reception from the students, as expected most of the fourth year students had already made practice decisions. Nonetheless, there has been interest in the KIND program from some third (now fourth) year dental students. As you might expect, it is a sig-nificant challenge to attract a new dental school graduate to an area that requires the establishment of a completely new office. Though recruitment of a private practice dentist owner remains a priority, the KIND Advisory Committee is also looking at en-couraging an existing established dentist or two to locate a satel-lite office in some “dental desert” communities utilizing the carve out for the 50% Rule (see related story). The KIND Program also hopes to provide a more lucrative scholarship in addition to loan repayment, beginning this year, to students who commit to serv-ing in one of the determined areas.

DENTAL PRACTICE TRANSITIONS

Take this Summer(and all future Summers) off!

ALL TIME HIGH.Take some time to talk to your PARAGON practice transition consultant and find out what the current market value is for your dental practice.

Consider selling it at its peak, maybe even before the nice weather starts. After all, how many summers do we get?

Many professionals believe that the value of your dental practice may be at an

Your local PARAGON consultant is Kathy JohnsonContact her at 866.898.1867 or info@paragon.us.com

Sign up for our free newsletterat paragon.us.com

Approved PACE Program ProviderFAGD/MAGD CreditApproval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement4/1/2012 to 3/31/2016Provider ID# 302387

J. Kendall Dillehay, DDS, MSD, an ortho-dontist in Wichita, Kan., has been elected to represent the Southwestern Society of Ortho-dontists (SWSO) on the Board of Trustees of the American Association of Orthodontists (AAO).The AAO is the world’s oldest and largest dental specialty organization. The SWSO is one of eight constituent organizations that make up the AAO, and serves member or-thodontists practicing in Kansas, Oklahoma, Texas, Arkansas, and Louisiana west of the Mississippi River.The announcement of Dr. Dillehay’s election as the new SWSO trustee was made recently during the AAO’s 112th Annual Ses-sion in Honolulu. Dr. Dillehay will become president of the AAO in 2021.“It is a privilege to be called upon to serve the specialty of ortho-dontics and the millions of patients who benefit from AAO-mem-ber orthodontists’ care,” said Dr. Dillehay. “Our priority is ensur-ing that the care patients receive is of the highest quality.”Dr. Dillehay has been an orthodontist since 1982. He completed his undergraduate work at the University of Mississippi. He earned his dental degree, a DDS, at the University of Tennessee Health Sciences Center (UTHSC), where he also completed his orthodontic residency program, earning an MSD.Dr. Dillehay is a member of many local, state, regional and na-tional orthodontic and dental organizations. They include the AAO, the SWSO, the Kansas Association of Orthodontists (KAO), the American Dental Association (ADA), the Kansas Dental As-sociation (KDA), and the Wichita District Dental Society (WDDS). He has served in many leadership roles in organized dentistry: as a delegate to the AAO House of Delegates; as a member of the AAO Council on Governmental Affairs; and on a variety of AAO committees. He is a past president of the SWSO, the KAO, the KDA and the WDDS. He is a past first vice president of the ADA, and former ADA Board member.Dr. Dillehay is the orthodontic specialty examiner for the Kansas Dental Board. He shares his expertise as a member of the Wichita Cleft Palate Team. He is a founding member of the Wichita Sleep Apnea Team, and co-founder of the Mid-America Dental Study Group.A Diplomate of the American Board of Orthodontics (ABO), Dr. Dillehay is also a member of the College of Diplomates of the ABO, and a Fellow of the American College of Dentists.Dr. Dillehay is president of the University of Tennessee College of Dentistry Alumni Association, and a member of the University of Tennessee College of Dentistry’s Dean’s Advisory Board. He served as chair of the UTHSC’s Mid-South Dental Conference.

Dillehay Named AAo trustee

continued on page 15

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A major project to celebrate the Kansas Dental Association and its 140 year history is nearing completion. 140 Years, 140 Stories, a book that focuses on the unique interests hobbies and locations of 140 different KDA member dentists, is nearing completion and will be published this fall. KDA Membership Coordinator Jennifer Jones and Greg Hill, KDA As-sistant Executive Director, have now photographed nearly 120 different dentists. Each member in the book is photographed in black and white, holding a number from 1 to 140 that corresponds to their page in the book. The KDA formally unveiled more than ninety stories and photo-graphs this past June at the 2012 KDA Annual Meeting. “The book focuses on what makes Kansas dentists unique,” says Jones. “This might be some special talent they have, a particular interest, or their practice location that is very unique to their location in Kansas.”More than thirty of the dentists in the book attended the President’s Dinner at the annual meeting and

the reception where the photographs were unveiled. During the dinner, a video produced by Hill was shown which highlighted the purpose behind the book and some of the interesting stories of the travels around the state. “The unveiling of the 140 Years, 140 Stories at the 2012 KDA Annual Meeting was a great opportunity for members to meet other dentists in the project,” says Jones. “This project has brought our members together to know one another and celebrate our organization.”

140 years, 140 stories project nears coMpletion and puBlication

“The book focuses on what makes Kansas den-tists unique,” says Jones. “This might be some special talent they have, a particular interest, or their practice location that is very unique to their location in Kansas.”

“The stories we wrote tried to emphasize those things that were impor-tant to the dentist and to give the appropriate background to the sto-ry,” says Hill

Since the annual meeting, Hill and Jones have been out photographing the remaining dentists, writ-ing the narratives and are working with the publish-er to begin the final page layout for printing.“We tried the best we could to bring an artistic element to the photo-graphs we have taken,” says Hill. “This meant incorporating elements of their interest or their community into the pho-tograph and sometimes that meant we had to call ahead to make arrange-ments with the location.”With each photograph is a narrative about the den-tist.“The stories we wrote tried to emphasize those things that were impor-tant to the dentist and to give the appropriate background to the story,” says Hill. “We also tried to write the narratives true to the personality of

Above is a page as it will look in the book 140 years, 140 stories set for publication this fall.

the dentist and photographs.”The photographs can be viewed on the KDA’s 140 Years, 140 Stories Facebook page www.facebook.com/140years140stories. As the remainder of the photographs are taken, they will be added to the Facebook page. Upon completion, the photographs will be incorporated into a book and will be distributed to all KDA members.

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The KDA’s Kansas Initiative for New Dentists (KIND) Program partnership with Delta Dental of Kansas Foun-dation has initially been directed at creating an incentive for new dental school graduates to locate in one of the four dental deserts that the KDHE Bureau of Oral Health identified in its “Mapping the Rural Kansas Workforce” report. In pursuit of this goal, the KDA and Delta Foundation have met with city officials within the dental deserts and with dental students at four dental schools in general proximity to Kansas. Throughout their visits with stu-dents, it was evident that creating an incentive for new graduate dentists to set up a dental practice in an area of Kansas where no practice currently exists would be difficult.

deceased dentists

09/29/2011Dr. Robert H. Potter

Kansas City, KSFirst District

11/09/2011Dr. Alva L. Stoskopf

El Dorado, KSSeventh District

11/19/2011Dr. Richard H. Hamilton

Topeka, KSTopeka District

06/21/2012Dr. Charles M. Podrebarac

Prairie Village, KSFirst District

Provided by Tim Gaigals, CFP®

In any stock market climate, proper asset allo-cation matters. In a down market, you could argue that it matters

more than anything else. Did you have a well-diversified port-folio during the fall of 2008? That was a time when the importance of having a bond allocation and proper equity diversification really hit home. Nearly all investors were hit hard, but some were hit harder than others. What percentage of your portfolio was held in Treasuries (or cash) at that time?Wise asset allocation may help you as the market recovers. Yes, even di-versified portfolios lost money at the end of 2008 and the start of 2009. Yet with rebalancing, these same portfo-lios may be poised to take advantage of a rebounding market.You might say there are two schools of thought when it comes to diversi-fication and asset allocation – hands off, and hands on.Modern Portfolio Theory. In 1952, a University of Chicago Ph.D. candi-date named Harry Markowitz pub-lished a thesis - a brief, provocative paper that called for investors and money managers to see risk with new eyes. That was the start of Mod-ern Portfolio Theory, which still has many advocates today.Before MPT, money managers and investors tended to look at invest-ments in isolation: if a stock had per-formed well in 1948, it was a good stock and it would probably perform well in 1949. They analyzed a stock almost like they would analyze a business. In his paper, Markowitz basically said “You guys are going about this the wrong way.” He first assumed that all investors wanted to avoid risk (which he defined as standard deviation from expected portfolio returns). He then contended that you should measure the risk level of a whole portfolio instead of individ-

AssEt ALLoCAtioN iN “stoRMy wEAtHER”ual securities.1 (In other words, if you want to include a security in your portfolio, you should think about how that will alter the risk level of your entire portfolio, rather than simply consider the risk of the security.)MPT asserts that for every portfolio, there exists an “ef-ficient frontier” – an ideal asset allocation among diver-sified asset classes that should efficiently balance maxi-mum return and minimum risk.2 Markowitz further developed the theory with economists Merton Miller and William Sharpe, and it eventually won a Nobel Prize in economics. MPT has its fans – but also its critics. In the last 20 years or so, many investment advisors and money managers have practiced a buy-and-hold style of port-folio management using the diversification principles of MPT. But as the markets dropped in 2008-09, critics pointed out the danger of buying and holding - you can “hold” positions too long. In the crisis, some investment advisors took more of a hands-on approach to portfolio management – others had always done so. How long is the long run? If history is any guide (and it may not be), the longer your investment horizon, the more sense buy-and-hold can make – at least when it comes to stocks. For example, $1 invested in stocks in 1929 would be worth $759 in 2009, whereas $1 invested in bonds in 1929 would only be worth $74 today. The critics counter that argument with the fact that the S&P 500 traded at the same level in mid-2009 as it did in summer 1997. Stretch or contract different windows of time and you can reach all kinds of conclusions.2 The bottom line. The buy-and-hold adherents and crit-ics certainly agree on one thing: diversification is hugely important. If your assets are allocated across 10 or 12 “baskets” instead of one or two, for example, you are theoretically less affected by the whims of the financial markets. So what is “proper” asset allocation for you? Only you and your financial advisor can determine that. Your time horizon, preferred investment style, accumulated as-sets, life goals and financial objectives – these all have to be taken into consideration. It’s worth a conversation, today.Tim Gaigals, CFP® is an investment professional, registered investment advisor and Certified Financial Planner™. Tim is associated with Tax Favored Benefits in Overland Park and an investment advisor representative offering securities and advisory services solely through Ameritas Investment Corp. (AIC). Member FINRA/SIPC. AIC and Tax Favored Benefits are not affiliated. He has written numerous articles relating to qualified retirement plans, financial advising, and retire-ment planning. Tim was formerly a power trading expert and director for a nationally known energy company. Tim can be contacted at 913-648-5526 or tim@taxfavoredbenefits.com.

Citations. 1 biz.yahoo.com/edu/bi/ir_bi5.ir.html [6/8/09]

2 financial-planning.com/fp_issues/2009_6/buy-and-hope-2662103-1.html [6/1/09]

Diversification has the potential to help portfolios in rough times.

satellite practice opportunities aBound outside tHe 50% rule

continued on page 15

The Advisory Committee discussed at length how to encourage a den-tist to locate to the identified dental deserts. Three additional approaches are believed to have the best chances for success.

Expand the eligible communities 1. where a KIND recipient could practice to all counties with popu-lation of less than 50,000. The KIND Advisory Committee will award scholarships/loan forgive-ness grants based on the need of the community.Educate existing dentists as to the 2.

50% rule “carve out” regarding satellite practices in counties with population of less than 10,000 and encourage these dentists to invest in these areas. In these cases, the KIND Advisory Committee would work with community leaders on incentives to attract a satellite dental practice to locate in the area and then use the KIND Loan Forgiveness funds to help recruit an associate dentist to the satellite practice(s). The associate dentist would be required to live in the community.Expand the current loan forgive-3. ness grant into a scholarship opportunity for students while in dental school. Dental students would receive up to $25,000/year for dental school ($100,000 to-tal) for agreeing to practice in an underserved area determined by an Advisory Committee working with the student.

During the 2008 Legislative Session, the KDA introduced a bill to provide more dental practice opportunities in rural Kansas by reducing the restric-tions on dentists operating satellite offices in the 64 counties with popu-lation less than 10,000. The “50% rule” states that licensed dentists who own dental practices are required to be physically present in the satellite office(s) they operate a majority of time dentistry is being performed in that satellite dental office(s). HB 2781 was a carve-out to this 50% rule to allow dentists to own two dental offices (without being physically present) within 125 miles of the dentist’s primary office, in counties with less than 10,000 population.

9

KdCF UPdaTe

Greg Hill, JDKDCF Executive Director

KMOM 2013 Scheduled for March 1-2Planning for KMOM 2013 has al-ready begun. The Kansas Dental Charitable Foundation’s twelfth Kansas Mission of Mercy free den-tal project will take place in Wichita at the Kansas Coliseum, the same location as the 2006 event. This will also mark the ten-year anniversary of KMOM, which the KDCF plans to

recognize and celebrate. The annual charitable dental project is scheduled for March 1-2.“We are pleased to be able to return to Wichita and to provide dental services to the Wichita area,” said Greg Hill, Executive Director of the Kansas Dental Charitable Founda-tion. “Since we were here last, our volunteers have treated thousands of Kansans in six other communities in different regions of the state.”Earlier this year, 2,144 patients re-ceived free dental care valued at over $1.5 million at the KMOM project in Kansas City. Since inception, 6,546 KMOM volunteers have helped to provide 21,317 patients with much needed care valued at more than $11 million.The KDCF will seek to raise $130,000 in grants and donations to fund the project through individual and business donations and grants from

health and community based foun-dations. “While we are able to pro-vide over a million dollars in care, there are costs that we incur in order to deliver that care,” says Hill. “These include things like use of the facility, food, T-shirts, and the rental of the dental equipment we need to our work.”One WordUsing only one word, how would you describe the Kansas Mission of Mercy? That was a question we asked our Facebook fol-lowers. We took those words and incorporated them into a short video to advertise the upcoming Kansas Mission of Mercy.Twitter - @ksdentalfound #kmom2013

Scan the QR code with your smart phone to watch the ‘One Word’ video

Craig’s brother Scott joined the practice in 1988 and his son Tim joined the prac-tice in 2008.“Tim decided against go-ing to medi-cal school and instead went into dentistry, surprising his mother and me. He graduated in 2008 and has been practicing here for almost four years.”Craig and Joanne have three children, Tim, the old-est; Bill, who along with his wife, is a physician and is fulfilling his residency in Milwaukee, WI; and Megan, who is working in Kansas City and engaged to be mar-ried this fall.History of His Career“I was fortunate to grow up in a household where my father was a practicing dentist,” he said. “I originally went to school as an art major and was more interested in playing sports, and I played football and baseball in college. At some point I decided I really wanted to go into dental school.”“Like most dentists, I started off by doing as many procedures as I possibly could and tried to do root canals, dentures and limited oral surgery. As time has gone on, I found that I developed a real love and pas-sion for helping people with temporomandibular joint disorder, bite issues and problems with their occlu-sion. These people generally have pain or some sort of chewing problems. Over the last ten years I’ve done a lot of training and have enjoyed practicing to a limited extent, with an emphasis on TMJ in dentistry,”Craig currently is a faculty member of the Orognathic

continued from page 1

Meet the KDA President Bioesthetic International (OBI). He attended the Pankey Institute and has had training from the Schuster Center for professional development in business management. Involvement in Organized Dentistry“When I was a much younger dentist, I got involved in the Fifth District Dental Society and was a delegate to the Executive Council, as the Board of Delegates was called back then. In 1986, I was asked to get involved in the leadership of the Fifth District and went through the offices and became president in 1990.”Following his service to the Fifth District, Craig became less involved in organized dentistry while his kids grew up and went through high school. About five years ago, he be-came actively involved in organized dentistry again. “I really wanted to give back to the profession that has been so good to me,” he said. “I think those of us who care about the profession and want to see it carry on and see what organized dentistry can do for people are willing to help out and give our time.”Issues Facing the KDA

“I think this year we were very successful with our bill that promotes what we as dentists feel is best for den-tistry and for the patients that we serve,” he said. “We know that our counterparts are going to continue to work toward a non-dentist provider and that they will probably go back to the legislature again this year. So we need to be on our toes and put up a good fight like we have over the last two years.”Craig said that the opposition by the dental associa-tion is not about protecting dentist’s turf as some have suggested, but rather about the health and safety of the patients.“We feel like the training that we get as dentists is the

bare minimum to be able to go out and practice what we do in dentistry. When you allow someone to have the opportunity to go out and do some of the invasive

Craig and his son Tim are photographed during the unveiling of the 140 Years, 140 Stories project during the KDA Annual Meet-ing in Wichita in June. They will be featured in the book.

Dr. Hal Hale passes the gavel and KDA presidency to Dr. Craig Herre during the 141st Annual Meeting of the KDA.

continued on page 12

Dr. Craig Herre looks on as Kevin Robertson outlines KDA initia-tives during a press conference at the State Capitol.

10

“I skate to where the puck is going to be, not where it has been”

- Wayne Gretzky

edITOrIal

Dr. Eugene McGillJKDA Editor

Greetings Kansas Dentists!Congratulations to all who contrib-uted to or participated in the legisla-tive efforts in Topeka this past year.Our efforts, though understandably expensive, were successful in pre-venting changes to our profession and putting the safety of our patients first. However, the fight is destined to continue in the new legislature and the proponents of this mid-level provider initiative are organized and well-funded. Please consider care-fully your PAC donation and please respond favorably. The profession of dentistry needs your support and Kansas seems to be ground zero in this endeavor.The KDA’s answer to this “access to care” issue has been well-received at the ADA national level. The ADA has featured the KIND (Kansas Initiative for New Dentists) program in several newsletter articles and the coverage has been very complimen-tary. Hats off to our KDA staff and past presidents Dave Hamel, Brett Roufs and Hal Hale for their hard work in developing a comprehensive response to the issue.

Only time will tell as to the fate of requests for funding for the Donated Dental Services and broadening of Medicare coverage. The pendulum away from funding increases seems to have more and more momentum.On another topic. Districts across the state are experiencing similar problems with retaining members and recruiting new dentists into the tripartite family. I’ve written about this before. I believe each district should have an active committee in place that acts solely as recruiters. I firmly believe in the personal touch when it comes to asking someone for a commitment of time and money. Take a young new dentist to lunch or have a beer after work and talk about what KDA/ADA membership has meant to you. Talk about our recent enthusiastic defense of our profession and our patients. Talk about how each and every one of us benefits by KDA initiatives at the state level and ADA support at the national level. We need the new members and they need to under-stand that they need us.And now as a devil’s advocate.

An old high school and college friend, who likes to pull people’s chain, recently sent me one of those email chains (usually go in the trash without reading) about a young ER doc that sent an open letter to the White House.The young doctor was upset about treating a Medicaid patient that had a gold front tooth, elaborate tattoos, expensive tennis shoes and a new cell phone. The pa-tient also noted that she smokes more than a pack a day and still has money for pretzels and beer. The doctor’s ire was raised by having to pay (as a taxpayer) for this woman’s care. He maintains that the healthcare crisis is really only a “crisis of culture” where citizens expect to be “taken care of”. Well, I see his point. Fraud at any level is galling. How-ever, after participating at 10 KMOM’s, I have yet to treat a patient that fits that profile. So do we toss the millions of deserving citizens under the bus to keep the few criminals out of the plan? I don’t really have an answer.But since my friend lives in Florida, whose governor is Rick Scott, I asked him the question: Who constitutes the greatest threat to our healthcare system? Is it the “welfare queen” or the CEO of Columbia/HCA who ad-ministered the “largest Medicare fraud in history” and walked away with $300 million in stock and options?Hmmm.

Oral manifestations of psoriasis are less well-recognized than skin lesions. Two researchers writing in the April issue of the New York State Dental Journal, explain how dentists can more easily recognize the disease as it affects mucus membranes and the best ways to treat it. Lois Dryer, R.D.H., and Gwen Cohen Brown, D.D.S., explain that intraoral psoriasis appearing on the lips, tongue, palate, buccal mucosa and gingiva has been well-documented. Oral manifestations, they write, include small, whitish papules that yield bleeding points when scraped; red and white plaques that follow skin lesions; and bright red patches. They note that oral healthcare providers will be interested to know that “geo-graphic tongue,” the glossitis that manifests itself as a creeping area of diffused redness and fissures in the filiform papillae, occurs in 10 percent of patients with psoriasis. This is opposed to 3 percent in the general population.“Although psoriasis is not a primary focus for oral healthcare providers, this disorder has a profound effect on the quality of life of our patients,” the authors write. “While patients do not normally present for treatment of oral lesions of psoriasis, the oral healthcare provider should focus on the removal of irritants, bacterial plaque, restoration of caries and repair of poorly fitting dentures or prosthetics or sharp or broken teeth.”

the KDA Approves New Batch of Life MembersAt the Kansas Dental Association’s Annual General Assembly meeting on June 25 in Wichita, the following members were ac-cepted as active life members.

Fifth District Dr. G L Martincich• Dr. Herbert Siegel• Dr. William Stutz•

Southern District Dr. Greg Kilbane•

Topeka District Dr. Paul Heath• Dr. Ron Katzer• Dr. Dean Troyer•

Members who have reached the age of 65 and have been KDA/ADA members for 30 consecutive years or 40 years total are eli-gible for Life Membership. The KDA congratulates, welcomes and thanks these new life members for their commitment to organized dentistry throughout their dental careers!

oral Manifestations of psoriasis

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neW MeMBers

Fifth DistrictDr. Kirandeep Arora, Lenexa

Dr. David Beck, LenexaDr. Creighton Gallagher, Olathe

Dr. Brianna Ganson, OlatheDr. Ginelle Sakima Roberts,

Overland Park

First DistrictDr. Kathleen Cooper, Kansas CityDr. Kelly McCracken, Kansas City

Dr. Jarell Wilson, Lawrence

NW/GB DistrictDr. Juliana Coletto, Salina

Dr. Jonathan Kinderknect, HaysDr. Adam Retallick, Manhattan

Southeast DistrictDr. Amy Gensweider, Coffeyville

Topeka DistrictDr. Allyson Sundby, Marysville

Wichita DistrictDr. Brent Carpenter, Wichita

Dr. Gary Franz, WichitaDr. Suman Gorantla, WichitaDr. David Koepsel, Wichita

Do you know of a new dentist in your community, a recent graduate, or even a new colleague in your practice who is not on this list? Please contact the KDA at 785.272.7360 so we can invite them to become a member.

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demonstrated commitment to community service, for any Kansas-related dental school seats when selecting students to matriculate.

Charge: The Placement of a Branch Dental School in KansasIf the Board pursues the placement of a branch campus in Kansas from • an existing dental school outside of Kansas, negotiations with an in-terested dental school (public or private) should be undertaken (e.g., UMKC, A.T. Still).

Charge: Securing Additional Seats at Neighboring Dental Schools“Purchase” seats at an amount approximately equal to the difference • of out-of-state and in-state tuition (the student would pay the in-state tuition amount). A baseline in-state tuition rate should be established in the student •

continued from page 3

TasK Force Recommendations agreement, with the State of Kansas covering the dif-ference in tuition. For example, in implementing tu-ition assistance with a variety of out-of-state schools, Kansas might consider financial support equivalent to that provided for Kansas students attending UMKC through the existing reciprocal program, and the state of Kansas would pay the difference between the relevant school’s applicable tuition and $32,238 (UMKC’s current in-state tuition rate).In student agreements for seats, the student contract • with the state of Kansas should include an agreement to return to Kansas to serve rural and other vulner-able populations for a specific period of time.

Charge: Utilization of Scholarship Programs to Attract and Retain Dentists

Encourage the development of programs that pro-• mote local community-based solutions for scholar-ships and loan repayment programs that financially support and retain students/dentists to serve their community.This could include undergraduate schol-arship funds, or funds for office costs/start-up, for a dentist as part of local community’s development plan.Contracts between KBOR and the student receiving a • scholarship or a loan repayment contract should in-clude a requirement to work in an underserved area and/or serve those with limited access to dental care for a determined number of years. Once serving in high-need urban and rural settings, • forgive a portion of graduate’s educational debt if they stay for a certain amount of time providing services.If possible, require all students who fill new seats • other than in Kansas (regardless of their involvement in loan repayment or scholarship program) to return and serve the State of Kansas; if they chose not to, the student would be indebted to the state through a substantial financial penalty.

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Recreation in Kansas can make you happier. Physical activity relieves tension, anxiety, depression and anger. So get out and enjoy the fun and entertainment here in Kansas. Explore a museum, relive our “Wild West” history, or savor the grandeur of the Flint Hills!

Visit TravelKS.com to request your free Kansas Visitors Guide for information on lodging, restaurants, attractions and more.

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things that we do, with a much more limited education, it could be danger-ous and certainly not in the best interest of the public.”He also feels that membership continues to be very important issue to the Kansas Dental Association. “All organizations seem to be having trouble retaining their membership and recruiting new members and the Kansas Dental Association is a microcosm of what is going on at the ADA where the market share is decreasing even while the number of members is increasing. We need to work hard to keep those members we have and then help the young dentists understand the value and the relevance of being a member of the Kansas Dental Association.”Other ActivitiesCraig and his wife enjoy gardening together and he is a self-described fit-ness nut. He regularly bikes and does fitness training. Craig is a longtime Kansas City Royals and a University of Kansas fan.

continued from page 9

Meet the KDA President “I have a group of dental school classmates that I’ve played golf with since we graduated,” he said. “We play once every three or four weeks during the season and have been doing that for the last thirty years.”To watch the entire interview, visit the KDA website and select KDA.connect from the Member Center.

Left to Right - Kevin Robertson, Dr. Craig Herre, Dr. Kevin Cassidy, Greg Hill and Dr. Ju-lie Swift enjoy the KDA Sunflower Showdown Tailgate in Lawrence last fall

13

More than 520 wichita Medical Professionals have Endorsed water fluoridation“Wichita’s dentists, physicians, pediatricians, and other medical professionals understand that community water fluoridation is a vital part of improving the health of Wichitans,” says Wichitans for Healthy Teeth. ”The Wichita District Dental Society and the Medical Society of Sedgwick County agree that without community wa-ter fluoridation, we are not as healthy as we could be.”Well respected health organizations have partnered together to create a simple voter guide meant to be shared with patients, friends, family, and neighbors.“This is about more than teeth. It’s about the quality of life and education here in Wichita,” Wichitans for Health Teeth said in a statement released last week. ”Just last week, a study from California showed a clear connection between poor dental health and lower grade-point averages among schoolchildren. In 2010, more than 4000 people were treated at Sedgwick Coun-ty hospitals due to toothaches and other dental prob-lems — and many of these ailments could have been prevented.”This summer, over 11,300 Wichitans signed a petition in support of water fluoridation. Poll after poll has shown that Wichitans support fluoridation by a rough-ly 2-to-1 margin.The Wichita District Dental Society has partnered with several other respected health organizations to create the simple voter guide. WDDS urges Wichita residents to view the guide, print the 2 page PDF version and start distributing it right away.http://fluoridevoterguide.com

wichita Now Largest Us City with No fluoridation

The Kansas Bureau of Oral Health, a division of the Kansas Department of Health and Environment, has released its 2012 “Smiles Across Kansas” Report, a comprehensive survey of the oral health of Kansas children.The reports finds that Wichita children are facing a higher rate of tooth decay because our water is not fluoridated:One of the most notable regional statistics is that fifty-eight percent (58%) of children in South Central Kansas have experienced dental caries. This is the worst region in the state on this measure, a full ten points higher than the state as a whole. South Central Kansas is home to the Wichita metro area, the largest city in Kansas that does not fluoridate their community water supply. As South Central Kansas has many of the same advantages of the North East region (a large dental professional community, multiple safety net dental clinics, local foundations and academic institutions with interests in oral health), the lack of community water fluoridation is a probable caus-al factor for the significantly higher level of disease in Wichita’s children.

Now that Portland, OR has voted to approve water fluoridation, Wichita has become the largest city in the United States that has not approved wa-ter fluoridation. In the last month, Phoenix, Portland and Milwaukee have taken pro-active steps to implement or keep water fluoridation in their cities. An analysis of medical and dental costs in Wichita has revealed that fluoridation would save the city an estimated $4.5 million. Once fluorida-tion begins, the annual costs to maintain it would add only 9 cents to a monthly household water bill.

14

Laney Kay, JD

On March 26, 2012, a newly revised Hazard Communication Standard was published in the Federal Register. The bad news is that the new standard is hundreds of pages long, it’s not fun to read, and includes technical informa-tion about revisions of chemical classifications and redefines standards such as flammability and combustibility. The good news is that there are not many changes that will specifically affect dentistry. In dentistry, we deal with potentially hazardous chemicals every day, and it’s important to recognize potential hazards and know how to avoid them. Dentists use most chemicals in very small amounts, so large exposures are unlikely. In addition, the personal protective equipment we wear to protect us from potentially infectious materials also helps protect us from chemical exposure, so the likelihood of serious injury is lessened. The goal of the new revised standard is to further reduce the likelihood of injury by making sure that employees can easily determine existing hazards posed by a specific chemical. The new standard includes portions of the old standard, specifi-cally those sections dealing with employee training and workplace documen-tation, but it also incorporates sections of the “Globally Harmonized System of Classification and Labeling of Chemicals” (GHS), which standardizes the way that hazards are communicated in the workplace.Here’s a quick overview of the new requirements.

Material Safety Data Sheets Become Safety Data Sheets (But There is More to It Than That)In the past, the most difficult part of dealing with hazardous chemicals was dealing with the MSDS forms. Chemical manufacturers have always had to disclose any hazards and health risks posed by their products, but in the past, there was no requirement for how the information was to be conveyed. As a result, product labels and Material Safety Data Sheets (MSDS) were often confusing and difficult to understand, so making labels and organizing the forms was a nightmare.Under the new Global Harmonized System, Material Safety Data Sheets are now known as Safety Data Sheets (SDS). They must be in a standardized format and use specific words and symbols to convey hazards and dangers. Safety Data Sheets must be written in a specific format that is divided into 16 sections with uniform headings such as “first aid measures,” “fire-fighting measures,” “accidental release measures,” “handling and storage,” “expo-sure controls / personal protection,” “toxicological information,” and on-ward. The manufacturers must provide labels that use standard pictograms and specific “signal words,” such as “DANGER” to easily convey chemical hazards to the user. The standard pictograms are specific symbols to convey a hazard, such as a flame to show flammability, a skull-and-crossbonesto show that a chemical is extremely toxic, and an exploding bomb to show that a chemical is an explosive or is very reactive. Visit the OSHA web site to see the specific requirements for Safety Data Sheets, labels, and pictograms: www.osha.gov/dsg/hazcom/ghsquickcards.html.

Written Hazard Communication Plan Requirements Remain the SameMost of the other requirements remain the same within the revised standard. The written hazard communication plan must be current and available to all dental office employees upon request. All employees must be trained on ex-isting hazards in the dental workplace at the time of initial employment and any time additional hazards are added to the workplace. Dentists must main-tain a current chemical inventory and the corresponding Safety Data Sheets for all chemicals, and the materials must be organized in a usable form. Any chemicals that are used out of their original container must be labeled using the new label format.Although the new standard will not be fully implemented until June 1, 2016, employees must be trained on the new labels, pictograms, and SDS by De-cember 1, 2013. Some chemical manufacturers have already started the pro-cess of changing their labeling and SDS formats, so dentists should start to see some of the new materials in the next several months. As the new Safety Data Sheets come in, dentists should replace the old forms with the new ones so the practice’s information stays as current as possible. By June 1, 2016, all labels made in the workplace and the written hazard communication plan must be updated and provisions made for future employee training when the standard is updated and / or when new hazards are identified. As of now, there is no specific new Model Hazard Communication Plan pro-vided by OSHA, so until such time as they may issue one, keep your existing written office plan. If you would prefer to go to an electronic-based SDS note-book instead of the big, annoying notebook, there are web sites that can help you organize one. (One such site where you can set up a free MSDS / SDS binder online is www.msdsxchange.com, but this is not an endorsement of that site. There may be others more suited to your practice needs.) Just make

How KDA DENtists CAN CoMPLy witH osHA’s REvisED HAzARD CoMMUNiCAtioN stANDARD

sure you have a current chemical inventory, and make sure that everyone in the office knows how to get on the web site you choose and access the forms in theevent of a problem or if someone needs to make a new label.That’s it for now. Take the time to get your Hazard Com-munication Plan in order and that will be one less thing to worry about. Good luck!About the Author: Laney Kay, JD, of Entertaining Training, LLC, has written and spoken on technical and regulatory topics since 1989. Her expertise is in taking very complex, and / or incredibly boring, topics and making them both fun and informative. She has written many articles for state and national journals and has taught courses at multiple American Dental Association and Hinman Den-tal Society meetings, as well as at other national, state, and district meetings and study clubs, and in individual offices all over the coun-try. Find information about her courses at www.laneykay.com.

On January 1, 2013 the State of Kansas will launch a new Medicaid program known as KanCare. KanCare is a privatization of the Medicaid program that will allow each Medicaid enrollee the choice of three insur-ance plans. Dental services will be administered by two separate vendors who are partnered with each KanCare MCO. It has recently been announced that DentaQuest and SCION Dental will be the two dental vendors. Both of these companies are currently in the process of enroll-ing dentists into their networks as Medicaid enrollees. In order for a dentist to participate in KanCare Medicaid must enroll in at least one of the Dental vendors’ Kan-Care networks. The state is working to ensure a smooth transition to the administration of the new KanCare Medicaid Program. For example, dental offices may still choose to limit their KanCare patients as in the past and file claims though the existing KMAP website. A few changes in store for the new KanCare will include some preventative services for adults. Providers should also see higher level of responsiveness to questions and concerns as the staff by both DentaQuest and SCION will include provider relations recruitment representatives via phone and in Kansas. The KDA to Host KanCare Provider WorkshopIn an effort to continue to assist KDA members learn about and get answers to their ongoing questions regard-ing KanCare, the KDA is hosting a KanCare Provider Workshop on Friday, October 26 from 1-3 p.m. at the Comfort Suite in Manhattan. Representatives from both DentaQuest and SCION will discuss the KanCare Pro-gram, the administration of the program, and answer your questions about the benefits Medicaid recipients will receive and the process for enrolling in their net-works, filing claims, etc. They will do their best to answer the dentists’ many questions about KanCare. This work-shop is intended for the dentist and/or one key dental practice team member. This Workshop is provided free of charge to KDA members but space is extremely lim-ited so register early. Watch for registration materials via email and at the KDA website – www.ksdental.org.

KanCare Promises improvements to Medicaid

15

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PRACTICES FOR SALE: AFTCO ASSOCIATESWe have attractive practice opportunities in following communi-ties: Wichita (1), Topeka (3), Manhattan (1), Hays (1) and Kansas City Metro area. For more information visit www.aftco.net. If you are considering an appraisal, purchase or sale of practice, please contact Raj Shah at 800-877-7255 or Rshah@aftco.net.

Opportunities Available: Kansas/Missouri-Dentists needed-Excellent opportunity for highly motivated practitioners. Patients and a well-trained team are waiting for you. Practice locations in Independence and Mt. Vernon, Missouri, St. Marys and Wichita, Kansas. Competitive commission plan plus excellent benefit package. Contact Robert Hildreth, 785-456-7083; fax 785-456-6520; e-mail: dynmgmt@wamego.net.

Practices and Equipment for Sale: Kansas/Moundridge-Office for sale or lease. A beautiful, ten year old dental office (3,300 sq. ft.) with six operatories. Located in a growing community about a half hour North of Wichita. Move in ready. A “Must See”. Contact Diane, 785-456-7083; e-mail: dynmgmt@wamego.net.

OMS Practice-Small city in KS, Gross $1.5M, 3 surgical ops plus 1 post- op, approx. 2,000 sq.ft., 3 days/week, 5 staff, Dr. is retir-ing; willing to stay to help with transition. (Practice #KS1216) Contact Peter Mirabito, D.D.S., Jed Esposito, M.B.A., ADS Precise Consultants, 1.888.909.2545, www.adsprecise.com.

25101 – East Central – General practice for sale in quaint, grow-ing community near the central Kansas/Missouri border. 3 ops in 1600 sq. ft. stand-alone building. Practice has operated at current location for 31 years and has been recently remodeled. For more information on this excellent practice, contact Rich Oberbeck at Henry Schein Professional Practice Transitions at 913-894-1735 ext 4645 or rich.oberbeck@henryschein.com.

continued from page 850% Rule

Towns like Greensburg, Ness City, Medicine Lodge and Sublette in the dental deserts of Kansas struggle to recruit dentists into their rural com-munities. Many have dental office facilities that a previous dentist simply abandoned after unsuccessful attempts to sell the practice at any price. New dental school graduates seem to be less willing to start up practices in the most rural dental deserts of Kansas. Though the reasons vary from student to student, we commonly hear concerns about dental school debt, the financial viability of rural practices and the lack of other dental and general health service support in rural areas. The 2008 carve-out to the 50% rule creates more dental practice opportu-nities in the areas of the state that are most in need for both existing and new dentists. Some scenarios could include a dentist purchasing a prac-tice (or two) to staff fully with an associate dentist or an associate dentist sharing time between the primary and satellite offices. The KDA has heard from dentists who are interested in purchasing a satellite practice with the thought of hiring an associate dentist in order to sell or transition the prac-tice to the new dentist over a short period of time with the motivation of taking the pressure off their already over-busy dental practice. Whatever the case, it is hoped that any new dentist recruited to these rural areas will ultimately stay. FAQ’s about the 50% rule carve-out:

1. Why a 125 mile radius restriction? One concern that new dentists have regarding a rural practice is the isola-

tion of being in a community without another dentist or dental specialist to back them up. In larger communities there are oral surgeons, endodontists and other specialists to handle the more complex dental procedures; how-ever, in the rural areas the general dentist often must do it all. What if they get in trouble with a complicated extraction or other procedure – where do they go for help? The 125 mile radius keeps the dentist-owner in close proximity to the satellite practice and creates a mentoring aspect to the law.

There is also a concern that completely opening up satellite practices will result in a growing number of rural practices being owned by urban den-tists with no ties or understanding of special dental needs of the rural population. The 125 mile radius for ownership will keep the dentist owner more “local.”

2. Why not simply eliminate the “majority or 50% rule” regarding satellite practices? The KDA does not believe there is a need to provide greater incentives for

dentists to open dental offices in the more populous areas of the state above the free market incentives that naturally exist. Simply eliminating the 50% rule could result in more dental offices where there is already an abun-dance.

If you are interested in more information regarding the 50% Rule carve out or the KIND Program contact Kevin Robertson at the KDA office.

Community service is a priority for Dr. Dillehay. He is a member of the East Wichita Rotary Club and the Kansas Mission of Mercy. Other local organizations and events he supports include the Wichita River Festival, the Wichita Leukemia Society, the Heart and Sole Race, the Sexual Abuse Crisis Center, the Race for the Cure, Wichita schools, Mentor Day and Ducks Unlimited.Dr. Dillehay has received many awards throughout his career. The American Student Dental Association chose Dr. Dillehay as its Advocate of the Year in 2004. The Kansas Medical Society bestowed its Jiggs Nelson Hu-manitarian award on Dr. Dillehay in 2008. That same year, he received the KDA’s Harry M. Klenda award. He has been recognized as Dentist of the Year by the KDA and the WDDS. In 2009, Dr. Dillehay received the Service Above Self Award from the East Wichita Rotary Club, and earned a fellowship from the American Acad-emy of Craniofacial Pain.In addition to his busy private orthodontic practice and activities in professional and civic organizations, Dr. Dillehay lectures frequently at orthodontic residency programs, and to healthcare professionals such as den-tists, dental hygienists and school nurses.Dr. Dillehay and his wife, Rebecca, reside in Wichita. They are the parents of two grown sons: “JK” is an orth-odontic resident at the UTHSC; Taylor is a law student at Oklahoma City School of Law.When Dr. Dillehay is not working or attending a meet-ing, he enjoys spending time with friends at Table Rock Lake and attending “Ole Miss” football games.About the American Association of OrthodontistsThe American Association of Orthodontists (AAO) is comprised of 17,000 members in the United States, Canada and abroad. Founded in 1900, it is the world’s oldest and largest dental specialty organization.The AAO supports research and education leading to quality patient care. It promotes increased public aware-ness of the need for and benefits of orthodontic treat-ment.Orthodontists are uniquely qualified to correct mis-

DIllehay Named AAO Trusteecontinued from page 6

aligned teeth and jaws. Following graduation from dental school, ortho-dontists go on for an additional two-to-three academic years of specialized education in orthodontics at an accredited orthodontic residency program. Only orthodontists are eligible for AAO membership.The AAO maintains two websites: www.MyLifeMySmile.org and www.AAOinfo.org.

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