This plan for computerizing the dental patient record is designed to be implemented in a stepwise fashion. It assumes a fully developed and well accepted practice management system is already present in the business office to ensure organizational readiness and a culture embracing technology and its accompanying changes. Electronic claims submission is implemented next to not only realize the competitive advantages of EDI in the dental office; but also, to introduce the process of multi-user communication. Electronic charting in the dental operatory is first implemented as a stand alone system. This allows users to understand the new workflow requirements and oral exam redesign when a computer is introduced in the treatment room. The dental team must understand that the ultimate goal of this plan is to network the entire system and enhance communication both within and external to the dental office. No specific time requirements were given for this plan because of the variability from office to office. People need time to develop awareness, prepare for, and become skilled in using new technology. Financial constraints may also limit the speed at which the plan can be implemented. Finally, individuals in the practice must work together as a team to assess the practice's level of acceptance and ability at each step in the process. Modification will be necessary along the way as technology is constantly changing. This is a significant paradigm shift, considering that many pieces of equipment purchased for the dental office can last the dentist's entire career. This plan allows for alteration, encourages team involvement and requires a long-term strategic vision for information technology's role in the dental office.
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