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Thursday
May242012

« Letter to WDS Board of Directors »

In response to the comments that were made earlier this month by WDS CEO James Dwyer, the WSDA sent an idividually addressed letter to each member of the WDS Board of Directors questioning Dwyer's "fitness to continue to represent the state’s largest dental insurer." You may view a copy of the letter by clicking on the image below.

Reader Comments (6)

The 4 day work week and other ignorant comments?
So…. Jim Dwyer thinks I work 3.5 to 4 days a week and I SURE don’t work 5 hunh?
Things I did to be able to work my current work week at all…………………………..
4 years of college with an honors degree in Zoology --more than 50 hours a week there.
4 years of dental school—never less than about 60 hours a week there and often more like 80
1 year of General Practice Residency at the Univ. of WA Hospital—not unusual to have put in 80 hours in a week
See patients at the office 196 days a year from 9 to 10 hours per day
Spend 6 days a year at study club that I was a founding member of.
Spend at least 3 days a year assisting dentist/students at the KOIS Center
Spend 3 days at the KOIS Symposium per year
Well over a thousand hours of continuing education in various programs across the country in prosthetics, sedation, implant surgery, bone graft surgery, soft tissue graft surgery, all while running a full time private practice.


Things that I do all the time outside of scheduled patient care “4 days per week”
First we work a 5 day week seeing patients about 12 days per year in addition to:
Work through lunch to help somebody—50% of the time
Work late to help someone—30 to 40% of the time
Treatment plan comprehensive cases. 2 to 3 hours per week
Study cases and do lab work prior to more difficult procedures. 2 to 3 hours per week
Communication to patients 1 to 2 hours per week
Communicate with other professionals, dentists or physicians 1 to 2 hours per week
Study CT scans, X-rays, photos, learn new technology 1 to 2 hours per week
Review various business concerns 4 to 5 hours per week

So Mr. Dwyer let’s see how that stacks up against your training and hours involved in mismanaging WDS and helping to turn it into a company that my practice felt it could no longer be a part of. Got a Doctorate Degree? How much continuing education? How many hours a week past 40 do YOU spend in running your business? How many hours past 40 do YOU spend per week helping someone? How many hours past 40 do YOU spend trying to better yourself to deliver better patient care and help the growth of your colleagues? Hmmmm????
Also, evidently you haven’t been in Dentistry too long. Your comments seem to have ignored a little history there my friend. You see I was around in the 90s when this whole “PPO” thing started. WDS sent one of it’s administrators around to “talk to us”. I asked him why in the world I would want to reduce my fees by 20% as with my 70% overhead that would essentially reduce my net business income by 66%. His response was that I hadn’t figured it right. I asked how. His response was that with all the patients that WDS would be sending me I could take advantage of being “more efficient”. I asked him to define that. His response was that I could save money on a per patient basis by utilizing my staff more to see patients instead of myself. I could save money on supplies by using different materials on these patients. I could save on lab bills by changing labs for this group of patients. My response was, “Ohh, you mean make it CHEAP!” His comeback, “Well I didn’t say that.” My final retort and the end of our conversation was, “Yes you did, now we’re just arguing over the semantics.” My point is that your comment about a 20 to 30 % cut not affecting the quality of care was completely moronic and an indicator that not only do you not know the business of Dentistry, but you don’t seem to know what your own company has suggested that it’s members do to try to make complying with your fee control! A business that has a zero net profit cannot survive for very long. A fee cut of 20 to 30% doesn’t just require a cut in the Dentist’s income, it requires and the word is REQUIRES, a re-structuring of the practice to survive into the near future. Working 5 days a week instead of 4 doesn’t really change that very much as most of our overhead is in the variable category (staff, supplies, labs) not fixed (rent). But if you’re this management guy worth 1.2 million dollars then you should already know this. So which is it regarding your comment? The only real choices are either an appeal from a wealthy management executive to try to pin the blame publicly on better trained, more dedicated people than himself, that make 1/6 to 1/10 of what he makes. Or, the other choice is complete lack of knowledge of the business you supposedly lead. Not too good either way.

05.29.2012 | Unregistered CommenterEric Yaremko

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