In other situations, dental practitioners have been put under such time constraints that they were not able to provide the full scope of appropriate care before having to move on to the next patient. Situations have arisen with DSO arrangements in which non-clinicians have taken over treatment planning and the recommendation of services, possibly for the purpose of increasing practice revenue. As a result, the dentist should strongly consider negotiating terms that recognize this duty and stipulate that he or she maintains authority over all aspects of clinical care, including treatment planning.
Regardless of practice ownership, the dentist has a continuing legal and ethical duty to always practice within the standard of care and to recommend and provide care that is in each patient’s best interest. Consideration #1: Authority and Oversight From a risk management and patient safety perspective, some of these changes may have a significant impact on the practice’s (and doctor’s) potential liability.īelow are five important risk management considerations to think about prior to practicing in DSO-supported setting. If a dentist is not selling a practice, but either establishes a practice and contracts with a DSO or is simply employed by a DSO-supported practice, the introduction of the DSO into the practice model can change how the practice operates. Or, the terms of the DSO contract may change the name of the practice. If a practice is purchased, it may continue to bear its original name and, to the outside world, appear to be the same solo practice it has always been. In Texas, only a dentist can own a dental practice, so a DSO practice might take on one of several possible forms, though the end result is the same-the DSO assumes the responsibility for the business operations of the practice, allowing the dentist to concentrate on the delivery of clinical care. The DSO ModelĭSO models differ depending on several factors, including the state in which they operate. This article reviews the business model that DSOs typically use and discusses five key points that dentists should understand about DSOs and/or consider before entering into a DSO-supported practice. Further, many associate dentists work in practices affiliated with DSOs.
Many experienced dentists are tired of the day-to-day tasks associated with running a business - and, for some of these practitioners, selling their practices to DSOs is beneficial. By Theodore Passineau, JD, HRM, RPLU, CPHRM, FASHRM MedProĭental service organizations (DSOs) have been around for some time however, they recently have become a more common model for the delivery of dental services.
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