New Mexico Dental Health CareREGULAR BOARD MEETING

Friday, January 24, 2014Santa Fe, NM

MEETING MINUTES

1. CALL TO ORDER

At 11:43 a.m. the Board Secretary, Dr. Burrell Tucker, DDS, called the New Mexico Board of Dental Health Care January 24, 2014, meeting to order.

2. ROLL CALL

MEMBERS PRESENT: Burrell Tucker, DDSKimberly Martin, DMDCharles Schumacher, DDSLeo Balderamos, DDSJolynn Galvin, DDSErmelinda Baca, RDHDenise Teague-Myrick, RDHRichard Hatch, Public MemberRobert Blewer, Public Member

MEMBERS ABSENT:

OTHERS PRESENT: Jennifer Salazar, Assistant Attorney General

STAFF PRESENT: Roberta Perea, Board AdministratorKathy Ortiz, Team LeaderCynthia Salazar, Administrative AssistantNicole Montoya-Jones, Compliance Liaison

Roll Call was taken by Roberta Perea and a quorum was determined present.

3. APPROVAL OF AGENDA

Dr. Balderamos, DDS made a MOTION to approve the agenda as written. Ms. Ermelinda Baca, RDH SECONDED the motion which was PASSED by UNANIMOUS APPROVAL.

4. APPROVAL OF MEETING MINUTES

December 6, 2013 Special Board Meeting

Dr. Schumacher, DDS made a MOTION to approve the minutes of the December 6, 2013 special Meeting as written. Ms. Ermelinda Baca, RDH SECONDED the motion which was PASSED by UNANIMOUS APPROVAL.

5. REPORTS

A. Past Chair’s Report – Dr. Jessica Brewster, DDS

Written report attached (Attachment A)

B. Secretary’s Report – Dr. Burrell Tucker, DDS

Dr. Tucker, DDS reported to the board that from October 18, 2013 through January 13, 2014, the following licenses were issued:

11 Dental licenses issued by Examination 8 Dental licenses issued by Credentials 68 Dental Assistants 0 Expanded Function Dental Auxiliary Certificates 0 Community Dental Health Coordinator Certificates 2 Non-Dentist Owner

Dr. Schumacher, DDS made a MOTION to ratify the Boards Secretary’ies approval of new licensees. Ms. Denise Teague-Myrick, RDH SECONDED the motion which was PASSED by UNANIMOUS APPROVAL.

C. Dental Hygienist Committee Report – Ms. Ermelinda Baca, RDH

Dr. Schumacher, DDS made a MOTION to ratify the recommendations of the Dental Hygienist Committee with respect to the following new applicants and the request for retirement status. Ms. Denise Teague-Myrick, RDH SECONDED the motion which was PASSED by UNANIMOUS APPROVAL.

Licenses Issued for Period 10/18/13 thru 01/13/14 6 Dental Hygienists by Examination3 Dental Hygienists by Credentials0 Dental Hygienists by Collaborative Practice

13-95-APP (see hygienist committee minutes)

13-115-APP (see hygienist committee minutes)

13-118-APP (see hygienist committee minutes)

Request for retirement status -Catherine M. Sherman, RDH (see hygienist committee minutes)

D. Anesthesia Committee Report – Dr. John Mitchell, DDS

Written report attached (Attachment B)

Dr. John Mitchell, DDS reported to the board that from October 18, 2013 through January 13, 2014 the following permits were issued:

5 Nitrous Oxide Permits, 3 Conscious Sedation I permit, 0 Conscious Sedation II permits 0 Deep Sedation/General Anesthesia permits

E. NM Health Services Report, Devi Gajapathi, BDS

Written report attached (Attachment C)

F. NM Dental Association

This topic was not discussed

G. NM Department of Health Report, Ms. Carol Hanson

Written report attached (Attachment D)

H. AADB Report – Dr. Kimberly Martin, DMD

Written report attached (Attachment E)

I. WREB Report – Ms. Ermelinda Baca, RDH

See Dental Hygienist Committee minutes (Old Business letter E)

J. CRDTS Report – Ms. Ermelinda Baca, RDH

Written report attached (Attachment F)

K. NERB Report – Ms. Denise Teague-Myrick, RDH

L. ADEX Report –

This topic was not discussed

M. CITA Report – Dr. Kimberly Martin, DMD

Written report attached (Attachment G)

N. Appoint member to the Advisory Council/Heroin Awareness

Ms. Ermelinda Baca, RDH made a MOTION to nominate Dr. Balderamos, DDS to the Prescription Drug Mususe and Overdose Prevention and Pain Management Advisory Council committee. Dr. Schumacher, DDS SECONDED the motion. Motion PASSED by UNANIMOUS APPROVAL.

O. Administrator’s Report – Ms. Roberta Perea

Ms. Roberta Perea introduced herself and new board staff.

P. Compliance Liaison Report – Ms. Nicole Montoya-Jones

No report was given

Q. Rules Committee – Dr. Burrell Tucker, DDS

Written report attached (Attachment H)

R. Ad Hoc Committees

This item was not discussed

6. OLD BUSINESS

A. Confirm Future Meeting Dates and LocationsApril Board Meeting – April 25, 2014 – Santa FeJuly Board Meeting – July 18, 2014 – RuidosoOctober Board Meeting – October 17, 2014 – Albuquerque January Board Meeting – January 23, 2015 – Santa Fe

B. Discussion and possible action regarding Examiners:1. CITA Examiners – Dr. Kimberly Martin, DMD No action taken

2. CRDTS Examiners No action taken

3. NERB Examiners No action taken

4. SRTA Examiners No action taken

C. Discussion and Possible action on School-Bases Questionnaire/Dental Mobile Units – Update Dr. Schumacher, DDS will help board staff draft a letter to mail out in regards to dental mobile units.

D. Discussion and possible action on revising licensure applicationsA committee was appointed during the Hygienist Committee meeting; this committee will work on revising licensure applications.

E. Discussion and possible action on X-ray Exam recommendations for grading criteria – Update A Committee was appointed during the hygienist Committee meeting; this committee will work on revising the grading criteria. The committee’s recommendations will be on the next board meeting agenda.

F. Dona Ana Community College Curriculum Approval – UpdateNo action taken

G. Pro Training, LLC Approval – UpdateNo action taken

H. Discussion and possible action concerning out-of-state dental consultants evaluating NM dental insurance claims.Jennifer and Kathy will do research and will report at the April board meeting.

I. Discussion and possible action on revising dental jurisprudence exam Update- Dr. Kimberly Martin, DMD

Dr. Martin, DMD will provide the revised dental jurisprudence exam at the April board meeting.

7. NEW BUSINESS

A. Elections:

1. Election of Board Officers

a. Chair

Ms. Ermelinda Baca, RDH made a MOTION to nominate Dr. Schumacher, DDS as Chair of the NM Dental Board. Ms. Denise Teague-Myrick, RDH SECONDED the motion. Motion PASSED by UNANIMOUS APPROVAL.

b. Vice Chair

Ms. Ermelinda Baca, RDH made a MOTION to nominate Dr. Martin, DMD as Vice Chair of the NM Dental Board. Dr. Schumacher, DDS SECONDED the motion. Motion PASSED by UNANIMOUS APPROVAL.

c. Secretary

Dr. Schumacher, DDS made a MOTION to nominate Dr. Tucker, DDS as Secretary of the NM Dental Board. Ms. Ermelinda Baca, RDH SECONDED the motion. Motion PASSED by UNANIMOUS APPROVAL.

2. Election of Two (2) Board Representatives for Dental Hygienists Committee

Dr. Schumacher, DDS made a MOTION to nominate Dr. Tucker, DDS and Dr. Martin, DMD as Representative for the NM Dental Hygienists Committee to the NM Dental Board of Dental Health Care. Ms. Ermelinda Baca, RDH SECONDED the motion. Motion PASSED by UNANIMOUS APPROVAL.

B. Appoint Dental Committee Members

1. Appoint Complaint Committee Members: Dr. Brewster, Rebecca Howard, RDH, and Robert Blewer were appointed to the Complaint Committee, and Dr. Martin, DMD was appointed as chair of this committee.

2. Appoint Rules Committee Members: Dr. Schumacher, Dr. Tucker, DDS, Dr. Gherardi, DMD, Ms. Laura Moss, RDH, Ms. Ermelinda Baca, RDH and Richard Hatch were appointed to the Rules Committee

3. Appoint Application Committee Members: Ms. Ermelinda Baca, RDH, Ms. Melissa Barbara and Jennifer Salazar were appointed to the Application Committee

4. Appoint Statutes Committee Members: Richard Blewer, Ms. Melissa Barbara, RDH, Dr. Schumacher, DDS and Dr. Gherardi, DMD were appointed to the Statutes Committee

5. Appoint Anesthesia Committee Members: Dr. Balderamos, DDS was appointed to the Anesthesia Committee

C. Appoint board member to attend the AADB Mid-Year Meeting, April 6-7, 2014 Chicago, IL

Dr. Galvin, DDS made a MOTION to nominate Dr. Schumacher, DDS to attend the AADB mid-year meeting on April 6-7, 2014 in Chicago, IL. Ms. Ermelinds, Baca, RDH SECONDED the motion. Motion PASSED by UNANIMOUS APPROVAL.

D. AADB 130th Open Forum - FYI

No action taken

E. NERB Annual Meeting Report

No action taken

F. Mission of Mercy October 2014 in Rio RanchoDr. Schumacher, DDS made a MOTION to approve charitable event Mission of Mercy on October 23

– 26, 2014 in Rio Rancho. Dr. Tucker, DDS SECONDED the motion. Motion PASSED by UNANIMOUS APPROVAL.

G. Discussion and possible action on charitable dental projectDr. Schumacher, DDS made a MOTION to aprove the charitable dental project event on April 6-7, 2014. Ms. Ermelinda Baca, RDH SECONDED the motion. Motion PASSED by UNANIMOUS APPROVAL.

H. Senate Bill 76 - FYI

No action taken

I. Itemized Schedules

No action taken

J. New Board Member Training- Jennifer Salazar

No action taken

K. Public Comment

__________________________________________________________________________________________________________________________________________________________________________

8. EXECUTIVE SESSION

Chair: I will hear a motion for closure of the meeting to enter into Executive Session.

Board Member Ms. Ermelinda Baca, RDH: I move that the New Mexico Dental Health Care Board close this meeting in order to enter into Executive Session to discuss the items listed in the agenda. Pursuant to Sections 10-15-1.H 1 of the Open Meetings Act authorizing closed sessions for matters related to issuance, suspension, renewal, revocation of a license. Ms. Denise Teague-Myrick, RDH SECONDED the motion. Motion PASSED by UNANIMOUS APPROVAL.

Chair: Would the Board Administrator take a roll call vote to enter into Executive Session?

Roll Call Vote:

Burrell Tucker, DDS AyeKimberly Martin, DMD AyeCharles Schumacher, DDS AyeLeo Balderamos, DDS AyeJolynn Galvin, DDS AyeErmelinda Baca, RDH AyeDenise Teague-Myrick, RDH AyeRobert Blewer, Public Member AyeRichard Hatch, Public Member Aye

Chair: The motion is approved by a unanimous approval. Let the record show that at 12:59 p.m. the Board entered into closed session and the recorder has been turned off.

Back in Open Session

Let the record show that the recorder is back on. The New Mexico Board of Dental Health Care is back in open session. The time is 1:42 p.m. Pursuant to 10-15-1(H )(1)of the Open Meetings Act the matters discussed in the closed meeting were limited only to the items listed in the motion.

9. BOARD ACTION ON MATTERS DISCUSSED IN EXECUTIVE SESSION

Let the record show that the Complaint Committee Members Dr. Kimberly Martin, DMD and Mr. Robert Blewer abstained from voting on committee recommended cases.

(Items listed on Agenda)

Reinstatement Consideration:

Megan Richardson, DAMs. Ermelinda Baca, RDH made a MOTION to deny the reinstatement application pursuant to 16.5.37.9. Dr. Schumacher, DDS SECONDED the motion. Motion PASSED by UNANIMOUS APPROVAL.

Amalia M. Ramirez, DDSMs. Ermelinda Baca, RDH made a MOTION to deny the request for reinstatement pursuant to 16.5.16.13. Ms. Denise Teague-Myrick, RDH SECONDED the motion. Motion PASSED by UNANIMOUS APPROVAL.

COMPLAINTS:

Ms. Ermelinda Baca, RDH made a MOTION to dismiss the following case(s): 13-46-COM; 13-51-COM; 13-71-COM; 13-92-COM; 13-94-COM; 13-102-COM; 13-109-COMMs. Denise Teague-Myrick, RDH SECONDED the motion. Motion PASSED by UNANIMOUS APPROVAL.

13-18-COMMs. Ermelinda Baca, RDH made a MOTION to refer to AGO for a Pre-NCA Settlement Agreement for violation of 61-5A-21 A(5) and 16.5.16.10 B (13) with the following terms proposed for early resolution: Respondent shall pay a fine of $1,000.00 within 30 days of the signed agreement; Respondent shall successfully take and pass the NM Dental Jurisprudence Examination within 30 days of the signed agreement; Respondent shall complete 4 hours of board approved CE in the area of Anger Management or Ethics in person within 90 days. Continuing education hours and Jurisprudence Examination cannot be used toward the triennial renewal. Should the Pre-NCA Settlement Agreement fail the AGO may proceed with the issuance of a Notice of Contemplated Action. Ms. Denise Teague-Myrick, RDH SECONDED the motion. Motion PASSED by UNANIMOUS APPROVAL.

13-20-COMMs. Ermelinda Baca, RDH made a MOTION to Table till next meeting Ms. Denise Teague-Myrick, RDH SECONDED the motion. Motion PASSED by UNANIMOUS APPROVAL.

13-68-COMMs. Ermelinda Baca, RDH made a MOTION to refer to AGO for a Pre-NCA Settlement Agreement for violation of 61-5A-21 A(3)(5) and 16.5.16.10 A & B (5) & (13) with the following terms proposed for early resolution: Respondent shall pay a fine of $3,000.00 within 30 days of the signed agreement; Respondent shall successfully take and pass the NM Dental Jurisprudence Examination within 30 days of the signed agreement; Respondent shall complete 4 hours of board approved CE in Ethics and 8 hours of CE in Diagnosis & Treatment Planning within 90 days. (half of the CE hours may be taken online and half of the CE hours must be taken in person.) Continuing

education hours cannot be used toward the triennial renewal. Should the Pre-NCA Settlement Agreement fail the AGO may proceed with the issuance of a Notice of Contemplated Action. Ms. Denise Teague-Myrick, RDH SECONDED the motion. Motion PASSED by UNANIMOUS APPROVAL.

13-96-COMMs. Ermelinda Baca, RDH made a MOTION to refer to AGO for a Pre-NCA Settlement Agreement for violation of 61-5A-21 A (5) (14); and 16.5.16.10 B (90) with the following terms proposed for early resolution: Respondent shall pay a fine of $1,000.00 within 30 days of the signed agreement; Respondent shall successfully take and pass the NM Dental Jurisprudence Examination within 30 days of the signed agreement; Jurisprudence Examination cannot be used toward the triennial renewal. Should the Pre-NCA Settlement Agreement fail the AGO may proceed with the issuance of a Notice of Contemplated Action. Ms. Denise Teague-Myrick, RDH SECONDED the motion. Motion PASSED by UNANIMOUS APPROVAL.

INCIDENT REPORTS/MALPRACTICE REPORTS

Ms. Ermelinda Baca, RDH made a MOTION to refer 13-81-MAL; 13-93-MAL; 13-98-MAL; 13-104-MAL; 13-105-MAL; 13-106-MAL to AGO for a Pre-NCA Settlement Agreement for violation of 61-5A-21 A (5) (12); 16.5.16.10 B (19) and 16.5.3.8 with the following terms proposed for early resolution: Respondent shall pay a fine of $1,000.00 within 30 days of the signed agreement; Respondent shall successfully take and pass the NM Dental Jurisprudence Examination within 30 days of the signed agreement; Jurisprudence Examination cannot be used toward the triennial renewal. Should the Pre-NCA Settlement Agreement fail the AGO may proceed with the issuance of a Notice of Contemplated Action. Ms. Denise Teague-Myrick, RDH SECONDED the motion. Motion PASSED by UNANIMOUS APPROVAL

REPORTS

New Mexico Monitored Treatment Quarterly Report Informational purposes only

10. ADJOURNMENT

There being no other business to come before the Dental Board, Denise Teague-Myrick, RDH made a MOTION to adjourn the meeting at 1:53 p.m. Dr. Schumacher, DDS SECONDED the motion. Motion PASSED by UNANIMOUS APPROVAL.

Submitted by: ___________Roberta Perea, Board Administrator Date

Approved by: ________________________________________ ___________ Dr. Schumacher, DDS, Chair Date

AMENDED

NM BOARD OF DENTAL HEALTH CAREREGULAR MEETING

January 24, 2014Toney Anaya Bldg.

2550 Cerrillos Rd., 2nd FloorSanta Fe, NM 87505Rio Grande Room

Meeting to commence immediately following Dental Hygiene Committee Meeting

Dental Hygienists Committee Meeting begins at 8AM.REGULAR MEETING

1. 1. CALL TO ORDER

2. ROLL CALL

3. APPROVAL OF AGENDA

4. APPROVAL OF MINUTESDecember 6, 2013 Special Board Meeting

5. REPORTSA. Past Chair Report – Dr. Jessica Brewster, DDS Outgoing Chair Report 2014 B. Secretary’s Report – Dr. Burrell Tucker, DDS

Ratify licenses issued for Period 10/18/2013 to 01/13/2014 11 Dentists by Examination 8 Dentists by Credentials 68 Dental Assistants

0 Expanded Function Dental Auxiliary 0 Community Dental Health Coordinator

2 Non-Dentist Owner.pdfC. Dental Hygienist Committee Report – Ms. Ermelinda Baca, RDH

Ratify licenses issued for Period 10/18/2013 to 01/13/2014 6 Dental Hygienists by Examination 3 Dental Hygienists by Credentials 0 DH by Collaborative Practice D. Anesthesia Committee Report – Dr. John Mitchell, DDS Anesthesia Committee Report January 2014

Ratify licenses issued for Period 10/18/2013 to 01/13/2014 5 Nitrous Permits 3 Conscious Sedation I 0 Conscious Sedation II

0 Deep Sedation/General Anesthesia E. NM Health Services Report - Dr. Devi Gajapathi, BDS Medicaid Report January 2014F. NM Dental Association G. NM Department of Health Report – Ms. Carol Hanson, RDH NM Department of Health Report.doc H. AADB Report – Dr. Kimberly Martin, DMD AADB Annual Report I. WREB Report – Ms. Ermelinda Baca, RDH J. CRDTS Report – Ms. Ermelinda Baca, RDH Crdts Steering Committee Minutes-Nov 16 2013K. NERB Report – Ms. Denise Teague-Myrick, RDHL. ADEX Report M. CITA Report – Dr. Kimberly Martin, DMD CITA Annual Report.pdfN. Appoint member to the Advisory Council/Heroin Awareness O. Administrator’s Report – Ms. Roberta Perea P. Compliance Liaison Report – Ms. Nicole Montoya-JonesQ. Rules Committee – Dr. Charles Schumacher, DDS Rules Committee Report January 2014R. Ad Hoc Committees

6. OLD BUSINESSA. Confirm Future Meeting Dates April Board Meeting – April 25, 2014 – Santa FeJuly Board Meeting – July 25, 2014 – RuidosoOctober Board Meeting – October 17, 2014 – AlbuquerqueJanuary Board Meeting – January , 2015 – B. Discussion and possible action regarding Examiners

1. CITA Examiners – Dr. Kimberly Martin, DMD2. CRDTS Examiners3. NERB Examiners4. SRTA Examiners

C. Discussion and possible action on School-Bases Questionnaire/Dental Mobile Units Mobile Dental Services QuestionsD. Discussion and possible action on revising licensure applicationsE. Discussion and possible action on X-ray Exam recommendations for grading criteria 2nd Recommendation 3rd RecommendationF. Dona Ana Community College Curriculum Approval UpdateG. Pro Training, LLC Approval UpdateH. Discussion and possible action concerning out-of-state dental consultants evaluating New Mexico dental insurance claimsI. Discussion and possible action on revising dental jurisprudence exam update – Dr. Kimberly Martin, DMD

7. NEW BUSINESS A. Elections

1. Election of Board Officers:ChairVice ChairSecretary

2. Election of Two Board Representatives for Dental Hygienists CommitteeB. Appoint Dental Committee Members:

1. Complaint Committee -Dr. Daniel Duran, DDS, Letter 2.Rules Committee 3.Application Committee 4. Statutes Committee 5. Anesthesia Committee 6. Other Committees

C. Appoint board member to attend the AADB Mid-Year Meeting, April 6-7, 2014 Chicago, ILD. AADB 130th Open Forum AADB 130th Open Forum Attachment AADB Open Forum Minnesota AADB Open Forum NebraskaE. NERB Annual Meeting Report –Ms. Laura Moss, RDH NERB Examination Policy and Procedure Manual.pdfF.Mission of Mercy October 2014 in Rio RanchoG. Discussion and possible action on charitable dental project Charitable Dental Project RequestH. Senate Bill 76 I. Itemized ScheduledJ. New Board Member Training – Jennifer SalazarK. Public Comment

8. EXECUTIVE SESSION

Reinstatement Consideration:1. Megan Richardson, DA 2. Amalia M. Ramirez, DDS Request for Reinstatement of Revoked License Order of Revocation

Consider Committee Recommendations:

1. Complaints: 13-18-COM 13-20-COM 13-46-COM 13-51-COM 13-68-COM 13-71-COM 13-92-COM 13-94-COM 13-96-COM 13-102-COM 13-109-COM

Incident Reports/Malpractice Reports

13-81-MAL 13-93-MAL 13-98-MAL 13-104-MAL 13-105-MAL 13-106-MAL

ReportsNew Mexico Monitored Treatment Quarterly Reports MTP quarterly Report MTP report for January 2014

9. BOARD ACTION ON MATTERS DISCUSSED IN EXEC. SESSION Items listed on Agenda

10. ADJOURNMENT

FYI DOCUMENTS:

(Attachment A)

Outgoing Chair’s Report January 2014Jessica Brewster, DDS

1. RLD Staff: A lot has changed over the past few months. New Board Administrator Roberta Perea.Licensing Specialist position has not yet been filled. Teresa Montoya moved to another position in RLD.New compliance liaison Nicole Montoya Jones replaced Amos Padilla.Administrative Assistant Cynthia Salazar, who has been with the Board for 13 years, has taken another position at RLD as a Board Administrator. Her position will soon be advertised. Cynthia has done a great job for our Board. She has stepped in to do Board administrator duties when we had no administrator and she has helped me tremendously as Board Chair. I want to thank Cynthia for all her hard work and her commitment and professionalism.

2. Board Members:Region 2: I have been replaced by Dr. Paul Balderamos. Dr. Balderamos is a prosthodontist who practices in Santa Fe. He is thoughtful and conscientious and I think he will be a great addition to the Board.Region 3: Dr. Robert Gherardi has been replaced by Dr. Jolynn Galvin from Albuquerque. I only met Dr. Galvin at the special meeting so I cannot comment personally about her, but I know she is highly respected and thought of in the Albuquerque dental community.

3. In the last five we have written many new rules because of legislation, but also because dentistry is changing and we needed new rules and clarification of old rules address these changes. Here are some of the accomplishments our Board has made in that time:-We now accept all regional Board exams. When I started on the Board we only accepted WREB and CRDTX, but now we accept WREB,CRDTX, NERB, SRTA and CITA.-We clarified the Boards position on bleaching.-We wrote a new rules section on BOTOX and fillers-We now certify EFDA’s and CDHC’s and wrote new rules for these positions-We wrote new rules for

Amalgam Waste ReductionMilitary LicensingElectronic Applications

-We wrote new rules about narcotic prescribing-We have standardized our discipline for infractions against the rules or statutes and I believe we apply this discipline in a very fair way.

4. The past five years I have served on the Board have been challenging, inspiring and educational. I have really enjoyed the camaraderie and serving our profession. There will be new challenges for this Board that I am confident you will successfully handle.

(Attachment B)

January 2014

Anesthesia Committee Report to The New Mexico State Board of Dental Health Care:1. A meeting of the Anesthesia Committee was held on 13 January 2013 at the office of Dr. John C. Mitchell

in Albuquerque.2. Members present:

a. John Mitchell, chairmanb. Gary Cutrellc. Jason Floresd. Mark Yarbroughe. Aaron Rasmussen (by phone)f. Joy Trigo (by phone)

3. Members absenta. Wai Pong Nga. Robert Gherardi

4. The minutes of the last meeting were read and approved.5. A discussion regarding examinations performed and/or permits approved since the last meeting. 6. Assignments were made for members of the Anesthesia Committee for completion of office anesthesia

evaluations which are pending.7. A big thank you is due to the New Mexico Board of Dental Health Care for providing each of the

committee members with the latest Office Anesthesia Evaluation Manual produced by AAOMS.8. Also a big thank you is in order for the letter addressing hospital staff requirements for all anesthesia “at

large” providers which was sent out by the State Board of Dental Health Care.9. There was a brief discussion of anesthesia permit requirements for CSII and DS/GA to include capnography

as part of required monitoring for all patients receiving moderate to deep sedation as well as general anesthesia. The consensus of the committee members was to defer any action on this matter until the ADA comes out with recommendations on this matter.

10. Adjournment.

Permits recommended for approval since last committee meeting:A. Nitrous Oxide/ Oxygen

a. Cory Thompson Las Crucesb. Garla Harshavardhan Hobbsc. Josh Rogoff Santa Fed. Kendra Velasquez Albuquerquee. Kristi Quan Las Crucesf. Rakshith Ravikumar Roswell

B. CSI:a. Bryce Eager Bloomfield Permanent (Initial)b. Blake Moore Santa Fe (Rodeo Park) Permanent (Initial)c. Blake Moore Santa Fe (St. Francis Dr) Permanent (Initial)d. Christopher Padilla Albuquerque Permanent (Initial)e. Jared Bauerle Las Cruces Permanent (Initial)f. Stephani Padilla Albuquerque Permanent (Initial)

C. CSIIa. Anne Scott Albuquerque Temporary (Initial)b. Clark Brinton Albuquerque Temporary (Initial)

c. Jon Wagner Santa Fe Temporary (initial)d. Joshua Ellis Las Cruces Temporary (Initial)e. Todd Wahlin Farmington Temporary (Initial) Facility only

D. DS/GAa. Kristopher Smith Santa Fe Temporary (Initial)b. Sean Healy Santa Fe Temporary (initial)

Office Anesthesia Evaluations CompletedA. CSII

a. Benjamin Tingey Albuquerque Permanent (initial)b. Marianne Day Las Cruces Permanent (initial)c. Joseph Snyder Alamagordo Permanent (Renewal)

B. DS/GA a. David Collette Albuquerque Permanent (Initial)b. Douglas Reid Santa Fe Permanent (Initial)c. Jeffrey Hagen Albuquerque Permanent (Initial)d. Jerry Jones Albuquerque Permanent (Renewal)e. Joyce Jeffries Albuquerque Permanent (Initial)f. Travis Rudd Albuquerque Permanent (Initial)g. Stephen Traub Albuquerque Permanent (Renewal)

Office Anesthesia Evaluations Pending:A. CSII

a. Ryan Ullibari Gallup Initialb. Kevin Harrison Albuquerque Initialc. Jared Southwell Kirtland Initiald. Raymond Collins Las Vegas Renewale. Robert Belfon Albuquerque Renewalf. L. Paul Balderamos Santa Fe Renewalg. Anne Scott Albuquerque Initialh. Clark Brinton Albuquerque Initiali. Jon Wagner Santa Fe Initialj. Joshua Ellis Las Cruces Initialk. Todd Wahlin Farmington Initial (Facility only)

B. DS/GA

a. Frieder, Dennis 2 locations in Albuquerque Facility Eval Onlyb. Jeffery Wheaton (Santa Fe)

i. (Albuquerque) Cottonwood Smiles Facility Onlyii. (Albuquerque) Modern DentistryFacility Only

c. Mark Conover Albuquerque Initiald. Kristopher Smith Santa Fe Initiale. Sean Healy Santa Fe initialf. Sean Healy Toas Facility Onlyg. Sean Healy Los Alamos Facility Only

Permit applications which have been withdrawn:A. CSII

a. Gerald Torgeson Rio Ranchob. Jacob Rogers Rio Ranchoc. Ryab Ullibari Albuquerque NOT Gallup

B. DS/GAa. Jerry Teague Albuquerqueb. Joshua Jackstein Santa Fec. Phillip Yen Santa Fed. Spencer Tasker Rio Rancho

John C. Mitchell DDS

Chairman of Anesthesia Committee

(Attachment C)

01-01-2014Santa Fe, NM

The New Mexico Human Services Department/ Medical Assistance Division (MAD) began covering CDT code D7283- PLACEMENT OF DEVICE TO FACILITATE ERUPTION OF IMPACTED TOOTH, effective December 1, 2013. This is a benefit for recipients 20yrs of age and under.

New Mexico Centennial Care was implemented on January 1, 2014 as a replacement to the outdated New Mexico Medicaid system.

As the State moves forward to further refine and implement its modernization plan, New Mexico seeks to try a different approach to slowing the rate of growth in the program while avoiding cuts.  Our vision is to build a service delivery system that delivers the right amount of care at the right time in the right setting.  Our vision is to educate our recipients to become more savvy health care consumers, promote more integrated care, properly case manage the most at-risk members, involve members in their own wellness, and pay providers for outcomes, rather than process.  New Mexico believes that the up-front investment in “seeding” medical and health homes and investing in health literacy will return a healthier population and a reduction in the spiraling rate of growth.

Please click on the following link to access Centennial Care information.

http://www.hsd.state.nm.us/Centennial_Care.aspx

Dr. Devi Gajapathi B.D.SDental Program ManagerNew Mexico Medicaid

(Attachment D)

To: New Mexico Board of Dental Health Care and the Dental Hygiene Committee

From: Carol Hanson, RDH, BSDH, MPH NM Dental Support Center (NMDSC) Coordinator

New Mexico DOH/PHD/HSB/OPCRH300 San Mateo NE, Suite 900Albuquerque, NM 87108505-222-8685carol.hanson@state.nm.us

Date: January 9, 2014 In partnership with the NMPCA: developed and disseminated October, November, and

December 2013 Provider Newsletters; planned and participated in October 18, 2013 NMPCA/NMDSC Provider Meeting—a total of 10 attended

Maintained and updated NMDSC Provider and Educator databases and distribution lists Provided technical assistance and disseminated information on continuing education and

other pertinent information to network dental providers and educators Attended the UNM DH Advisory Committee Meeting October 11, 2013 Guest Lecturer –Pima Medical Institute DH students October 11, 2013 Coordinated and facilitated Head Start State Oral Health Leadership Team Meeting

October 17, 2013 and conference call November 1, 2013 Participated in NM Chronic Disease Prevention Council Meeting September 17, 2013 Participated in NMHR 2014 Retreat Planning Committee Meeting October 21, 2013,

November 18, 2013, December 9, 2013, and January 6, 2014 Participated in Isleta Head Start Health Advisory Meeting October 23, 2013 Attended BDHC& DH Committee Meetings and Rules Hearing October 25, 2013 Attended NM Resource Information Collaborative Meeting October 29, 2013 Presented “Collaboration for Children’s Health: Working in Collaboration to Improve the

Oral Health of Pregnant Women and Children in Head Start” at the NM Head Start Association Conference November 5, 2013. Attended conference November 4-6, 2013.

Coordinated and facilitated November 7, 2013 Dental Educator Consortium conference call. Representation included Central New Mexico and Santa Fe Community Colleges. Transcribed meeting minutes and disseminated to network dental educators

Participated in NM Oral Health Advisory Council Meeting November 8, 2013 Attended National Primary Oral Health Conference in Denver, Colorado, November 10-

13, 2013 Participated in DOH Oral Health Surveillance System Planning Meeting December 2,

2013 and conference call December 9, 2013 Attended NMPHA Health Policy Legislative Forum December 4, 2013

Respectfully Submitted, Carol Hanson

Attachment E)

AADB Annual ReportMeeting New Orleans: October 2013

State Reports: See attachment Series of speakers addressed important national board issues…

Electronic Medical Records: “interoperability” is the key for ease of access; however, there are some downsides to “electronic” records

1. Changes can be made to an electronic record; ie-a PDF is likely to be an original record wheras a JPEG may be altered. Respondents should be required to submit original records in PDF form only for security. Example was given that a doctor in question of OSHA violations was able to doctor a spore testing result print out. Look for companies “special code” that authenticates documents. Also, check boxes, logins and authorship of notes can be changed. Be aware.

2. Back up of electronic records is imperative. Records can be “lost”. Maryland is now requiring “off-site” back up of records.

Virtual Dental Home: Noted enormous disparity of access of dental care between poor and middle to high income earners.

1. Less than 7% of poor are accessing dental care2. 29-52% middle to high earners are accessing dental care3. Dental disease is rising4. Overall health crisis is focusing on increasing the health of our populations5. Dentistry must follow and be proactive, while keeping costs down6. Possible solutions: tele-health, early diagnosis, chronic disease management,

dental health “homes”7. Recommendations: DDS’s must use evidenced based treatment approaches versus

“personal preferences”; ie-more conservative in some respects to get costs down. Stay up to date on current mainstream treatment recommendations for long term success versus “latest and greatest”.

8. AADB recommended allied health professionals (CDHC) be community based for early intervention, onsite radiographs, education, change of behaviors for improved oral care. Sited New Mexico’s successful CDHC program in Silver City!!!!

Tele-dentistry: Key issue-licensing across state lines. Dentists, especially specialists, will struggle to do tele-dentistry across state lines in bordering states. Boards much be proactive in establishing guidelines.

1. Establish “interstate compacts”: consulting dentists agrees to be responsible for following state laws, regulations and statutes to the PATIENT’s state.

2. Issues to consider:o Patient abandonmento Teledentistry issues of privacyo Malpractice, who’s liable? o Waivers of limited liability?o Standards of care issues across state lines?o Consumer driven issues, ie-iPad app to self-diagnose oral issues with intra oral

photos!

CDHC’s: again recognized our program. Recommended further specialization of CDHCs with a “Basic” level and “Advanced” level CDHC. Allow for increased scope of practice?

D-PREP: program established to “rehabilitate” chronic dental practitioner offenders after complete license revocation or in certain areas of dental skill deficiency, post impaired dentists when in compliance with their state dental board’s drug free program.

1. Can a dentist refer themselves? Yes2. Can D-PREP be used ahead of discipline? Yes3. Current impaired practitioners accepted? No4. Ethical evaluation done? Yes5. 4-6 month program6. Major benefits: provides detailed assessment of candidate, set fee for Boards, able

to do chart reviews to audit dentist

(Attachment F)

President's Report

A decision by the Executive Committee on September 11,2013 was revealed not to retain the former Executive Director. Concerns regarding the decision were raised and will be addressed at the upcoming Executive Committee meeting on November 15, 2013.

Efforts have been made to maintain a smooth transition in the routine operation of the CRDTS organization while the search for an executive director is developed. Dr. Marv Dvorak, Dr. Barbara Mousel and Dr. Deena Kuempel were recently appointed to a committee which will refine the parameters regarding the duties and the job description of the executive director's responsibilities before the advertisement of the position is initiated.

Arrangements are underway to accommodate the requirements of the University of Alabama and the candidates from the University of Alabama for the upcomi ng testing season. In addition, presentations about CRDTS will be conducted for the State Boards of Washi ngton,Texas, Hawaii and South Carolina by our presentation team of Dr. Steve Holcomb and Ms. Kim Laudenslager RDH.

Clarification regarding the governi ng composition of the New Mexico Dental Board and related CRDTS membership status was provided by CRDTS legal counsel.This information will be presented in depth at the Executive and Steering meetings.

Designated members of CRDTS which included Ms. Lynn Ray, Ms. Kimber Cobb, Ms. Kim Laudenslager, Dr. Barbara Mousel,and myself recently attended the AADB meeting in New Orleans on October 30 - 31,2013. The meeting was well attended and very

informative. Interests of the meeting were directed mainly to state dental boards. Dr. Mark Hinrichs, an examiner and member for CRDTS, presided over the meeting with superb fashion.

While attending the AADB meeting,members of CRDTS had the opportunity to meet with representatives from the WREB organization by invitation of the WREB president, Dr. Joe Zayas.Various topics were discussed including issues from the past, and challenges that face both organizations into the future. Members of the CRDTS contingency came away with the sense that meaningful communicati on had been re-established with the WREB organization and future collaborative efforts could be envisioned.

Executive/Steering Committee

Report of the President Elect

November 15-16, 2013

The last 12 weeks has gone by very quickly. Dr. O'Farrell and I have stayed in

close contact during this transitional time in preparation for March 2014.

Contacts with state board members requesting presentations, has been on the

top of the list and Ms Laudenslager and Dr. Holcomb have continued to make

presentations to our member state boards and others.

I had the opportunity to attend the CODE/CAMBRA meeting at Columbia

University along with Drs. Holcomb and Cosby. I realized quickly how important

it was to participate in this forum as testing in general was an underlying item

during the two day meeting. CRDTS, NERB and WREB representatives were

present and defense of the process of testing was cohesive between the

agencies. I believe we should continue to participate when possible.

I attended the AADB meeting in New Orleans along with the other CRDTS

representatives. Also served in the Illinois State Dental Society Delegation

while in NOLA. I will report verbally on the outcome of any pertinent resolution

at the meeting.

The new Finance Committee, Ms. Jane Lott, Dr. Tony Malaktaris and I met last

weekend to review the 2013-2014 budget and make adjustments where needed.

We have also begun the process of evaluating our income and expenses in depth

and to begin creating policies to manage the finances of our organizati on. Thanks

to Ms Gideon for assisting us in this effort.

I want to thank all of you for your continuing support.

Dr. Barbara L Mousel

President Elect

O c t - 28- 2013 0 2:14 P M D e ena R e e v es K uem p e l, D DS, P L C 319- 29 4 -199 2 2 /3

CR DTS Conference Ca ll prior to csw meeting

Background information Is that csw is already out of their lease for office space and Ma ry is working from her home, CSW is operating admi nistering exams through the 2014 testing season.

Questions to be a nswered:

Is there val ue in the Intellect ual property?

Yes, but how long will that val ue exist If the test Is not being u pdated or used.

How will the va l ue be protected?

It might be possible to "shelve" I t I n a protected cloud. If someone wo uld want to access the questions there might be a n "access fee" to do so.

Staffing?

After the 2014 test season, csw should remain an entity for a given period of time, possibly 3 years, for statute of limitations. D uring that time It does not need to be staffed.

Profit division?

Suggest dividing the profit between the three entities and place a small amount in an escrow to administer the housing of the test questions and any minima l office work that might need to be done.

At the end of m uch d iscussion It was determined that It would be best to dissolve CSW, shelve and protect the q uestions for a period of 3 years with no staff support a nd at the end of three years if any of the escrowed money was left would be d ivided between the three gro ups.

R e c e i v e d T i m e Oct . 28. 20 1 3 2 : 22 PM No. 6 301

Oc t - 28·2013 02:14 PM D e ena R e e ve s K uemp el, DDS, PL C 319 - 29 4 -199 2 3 /3

CSW Meeting

CRDTS and WREB members attended the meeting In Chicago and Kathleen White from SRTA attended by teleconference as she was unable to travel.

WREB Indicated that they were sure their new exam would be ready by the 2015 and SRTA Indicated that they are pleased with the way that their union with ADEX Is going. No group can foresee using the csw In the future.

After discussion It was determined that there needed to be a lead time prior to dissolving the entity. It was determined that It would be 3-6 months after the last test was given.

After dissolving the entity, the profits would be divided equally between the three groups with a small amount retained In escrow to allow for any office activity during the time of the maintenance of the test questions. At the end of that time period, which was determined 3 years,meeting the statute of!Imitations, the remainder of any capita Iwould be divided. The exam will be held in escrow for 3 years beginning January 2015.

It was determined that there would be no need for an annual meeting and that anything that needed to be addressed by the existing management committee could be done via teleconference.

:If"° • '" i/c.J, fJl}S

!o/ i / 13

R e c e i v e d T i m e Oc t. 28. 20 13 2 : 2 2 PM No. 6 3 01

Central Regional Dental Testing Service, Inc.2013 Annual Meeting and Workshop

Evaluation Report

IntroductionThe CRDTS 2013 Annual Meeting and Workshop was held in Kansas City, MO at the Hilton Kansas City Airport Hotel on August 22 - 24, 2013. The Workshop Attendees List, including CRDTS staff, speakers and guests totaled 220. Ten were guests (not examiners, proctors, state board members or school affiliates).Evaluation Forms were distributed to participants in the interest of continuing to gather "feedback" which will help improve this annual event. The following report outlines the responses received from those Feedback Forms.

DemographicsBased on the attendees list provided by Central Office the attendance categories are as follows:(Note - Some attendees could possibly be in more than one category and no spouses or other guests were included below.)

State Board Members:

State Board Exec. Directors IHygiene Advisory Commission: Dental Schools:

Dental Hygiene Programs: Dental Therapist Programs: CRDTS Committee Members: CRDTS Dental Examiners: New Dental Examiners:

CRDTS Dental Hygiene Examiner: New Dental Hygiene Examiners: Other:

51

410

3705090

4

66 (ROH IDDS)6 (ROH IDDS)3

Based on the Attendees List provided by Central Office, 210 Evaluation Forms were distributed. 127 responses were returned at the time this report was written for a return rate of 60%. This percentage is very close to the response rate in 2012, which was 63%. By giving Continuing Education certificates in exchange for the completed feedback forms it appears it is still an incentive for attendees to return their evaluations.

Respondents were asked to indicate their involvement with CRDTS in any of six categories. Multiple responses were allowed.

State Board Members or Staff: 31State Board Members/ not examiners: 8School Faculty or Staff Member: 33CRDTS Committee Member: 22CRDTS Dental Examiner: 54CRDTS Hygiene Examiner: 44Other: 1No category selected: 2

SummaryDetailed written reports were provided for 2010, 2011 and 2012. For the years of 2008 and 2009, only verbal reports were given. In 2007 and in the previous years of 2002-2004 comprehensive reports were provided to the Executive Committee and to the Steering Committee.

The responses from the 60% of those completing the Feedback Form indicate participants were satisfied overall with both the content and the meeting format. Satisfaction for the location and accommodations was very positive.

The Feedback form for 2013 template was similar to the one used in 2012 with a few minor changes and clarifications. It was arranged in order of the workshop dates and schedules. Participants were asked to indicate level of agreement by circling the appropriate number on the line provided. They were asked to answer only questions pertaining to the sessions(s)/meetings attended. Rating scale was a 1 - 5 numbered scale with 5 for strongly agree to1 for strongly disagree.Instructions were included to complete the backside of the form as well.

5 = strongly agreeSession Title Responses 5 4 3 2

1 = strongly disagree1 Ave.

Dental Deans & Faculty Round Table Discussion:Importance & Value (21) 17 4 0 0 0 4.80Presentation Strength (21) 16 5 0 0 0 4.76

Hygiene Program Directors &Hygiene Faculty Roundtabte:Importance & Value (26) 22 3 1 0 0 4.81Presentation Strength (26) 21 3 2 0 0 4.73

Dental Exam Changes:Dr. Steve Holcomb & Ms. .Kimber CobbImportance & Value (69) 47 18 4 0 0 4.88Presentation Strength (69) 47 18 4 0 0 4.88

Dental Hygiene Exam Changes:Ms. Penny Fudally, & Ms. Kim Laudenslager, Importance & Value (59) 56 3 0 0 0 4.95Presentation Strength (59) 55 4 0 0 0 4.93

Dental Deans & Faculty Meeting:Dr. Steve HolcombImportance & Value (17) 11 6 0 1 0 4.76Presentation Strength (17) 12 5 0 1 0 4.82

Program Directors & Hygiene Faculty: Ms. Penny Fudally & Ms. Jane Wise Importance & Value (28) 24 3 0 0 4.82Presentation Strength (28) 23 4 0 0 4.79

Session Title Responses 5 4 3 2 1 Ave.Dental Examiner Profiles: Ms. Lynn RayImportance & Value (52) 47 3 2 0 0 4.87

2

Presentation Strength (52) 46 4 3 0 0 4.90

Hygiene Examiner Profiles:Ms. Kimber Cobb Importance & Value (46) 39 5 2 0 0 4.80Presentation Strength (46) 39 7 0 0 0 4.85

New State Board/New Examiner Breakfast: Dr. Jim Harris & Ms. Kimber CobbImportance & Value (35) 28 4 3 0 0 4.71Presentation Strength (35) 28 5 2 0 0 4.74

"ePortfolios in Dental Licensure Testing: Pros, Cons & a 21" Century Vision"Dr. John LittlefieldImportance & Value (110) 79 22 7 0 2 4.60Presentation Strength (110) 79 20 11 0 0 4.62

Technology Update & Tutorial:Ms. Kimber CobbImportance & Value (110) 94 10 2 3 1 4.75Presentation Strength (110) 90 16 2 2 0 4.76

State of the States: Ms. Laura JacobImportance & Value (111) 83 19 7 2 0 4.65Presentation Strength (111) 90 16 2 3 0 4.90

Annual Business MeetingImportance & Value (116) 75 26 7 0 1 4.32Presentation Strength (116) 72 27 8 3 1 4.30

Dental Break-Out Session:Dr. Steve Holcomb & Ms. Kimber CobbImportance & Value (42) 32 10 0 0 0 4.76Presentation Strength (42) 31 6 5 0 0 4.62

Hygiene Break-Out Session:Ms. Penny Fudally & Ms. Kim LaudenslagerImportance & Value (46) 38 8 0 0 0 4.83Presentation Strength (46) 38 8 0 0 0 4.83

General Comment QuestionsThe Feedback Form was double sided with 8 rating questions on the front and 7 rating questions with space provided for General Comments on the reverse side. Instructions were given to complete the reverse side and all respondents did answer the rating questions. 31 of the Evaluation Form comments section were left blank. Comments have been condensed if responses were similar or substantially alike.

1. Please describe what you liked the most about this year's Annual Meeting and Workshop.• Key Note Speaker - very thoughtful discussion.

• Organized and well planned. I liked and gained most information fro Dr. Littlefield's presentation

• ePortfolio discussion - needed time to discuss CRDTS position

3

• Openness and transparency of all of the CRDTS staff and officers

• Director/Faculty roundtable, Portfolio Presentation• Excellent hors d'oeuvre choices, Friday• Laura Jacob has made this meeting more

organized with materials given ahead of time. Kudos to the staff. A worthwhile meeting.

• My first time - tremendous presentations• Excellent info to pass on to students & I liked how

informative it was for a 1sttimer like myself.

• Faculty Roundtable was Awesome! More, More, More

• Great having CRDTS Administrators, Examiners and Faculty all together - open communication

• Adequate time to network and also time was allotted during sessions for networking and sharing of information

• 1st time attendee - I truly enjoyed the CRDTS Annual meeting and Workshop. As an educator I gained much knowledge that I can better facilitate our mock board for dental hygiene.

• Transparency - good people doing good things.• Great accommodations! I enjoyed the roundtable

discussions! Useful to hear ideas from fellow educators.

• Really enjoyed the Gangster Tour and Boulevard Brewery tour

• Great Lunch! Nice change.• Technology updates• Kimber's presentation on "Technology Update..."

was interesting, informative and very helpful. Very Well Organized.

• Very interesting Topics & speakers for the session. I liked Laura's "State of the States" as she took each state individual.

• Good presentations. Set-up on Friday night encouraged networking and mingling as opposed to big round tables. Fun Saturday night!

• I found this meeting especially helpful. Most exciting meeting I have attended.

2. Please describe what you liked least about this year's Annual Meeting and Workshop.

• People talked throughout presentations - made it difficult to hear & pay attention.• We should have received copies of the proposed bylaws - could not read the screen• That people do not use the microphones - assign room monitors• When information was projected on screen - I couldn't see - too small print• Names on tags could be larger font - especially 1s• name• Sessions took too long - schedule was not accurate. Need to allow more time for

sessions that run overtime.• Annual Business Meeting. Failure to ask for discussion on bylaws amendments. Failure

to clarify for the assembly who should be participating in the caucus.• Still need more interpersonal time.• Business meeting dragged on.• Sitting through session on technology - not applicable as a school attending -

needed to be examiners only.• We need to have printed copies of documents to be approved at the general business

meeting in advance of the meeting - even if only printed that morning - including bylaws changes. This would assure a sense of transparency for members .

•

4

3. Additional Comments:• Examiners and other CRDTS workers should NOT be at the Dean & faculty Round

Table.• Ijust want to let you know that I really appreciated the invitation to come and learn

about CRDTS. Thank you so much.• Love the lapel pin! Great idea!• I appreciated that the meals were healthier this year! Soup & salad for lunch -

yeah!• Looking forward to next year's meeting!

There were several recommendations made that will be considered for the 2014 Annual Meeting. Some of these recommendations may be able to be incorporated in to the planning, others suggestions will require some further consideration.

Thank you CRDTS Staff for providing information and statistics used in this report.

Report prepared by:E /homp 'RVflElizabeth Thompson, RDH CRDTS Vice-President 10/21/13

5

Central Regional Dental Testing Service, Inc.

Profit & Loss Budget vs. Actual

2:08 PM

11/13/13

Accrual Basis

Page 1

51000 ·Income Dental Therapists 13,500.00 19,500.00 -6,000.00 69.2o/o51100 ·Income Retake Dental Therapists 750.00 1,500.00 -750.00 50.0%52000 ·Income Dentists 877,801.00 1,097,810.00 -220,009.00 80.0%52001 • Income Dental MN JR Manikin 0.00 1.00 -1.00 0.0%52002 ·Income Dental MN SR Patient 0.00 1.00 -1.00 0.0%52100 • Income Retake DTL Endo 14,671.00 113,184.00 -98,513.00 13.0%52101 ·Income Retake DTL Prost 0.00 1.00 -1.00 0.0%52102 ·Income Retake DTL Perio 0.00 1.00 -1.00 0.0%52103 ·Income Retake DTL Restorative 0.00 1.00 -1.00 0.0%53000 ·Income Hygienists 173,575.00 1,815,450.00 -1,641,875.00 9.6%53100 • Income Retake HYG 19,000.00 95,000.00 -76,000.00 20.0%53500 • Duplicates 12,987.34 45,000.00 -32,012.66 28.9%53600 ·Complaint Fee -250.00 250.00 -500.00 -100.0°/o53700 ·Miscellaneous Income 21.3954000 ·Interest Income 180.28 1,300.00 -1,119.72 13.9°/o

Total Income 1,112,236.01 3,188,999.00 -2,076,762.99 34.9%

Cost of Goods Sold

Total 55050 ·Hygiene Exam 75,126.93 807,502.00 -732,375.07 9.3%

58900 ·Misc Exam Expenses 366.06 - 1,000.00 -633.94 36.6%

Total Actual Examination Costs 259,213.33 1,719,753.00 -1,460,539.67 15.1%

Ordinary Income/Expense Income

Jul - Oct 13 --

-

Budget $ Over Budget o / o of Budget

Actual Examination Costs 55000 ·Dental Exam

55100 • Dental Examiner Travel & Exp 55200 • Dental Examiner Per Diem 55210 ·Dental Hotel55530 ·OT Typodonts55600 ·Dental Hospitality57000 ·Dental Exam Assistants 57200 ·Dental Food Expense 57600 ·Typodonts58600 ·Shipping - Dental 58700 ·Dental Exam Printing 58701 • Dental Exam Supplies

Total 55000 • Dental Exam

55050 ·Hygiene Exam55700 ·Hygiene Hospitality56000 ·Hygiene Examiner Travel & Exp 56100 ·Hygiene Examiner Per Diem 56110 ·Hygiene Hotel57100 ·Hygiene Exam Assistants 57300 ·Hygiene Food Expense 58601 • Shipping - Hygiene58800 • Hygiene Exam Printing 58801 ·Hygiene Exam Supplies

24,748.93 193,250.00 -168,501.0754,250.00 387,225.00 -332,975.0029,300.41 186,000.00 -156,699.59

0.00 3,000.00 -3,000.00541.96 4,500.00 -3,958.04

1,200.00 25,000.00 -23,800.001,514.00 24,275.00 -22,761.00

63,517.76 60,000.00 3,517.762,190.56 16,000.00 -13,809.446,456.72 12,000.00 -5,543.28

0.00 1.00 -1.00 -

183,720.34 911,251.00 -727,530.66

457.15 7,000.00 -6,542.8513,776.80 185,000.00 -171,223.2038,675.00 419,500.00 -380,825.0017,574.18 125,000.00 -107,425.822,000.00 32,000.00 -30,000.001,612.50 19,000.00 -17,387.50

0.00 1.00 -1.001,031.30 20,000.00 -18,968.70

-0.00 1.00 -1.00

12.8%14.0%15.8%0.0°/o12.0%4.8°/o6.2%

105.9o/o13.7°/o53.8%

0.0% -

6.5%7.4%9.2%

14.1%6.3%8.5%0.0%5.2%

-0.0%-

20.2°/o

Total COGS Gross Profit Expense259,213.33

1,719,753.00-1,460,539.67

Central Regional Dental Testing Service, Inc.

Profit & Loss Budget vs. Actual

2:08 PM

11/13/13

Accrual Basis

Page 2

853,022.681,469,246.00

-616,223.32

15.1°/o

58.1%

91300 ·Per Diem 1,400,00 1,050.00 350.00 133.3%91400 ·Travel 533.22 1,600.00 -1,066.78 33.3%91500 ·Hotel 759.33 625,00 134.33 121.5%91600 ·Meeting Room Costs 190.99 500.00 -309.01 38.2%

94400 • PRIED Per Diem St Boards 1,925.00 9,800.00 -7,875.00 19.6%94500 • PRIED Travel St Boards 7,296.40 16,000.00 -8,703.60 45.6o/o94600 • PRIED Misc st Boards 0.00 500,00 -500.00 0.0%94601 • PR/ED Per Diem Dental Schools 0.00 1.00 -1.00 0.0%94602 ·PRIED Travel Dental Schools 0.00 1.00 -1.00 0.0%94603 • PRIED Misc. Dental Schools 0.00 1.00 -1.00 0.0%94604 • PRIED Per Diem Hygiene Schools 0.00 1.00 -1.00 0.0'%94605 ·PR/ED Travel Hygiene Schools 0.00 1.00 -1.00 0.0%94606 • PRIED Misc. Hygiene Schools 0.00 1.00 -1.00

0.0%- otal 94350 ·PR/Education Committee 9,221.40

Agency Activities91200 ·Bylaws Committee

Jul - Oct 13

Budget $ Over Budget

% of Budget

Total 91200 ·Bylaws Committee

94350 ·PR/Education Committee2,883.54 3,775.00 -891.46 76.4°/o

T

95100 • Psyc Review Fee 0.00

18,000.00

- 18,000.00

35.1%

0 .0%

Total Exam Complaint Review Committee

Exam ERG/Chief/Coordinator65100 • Dental Exam Review

31.40 300.00 -268.60 10.5%

65200 • Dental ERC Travel Expenses 1,141.67 11,375.00 -10,233.33 10.0%65210 ·Dental ERC Per Diem 4,200.00 19,500.00 -15,300.00 21.5%65220 • Dental ERC Hotel 934.56 6,000.00 -5,065.44 15.6%65230 • Dental ERC Meetings & Banquet 1,212.84 4,500.00 -3,287.16 27.0%65700 • Dental Chief/Capt Travel Expens 0.00 14,000.00 -14,000.00 0.0%65800 • Dental Chief/Capt Per Diem 5,425.00 25,000.00 -19,575.00 21.7%65810 ·Dental Chief/Capt Hotel 1,752.30 9,000.00 -7,247.70 19.5%65820 ·Dental Chief/Capt Mtg & Banquet 1,212.83 5,500.00 -4,287.17 22.1%66000 • Dental Calibration Travel Exp 39.12 3,000.00 -2,960.88 1.3%66100 ·Dental Calibration Per Diem 700.00 8,000.00 -7,300.00 8.8%66110 ·Dental Calibration Hotel 0.00 2,500.00 -2,500.00 0.0%66120 ·Dental Calibration Mtg & Banq 0.00 2,500.00 -2,500.00

-O.O-o/oTotal 65100 ·Dental Exam Review 16,618.32 110,875.00 -94,256.68 15.0%

65150 ·Hygiene Exam Review

Total Agency Activities

Annual Workshop

12,104.94 48,081.00 -35,976.06 25.2%

90200 ·Travel and Expenses 66,656.70 78,000.00 -11,343.30 85.5%190210 ·Hotel 47,594.23 47,000.00 594.23 101.3%90600 • Banquet Expense 28,540.07 31,000.00 -2,459.93 92.1%90700 • Miscellaneous 1,191.98 3,500.00 -2,308.02 34.1'%90900 ·Speakers 2,024.89 2,000.00 24.89 101.2%91000 ·Guests 0.00 500.00 -500.00 O .Oo/ o

Total Annual Workshop 146,007.87 162,000.00 -15,992.13 90.1%

Exam Complaint Review Committee75300 ·Telephone, Etc. 31.40 300.00 -268.60 10.5%

65300 • Hygiene ERC Travel and Expenses 6,609.01 9,600.00 -2,990.99 68.8%65400 • Hygiene ERC Per Diem 7,000.00 7,200.00 -200.00 97.2%

Page 3

65410 • Hygiene ERC Hotel 2,992.09 3,000.00 -7.91 99.7°/c65500 • Hygiene ERC Mtg Rooms & Banquet 1,100.83 2,000.00 ..S99.17 55.0%65600 • Hygiene Coor/Capt Travel Expens 0.00 9,500.00 -9,500.00 0.0%65610 ·Hygiene Coor/Capt Per Diem 0,00 10,000.00 ·10,000.00 0.0%65620 ·Hygiene Coor/Capt Hotel 0.00 5,000,00 -5,000.00 0.0°/o65630 ·Hygiene Coor/Capt Mtg & Banquet 0.00 2,500.00 -2,500.00 0.0%65900 • Hygiene Calibration Travel 0.00 3,000.00 -3,000.00 0.0%65910 ·Hygiene Calibration Per Diem 0.00 2,000.00 -2,000.00 0.0%65920 ·Hygiene Calibration Hotel 0.00 1,500.00 -1,500.00 0.0%

65930 ·Hygiene Calibration Mtg & Banq 0.00 500.00 -500.00 -0.0%- otal 65150 • Hygiene Exam Review 17,701.93 55,800,00 -38,098.07

Jul - Oct 13Budget $ Over

Budget% of Budget

T

Total Exam ERC!Chief!Coordinator 34,320.25 166,675.00 -132,354.75

31.7%-20.So/o

Examiner Eva! & Assign Com76100 ·Travel and Expenses 5,836.40 7,250.00 -1,413.60 80.5%176200 ·Per Diem 6,650.00 8,500.00 -1,850.00 78.2%76210 ·Hotel 1,909.62 4,100.00 -2,190.38 46.6%76300 ·Meeting Rooms, Banquet Exp 1,401.82 2,200,00 -798.18 63 .7%

Total Examiner Eva! & Assign Com 15,797.84 ,050.00 -6,252.16 71.6°/o

Executive Committee63200 • Travel and Expenses 4,865.58 14,000.00 -9,134.42 34.8%63300 ·Per Diem 8,400.00 21,000.00 -12,600.00 40.0%63310 ·Hotel 5,085.78 10,000.00 -4,914.22 50.9%63400 • Meeting Rooms, Banquet Exp 1,521.31 5,000.00 -3,478.69 30.4%63410 ·Inter-Agency Travel 2,051.39 1.00 2,050.39 205,139.0%63420 • Inter-Agency Perdiem 1,750.00 1.00 1,749.00 175,000.0%63430 ·Inter-Agency Hotel 1,442.40 1.00 1,441.40 144,240.0%63440 • Inter-Agency Banquet 351.88 1.00 350.88 35,188.0%

Total Executive Committee 25,468.34 50,004.00 -24,535.66 50:9%Financial Committee

64600 ·Travel & Expenses 0.00 1,200.00 ·1,200.00 0.0°/o64700 ·Per Diem 0.00 1,050.00 -1,050.00 0.0%64800 ·Hotel 0,00 500.00 -500.00 0.0%64900 • Meeting Rooms, Banquet Exp 0.00 500.00 -500.00

-0.0%-Total Financial Committee 0.00 3,250.00 -3,250.00 0.0%

General Administrative Expense60100 ·Salary-Employees 132,396.34 417,227.00 -284,830.66 31.7%60400 • Health Insurance 8,816.72 28,106.00 -19,289.28 31.4%60500 • Dental Plan 1,880.25 13,000.00 -11,119.75 14,5%60600 • Payroll Taxes 10,871.88 38,120.00 -27,248.12 28.5%60650 ·SEP Employee Benefit 3,553.08 12,000.00 -8,446.92 29.6%60700 • Exec Director Travel & Exp 5,091.70 21,000.00 -15,908.30 24.2%60725 ·Exec Director Continue Ed 725.48 3,000.00 -2,274.52 24.2%60825 ·Employee Travel Part-Time 0.00 200.00 -200.00 0.0%60850 • Office Mgr Travel Exp 0.00 500.00 -500.00 0.0%60900 ·Legal Fees - General 27,006.62 70,000.00 -42,993.38 38.6%60901 ·Legal Fees - Contract Analysis 0.00 1.00 -1.00 0.0%60902 ·Legal Fees - Litigation 0.00 1.00 -1.00 0.0°/o61000 ·Accounting Fees 8,048.00 25,125.00 ·17,077.00 32.0%61050 ·Bank Service Charges 900.14 2,500.00 -1,599.86 36.0%

Page 4

61100 ·Office Rent 14,625.00 33,300.00 -18,675.00 43.9%

Jul - Oct 13 Budget $ Over Budget % of Budget

61200 ·Equipment Rental 4,693.09 15,250.00 -10,556.91 30.8°/o61300 ·Repairs & Maintenance 2,933.25 5,000.00 -2,066.75 58.7o/o61400 • Insurance 16,073.00 19,500.00 -3,427.00 82.4%61500 ·Office Supplies 1,734.18 7,500.00 -5,765.82 23.1%61600 ·Administrative Printing 1,596.20 6,500.00 -4,903,80 24.6o/o61700 ·Telephone 2,839,35 12,500.00 -9,660.65 22.7°/a61800 ·Postage 1,001.83 4,200.00 -3,198.17 23.9%61900 • Misc. Office Expense 555.83 3,000.00 -2,444.17 18.5%61950 ·Staffing Expenses 7,266.0962000 ·Computer Expenses 650.48 3,500.00 -2,849.52 18.6%62100 ·Depreciation 0.00 6,103.00 -6,103.00 0.0%62200 ·Office Furniture and Equipment 0.00 3,500.00 -3,500.00 0.0%

-Total General Administrative Expense 253,258.51 750,633.00 -497,374.49 33.7%

Steering Committee64200 ·Travel and Expenses 215.00 14,000,00 -13,785.00 1.5%64300 ·Per Diem 5,250.00 18,900.00 -13,650.00 27,8%64310 ·Hotel 817.74 3,200.00 -2,382.26 25.6%64400 • Meeting Rooms, Banquet Exp 1,348.34 5,000.00 -3,651.66 27.0%

Total Steering Committee 7,631.08 41,100.00 -33,468.92 18.6%

Test Develop Administrative Exp60750 ·CO TRAVEL 1,230.64 3,000.00 -1,769.36 41.0%61925 ·Misc Colorado Office 80.06 1.00 79.06 8,006.0%62050 ·CO Computer 0.00 500.00 -500.00 0.0%82000 • Computer Supplies 1,343.61 4,000.00 -2,656.39 33.6°/o821oo ·Postage 112.27 1,000.00 ..S87.73 11.2%82200 • Office Supplies/Printing 0.00 500.00 -500.00 0.0°/o82300 ·Repairs & Maintenance 0.00 500.00 -500.00 0.0°/o82600 • Travel & Expenses-Dir Analysis 435.00 3,000.00 ·2,565.00 14.5°/o82650 • Travel & Exp - Dir of Dental 1,401.41 6,500.00 -5,098.59 21.6%82800 ·Furniture & Equipment 0.00 30,500.00 -30,500.00 0.0%82801 • Furn/Equip ESDs 0.00 1.00 ·1.00 0.0%82802 • Furn/Equip Laptops/Routers 0.00 1.00 -1.00 0.0%82803 • Furn/Equip Audience Response 0.00 4,300.00 -4,300.00 0.0%82900 ·Programming Costs 47,600.00 164,000.00 -116,400.00 29.0%

Total Test Develop Administrative Exp 52,202.99 217,803.00 -165,600.01 24.0%

Test Develop Dental Therapist87100 ·Travel and Expenses 0.00 1,000.00 -1,000.00 0.0%87200 ·Per Diem 0.00 1,000.00 -1,000.00 0.0%

Total Test Develop Dental Therapist 0.00 2,000.00 -2,000.00 0.0%

Test Development CSW85100 ·Travel and Expenses 0.00 2,000.00 -2,000.00 0.0%85400 • Materials & Supplies 16 0 . 25

Total Test Development CSW 160,25 2,000.00 -1,839.75 8.0%

Total Expense 546,983.47 1,465,896.00 ·918,912.53 37.3%

Net Ordinary Income 306,039.21 3,350.00 302,689.21 9,135.5%

Other Income/ExpenseOther Income

54100 ·Unrealized (Gain)/Loss on inv

21,426.18

Central Regional Dental Testing Service, Inc.

Profit & Loss Budget vs. Actual

2:08 PM

11/13/13

Accrual Basis

Jul Oct 13

Total Other Income 21,426.18

Net Other Income 21,426.18

Net Income 327,465.39

Budget

3,350.00

$ Over Budget

324,115.39

% of Budget

9,775.1%

Page §

Report of the Executive Committee

The Executive Committee re-examined the circumstances of and reasons for the termination of the former Executive Director. Following that re-examination the Executive Committee affirmed the September 11, 2013 action of the Executive Committee authorizing the non renewal of the Executive Director's contract.

The contract provided for employment at will and the Executive Director was notified of her termination on September 14, 2013.

Respectfully Submitted,

Dr. Mark G O'Farrell, DDS CRDTS President

CRDTS Executive & Steering Committees

Dental Examination Review Committee Dental Calibration Committee

Chair-Related Activities November 15-16, 2013

**This report will include those activities attended by the Chairman of the Dental Exami nation Review Committee from September 2013 through November 2013.

September 13, 2013CRDTS Endodontic Calibration with question and answer session for the GRU Endo faculty and residents.

September 27. 2013 CRDTS Manikin -Based Presentation with question and answer session to D4 students of Georgia Regents University College of Dental Medicine.

October 1-3, 2013Consortium of Operative Dentistry Ed ucators (CODE) and Caries Management by Risk Assessment (CAMBRA) Meetings by invitation from Dr. Larry Haisch and Dr. Richard Lichtenthal (Columbia University). Discussions of preparation designs, caries diagnosis, minimally invasive techniques and how this relates to clinical licensure examinations. Attended by Drs. John Cosby, Barb Mousel and Steve Holcomb.

October 10-12. 2013 CRDTS Maniki n Examination at University of Nebraska, Lincoln Nebraska. Drs. Dvorak and Holcomb

October 18-19, 2013CRDTS Manikin question and answer session, faculty meeting and administer the Manikin Examination at University of Alabama at Birmingham, Birmingham, Alabama. Dr. Holcomb and Willis (AL)

October 24-25, 2013CRDTS Presentation with question and answer session with the Washington Board of Dentistry. Ms. Kim Laudenslager, RDH and Dr. Steve Holcomb. Dr. Joel Berg, new dean of U W School of Dentistry

November 7-8, 2013CRDTS Presentation with question and answer session with the Texas State Board of Dental Examiners. A very beneficial presentation to a non-member state that accepts the CRDTS examinations and allows CRDTS to test at several dental hygiene sites. Ms. Kim Laudenslager, RDH and Dr. Steve Holcomb.

November 9-10, 2013Examiner Evaluation and Assignment Committee meeting to assign patient-based exami nations for 2014.

Upcoming Meetings:

2

November 15-16. 2013 CRDTS Executive and Steering Committees in Kansas City

December 7-8, 2013Dental Calibration Committee meeting in Kansas City

January 10-12. 2014 Team Captains and Chiefs Meeting, Electronic Scoring Device Traini ng and Dental Examination Review Committee Meeting. (Three meetings piggy-backed into one weekend) To be held in Kansas City.

During the manikin-based exams, it became evident that an anomaly existed in some of the pu lp chambers of tooth #14 used i n the Endodontic Examination. The anomalies required a scoring correction to ensure fairness to the candidates. The prevalence of the anomalies was recorded, during scoring, by site. Both I and Kimber have met with the Acadental supplier, Jeff Scott, and developed a plan for correction of the anomaly and uniformity of # I 4 for the upcoming examinations. Acadental will address the practice teeth sent to the institutions based on their internal protocols. An update will be sent to the member schools in January with the updated Summary of Changes.

As you can see, this has been a very busy fall season for provid ing information to our member schools and presentations to both member and non-member states. All presentations were enthusiastically received and a positive collegiate relationship was fostered. I strongly recommend that we continue the efforts to visit the member state boards on a regular basis and to further present the CRDTS story to non-member states on a collegiate informational basis. Special thanks to Ms. Kimber Cobb and Ms. Kim Laudenslager for their commitment to CRDTS and their expertise in presentation development and delivery.

Additional kudos the outstanding central office staff for helping to put everything together and keeping us in the right places at the right times.

Further recommend Dr. Tom Willis as the State of Alabama Dental Examination Review Committee representative for approval.

Respectfully Submitted,

Steve Holcomb, DMDChair, Dental Examination Review Committee Chair, Dental Calibration Committee

Penny Fudally, RDH, MEd Chair, CRDTS Hygiene ERC November Report

November 15-16, 2013

Hygiene committee meetings:1. Hygiene EEAC - October 12-13, 2013; held at the Hilton Airport Hotel, Kansas City,

Missouri; completed the hygiene examination assignments for the 2014 examination season; assignments can be viewed online soon.

2. Hygiene Calibration -November 16, 2013; committee will be meeting right after the Steering meeting today; will be incorporating new changes that were approved at the CRDTS Annual meeting by Steering and will review, edit and develop new calibration exercises for the 2014 testing season.

3. Coordinators & Team Captains -scheduled for January 24-25, 2014

Our dental hygiene clinical testing season will end with the final seven examinations in the months of November and December.

Approval for the following individual to serve on the Hygiene Examination Review committee:1. Ms. Jacqueline Perry, to serve as representative member from Washington, who is replacing Ms. Verla Rich

2. Dr. John Fishpaw, to serve as consultant, who is replacing Dr. Barb Mousel

It has been a pleasure to work with committed, professional colleagues this past testing season and I look forward to the 2014 calendar year.

Finance Committee Report

November 15-16,2013

Charge: Finance Committee Art 6, Sec 2 (A) Functions and Responsibility. The Finance Committee shall monitor the financial condition of CRDTS, develop an annual budget for CRDTS to be presented to the Steering Committee for approval and to make recommendations to the CRDTS Steering Committee with respect to matters involving the income and expense, as well as the management of the financial reserves, of CRDTS. The Finance Committee has the authority to make financial decisions that may have an impact of ten percent (10%) or less of anyline item in the budget. Any financial decision that has an impact greater than ten percent (10%) of any line item in the budget shall be submitted to the Steering Committee to be voted upon at their next scheduled meeting.

The members of the Finance Committee met following the manikin grading session on November 9th and at the Topeka Office on November 10th. All members of the Committee were present and met with Ms. Gideon providing background information. Topics for discussion were developed via e-mail communication prior to the meeting for efficiency. The main focus was to review the current budget, make updates to the budget, and create items for policy and procedure that affect the annual budget process. Preparation for the 2014-15 budget began with the plan of presenting a 2014-2015 budget for approval at the June 2014 meeting. This will provide CRDTS with a budget that is reviewed and approved by the body prior to the beginning of our fiscal year on July 1,2014.

The Committee also plans to review acceptance of credit cards for exam fees and to work with our existing corporate credit card provider to separate airline and hotel charges on to separate corporate cards to improve reporting and accounting for those items. Additional items of business discussed are under new business.

After a thorough review the following items are policies developed by the

Committee:

1) Hospitality Policy - Chiefs and Coordinators duties include providing hospitality for the examiners at an exam site. The budget approved for this activity is ten dollars ($10) per examiner per day, unless the hotel provides a "happy hour" as part of the room package unless candidates and patients may be using that hotel. Chiefs and coordinators may delegate this duty to an examiner who is local and agrees to bring items to the assigned hotel.Items chosen for the hospitality activity can vary from exam team to exam team. Chiefs and coordinators should use their best judgment in this regard.

2) Attendance at national meetings- CRDTS will send up to four (4) individuals to any one meeting with the responsibility to report back to the body. Designees should be rotated to provide an opportunity for participation. The recommendation is to approve two (2) members of the Executive Committee, one (1) member of Professional Staff, and the Executive Director. The President may appoint additional designees or a substitute for one of those recommended designees dependent on schedules of the participants.

3) Executive Director - The Executive Director shall be a member of American Association of Dental Adminitrators and have approval to attend their meetings in addition to AADB that meets in conjunction with AADA.

4) Legal expenses - In our last fiscal year, July 1,2012 to June 30, 2013, legal expenses rose more than 10%. The 2013 budget was increased by $10,000 to reflect this change. This expense continues to rise for various reasons. For future management of this expense, the Committee recommends that contact with legal counsel be approved by the President in consultation with the Treasurer for items that have not been previously reviewed by the Steering Committee. Without this authorization, the individual shall be responsible for the legal fee.

5) CRDTS presentations - Presentations made by non-staff (professional or ED) are to include a per diem for days to travel up to 1.5 days in additional to the day of presentation. Professional staff and ED are to be paid as provided for in their contract. The Committee did not have access to

existing contracts and plans to review existing duties and recommend

changes including compensation for presentations for future contracts.

The Committee plans to work via e-mail and conference call to continue working

on the 2014-15 Budget. Several income and expenses categories have been

clarified for the new budget process.

Your suggestions to improve the process are very welcome and appreciated by

the Committee.

Respectfully submitted,

Barbara L Mousel, Chair

Jane Lott, Treasurer

Tony Malaktaris, past President, past Treasurer

Joan Sheppard, incoming President Elect

New Business CRDTS (revised)

11-15-16, 2013

Secretary/Treasurer

Background: The Secretary-Treasurer duties have expanded to the point where

discussion of separating the duties into two positions may be helpful.

Resolved, that the Bylaws and Governance Committee consider the option of

dividing the Secretary/Treasurer position into two separate positions, each

position being a voting member of the EC, with the provision that a dental

hygienist may ser ve in either/or positions but not both during any period.

ERC Dental and Dental Hygiene

Background: The ERC Committees are the backbone of CRDTS and as such need a

special knowledge base that provides continuity in exam development.

Resolved, that the Steering Committee consider the addition of a Vice Chair

position on the dental ERC and the dental hygiene ERC. These positions would

not be voting members of the EC.

Central Regional Dental Testing Service

Incorporated Governance and Bylaws

Committee Report

October 30, 2013

The Committee has not met since the Annual .Meeting of Members held in August. It is the

Committee's intent to begin work on creating charters for each standing committee that would

clearly define the purpose function and authority of each committee. Additionally it is hoped that a

committee matrix could be constructed for each committee to give guidance as to what chartered

tasks are to be addressed at each regularly scheduled meeting of the committee. Best practices in

corporate governance stipulate that current and effective governance documents (Articles of

Incorporation, Bylaws, committee charters and matrices) are essential to proper and effective

corporate governance.

In an organization such as CRDTS that is essentially governed by an ever changing cadre of volunteers,

it is essential that principles of best practices in corporate governance be adhered to in order to provide

for continuity in effective leadership necessary to achieve the organizations purpose and current

mission.

It is the understanding of the Committee that accommodations for funding the initiation of this process

have been made in the budget.

Respectfully Submitted,

Marvin B. Dvorak DDS, Chair

Governance and Bylaws Committee

Renee' Gideon

Subject: FW: November Exec Meeting

From: Nrogersdds@aol.com [mailto:Nrogersdds@aol.com]Sent: Monday, October 28, 2013 1:33 PMTo: Renee' Gideon; tlengowski@bis.mi dco.net; mdrdv@cox.netSubject: Re: November Exec Meeting

We have only had one case to consider since the August meeting and we upheld the results of the exam.

Thanks Nick

1

Renee' Gideon

From: Sent: To: Subject:

Tom And Karen Lengowski <tlengowski@bis.midco.net> Wednesday, November 13, 2013 12:01 PMRenee' Gideon EEAC report

The EEAC met on August 16 and 17, 2013 at the Airport Hilton Kansas City. All committee members were present. The Committee reviewed examiner profiles and peer evaluations. Appropriate actions were taken for examiner improvements on the basis of these evaluations. The committee also made examiner assignments for the manikin portion of the CIF exam. The Committee met again at the same location on November 10 and11,2013. Assignments were made for all patient based CIF exams as well as the traditional exams for the 2014 exam cycle.Dental members only were present at this meeting,along with support staff.

Respectfully submitted,

Tom Lengowski, Chair

Sent from my iPad

1

REPORT TO EXECUTIVE/STEERING COMMITTEE

LYNN RAY

DIRECTOR OF ANALYSIS

In August, I met with the EEAC to review all examiner profiles and prepare the dental examiner assignments for manikin testing. In add ition, I helped with the paperwork for the assignments. The electronic examiner module has expedited this process significantly.

In September, I worked with the statistical portion of CRDTS software to specify what enhancements were needed to facilitate the preparation of both the ERC Analysis and the Annual Reports to dentaf and dental hygiene schools. These reports require a number of different sorting routines that allow us to compare groups of candidates taking the examination and monitor the consistency of the examination results from year to year.

During September, I was also asked by some of the hygienists in CRDTS to write a letter to the ADHA Board of Trustees regard ing a proposed resolution that has been referred for study. This resolution calls for the ADHA to "investigate alternatives to the live patient clinical examination for the purpose of clinical licensure. This investigation must include the following:

• Technological models• Post-graduate residency• OSCE• Portfolio• Dental Hygiene Curriculum-Based Competencies"

Each of these five items was discussed in a 6-page letter to the ADHA BOT; the letter was written in my name as an expression of my personal opinion, but for obvious reasons, it drew heavily on my experiences with testing in CRDTS. It should be noted that the resolution has not been adopted by the ADHA HOD and is not yet policy. However, if any of this discussion should become an issue in one of our member State Boards, the letter can be made available to you for reference or background information. Hopefully, it will fulfill its intended purpose to deter any further action by ADHA on this issue.

As soon as the results from the Colorado exam are released, the 2013 dental examination cycle will be completed. I will begin the preparation of the Annual Report to Dental School Deans and the dental ERC Analysis. These reports should be ready for release by the end of November. The dental hygiene reports will be released in mid January after the 2013 hygiene exams are completed.

By the time the Steering Committee meets, I will have attended the AADB meeting in New Orleans and participated in a meeting with CRDTS/WREB leaders. Reports from these events will be made available. In addition, l will have participated in staffing the mass manikin grading, and working with the EEAC on the 2014 dental examiner assignments.

Kimber Cobb, RDH, BSDirector of Dental Examinations & Data Management

Report to Executive/Steering Com1nitteeNovember 15-16, 2013

I. Contacts/Examiner Modulea. Examiner Availability was issued electronically in August and October and the

EEAC made & issued assignments electronically as well.b. Examiners were issued online access to their profiles and completed necessary

updates and registration for their Concur travel profile.c. Great progress has been made in the electronic management of CRDTS' contacts

and the ability to generate reports and contact online.

II. Audience Response Systema. There are new storage receivers that will allow us to plug our presentations into

any laptop at the schools.i. TT will let us trade in our 20 receivers for 20 new storage receivers for

$99 = $198011. We need to purchase an additional 5 receivers to support multiple

calibrations running. Turning Technologies is running a special for $349= $2094

iii. The total cost is $ 4074 to replace current receivers and add 5 more

III. Travela. University of Iowa Presentation - September 13, 2013b. University of Millllesota Traditional Exam - October 4-6, 2013c. Meeting with Premiere One to review 2014 Scoring updates - October 11,

2013d. Dental Hygiene EEAC - October 12-13, 2013e. AADB Meeting -New Orleans - October 30-31, 2013f. Manikin Grading/EEAC -November 8-9, 2013

Respectfully Submitted, Kimber Cobb, DirectorDental Examination & Data Management

Re: Report for November 16, 2013 CRDTS Steering Meeting

From: Kim Laudenslager, ROH, MPADirector of Dental Hygiene Examinations

I. Discussion Items

A. Approval of additional 2014 hygiene exams

II. CRDTS Activities

E S T A B LI S H ED 1 8 8 1 L L P

515 SOUTH KANSAS AVENUE TOPEKA, KANSAS 66603-3999785-233-0593

FAX: 785-233-8870

October 22, 2013

Dr. Mark O'Farrell 916 Deward DriveRock Springs, WY 82901

RE: New Mexico Board Representation Dear

Dr. O'Farrell:

A question has arisen with respect to the representation of the New Mexico Board of Dental Health Care cin the Steering Committee of CRDTS. We have researched the applicable law and regulation of the State of New Mexico. New Mexico's statute contains separate provisions establishing a State Dental Board and a separate Dental Hygiene Committee. The situation is similar to, but not exactly like that in the State of Washington. In New Mexico, the Dental Board is authorized to "issue licenses to dental hygienists ... through the Dental Hygienists Committee." Dental Hygienists are recommended for licensure by the Committee, but receive their licenses from theBoard. The Board must accept the Committee's recommendations unless the Board deems them: "1) arbitra1y and capricious; 2) beyond the jurisdiction of the Committee; or 3) not supported by the record." In effect, the Board may grant a license to a dental hygienist, but the Board has several provisions which allow it to use its own discretion and make the final determination with respect to the grant of a license to a Dental Hygienist. Further the Board is authorized to discipline incompetent or unprofessional dentists and dental hygienists.

The Attorney General for the State of New Mexico has determined that the New Mexico Dental Board and the Committee are not separate entities. The issue is whether the New Mexico State Dental Board and the Hygiene Connnittee for New Mexico meet the criteria for inclusion in CRDTS under CRDTS Bylaws.

The New Mexico Dental Board would be considered a "State Board" eligible for CRDTS membership under the CRDTS Bylaws. To give effect to the role of the State Dental Board and the Dental

Hygiene Committee will involve a process similar to that used for the State of Washington. Questions with respect to dental examination issues will be voted on by the New Mexico Dental

GOODELL, STRATTON, EDMONDS & PALMER, L.L.P.

Dr. O'Farrell Page 2October 22, 2013

Board representative. Questions with respect to the hygiene examination will be voted upon by the Hygiene representative. On general questions, the Dental and Hygiene representatives will in effect each cast a half vote for or against the question before the Steering Committee.

I trust the above is clear and responsive to your inquiry. Ifyou have futiher question or I may otherwise assist, please advise. Thank you for your attention.

HPE/ac

cc: Dr. Barbara Mousel Ms. Renee' Gideon

A223115

University of Ala bama School of Dent istry Exam i nation Facility Usage Agreement

This Agreement is entered into on ----- , 20_ by and between CentralRegional Dental Testing Service, Inc. (CRDTS) a Kansas nonprofi t corporation, and the

University of Alabama School of Dentistry (Dental School).

WHER EAS, CRDTS, is a nonprofit corporation, which conducts exami nations for the testing

of cand idates for licensure in Dentistry and Dental Hygiene; and

WHEREAS, Dental School wishes to provide facilities, equipment, supplies and

personnel necessary for CRDTS to conduct these examinations for its dental students and others.

NOW, THEREFORE, in consideration of the mutual covenants stated herein and other good

and valuable consideration, the receipt and sufficiency of which are hereby mutually acknowledged, it

is agreed:

I. Examination Dates and Required Examination Facilities, Equipment, Instruments,

Supplies, and Personnel. In coordination with the Dental School, CRDTS will provide to the Dental

School a list of examination dates for the Examination Year, as well as the required examination

equipment, instruments, facilities, supplies and personnel, ni nety (90) days before the beginning of each

Exami nation Year. The requirements for the Facility & personnel shall be fmiher described in

Atlaclnnent A "Standard Operating Procedure" included and atlachcd to this document.

CRDTS will inform the Dental School of the number of candidates, scheduled to take each

test segment thirty (30) days before each examination date.

2. Failure to Provide Required Examination Equipment, Instruments, Supplies,

and/or Personnel. If the Dental School will not provide any of the required examination

equipment, instruments supplies and persom1el, it shall notify CRDTS at least sixty (60) days before

the examination date. In that event, CRDTS has the right to cancel the examination and move candidates

to altemate test sites and charge the Dental School for any direct expenses associated with the failure

to provide equipment, instruments, supplies and personnel.

3. Facility, Equipment, Instrument and/or Supply Fee. Because students must be

notified well before the examination date of all examination related fees, the Dental School shall provide

CRDTS with the amount of its Facility, Equipment, Instrument and Suppl y Fees, to

:md any other pert i nent i nformation or i nstrnctions in the form

t•) the be-ginning date of each Exaini nation 'i'car.

D,;ntal School shall collect all Facility, Equi pment, I nstrument andior Supply fees, as lhi:;

process is enti rely separate from the CRDTS' exami nation proced ures and fees.

Examination results can be withheld for candidates that have not ret urned board patient records,

equipment rented from the school, or paid their site fee, etc., i f the Dental School contacts the CR DTS

office immediately after the exami nation.

4. School Rental of Equipment and Supplies. The school may enter into agreements

between itself and cand idates who have registered for the exami nation for the rental of

instruments and equipment. The school is solely responsible for the quality, acceptability to exam

protocol, and/or suitability of those instruments and equipment for their intended purposes. CRDTS will

not be responsi ble for any claims against the school for instnnnents or equipment rentals. The sole

responsibility of the school to have adequate personnel on site to dispense, repair and collect all rental

instruments and supplies.

5. Tenn and Termination of Agreement. The term of this Agreement shall

commence on the date first stated above and shall continue until either party provides written notice of

its intent to terminate this Agreement at least 90 days prior to the beginning of the next Examination Year.

6. Dispute Resolution. Any request to modify an;' of the tenns of this Agreement or any

dispute arising as a result of this Agreement must be submitted in writing to the other party. Failure to

mutually agree upon a resolution of a dispute shall not terminate the Agreement or any part thereof. If

either party feels the unresolved issue is critical in nature, then that party may request the appointment

of a qualified mediator and enter into mediation of the matter in dispute for bi nding resolution of the issue.

7. Contractual Relationship. The Board and CRDTS are independent contractors, and

nothing herein shall be deemed to create a partnership, a joint venture, or employment relationship

between the parties.

8. Indemnity. To the extent permitted by law the Dental School and CRDTS agree to

indemnify and hold harmless each other for any suits, requests for mediation or arbitration, or claims of

any kind by any person, firm, or corporation not a party to this Agreement which arise from their

responsibilities under this Agreement, including the facilities, equipment, or the

2

or act i vi t ii:s of ihc personnel provided pursuant lo this 1\gree1nent.

k,,,c ,:tc. c1th:1grc("s !ki t the amount of the other party's indemnification shall be l i mi ted to the

an1ount that the L:ni v('rsity rnay p 1y under and in accordanc('- \Vi th its stale statutesand-"(ir o!her binding re,str ictions.

<l Law_ ! . 9 ...L @ ! roL This Agreement shall be governed by and i nterpreted i n

accordance with the Jaws of the State of Kansas.

10. ! nYal kL l ' I QVision. The invalid ity or u nenforccabi li ty of any provision of

this Agreement shall not affect any ot her provision hereof, and this Agreement shall be

construed in all respects as if such i nvalid or unenforceable provision was omitted.

IN WITNESS WHEREOF, the parties hereto have duly executed this Agreement on this

day of , 20.

CENTRAL REGIONAL DENTAL TESTING SERVICE, INC.

A223421; 11·6·13

UNIVERSITY OF ALABAMA SCHOOL OF DENTISTRY

By: _ , President

3

I 11 HEALTH SYSTEMBUSINESS ASSOCIATE AGREEMENT

This Agreement dated as of 09/23/13 is made by and between u s , on behalf of its School of Dentistry (School/Department/Divisi on) (hereinafter referred to as "Covered Entity") and Central Regional Dental Testing Svc., Inc. , (hereinafter "Business Associate"), collectively the Parties.

PREAMBLE

This Agreement governs the terms and conditions under which Business Associate will access Protected Health Information (PHI} belonging to patients of Covered Entity in performing services for, or on behalf of, Covered Entity.

SECTION 1 - DEFINITIONS

Terms used, but not otherwise defined, in this Agreement shall have the same meaning as those terms in 45 CFR 160.103 and 164.501, and the final rule issued on January 17, 2013, effective March 26, 2013. For purposes of this section:

1.1 ARRA. The term "ARRA" shall mean the American Recovery and Reinvestment Act of 2009, as amended from time to time.

1.2 Business Associate. "Business Associate" shall mean the entity listed in the first paragraph of this Agreement that is furnishi ng services to Covered Entity.

1.3 Covered Entity. "Covered Entity" shall mean the entity listed in the first paragraph of this Agreement that is receiving services from the Business Associate.

1.4 Designated Record Set (DRS). Individually identifiable data in any medium, collected and directly used by Covered Entity. The content may be in multiple locations and media, including paper and electronic form. The DRS consists of the Legal Medical Record and the Billing Record.

1.5 Legal Medical Record. The documentation of the health care services provided to an Individual during any aspect of health care delivery in any type of health care organization used, in whole or in part, by or for the Covered Entity to make decisions about the Individual.

1.6 Billing Record. The documentation in the billing records used, in

whole or in part, by or for the Covered Entity to make decisions about Individuals.

1.7 HIPAA Rules. "HIPAA Rules" shall mean the Privacy, Security, Breach Notification, and Enforcement Rules at 45 CFR Part 160 and Part 164.

1.8 Individual. "Individual" shall have the same meaning as the term "individual" in 45 CFR 160.103 and shall include a person who qualifies as a personal representative in accordance with 45 CFR 164.502(g).

1.9 Material Alteration. "Material Alteration" shall mean any addition, deletion or change to the PHI of any subject other than the addition of indexing, coding and other administrative identifiers for the purpose of facilitating the identification or processing of such information.

1.1O Privacy Rule. "Privacy Rule" shall mean the Standards for Privacy of Individually Identifiable Health Information at 45 CFR part 160 and part 164, subparts A and E.

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1.11 Protected Health Information or PHI. "Protected Health Information" or "PHI" shall have the same meaning as the term "protected health information" in 45 CFR 160.103, limited to the information created or received by Business Associate from or on behalf of Covered Entity.

1.12 Required By Law. "Required By Law" shall have the same meaning as the term "required by law" in 45 CFR 164.103.

1.13 Secretary. "Secretary" shall mean the Secretary of the Department of Health and Human Services or his/her designee.

1.14 Security Rule. "Security Rule" shall mean the Health Insurance Reform: Security Standards at 45 CFR Parts 160, 162, and 164 Subpart C.

1.15 Underlying Agreement. "Underlying Agreement" shall mean that certain agreement by which Business Associate provides certain services to Covered Entity and, in connection with those services, Covered Entity discloses to Business Associate certain individually identifiable PHI that is subject to protection under HIPAA.

SECTION II - OBLIGATIONS AND ACTIVITIES OF BUSINESS ASSOCIATE

2.1 Business Associate acknowledges that it is directly subject to the Security Rule and to certain portions of the Privacy Rule and, upon request, will provide Covered Entity with evidence of compliance. Business Associate agrees to:

2.1.1 Not use or disclose PHI other than as permitted or required to furnish services under the Agreement or as Required by Law.

2.1.2 Use appropriate safeguards, and comply with Subpart C of 45 CFR Part 164 with respect to electronic PHI, to prevent use or disclosure of the PHI other than as provided for by this Agreement.

2.1.3 Mitigate, to the extent practicable, any harmful effect that is known to Business Associate of a use or disclosure of PHI by Business Associate in violation of the requirements of this Agreement. Business Associate agrees to pay the direct and indirect costs associated with the breach notification requirements as outlined in ARRA and will indemnify and hold Covered Entity harmless from all liabilities, costs and damages arising out of or in any manner connected with the disclosure by Business Associate of any PHI.

2.1.4 Report in writing to Covered Entity within 5 business days any use or disclosure of the PHI not provided for by this Agreement of which it becomes aware, including breaches of unsecured PHI as required at 45 CFR 164.410, and any Security Incident (as defined in 45 CFR 164.304) of which it becomes aware.

2.1.5 In accordance with 45 CFR 164.502(e)(1)(ii) and 164.308(b)(2), if applicable, ensure that any subcontractors and agents that create, receive, maintain, or transmit PHI on behalf of the Business Associate on behalf of Covered Entity agree to the same restrictions, conditions and requirements that apply to Business Associate with respect to such information and do not export PHI beyond the borders of the United States of America.

2.1.6 Within five (5) business days request of Covered Entity, make available PHI in a Designated Record Set to Covered Entity as necessary to satisfy Covered Entity's obligations under 45 CFR 164.524, as well as make any amendments to PHI in a Designated Record Set (and incorporate any amendments, if required) as directed or

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agreed to by the Covered Entity in order to meet the requirements under 45 CFR 164.526.

2.1.7 Within five (5) business days request of Covered Entity, make its internal practices, books, and records relating to the use and disclosure of PHI received from, or created or received by Business Associate on behalf of Covered Entity, available to the Covered Entity, or at the request of the Covered Entity to the Secretary, in a time and manner designated by the Covered Entity or the Secretary, for purposes of the Secretary determining Covered Entity's compliance with the Privacy Rule. In the event such a request comes directly from the Secretary, Business Associate agrees to notify Covered Entity promptly of such request.

2.1.8 Document such disclosures of PHI and information related to such disclosures as would be required for Covered Entity to respond to a request by an Individual for an accounting of disclosures of PHI in accordance with 45 CFR 164.528.

2.1.9 Provide to Covered Entity or an Individual, in time and manner designated by Covered Entity, information collected in accordance with this section, to permit Covered Entity to respond to a request by an Individual for an accounting of disclosures of PHI in accordance with 45 CFR 164.528.

2.1.10 Upon request, make its internal practices, books and records available to the Secretary and to the Covered Entity for purposes of determining compliance with the HIPAA Rules.

2.1.11 Comply with the minimum necessary requirements under the HIPAA Rules.

2.2 Business Associate agrees that any PHI transmitted electronically and/or stored on any type of mobile media, including lap top computers, tablet computers, smart phones, etc., must be encrypted, and that information stored whether intentional or not is subject to HIPAA Rules provisions for Business Associates.

2.3 To the extent Business Associate is to carry out one or more of Covered Entity's obligation(s) under Subpart E of 45 CFR Part 164, comply with the requirements of Subpart E that apply to the Covered Entity in the performance of such obligation(s).

SECTION Ill ·PERMITTED USES AND DISCLOSURES BY BUSINESS ASSOCIATE

3.1 Except as otherwise limited in this Agreement, Business Associate may use or disclose PHI, as follows:

3.1.1 As necessary to perform the services specified in the Underlying Agreement.

3.1.2 As required by law.

3.2 Except as otherwise limited in this Agreement, Business Associate may disclose PHI for the proper management and administrati on of Business Associate or to carry out the legal responsibilities of the Business Associate, provided the disclosures are required by law, or Business Associate obtains reasonable assurances from the person or organization to whom the information is disclosed that the information will remain confidential and used or further disclosed only as required by law or for the purposes for which it was disclosed to the person or organization, and the person or organization notifies Business Associate of any instances of which it is aware in which the confidentiality of the information has been breached.

3.3 Business Associate is not authorized to de-identify in accordance with 45 CFR 164.514(a)-(c), PHI received by Business Associate by or on behalf of Covered Entity; nor is Business Associate

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authorized to use de-identified information for a purpose not authorized by this Agreement, except with the prior written consent of the Covered Entity.

3.4 Business Associate agrees to make uses and disclosures and requests for PHI consistent with the requirements of 45 CFR 164.502(b) and 164.514(d), as reflected in Covered Entity's minimum necessary policies and procedures.

3.5 Business Associate may provide data aggregation services related to the health care operations of the Covered Entity.

SECTION IV - OBLIGATIONS OF COVERED ENTITY

With regard to the use and/or disclosure of PHI by Business Associate, Covered Entity agrees:

4.1 To notify Business Associate of any limitations in the notice of privacy practices of Covered Entity under 45 CFR 164.520, to the extent that such limitation may affect Business Associate's use or disclosure of PHI.

4.2 To inform the Business Associate of any PHI that is subject to any arrangements permitted or required of Covered Entity under the Privacy Rule that may materially impact in any manner the use and/or disclosure of PHI by Business Associate under this Agreement, such as changes in, or revocation of, the permission by an Individual to use and disclose his or her PHI as provided for in 45 CFR 164.522 and agreed to by Covered Entity, to the extent that such restriction may affect Business Associate's use or disclosure of PHI.

4.3 That it will only provide or deliver PHI that is minimally necessary to enable the Business Associate to meet its obligations under the Underlying Agreement.

SECTION V - PERMISSIBLE REQUESTS BY COVERED ENTITY

5.1 Covered Entity shall not request Business Associate to use or disclose PHI in any manner that would not be permissible under Subpart E of 45 CFR Part 164 if done by Covered Entity, except if there is a written agreement by and between Business Associate and Covered Entity for the Business Associate to use or disclose PHI for data aggregation or management and administrative and legal responsibilities of the Business Associate.

SECTION VI - TERM AND TERMINATION

6.1 Term. The obligations set forth in this section shall be effective as of the date the first PHI is released to Business Associaty pursuant to this Agreement, and shall terminate only when all of the PHI provided by Covered Entity to Business Associate, or created or received by Business Associate on behalf of Covered Entity, is destroyed or returned to Covered Entity, or, if it is infeasible to return or destroy PHI, protections are extended to such information, in accordance with the termination provisions in this Section.

6.2 Termination for Cause. Upon Covered Entity's knowledge of a violation of a term of this Agreement by Business Associate, Covered Entity shall provide an opportunity for Business Associate to cure or end the violation. Covered Entity may terminate this Agreement if Business Associate does not cure or end the violation within the time specified by Covered Entity.

6.3 Obligations of Business Associate Upon Termi nation. Except as otherwise agreed to in the Underlying Agreement, upon termination of this Agreement for any reason, Business Associate, with respect to PHI received from Covered Entity, or created, maintained, or received by Business Associate on behalf of Covered Entity, shall:

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6.3.1 Retain only that PHI which is necessary for Business Associate to continue its proper management and administration or to carry out its legal responsibilities;

6.3.2 Return to Covered Entity [or, if agreed to by Covered Entity, destroy] the remaining PHI that the Business Associate still maintains in any form;

6.3.3 Continue to use appropriate safeguards and comply with Subpart C of 45 CFR Part 164 with respect to electronic PHI to prevent use or disclosure of the PHI, other than as provided for in this Section, for as long as Business Associate retains the PHI;

6.3.4 Not use or disclose the PHI retained by Business Associate other than for the purposes for which such PHI was retained and subject to the same conditions set out in Section II of this Agreement which applied prior to termination; and

6.3.5 Return to Covered Entity [or, if agreed to by Covered Entity, destroy] the PHI retained by Business Associate when it is no longer needed by Business Associate for its proper management and administration or to carry out its legal responsibilities.

6.4 Survival. The obligations of Business Associate under this Section shall survive the termination of this Agreement.

SECTION VII - OWNERSHIP OF INFORMATION

7.1 Covered Entity holds all right, title, and interest in and to the PHI and Business Associate does not hold and will not acquire by virtue of this Agreement or by virtue of providing goods or services to Covered Entity, any right, title, or interest in or to the PHI or any portion thereof.

SECTION VIII - RIGHT TO INJUNCTIVE RELIEF

8.1 Business Associate expressly acknowledges and agrees that a violation of a term of this Agreement, or threatened violation, by it of any provision of this Agreement may cause Covered Entity to be irreparably harmed and that Covered Entity may not have an adequate remedy at law. Therefore, Business Associate agrees that upon such violation, or threatened violation, Covered Entity will be entitled to seek injunctive relief to prevent

Business Associate from commencing or continuing any action constituting such violation without having to post a bond or other security and without having to prove the inadequacy of any other available remedies. Nothing in this paragraph will be deemed to limit or abridge any other remedy available to Covered Entity at law or in equity.

8.2 Indemnification. Business Associate shall indemnify, defend, and hold Covered Entity, its employees, directors/trustees/officers/representatives and agents (collectively the lndemnitees) harmless from and against all claims, causes of action, liabilities, judgments, fine, assessments, penalties, damages, awards or other expenses, of any kind or nature whatsoever, including, without limitation, attorney's fees, expert witness fees, and costs of investigation, litigation or dispute resolution, incurred by the lndemnitees and relating to or arising out of any breach or alleged breach of the terms of this Agreement by Business Associate or its agent or representative. Business Associate shall provide covered Entity with prompt notice of any claim that may trigger the foregoing indemnification requirements. Upon demand by the Covered Entity, Business Associate shall defend any investigation, claim litigation or other proceeding brought or threatened against the Covered Entity, at the Business Associate's expense, by counsel acceptable to the Covered Entity. Business Associate shall not enter into any settlement of a claim that triggers the indemnification requirements without the written consent of the Covered Entity.

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8.3 Insurance. Business Associate shall obtain and maintain insurance or self-insurance coverage against improper uses and disclosures of PHI by Business Associates and shall provide to Covered Entity a Certificate of Insurance or Certificate of Coverage upon request.

SECTION IX - DISCLAIMER

9.1 COVERED ENTITY MAKES NO WARRANTY OR REPRESENTATI ON THAT COMPLIANCE BY BUSINESS ASSOCIATE WITH THIS AGREEMENT OR THE HIPAA REGULATIONS WILL BE ADEQUATE OR SATISFACTORY FOR BUSINESS ASSOCIATE'S OWN PURPOSES OR THAT ANY INFORMATION IN THE POSSESSION OF BUSINESS ASSOCIATE OR CONTROLLED, OR TRANSMITTED OR RECEIVED BY BUSINESS ASSOCIATE, IS OR WILL BE SECURE FROM UNAUTHORIZED USE OR DISCLOSURE, NOR SHALL COVERED ENTITY BE LIABLE TO BUSINESS ASSOCIATE FOR ANY CLAIM, LOSS OR DAMAGE RELATING TO THE UNAUTHORIZED USE OR DISCLOSURE OF ANY INFORMATION RECEIVED BY BUSINESS ASSOCIATE FROM COVERED ENTITY OR FROM ANY OTHER SOURCE. BUSINESS ASSOCIATE IS SOLELY RESPONSIBLE FOR ALL DECISIONS MADE BY BUSINESS ASSOCIATE REGARDING THE SAFEGUARDI NG OF PHI.

SECTION X - MISCELLANEOUS

10.1 Regulatorv References. A reference in this Agreement to a section in the HIPAA Rules means the section as in effect or as amended, and for which Compliance is required.

10.2 Construction and Interpretation. This Agreement shall be construed as broadly as necessary to implement and comply with HIPAA, the HIPAA, privacy and security regulations, and ARRA. The Parties agree that any ambiguity in this Agreement shall be resolved in favor or a meaning that complies and is consistent with HIPAA, HIPAA regulations, and ARRA.

10.3 Notice. All notices and other communications required or permitted pursuant to this Agreement shall be in writing, addressed to the party at the address set forth at the end of this Agreement, or to such other address as either party may designate from time to time. All notices and other communications shall be mailed by registered or certified mail, return receipt requested, postage pre-paid, or transmitted by hand delivery or telegram. All notices shall be effective as of the date of delivery of personal notice or on the date of receipt, whichever is applicable.

10.4 Modification of Agreement. The Parties recognize that this Agreement may need to be modified from time to time to ensure consistency with amendments to and changes in applicable federal and state laws and regulations, including, but not limited to, HIPAA. The Parties agree to execute any additional amendments to this Agreement reasonably necessary

for each party to comply with HIPAA, including any requirements related to a Chain of Trust Agreement between the Parties pursuant to the HIPAA security standards. This Agreement shall not be waived or altered, in whole or in part, except in writing signed by the Parties.

10.5 Transferability. Covered Entity has entered into this Agreement in specific reliance on the expertise and qualifications of Business Associate. Consequently, Business Associate's interest under this Agreement may not be transferred or assigned or assumed by any other person, in whole or in part, without the prior written consent of Covered Entity.

10.6 Governing Law and Venue. This Agreement shall be governed by, and interpreted in accordance with, the internal laws of the State of Alabama, without giving effect to its conflict of laws provisions.

10.7 Binding Effect. This Agreement shall be binding upon, and shall ensure to the benefit of, the Parties hereto and their respective permitted successors and assigns.

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10.8 Execution. This Agreement may be executed in multiple counterparts, each of which shall constitute an original and all of which shall constitute but one Agreement.

10.9 Gender and Number. The use of the masculine, feminine or neuter genders and the use of the singular and plural shall not be given an effect of any exclusion or limitation herein. The use of the word "person" or "party" shall mean and include any individual, trust, corporation, partnership or other entity.

10.1O Priority of Agreement. If any portion of this Agreement is inconsistent with the terms of the Underlying Agreement, the terms of this Agreement shall prevail. Except as set forth above, the remaining provisions of the Underlying Agreement are ratified in their entirety.

10.11 No Third Party Beneficiaries. Nothing in this Business Associate Agreement shall confer upon any person other than the Parties and their respective successors or assigns, any rights, remedies, obligations, or liabilities whatsoever.

COVERED ENTITY

By:

Name: Title:

Date:

Email:

Phone:

BUSINESS ASSOCIATE

By:

Name: Title:

Date:

Email:

Phone:

Address for Notice: Address for Notice:

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Revision date: 01/2014

New Mexico Regulation and Licensing Department

BOARDS AND COMMISSIONS DIVISIONNew Mexico Board of Dental Health Care and

New Mexico Dental Hygienist CommitteeToney Anaya Building ▪ P.O. Box 25101 ▪ Santa Fe, New Mexico 87505

(Attachment G)

CITA Annual Report

October 2013

Current member states: Louisiana, Alabama, North Carolina, Kentucky, West Virginia, Puerto Rico Recognized by 45 states/territories

Changes: CITA will no longer be recognized Changing to ADEX exam Periodontal exam will be optional Written exam named “Dental Simulation Exam” (DSE) will be

one of five sections taken at a testing center either before or after the clinical exam. Will include: patient evaluation, treatment planning, periodontal health, prosthodontics, medical applications in dentistry

5 Parts of the ADEX exam:1. DSE (above)2. Endodontics on typodont3. Fixed Prosthodontics on typodont4. Periodontics, on live patients, optional5. Restorative exam, on live exam

All tests must be completed within 18 months 3 failures allowed per section, after 3rd section failure, entire

test must be retaken

Content: Endodontic Examination: Access opening, canal

instrumentation obturation #8, access opening on molar #14 Fixed Prosthodontics: Ceramic crown #9, PFM #5, Cast Gold

Crown #3, 3-Unit Bridge Periodontal Examination: Case acceptance, pocket depth,

subgingival calculus detection and removal, tissue and treatment management

Restorative exam: Anterior Class III prep and restoration, Posterior Restoration, choice of: Class II amalgam, Class II traditional composite, or Cl II proximal occlusal composite (?)

New Mexico Regulation and Licensing Department BOARDS AND COMMISSION DIVISION

Page 37 of 72 Revision date: 01/2014

DSE (as above)

New Testing will begin this spring

(Attachment H)

Rules Committee Report January 2014Below are a few of the topics listed to discuss at the next Rules Committee meeting. If you have any suggestions for the committee, please let me know.

61-5B-6 A (1) and 16.5.2.10 A (1): typo: treatment of by physicians” 16.5.2.13 and 15 are duplicates 16.5.7.8 G (1): “by the board at least 45 days” 16.5.14: Title is incorrect/typo: ADJUNCTIVE DENTAL FUNCTIONS SERVICES 16.5.30.10: add amalgam separator language for dental hygiene owned practices also, NDOs? Proof of current BLS or CPR certifications for all licensees and certificate holders should be changed in

rules to “board approved BLS/CPR courses”, instead of the current list. 16.5.33.13 A: ADD: certificate must be “in good standing, and with no current suspensions or probations,

revocations, etc.” Special certifications are needed for mobile dental services, mainly for identification and proof of licensure.

We have not set a date for a Rules hearing, but we may have one at the summer board meeting in Ruidoso. If so, the Rules Committee may need to meet before the April board meeting.

Chuck Schumacher

New Mexico Regulation and Licensing Department BOARDS AND COMMISSION DIVISION

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