University of Minnesota School of Dentistry Catherine HardingRose

University of Minnesota School of Dentistry Catherine Harding-Rose Quality and Compliance Officer 8 -376 D Moos Tower 612 -626 -7820

The World of the Dental School • 3 Floors of Research Labs Ø 17 unique labs doing pain research, cancer research, HIV and virology research, as well as dental and dental materials research • 4 Floors of Dental Clinics ~720 appointments/day Ø 283 Chairs dedicated to DDS students (D 3 and D 4) Ø 8 graduate or specialty clinics including: TMD, Orthodontics, Periodontics, Prosthodontics, Endodontics, Pediatrics, Oral Surgery, and Implants (~70 Chairs) Ø Dental Clinic Labs and Graduate Program Labs Ø Extramural and Outreach Clinics (~70 Chairs) • 1 Floor dedicated to Preclinic Education (D 1 and D 2) Ø 125 Simulation Stations Ø 2 Labs Dedicated to the Preclinic

The People of the Dental School • • • 264 Faculty-113 Regular and 151 Adjunct 13 Post Docs 269 Staff 130 Student Appointments 37 Temporary Employees 77 Dental Residents in Grad Programs 439 Dental Students 24 Dental Therapy Students 54 Dental Hygiene Students 32 PASS Students There’s one me.

Training Modules • Updated School of Dentistry Research and Clinic Training Modules in Canvas Ø • In-Person Site-Specific Training Ø Ø Ø • Assigned to Research Personnel upon hire and Clinic Personnel annually Provided to First Year Students Provided to new PASS Students Provided to new Residents Provided to Staff and Faculty Provided at Faculty In-Service Meeting Provided to Researchers by their labs Future Training Projects Ø Ø Turn the clinic training modules into annual modules so they appear annually on transcripts as required by licensing boards and update the modules more frequently Provide students with annual in-person OSHA and Safety Training

Emergency Plan • Updated Contact Phone List • Updated Evacuation Plan and Shelter-in-Place options • Assigned Floor Captain Facilitators Ø Annual Review and Training of this crew • Updated Weather plan for School of Dentistry Clinics • Updated contact and link information for University resources • Added section on Threatening Behavior in the Workplace • Added section on Active Shooter Event with a video that gives guidance specific to a clinical setting • Available on the Staff/Faculty Intranet • Future Projects related to the Emergency Plan Ø Upgrade the emergency kits in the research areas

Policy Development • New Approved Policies Ø Bed Bugs Policy Ø Patient Bill of Rights and Responsibilities Ø Patient Dismissal Policy Ø Quality Improvement/Patient Safety Policy Ø Student Dress Code Policy Ø Visitors in the Clinic • Drafted (but not yet approved) policies Ø Minor Patient Policy Ø Incident Reporting Policy Ø TB Policy Ø Ectoparasites Policy • Future Policy Plans Ø Patients with cognitive deficits

Committees • Chair of the Infection Prevention Committee Ø Meets monthly Ø Consists of Faculty, Dental Assistants, Human Resources representative, and purchasing representative • Chair of the QI/PS Committee Ø Meets quarterly Ø Consists of Clinic Division Chairs and me • • • Clinical Affairs Committee Safety and Security Committee Compliance and Risk Evaluation Committee CODA Accreditation Standard Five Work Group Medical School Safety Committee Future Committee Goals Ø Have DDS students participate in the IP Committee Ø Restart the Research Safety Committee

• Other Projects and Initiatives Overhauled the Dental Unit Water Delivery System Ø Ø The system in place before I took on this role was failing. I switched all the chairs in the clinics to a new water delivery system. Water testing was done with DEHS to document that the school met CDC standards. Quarterly water testing is now done throughout the school to monitor the system. • Tracking of Basic Life Support (BLS) Training Ø The existing database for tracking training and licenses was not secure. Ø We now have a new secure database and I have transferred training records. • Provided TB Testing to Personnel through the Occupational Medicine Program Ø I have done 2 programs that were well-attended and plan to make this a regular event in the TB Policy. • Quality Indicators Ø I worked with division chairs to define the quality indicators they wish to track. Ø I assign quarterly sets of charts to review for quality measures. Ø Data is analyzed and quality improvements are made when needed. • SDS Database Ø I updated documents from MSDS format to SDS format for reagents found in the clinics. Ø The SDS database is now available on the intranet • Clinic Manual and Infection Control Manual Ø The manuals have been updated and posted on-line and in the clinics.

Ongoing Projects and Regular Tasks • • • Quarterly water testing Coordinate monthly CPR classes for faculty, staff, and residents Coordinate initial and renewal CPR training for all DDS students Track BBPEs in all clinics per the OSHA Needlestick Safety and Prevention Act Reporting Requirements Ø Ø Ø MN Dept of Health Diagnostic Imaging Annual Report CODA Annual Reports Patient Satisfaction Quarterly Reports Institutional Effectiveness Annual Report Quarterly Incident Reports • Future Goals Ø Reduce the number of BBPEs in the school. There was an increase from FY 18 to FY 19. There was a marked decrease in the first quarter of FY 20, and I would like to introduce improved safety devices and practices to sustain the decrease in BBPEs.

Challenges and Goals • Challenges Ø Communication-It’s hard to get information to such a large group of people who may not check their e-mail regularly! Ø Misinformation Ø Accreditation in 2020. • Main Goal Ø Shift from a to a “Culture of Cooperation” “Blame Culture”

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