Mobile-Portable Hybrid Apple Tree Dental

c. What are some staffing considerations?

The Apple Tree Mobile Dental Team varies from site to site and is based on the mix of oral health services to be provided at each site daily. The ability to schedule single or multiple mobile offices at each site affords flexibility in scheduling and increases efficiency. A one-office set up may include one dentist or one hygienist and one dental assistant. A two-office set up may include one dentist, one hygienist and one assistant or one dentist and two assistants operating two chairs. As of 2011, Apple Tree employs two Advanced Dental who are working in the outpatient clinics and will be incorporated into our on-site clinical team. There are many schemes for staffing, including use of as many as all six mobile offices at one location at one time. The scheduling patterns can be very flexible and can be changed daily.

An additional position utilized by Apple Tree is the patient coordinator who serves as the liaison between the dental staff and the staff of the facility. Among their important duties are coordinating the administration of any premedication for dental procedures, determining the times at which patients will be seen and helping transport patients to and from the mobile dental office location. The coordinator is also available to help the dentists, hygienists and assistants with other aspects of patient care, such as communicating with the facility staff regarding treatment performed, delivering written post-op instructions and helping with instrument sterilization when time permits.

Work hours for central office staff and the on-site care team of dentists, hygienists and assistants are set to support maximum efficiency of the clinic day and the need for shut down and transport back to the office. The MDV drivers work the afternoon shift, typically from 4 pm to midnight. Minnesota does not require special licensing to drive Apple Tree's MDV, but state regulations will vary.

In some states, including Minnesota, anyone working with vulnerable populations, e.g., long-term care residents or group home residents must undergo an annual background check by the State regulatory agency and receive clearance to work with these populations. Apple Tree has a written contract with each of the facilities it services, and the contract states the qualifications of the providers for the facilities.

Staffing

Apple Tree employs more than 150 staff including dentists, dental hygienists, dental therapists, dental assistants, dental lab techs, and a range of non-clinical personnel. Clinical care and support staff are distributed across the five programs:

 

Dentists

Hygienists*

Assistants**

MDV Drivers

Office & other support staff

Twin Cities

12

7

18

3

17

Hawley

6

5

8

2

8

Madelia

3

3

5

 

4

Rochester

3

2

5

2

4

Fergus Falls

4

4

4

***

4

Total

28

21

40

7

37

*Includes Collaborative Practice and Restorative Expanded Functions trained Hygienists, and two dually licensed Dental Hygienist/Dental Therapists.
** Includes Restorative Expanded Functions trained Assistants
***Fergus Falls shares MDV drivers with Hawley

Additional employees provide personnel and administrative support to all four programs. These include a chief executive officer, chief financial officer, and directors, managers, specialists and staff in the areas of Oral Health Care, Innovations, Information Systems, Human Resources, Marketing & Communications, Development, and Policy & Advocacy.