Dental Hygiene Clinic

The students and faculty at State College of Florida, Manatee-Sarasota are prepared to provide you with oral hygiene treatment of the highest quality. The Dental Hygiene Clinic is equipped with 16 industry current dental units for patient comfort and quality care.

The Dental Hygiene Clinic is located on the SCF Bradenton Campus, located at 5840 26th Street West, Building #2. Parking is available immediately adjacent to the Dental Hygiene Clinic Building. The campus also is served by the Manatee CAT route #10.

Clinic days and hours may vary from semester to semester; it is always a good idea to call for a current schedule and make an appointment. In addition to providing low-cost dental hygiene care, the Clinic is a learning experience for students in SCF’s dental hygiene program. Dental hygiene appointments last approximately three and a half hours, and several appointments may be required for the entire treatment to be completed. Patients are advised at the first appointment about the number of appointments expected to complete the total treatment.

To become a patient, please call the Dental Hygiene Clinic at SCF Bradenton to schedule an appointment or stop by to see our new, state-of-the-art facilities and make an appointment.

Dental Hygiene Procedures

Services are provided by dental hygiene students under close supervision of SCF dental hygiene faculty and licensed, local dentists.

Dental hygiene services include:

• oral examination
• medical and dental history review
• teeth cleaning
• dental x-rays
• oral hygiene instruction
• fluoride treatments
• dental sealants
• diet and nutritional counseling
• other procedures as authorized by the Florida Dental Practice Act.

Dental x-rays will be forwarded to the patient’s dentist upon request. Dental hygiene services are available for adults and children, 6 and up. All patients under the age of 18 must be accompanied by a parent or legal guardian who can authorize dental treatment. Children may wait in the waiting room during appointment times if they are supervised by an adult. Babysitting is not provided by the College.

Fees

As an educational institution, in exchange for the length of time for treatment, fees for services are less than other dental settings and will vary depending on the procedures planned and rendered. The patient should be prepared to pay the $40 minimum clinic fee at the first appointment. The Clinic will accept cash or money order. No refunds of any part of the fee can be made in the event the treatment is not completed because the patient does not return for all scheduled appointments.

Clinical fees for Dental Hygiene

Adult Patient

• Clinical examination, patient education, teeth cleaning, topical Fluoride Treatment, and bite wing radiographs:  $25
• Full mouth radiographs or panorex radiograph:  $15
• Complex cleanings including quadrant scaling and medicaments:  $29-37
• Sealants per quadrant  $10
• Placement of controlled release local antibiotic or chlorhexidene:  $15/site

Child Patient

• Clinical examination, patient education, teeth cleaning, bite wing radiographs, and topical fluoride treatment:  $25
• Panorex radiograph:  $15
• Sealants per quadrant:  $10

Patient’s Rights & Responsibilities

A patient in the Dental Hygiene Clinic at SCF Bradenton can expect:

1. To be treated as an individual
2. To have his/her dental needs and medical needs considered at all times
3. To be informed of each aspect of recommended treatment and treatment alternatives, expected outcomes and risks of various treatments including no treatment, options to refuse treatment and to give permission before treatment is carried out.
4. To be informed of the number and length of each dental hygiene appointment and the fee for recommeded services.
5. To be included as a partner in decision making and care planning.
6. To have his/her medical and dental records maintained in the strictest of confidence.
7. To receive current and quality dental hygiene care.
8. To receive a complete and thorough evaluation of all dental needs and appropriate referrals for routine and specialty dental care.
9. The dental hygiene students, faculty and staff to maintain the highest level of aseptic technique.
10. To be educated in current oral hygiene care procedures.

A patient in the Dental Hygiene Clinic is responsible to, and will be expected to:

1. Provide the dental health care provider with complete and accurate medical information including past and present medical illnesses, medications, hospitalizations and other conditions that may require alterations in dental hygiene care.
2. Follow referrals and treatment plan as recommended by the dental faculty.
3. Be cooperative and respectful toward students, faculty, staff and other patients throughout the dental care procedures.
4. Respect the property of the College and others.
5. Keep appointments as scheduled and notify the SCF Dental Hygiene Clinic 24 hours in advance if cancellation of the appointment is necessary.

Safety Procedures

State College of Florida, Manatee-Sarasota Dental Hygiene Program adheres to the current OSHA Guidelines for Infection Control. Standard precautions are used by students and faculty in the care of all patients. Information on standard precautions and other infection control procedures used in the SCF Dental Hygiene Clinic is available in the patient waiting area and may be requested by calling the clinic directly at (941) 752-5353.

Individuals with Bloodborne Infectious Diseases

All dental hygiene students and faculty are obligated to provide patient care with compassion and respect for human dignity, respecting the rights of privacy and confidentiality of patients with infectious diseases. Dental hygiene students and faculty will not refuse treatment or discriminate in any way against a patient solely because the patient has an infectious disease or is at risk for contracting an infectious disease. This includes any disease process such as human immunodeficiency virus (HIV), acquired immunodeficiency syndrome (AIDS), or hepatitis infections. Valid reasons for an individual student not caring for a patient will be evaluated by the faculty.

Patients with Active Tuberculosis

An exception to this rule is the care of patients who are known or suspected of having active tuberculosis. These individuals will not be treated in the dental hygiene clinic or assigned to clinical procedures or treatment until a medical evaluation clearance demonstrates that the disease is no longer active.

Other Limitations or Exclusions

Persons with complicated medical conditions, rigid time requirements and extremely difficult dental care needs may not be accepted at the SCF Dental Hygiene Clinic. Individuals who have temporary conditions that may interfere with dental treatment may be refused treatment on occasion at the discretion of the dentist faculty member on duty in the clinic at the time.

Notice Of Privacy And HIPAA Policy

This Notice Decsribes How Health Information About You May Be Used And Disclosed And How You Can Access This Information — Please Review This Paper Carefully

What Is The Purpose Of This Notice?

The following is the privacy policy of the State College of Florida Dental Hygiene Clinic in accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA). HIPAA requires that all medical records and health information be kept confidential whether this information is disclosed electronically, verbally or in writing, and that we provide you with the privacy policy of the clinic. For purposes of this Notice, the State College of Florida Dental Hygiene Clinic “the Clinic” is defined as all professional staff, employees, and students who provide services to the patient. This Notice will take effect on August 15, 2003. These changes affect how we handle personal health information (“PHI”).

Due to HIPAA law, the State College of Florida Dental Hygiene Program can only provide a CD-ROM of digital images upon completion of treatment.

We are required by law to maintain the privacy of your records, and to provide you with notice of the privacy practice in regards to your personal health information. However, the Clinic must use and disclose your health information to the extent necessary to provide you with quality health care. To do this, the Clinic must share your health information as necessary for treatment, payment and health care operations.

What Are Treatment, Payment, And Health Care Operations?

• TREATMENT means the sharing of information between health care providers involved in your care, including the coordination or management of health care and referral to a specialist. For example: a referral to an oral surgeon.
• PAYMENT means obtaining reimbursement for health care delivered.
• HEALTH CARE OPERATIONS includes any related activities which are necessary for the functioning of the Clinic. For example: conducting quality assurance activities and/or accreditation site visits.

Under What Other Circumstances May My Health Information Be Disclosed Without My Consent?

We are required to disclose your personal health information for the following reasons:

• To family member or close friends involved in your care or payment of services.
• Disaster relief agencies if you are involved in a disaster.
• Appointment reminders such as voicemail messages, text messages, emails, postcards or letters.
• To inform you of alternate treatments or benefits related to your health.
• As required by federal, state or local law.
• Public health activities including disease prevention, injury or disability.
• Lawsuits and disputes.
• Law enforcement in response to court order or other legal process.
• Coroner, medical examiner or funeral director.
• Organ and tissue donation.
• Research purposes – under certain circumstances. We may de-identify your personal health. information using codes or removing all individually identifiable health information.
• Military command authorities if you are a member of the armed services.
• National security and intelligence activities.
• Protection of the President of the United States or foreign heads of state investigation.
• Worker’s Compensation – work related conditions.
• To carry out health care treatment, payment and operations functions through business associates.

Under What Circumstances Is My Authorization Required For Release Of My Health Information?

Except as otherwise permitted and listed in this Notice, we will not use or disclose your health information unless you specifically authorize the Clinic to do so. The authorization will be in writing and you will have the ability to revoke your permission, which will be in effect only for the time period as designated on the form.

What Are My Rights In Respect To My Personal Health Information?

• RIGHT TO REQUEST RESTRICTIONS. You may request a limitation on the health information we use or disclose for health care treatment, payment or health care operations, however, we may not agree with your request. This request must be in writing, and if we agree to the restriction, we will comply with your request unless the information is needed for an emergency situation. We will not accept a request to restrict information uses or disclosure that is otherwise requested by law.
• RIGHT TO CONFIDENTIAL COMMUNICATIONS. You may request a particular means or location for us to communicate with you. Please request to complete the required form to register this request. For example: you may wish that we call you at home to confirm an appointment rather than call at your place of employment.
• RIGHT TO INSPECT AND COPY YOUR HEALTH RECORDS. You have the right to inspect and or receive a copy of your health records. We may charge you a fee for the copying and mailing of the records.
• Under limited circumstances your request may be denied. In that event, another licensed health care provider chosen by the Clinic may be brought in to review the denial. The Clinic will comply with the outcome of the review. You will need to contact the Privacy Officer to make the appropriate request.
• RIGHT TO REQUEST AN AMENDMENT. In the event you feel that the personal health information contained in our records is incorrect or incomplete, you have the right to ask for an amendment to be made. The Clinic is not required to accept the amendment. You will need to contact the Privacy Officer to make the appropriate request.
• RIGHT TO RECEIVE AN ACCOUNTING OF DISCLOSURE. You have the right to request an accounting for those individuals, other than for treatment, payment of health care treatment, who have accessed your personal health records during the past four years but not prior to April 15, 2003. After, the first request in 1 year period of time, there may be a charge. You will need to contact the Privacy Officer to make the appropriate request.

What Do You Do If You Have A Complaint?

If you believe that your privacy has been violated, you have the right to file a complaint with the Clinic or the Secretary of the United States Department of Human Services. All complaints must be submitted in writing within 180 days of when you knew or should have known that there was a violation. You will not be penalized or retaliated against in any way for making a complaint.

Please call: Kimberly G. Bastin (941) 752-5362 Fax: (941) 727-6443

Email: bastink@scf.edu

Mail: State College of Florida, 5840 26^th Street West, Bradenton, FL, 34207

• If you have a complaint.
• If you have questions about the Privacy Notice.
• If you wish to have restrictions on uses of disclosure for treatment, payment or health care operation.
• If you wish to exercise your rights regarding right of restriction, right of confidential communication, right to inspect and or copy your records, right to request an amendment, or right to accounting disclosure.

We reserve the right to amend this Notice at any time. These restrictions or amendments may be made effective on all personal health information we have in your records, even if created prior to the effective date of the change. We will provide you with the newest amended Notice at subsequent dental appointments.

What Other Uses Might There Be For The Release Of Your Health Information?

Other uses and disclosures of your health information not previously mentioned in this Notice of the laws that apply to us, will be made only with your written permission. If you do provide us with that permission and wish to revoke that permission, you may do so with written notification. Effective the date of the withdrawal, we will no longer disclose your personal information. Please understand that we are unable to take back disclosures we have already made with your permission. We are required to maintain our records of all care that we have provided for you for four years from your last appointment in the Clinic.

How Will My Records Be Accessed And Utlilized At SCF Dental Hygiene Program?

The HIPAA Privacy Rule provides federal protections for individually identifiable health information held by covered entities and their business associates and gives patients an array of rights with respect to that information. At the same time, the Privacy Rule is balanced so that it permits the disclosure of health information needed for patient care and other important purposes.

The Security Rule specifies a series of administrative, physical, and technical safeguards for covered entities and their business associates to use to assure the confidentiality, integrity, and availability of electronic protected health information

The Office for Civil Rights enforces the HIPAA Privacy Rule, which protects the privacy of individually identifiable health information; the HIPAA Security Rule, which sets national standards for the security of electronic protected health information; the HIPAA Breach Notification Rule, which requires covered entities and business associates to provide notification following a breach of unsecured protected health

information; and the confidentiality provisions of the Patient Safety Rule, which protect identifiable information being used to analyze patient safety events and improve patient safety.

Based upon the newest laws related to HIPAA Privacy Rule, the State College of Florida Dental Hygiene Program will adhere to the following procedures in handling personal information of patients:

1. All patients must be given HIPAA information sheet when requested and sign a HIPAA acknowledgment form.
2. Only students enrolled in the dental hygiene program and faculty of the program may view the medical history and/or other personal information.
3. Sharing patient personal information with other students or other persons would be considered a HIPAA violation. Students who violate privacy are breaking federal law and the Dental Hygiene Code of ethics. The first violation would result in student consultation in which the program director or faculty would educate the student on the HIPAA guidelines. The second violation would result in student probation. The third violation would result in student withdrawal from the program.
4. All patient records are locked when clinic is not in session.
5. At no time will patient records leave the clinic.
6. Students may not list themselves as an individual with rights to the chart on the patient’s HIPAA form. The student has rights as a student and does not need additional permission.
7. At no time will students send patient information, patient digital radiographic images outside the clinic.
8. Students utilizing the Eaglesoft scheduler turn the screen away for view of the patient/patients to protect the confidentiality of names of other patients. After the student is done with the scheduler, the student will close the scheduler or minimize the screen to protect the confidentiality of patients receiving care in the clinic.
9. Only the patient’s initials and the Eaglesoft chart ID# will be utilized on the completed student’s weekly patient record.
10. Only persons listed and authorized on the HIPAA form by the patient will be allowed to obtain radiographic images or other patient records.