Latest / Becker’s Healthcare Podcast / Bonnie Thompson, Chief Operating Officer of Forest Family Dentistry
Transcript
- 0:02- Every dental leader is facing the same question
- 0:04- right now, whether to grow, partner, sell, or
- 0:07- hold the line. There's no neutral move anymore.
- 0:10- DSOs are consolidating,
- 0:12- valuations are climbing,
- 0:13- AI and digital tools are raising the bar
- 0:15- on what a modern practice even looks like.
- 0:18- And the calls you make this year will
- 0:20- shape the next decade.
- 0:21- Becker's fifth annual future of dentistry roundtable is
- 0:24- where you make those calls with better information.
- 0:27- You'll be in the company of 250
- 0:29- plus executives, 90 plus speakers, and two days
- 0:32- of intimate discussion driven sessions with DSO and
- 0:35- independent practice leaders laying out what's working on
- 0:38- growth, talent, and tech,
- 0:40- and what they do differently.
- 0:42- So join us September fourteenth and fifteenth at
- 0:44- the Hilton Chicago and come ready to decide
- 0:47- what's next. Register on our events page at
- 0:50- beckersdental.com
- 0:51- by clicking in the events tab in the
- 0:53- upper right.
- 0:57- Hello. This is Arianna Portolatin with the Becker's
- 1:00- Dental and DSO review podcast.
- 1:02- I'm thrilled to be joined today by Bonnie
- 1:04- Thompson, the chief operating officer at Forest Family
- 1:06- Dentistry in Texas. Bonnie, thank you so much
- 1:09- for being here today. It's a pleasure to
- 1:10- have you here. Thank you so much for
- 1:12- having me.
- 1:13- Yes, of course.
- 1:14- To start us off, can you introduce yourself
- 1:16- for our listeners and tell us a little
- 1:17- bit about your background as well?
- 1:20- Sure.
- 1:20- So,
- 1:22- I'm currently living in Texas, but my career
- 1:24- began
- 1:26- in Massachusetts
- 1:27- when I was in high school, and I
- 1:28- started as a dental assistant.
- 1:31- And over the last thirty seven years, I
- 1:33- have just
- 1:34- continued to grow and evolve in dentistry. It's
- 1:38- pretty much
- 1:39- my passion and my life at this point.
- 1:41- But I have been fortunate to have experienced
- 1:44- dentistry through different decades and and different
- 1:49- social situations
- 1:50- and political
- 1:53- temperatures. So it's pretty interesting to grow and
- 1:55- evolve in the industry in different
- 1:59- places and different roles from dental assistant straight
- 2:02- through billing,
- 2:04- office manager, and now,
- 2:06- in a leadership COO position.
- 2:09- That's great. And how long have you been
- 2:11- with Horace Family Dentistry so far? I have
- 2:13- been here three years.
- 2:15- Awesome. Alright.
- 2:17- Well, to kick off our questions here, I'd
- 2:19- love to know what are some of the
- 2:20- biggest issues that you're following in the dental
- 2:21- industry right now?
- 2:23- You know, I I think a lot of
- 2:25- people want to gravitate towards staffing. That isn't
- 2:28- something that I am personally experiencing right now.
- 2:31- I think one of the things that's the
- 2:32- biggest challenge for me and a lot of
- 2:34- other leaders that I talk about
- 2:36- is the rising cost of things. So the
- 2:39- economy is definitely changing.
- 2:41- It's more expensive for patients to live and
- 2:44- and pay for things, but it's also expensive
- 2:47- for businesses.
- 2:48- But
- 2:49- for me, the thing that makes it hardest
- 2:51- is mitigating insurance.
- 2:53- So insurance reimbursements
- 2:55- aren't
- 2:56- changing at the same pace that the cost
- 2:58- of living and the cost of our businesses
- 3:00- are, and I think that is the biggest
- 3:03- challenge. Because even
- 3:05- navigating and negotiating different networks and umbrella networks,
- 3:08- the insurance reimbursement
- 3:10- and
- 3:11- the complexity of getting claims paid and all
- 3:14- of the hurdles that we have to go
- 3:15- through
- 3:16- just to get claims paid has become the
- 3:19- hardest cash flow issue, I would say.
- 3:22- Okay. So it seems like that creates some
- 3:24- financial challenges, but also takes up a good
- 3:26- chunk of time as well for, I'm sure,
- 3:27- you and other employees.
- 3:29- Oh, it does. For sure. I mean, there's
- 3:31- there's staffing obviously involved with, you know, managing
- 3:34- that. There's also great
- 3:37- AI technology
- 3:37- and
- 3:38- different programs that can help navigate some of
- 3:41- these things, but there's certain things that just
- 3:43- can't be automated
- 3:45- right now. And especially as we're working
- 3:48- to really dig deep and find ways to
- 3:51- offset
- 3:52- those challenges with maintaining a good culture and
- 3:55- supporting the team that we do have. I
- 3:58- just wanna make sure that we're using the
- 4:00- right technology. I don't wanna waste money that's
- 4:02- already
- 4:03- scarce on programs that don't fix the problem.
- 4:07- Yeah. Could you tell us a little bit
- 4:08- more about what technology is being used at
- 4:11- your practices so far, and what's been helpful?
- 4:14- Absolutely.
- 4:15- We currently switched over to Overjet
- 4:18- AI.
- 4:19- That is a great tool to help us
- 4:21- with our X-ray,
- 4:24- narration, basically. So it helps us educate the
- 4:27- patients to show the patients what we're seeing
- 4:29- and diagnose quicker and help them understand their
- 4:33- treatment needs. But it also helps us communicate
- 4:35- with insurance companies too, whether it's pocket depths
- 4:39- or
- 4:40- decay or things that maybe had a different
- 4:43- gray scale area before. These AI technologies are
- 4:47- helping to identify those quicker and document them.
- 4:50- We also have programs that help us verify
- 4:52- insurance,
- 4:53- in an automated fashion.
- 4:55- And I wouldn't say that I found one
- 4:57- that's a 100% perfect yet, but they are
- 5:01- tools that help us get through things quicker.
- 5:04- And then we also have the tools that
- 5:05- help us communicate with patients via text, online
- 5:08- scheduling, and online forms,
- 5:10- which helps the process,
- 5:12- with our teams just get patients in the
- 5:15- door quicker and make it a little bit
- 5:16- more seamless.
- 5:18- Yeah. And I know you mentioned,
- 5:21- earlier that there are some things that can't
- 5:23- be automated.
- 5:24- Could you share share some of those areas
- 5:26- where,
- 5:28- technology may not be as advanced and you're
- 5:30- still seeing some challenges?
- 5:32- Yeah. 100%.
- 5:34- So
- 5:35- I I know that there's a big push
- 5:37- towards AI, and everybody wants a different
- 5:40- AI agent.
- 5:41- But the one thing in dentistry that will
- 5:43- always remain true is that we will be
- 5:45- a people treating people industry.
- 5:48- So you can't automate
- 5:49- and use technology to deliver one on one
- 5:53- personal customer service,
- 5:55- and that's where we need to be able
- 5:56- to, as leaders,
- 5:58- strengthen our team and communicate clearly what our
- 6:01- expectations
- 6:01- are for
- 6:03- patient communication,
- 6:04- customer service,
- 6:06- and just that
- 6:08- specialized
- 6:09- care that we expect to be delivered, and
- 6:12- then
- 6:12- encourage our team and coach them properly so
- 6:15- that they have the tools that when they
- 6:17- can't automate something, they can still have a
- 6:19- very
- 6:21- confident and compassionate conversation with patients.
- 6:24- Great.
- 6:25- And moving on to our next question here.
- 6:28- What are you most excited about when it
- 6:29- comes to dentistry right now? And is there
- 6:31- anything that's making you nervous about the industry?
- 6:35- I'm just excited in general. I love to
- 6:38- see that technology is always advancing, whether it's
- 6:42- the X-ray AI technology that helps doctors communicate
- 6:46- and educate patients better,
- 6:48- whether it
- 6:50- is painless
- 6:51- forms of dentistry where we don't have to
- 6:53- cut into teeth as much to do more
- 6:55- cosmetic
- 6:57- procedures like halo veneers as opposed to, you
- 7:00- know, the typical old
- 7:02- veneers that we were cutting into teeth and
- 7:04- having to take away healthy tooth structure. We
- 7:07- can give people those things. I think it's
- 7:11- awesome to see the
- 7:13- quieter drills, the laser
- 7:15- drills as opposed to the old wind up
- 7:17- drills that send sound through everybody's body and
- 7:21- probably makes the experience a lot harder for
- 7:23- patients. Those are the things I'm excited about,
- 7:25- the advances in dentistry there.
- 7:27- The things that make me nervous, again, I
- 7:29- would just say it's
- 7:31- the
- 7:32- economy and the way patients need to be
- 7:35- focused on what they're spending,
- 7:37- but when insurance
- 7:39- can dictate or control the way patients see
- 7:42- their care.
- 7:43- So if an insurance company is saying we're
- 7:46- denying this because we don't feel it's medically
- 7:48- necessary,
- 7:49- it causes a sense of distrust between the
- 7:51- patient and the provider
- 7:53- because the patient is tying also parts of
- 7:56- that care to the financial aspect. And I
- 7:59- think it raises some concerns from the patient's
- 8:01- standpoint
- 8:02- to wonder, is the insurance looking out for
- 8:04- their best interest, or is that a financial
- 8:06- decision, or is the doctor looking out for
- 8:08- the their best interest, or is it a
- 8:10- financial transaction? So I think that's the thing
- 8:13- that makes me the most nervous is that
- 8:15- with the economy the way it is in
- 8:17- in spending,
- 8:18- the insurance companies make that a little bit
- 8:21- harder on both sides.
- 8:23- Yeah. And I know that this is,
- 8:25- an issue that so many dental offices across
- 8:28- the country are dealing with right now. I'd
- 8:31- love to know, are there any solutions that
- 8:33- you would like to see put in place
- 8:35- to help with this issue and, kind of
- 8:37- mitigate some of these challenges that come up
- 8:39- with insurers?
- 8:41- You know, I wish I had the golden
- 8:44- nugget on that. I don't. I think that
- 8:47- as long as I've been in dentistry, which
- 8:48- is, again,
- 8:50- over three decades, I haven't seen
- 8:53- many improvements.
- 8:54- Here and there, I will see
- 8:56- shortened frequencies on things to replace and treat
- 8:59- teeth, but the reimbursement levels are definitely
- 9:03- still as low as they ever were, and
- 9:05- the maximums are still the same as they
- 9:07- were in 1989
- 9:09- when I started.
- 9:10- So I don't see that the monetary amounts
- 9:13- are improving there.
- 9:16- I just I think the hard part is
- 9:18- a lot of these insurance companies are for
- 9:20- profit,
- 9:21- which makes their decision making on a lot
- 9:23- of things
- 9:24- in their interest more so than what the
- 9:28- perception of what insurance is supposed to be.
- 9:31- So I don't have a solution. I just
- 9:34- I think I know where the problems came
- 9:35- from.
- 9:37- Yeah. Yeah. Well, thank you so much for
- 9:38- sharing your thoughts, with that issue.
- 9:41- Last question for you here. What will the
- 9:44- most effective leaders need to be successful in
- 9:46- the next two to three years?
- 9:50- I will always go back to strengthening your
- 9:52- people. And I say this mainly because leadership
- 9:56- and culture are two of my
- 9:58- most passionate qualities as far as what comes
- 10:01- to running a dentist office and and a
- 10:04- large dental group.
- 10:06- Because with all the people across the country
- 10:08- in different
- 10:09- demographics
- 10:10- saying that staffing is hard, you have to
- 10:13- understand the people, and you have to understand
- 10:15- what's important to them right now. So for
- 10:19- some, it might be more flexible schedules. We
- 10:22- definitely have different generational challenges that we have
- 10:25- to adapt
- 10:26- to when you're
- 10:28- bringing in different age groups like boomers or
- 10:31- Gen x and Gen z.
- 10:33- These people communicate different, and it's understand
- 10:36- to be able to clearly express your expectations
- 10:39- as an owner and a leader
- 10:41- to the team that you have in order
- 10:43- to foster
- 10:44- their growth and development with you and their
- 10:47- level of commitment.
- 10:48- If we keep missing the mark on that
- 10:50- and we don't find a way to connect
- 10:53- and retain our people, that's gonna feel like
- 10:55- the biggest pain point when it doesn't have
- 10:57- to be.
- 10:59- Alright. Well, that is all I have for
- 11:00- you today, Bonnie. Thank you so much for
- 11:02- joining us today. This was a great conversation.
- 11:04- So definitely a pleasure speaking with you and
- 11:06- looking forward to connecting with you again in
- 11:08- the future.
- 11:09- Thank you so much. You have a great
- 11:10- day. Thanks for having me. You too. Thank
- 11:12- you so much. Goodbye. Bye bye.