Dr. Rosenthal’s Toolkit:
Clinical and Management Tools for Effective School-Based
Dental Programs
Authored by Murray Rosenthal, DDS, New York City, New York

Dr. Murray Rosenthal received his dental degree from SUNY at Buffalo Dental School, completed a residency in general dentistry with emphasis in pediatric dentistry at the Eastman Dental Center in Rochester, NY, and received a certificate in periodontics from Columbia University School of Dental and Oral Surgery. He also completed a dual fellowship at the Mt. Sinai School of Medicine in community medicine and computer application in medicine.

Since arriving in New York City in 1968, he has divided his time between clinical practice and public health. He has been in private practice in periodontics for the last 26 years as well as served as a private consultant. Dr. Rosenthal is presently the dental director of the Children’s Aid Society in New York City. From 1987 to 1991 he was director of the Bureau of Dental Health Services of the New York City Department of Health. As a consultant, he has implemented systems in quality assurance and management information for the Public Health Service, conducted research in quality assurance, designed dental clinics, and has implemented a computerized, preventive dental program for Johnson & Johnson Dental Products Company. He has co-authored journal articles and books on public health, quality assurance, information systems, and computer applications. From 2001 to 2005, the Robert Wood Johnson Foundation supported a dental initiative in 7 school-based health centers under its grant program, Caring for Kids.1 One of the most significant lessons from that funding effort was that developing well managed, productive dental health programs within school-based health centers was challenging, primarily because school-based health center leaders – typically nurse practitioners and physicians – did not understand the requirements for organizing and managing a successful dental practice. Dr. Rosenthal, who served on the Caring for Kids grant review committee and participated in site visits to grantees, understood the challenges and in the course of consulting with several school-based health centers put together a toolkit of the essential materials needed for a successful practice. With deep appreciation to Dr. Rosenthal, The Center for Health and Health Care in Schools is pleased to present Dr. Rosenthal’s Toolkit.

1The Caring for Kids initiative also supported 8 mental health projects. Lessons from this part of the initiative will be reported separately under the mental health services section of this web site and in a journal article.

Dr. Rosenthal’s Toolkit

Appointment Procedures
Instructions
Appointment Schedule
External Referral Form

Clinical Processes and Protocols
Introduction
Pediatric Dental Clinical Protocols
Protocols for Pre-medication
Policy for Dental Emergency Treatment
Instrument and Tray Setups

Billing and Data Collection
Introduction
Dental Encounter Form
Definition of Terms on the Encounter Form
Encounter Form Instructions

Problem-Oriented Dental Records
Rationale for Problem-Oriented Records
Instructions on the use of the Record
Forms for the Record

Dental Quality Assurance
Dental Quality Assurance: Record Review
Dental Quality Assurance: Chart Review Audit Forms 1 & 2
Dental Quality Assurance: Facility Review
Dental Quality Assurance: Facility Review Audit Forms 1-5

Management Information System (MIS)
MIS Overview
Sample Proposed Dental MIS
Dental Codes with RVUs