A policy can be adopted of reappointing patients to
the same operator for all subsequent treatment if
needed. This policy is particularly applicable to
operative dentistry patients. On the other hand, a
policy of reappointing patients to the next available
open time may be preferable. Another alternate is to
keep a few appointments open, thus permitting some
flexibility in the dentists schedules, allowing them to
take care of unforseen situations that may arise from
time to time. Next we will discuss the patient register,
dental appointment book, and appointment cards.
The patient register or log is maintained at the
appointment desk and shows the date, name, rank/rate,
and reason for the visit. It is usually a log-type book,
which lists every patient who was seen at the DTF on a
Dental Appointment, Daily, NAVMED 6600/5
At most DTFs, dental appointments are scheduled
at the Central Appointment Desk. This department
usually takes care of the appointment schedule(s) for
the entire DTF. The appointment book consists of a
series of NAVMED 6600/5 Forms (fig. 2-1) or local
forms that resemble the 6000/5.
Dental Appointment Card, NAVMED 6600/6
A NAVMED 6600/6 (fig. 2-2) is given to each
patient scheduled for a dental appointment. Other
dental appointment card types can also be used
depending on your DTFs policy. Figure 2-3 illustrates
a Dental Appointment Slip that has carbon copies and
comes in 3 parts.
Appointment Failures or No Shows
Appointment failures result in the loss of
man-hours for providers and should be kept to a
minimum. There is no single best way to handle
appointment failures. The DTFs commanding officer
(CO) or officer in charge (OIC) should consider
procedures and methods to keep lost time to a
minimum. An active liaison between the DTF and the
organizational units will also help minimize the
You can help eliminate appointment failures by
impressing upon patients the importance of keeping
them. If time permits, you could contact patients by
telephone before their appointments to remind them of
the date and time. If you have a broken appointment or
cancellation, you should notify the appointment desk.
It may be possible to fill the appointment time with a
sick-call patient or a patient waiting for treatment.
Another method of minimizing lost time is the patient
call list, which is discussed next.
Patient Call List
The Patient Call List is used for patients requiring
extensive treatment, or need to be seen sooner than the
next available scheduled appointment time. The list of
patients usually live or work a short distance from the
DTF, or are available on short notice in case of a
broken appointment or cancellation.. A call list log
should contain the patients name, rank/rate,
home/office telephone number, and dental treatment to
DENTAL COMPUTERIZED RECALL
The computerized dental recall system is used to
schedule military patients return to the DTF on a 3-, 6-,
or 12-month basis for routine or specialized treatment
(e.g., examinations, perio).
The system uses twelve separate lists or file
sections (one for each month). It is continuously
updated, month by month. Most DTFs have a recall list
that operates with custom computer software programs
installed on personal computers (PCs) such as the
Dental Management Information System (DENMIS).
The Dental Management Information System
(DENMIS) was developed for use by DTFs who
submit data to the Bureau of Medicine and Surgery
(BUMED). Functional support is provided by Naval
Medical Information Management Center (NMIMC),
Bethesda, MD. Technical support is provided by
Space and Naval Warfare System Center
(SPAWARSYSCEN), Chesapeake, VA. DENMIS has
the capability to process the following types of
Dental Workload reports.
Unit and individual Operational Dental
Provider Treatment Time reports.
Patient and Unit Dental Treatment Needs reports
(also referred to as ad hoc reports).