Annual Planning Sessions

1
Annual Planning Sessions

• August 16-17, 2007
• Chicago, Illinois

2
NADL Mission

• The NADL is the unified voice for the dental
  laboratory industry supporting dentistry and
  serving the public interest by promoting high
  standards. NADL accomplishes this by providing
  programs, services and networking opportunities
  responsive to the evolving technical,
  educational, professional and business needs of
  dental laboratories.

3
NADL Vision

• The NADL shall be the voice for the dental
  laboratory industry to ensure professionalism
  through strategic leadership, partnering and
  cohesive representation before regulatory and
  educational entities. NADL shall guide the
  industry by setting standards and providing a
  venue for members to advance in the field of
  dental technology.

4
Are we moving at the speed of light?
5
U.S. Workforce Demographics
6
Source Nawb.org
7
Dental Industry Growth The Upside for Labs is
Good
Projected Growth 7, in billions
Source Centers for Medicare and Medicaid Services
8
Number and Type of U.S. Allied Dental Programs
1970 - 2006
9
Dental Laboratory Establishments

• Approximately 12,089 businesses classified as
  dental laboratories
• 5,000 of those are single technician labs. (many
  of which are nearing retirement age)

10
Dental Technician Workforce Statistics

• 48,000
• full and part-time technicians. (U.S. Census)
• By 2014, 11,000 technician employees will leave
  the profession due to retirement or leaving the
  industry for other reasons (U.S. Dept. of Labor)

11
Top Issues Impacting the Dental Technology
Profession and Dental Laboratories (reaffirmed
since 2005)

• Shortage of qualified technicians and Managers
• Existing and potential state and federal
  regulation of technicians and facilities
• Cost and proliferation of technology
• Globalization of dental device production
• Dental insurance (reimbursement rates)

12
What Has Changed Since Last August?

• Media Coverage of Chinese and foreign product
  safety
• Food and Drug Administration officials now
  contacting NADL rather than the other way around
• Modest growth in dental laboratory sales
• 2,000 dental laboratories have closed since 2005
  based on U.S. Dept. of Labor information
• Continued closure of ADA accredited educational
  institutions
• 2006 saw a marked increase in of imports

13
NADL Member Demographics

• Majority are white male, average age is 50 and
  they have the position of laboratory owner or non
  owner manager
• 78 of NADL members have 10-25 employees
• Regardless of size of lab, NADL members have been
  in business on average between 17-30 years
• 63 of NADL members lease their facility
• 47 of small labs have no exit plan 53 of
  medium labs have no exit plan 33 of large labs
  have no exit plan
• 70 of small labs do not plan to purchase or
  lease a CAD/CAM system for medium its 28 20
  for large lab members
• Small labs spend 2.5 K a year on CE or training
  medium size labs spend 4.5K large size labs
  spend 10.5K
• Small labs average 13.5 net profit medium labs
  average 11.8, large labs average 13.5 net profit

14
2005 NADL Member Survey

• Top 3 NADL member benefits in terms of perceived
  value
• 85 of respondents said Journal of Dental
  Technology
• 68 of respondents said representation in
  regulatory and legislative affairs
• 68 of respondents said NADL website

15
2005 NADL Member Survey

• Top 3 statements that characterize NADL
• 77 of respondents said NADL keeps its members
  informed about legislative/regulatory affairs
• 71 of respondents said NADL is responsive to
  industry issues
• 69 of respondents said NADL represents the
  interests of all dental laboratories regardless
  of whether they are members or not

16
2005 NADL Member Survey

• Top 3 NADL activities in terms of importance
• 90 of respondents said dental technology
  education
• 90 of respondents said representation in
  legislative, legal and regulatory affairs
• 83 of respondents said dental technology/promotio
  n/awareness
• 81 of respondents said Business management
  education

17
How Is NADL Meeting its Mission?

• Unified voice categories of membership include
  laboratories suppliers, state and regional
  dental laboratory associations, educational
  programs and individual technicians
• Promoting high standards CDL, CDT, DAMAS,
  Competency Standards

18
How Is NADL Meeting its Mission?

• Technical needs of the industry WOK, JDT, study
  products from dental manufacturers and suppliers,
  National Lab Network
• Business needs of the industry Vision 21, NADL
  University, Industry reports, JDT, JDT Unbound,
  DAMAS, HR Hotline, Insurance Programs

19
How is NADL Meeting Its Vision?

• Voice for the dental laboratory industry
  officially recognized spokesperson with over
  fifteen allied dental organizations and
  state/federal governmental agencies
• Strategic Leadership annual planning
  session/consistent analysis of programs/services

20
How is NADL Meeting Its Vision?

• Representation participation at allied
  organization meetings, (both on the laboratory
  side and the clinician side) with allied
  educational associations
• Standard setting competency standards,
  administrator of DAMAS quality assurance process
  promotion of compliance with QS/GMP

21
Member Programs and Services

• Tangible
• Business insurance
• HR/Labor Law Consulting
• Credit Card Processing
• Discounted Shipping
• Payroll Processing
• Industry Data and Report
• JDT
• JDT Unbound
• Fulfillment House (product inventory for
  training)
• Vision 21
• NADL University

• Intangible
• Representation before government agencies
• Representation before allied dental organizations
• Leadership training to state and regional dental
  lab associations
• Tradeshow Attendance and speaking engagements at
  12-15 dental lab meetings a year
• Representation with dental laboratory
  associations in other countries

22
NADL Moving Forward Areas of FOCUS for next 12
-18 months

• Road Map for Education (traditional, adult
  learning, cross training among dental team
  members, alternative methods of delivery)
• FDA Regulations (lobbying and/or legal
  representation before Congress and other
  appropriate public officials)
• Public Relations/Marketing of the Dental
  Technician Profession and Dental Laboratory
  Industry

23
Education Concept

• an educational system that will facilitate the
  continual upgrade of the educational level of
  domestic incumbent worker to allow for and
  maintain a competitive edge in a global market,
  to mitigate knowledge erosion and meet the future
  needs of changing workforce models and emerging
  technologies and that will result in a formal
  institutional awarded degree

24
Creative linkages

• Identify barriers
• CODA restrictions
• Institutional restrictions
• ADA
• Identify facilitators
• ADEA
• Lab Summit
• NBC/NADL
• Prosthodontic Forum

25
Occupational Map

• Identified Core Competencies
• All Disciplines
• Dental Technology
• Clinical Dental Technology
• Dental Assisting
• Dental Hygiene
• Dental Therapist
• Dentist
• ADA Community Dental Health Coordinator
• Skills Audit gap analysis to place you on the
  ladder

26
ADEA Roadmap (matrix) for
Allied Dental Education
Dental Laboratory Technology
27
Categories
28
Knowing What We Know What should change?

• JDT and JDT Unbound are highly valued by members
  (47 of total NADL expenses budgeted for this
  purpose)
• Regulatory representation is important to NADL
  members 1 of expenses are budgeted for this
  purpose

• 81 of members said business management education
  is important NADL allocates 20 of its expenses
  for this purpose (not counting business mgmt
  training in JDT)
• 83 of NADL members said promotion of the
  profession and industry are important NADL only
  budgets 1 of its expenses for this purpose

29
NBC Mission Statement

• The National Board for Certification in Dental
  Laboratory Technology provides professional
  certification to dental technicians and dental
  laboratories for the health and safety of the
  dental patient.

30
NBC Vision Statement

• The NBC is dedicated to administering a
  globally-recognized certification program to
  verify the knowledge, skills and abilities of
  dental technicians through examinations and
  continuing education. NBC is also dedicated to
  the certification of dental laboratories for the
  purpose of ensuring employee safety and quality
  assurance practices that meet or exceed
  government requirements.

31
Credibility of Programs

• The (ADA) Council on Dental Education and
  Licensure believes that the examination and
  certification of dental laboratory technicians is
  necessary to provide the dental profession with
  an indication of those persons who have
  demonstrated their ability to fulfill the dental
  laboratory work authorization.
• 199892, 713 passed by the ADA House of Delegates

32
Certification of Technicians

• Conventional CDT
• Master CDT
• Technologist
• Recognized Graduate

33
CDT Demographics (2006 NBC Survey)

• Only 25 of CDTs work in a CDL
• 52.7 of CDTs believe they are more likely to be
  hired than a non CDT
• 55.5 of CDTs believe CDTs receive higher
  compensation
• 60.6 of CDTs believe CDTs are given more
  responsibility at work
• 40 have been CDTs for 30 years

34
CDT Educational Levels(2006 NBC Survey)

• High School/GED 14
• Some college (no degree) 27.7
• 2-yr DT degree 29.5
• 2-yr "other" degree 8
• 4-yr college degree 15
• Masters degree or higher 5.4

35
Why Do People Become CDTs?

• 79 pride of being a recognized professional
• 63 respect of co workers
• 55.5 to be tested against a national standard
• 53.3 respect of dental clients
• 37 marketing advantage over other labs
• 37 to get higher pay

36
Barriers to Becoming a CDT(2006 NBC Survey)

• Not Required 76.4
• Few benefits 73.4
• Lack of value to dentists 75.4
• Lack of interest 63
• Costs too much 44
• Exam location convenience 37.2
• Exams are too difficult 20

37
The next Generation of CDTs (from 2006 NBC Survey
non CDT respondents)

• 50/50 Male to Female Ratio
• Minority Representation of Those Aspiring to Be
  CDTs 11.6 Asian 14.5 African American 13
  Hispanic 7.2 American Indian
• 58 are non owner, non manager technicians
• 17 of aspiring CDTs are from Florida (the
  highest percentage of all 50 states), 10 are
  from California and 12 from Texas

38
CDL Facility Standards

• NBC has officially launched the new criteria and
  standards for the Certified Dental Laboratory
  program which raises the bar for employee safety
  and business operations of the facility

39
Certified Dental Laboratory

• Facility requirements
• Equipment requirements
• Managerial requirements
• Personnel requirements

40
Regulatory Frameworks

• Requirement for a CDT as part of state dental
  practice acts
• FDA GMP requirement for training records
• FDA requirement for competent to place on the
  market CDT should be considered to meet that
  requirement
• Increased acceptance of clinical technicians
  (denturists in state practice acts)

41
Globalization

• Mobile workforce with legitimate credentials from
  other countries
• Need for independent verification for non- U.S.
  lab workers working in the U.S. and for those
  technicians supplying products into the U.S.
• Standardization NBC is working with ANSI
  through endorsement process to ensure commonality
  of baseline education, testing methods and CE

42
Modularization

• Testing technicians through task achievement for
  finite areas of skill competency
• Provides clearer career path for development and
  production value for life long learning

43
NBC Areas of FOCUS

• Public Relations
• Budget Reallocation based on matters of
  importance (based on constituent desires)
• Public Policy Advocacy

44
Thank you for your participation in this
important process!
45
NBC Priorities

• Existing
• CDT
• RG
• CDL
• Testing CDT/RG
• Marketing (to the dentists, for recognition to
  the CDT)

• Future
• Globalization (endorsement and foreign testing)
• Advocacy
• Modularization
• Education