Sanitary and hygienic requirements for dental medical organizations

Is it promising to open a dentistry? Market analysis

To gain the trust of patients, it is necessary to attract the best specialists, outline goals, draw up a project, and purchase modern equipment. All this is done after a thorough market analysis. Competition in the field of dental services is very high, for example, in Moscow the number of private clinics is 96%.

A businessman needs to monitor the services market and pay attention to clinics located in the selected area of ​​the city. It is advisable to study what materials and equipment competitors use, their marketing strategies, and customer flow. You don't need any special skills for this.

In order not to lose money and time, you need to find answers to these basic questions:

• what services are most in demand;
• what are the strengths and weaknesses of competitors;
• pricing for dental services;
• what treatment techniques competitors use.

At the start, a dental business will be expensive, and the bulk of the capital is intended for the purchase of materials and equipment. Obtaining the necessary documentation requires a lot of effort and time. The high profitability of the dental business outweighs the initial difficulties and large investment of time.

Basic requirements for medical furniture.

Medical furnishings are used to equip clinics, hospitals, health resorts and other rehabilitation and health institutions. When choosing medical furniture, it is necessary to take into account the location and features of its use.

The specific use of medical furniture determines the nature of the requirements for it. These requirements, compliance with hygienic norms and standards are established by sanitary and epidemiological supervision. Medical furniture must be safe to use, reliable, durable and functional, as well as meet the demands of increased comfort, ergonomics and aesthetics.

One of the primary requirements is resistance to the aggressive effects of disinfectants. Compliance with a strict regime of sanitary hygiene in medical institutions, frequent cleaning, disinfection using special preparations and frequent quartzing are a prerequisite for the normal functioning of a medical institution. Therefore, this parameter must be taken into account when choosing medical furniture: the surface should be free of roughness and cracks, where dirt could accumulate, cleaning and processing of furniture should take place without difficulty.

In rooms with increased sanitary hygiene requirements (procedure rooms, operating rooms, washing rooms), furniture and premises are regularly subjected to special treatment (use of disinfectants and ultraviolet light). Therefore, in addition to chemical inertness and resistance to repeated treatments, furnishings must be mobile and easily rearranged. Often, samples of medical furniture are equipped with wheels for ease of movement. In addition to maneuverability, the furniture should be small in size so as not to clutter up the workspace for medical staff.

Since the environment in medical institutions, unlike at home, is heavily used, furniture for medical institutions must have a high degree of wear resistance.

Is it necessary for a doctor to be a businessman, and for a businessman to be a doctor?

The dental business brings good profits to entrepreneurs. Doctors who work in government institutions are thinking about opening a private clinic. Both an experienced dentist and a novice businessman can achieve success. The most important thing is the professionalism of doctors and the right approach to organizing a business.

Medical school graduates are good doctors, not managers and entrepreneurs. An experienced businessman-manager has a greater chance of success.

When opening a dental office, you need to take into account the specifics of the legislative framework. To register an LLC, a businessman is not required to have a medical education. Profile education will be needed when opening an individual entrepreneur.

A businessman does not have to be a doctor to open a clinic. Some doctors manage to establish successful businesses in dentistry. A business owner must understand advanced approaches to dental treatment, introduce new technologies, and objectively evaluate the work of doctors.

In Europe, only doctors with education can open medical offices. It is believed that the head of a dental clinic should be a specialist with a medical education. In Russia there are no such requirements yet. A businessman without specialized education can become successful by inviting an experienced practicing chief physician to the clinic.

Organization and conduct of occupational safety training

All dental, clinic or medical center employees must be trained in occupational safety.

There are two types of occupational safety training:

• in a specialized training center;
• within the organization itself.

We recommend training at least three people from the medical organization’s staff at a specialized training center. Why three? This is exactly the number of trained employees necessary to form a commission to test knowledge of labor protection requirements within the organization itself.

Training at the training center is carried out according to the appropriate program with subsequent knowledge testing. Upon successful completion of the exam, a certificate is issued for a period of 3 years.

After the organization has formed a commission to test knowledge of labor protection requirements, it is possible to train employees within the organization itself.

OSH training is provided to all employees within 1 month from the date of employment. Subsequent training is carried out within the time frame established by the employer.

Occupational safety training is usually carried out by the immediate supervisor (mentor) according to the relevant training programs. After completing the training, the employee undergoes a knowledge test using exam cards. The results of the knowledge test are documented in a protocol.

Office or clinic?

The format of the medical institution depends on the budget, capabilities and goals of the entrepreneur. The difference between clinics and offices is the scale and profit margin. The clinic provides patients with a full range of services:

• orthopedic dentistry;
• diagnostics;
• surgical dentistry;
• dental implantation;
• prosthetics and periodontics;
• tooth extraction;
• treatment of neuralgic pain;
• aesthetic dentistry.

The list of services in a dental office will not be long. Patients are offered hygiene procedures, dental treatment, filling, installation of braces, and tooth extraction.

To open a clinic, you need a solid budget for equipment, premises, and salaries for doctors. Opening a dental office is a less expensive task. The choice of the type of dental business depends not only on the budget, but also on the knowledge of the entrepreneur. For newcomers to business, it is better to open an office rather than a clinic. Over time, a successful office can be scaled up into a clinic.

Turnkey dental equipment

As a rule, it is more convenient and faster to seek the help of specialists for the selection, delivery, commissioning, and initial setup of turnkey dental equipment

.

At the same time, the full range of work must include proper maintenance of all dental equipment and equipment.

Firstly, in dentistry, constant attention to technology is especially important, since there are a lot of mechanics and pneumatics, and many elements wear out quickly.

Secondly, without a contract for the maintenance of dental equipment, it is also not possible to obtain licensing for an office or clinic. An agreement with a service company must be concluded.

Contact us: we will answer any questions about the equipment. We will help you check the current condition. We will conduct joint remote diagnostics. Or we’ll come for a full on-site inspection.

How to legally register dentistry: documents and permits

Dental business begins with registration of the form of activity. Obtaining permits is considered the most troublesome task. To open a pediatric dentistry and surgery, you will need several permitting licenses. An individual entrepreneur will be sufficient for a dental office. If an entrepreneur plans to hire a staff of doctors, he will need to register an LLC. In the latter case, the businessman receives a personnel license.

OKVED codes 85.12 or 85.13 are used. Determining a specific code affects the way the enterprise is taxed. “Dental practice” corresponds to code 85.13. “Medical practice” is conducted according to code 85.12.

Premises intended for dental offices must comply with certain standards. If the premises are being redeveloped, you will need permission from the fire department, the architecture department, and the district administration. You must obtain permission to use X-ray equipment.

Room

If you have an unlimited budget, it is recommended to buy the premises as your own. If your budget is small, you can rent a room. In the case of a lease, special attention should be paid to the agreement with the lessor. A room of 30 m2 will be sufficient for an office. To open a clinic with 5 chairs, a room with an area of ​​180 m2 is suitable.

Rospotrebnadzor standards stipulate that the area of ​​the office should be at least 30 square meters. The distance between the window and the wall is from 6 meters, and the minimum ceiling height is 3 meters.

The premises must comply with fire requirements and SES standards. We list the most basic requirements:

• the premises are located no higher than the 2nd floor;
• provision is made for the supply of compressed air and carbon dioxide;
• The walls are not finished in the room where dental x-rays are performed.

The area of ​​the room for 1 dental chair is from 14 m2. The remaining space is divided into an area for receiving patients, a bathroom, and a sterilization room.

A dental clinic must have additional rooms (administration, staff premises, warehouse). There may be offices of an orthopedist and an orthodontist. It is better to open a clinic in a passable place, and not in a remote area of ​​the city. This condition is not considered critical only for sparsely populated cities.

Equipment costs

The list of equipment for dentistry is very large. To select equipment, it is better to invite a specialist who is well versed in professional equipment. For one workplace you will need one dental chair with 4 arms. Basic equipment must comply with sanitary regulations.

A new dental chair costs from 300,000 rubles (prices may vary in different cities). You can buy used equipment cheaper, but it must have all the necessary certificates. Additionally you will need the following materials:

• dental instruments (30,000 rubles);
• consumables (5000 rubles monthly);
• polymerization lamps (10,000 rubles);
• an autoclave designed for processing instruments (60,000 rubles);
• Alex locators (30,000 rubles);
• pieces of furniture (counters for administrators, sofa for waiting, chairs for doctors);
• sterilization equipment (30,000 rubles);
• radiovisiograph (250,000 rubles).

These are just the basic positions for a dental office. You will need hygiene products, cabinets for tools, and materials for filling teeth. We need air humidifiers, sealing devices, ultrasonic scanners to remove plaque, and replacement tips.

Equipment costs depend on the number of dental chairs. In any case, you will need basic equipment and consumables.

Requirements for dentists and staff

An entrepreneur must decide on the concept of dentistry and recruit personnel. The clinic with 5 chairs will have 2 administrators, 10 doctors, 2 nurses, a director, and 10 nurses. An accountant can work part-time.

A separate license is issued for each type of activity (surgery, pediatric dentistry, orthodontics). It is impossible to obtain a license without specialized education. Main requirements when choosing specialists:

• work experience;
• specialized education;
• good reputation;
• availability of medical books;
• availability of a license.

It is better to start choosing personnel at the stage of renovation of the premises. After the opening of the clinic, the staff will be staffed with the best specialists. The following requirements apply to dentists:

• diploma of residency;
• certificate in therapeutic dentistry;
• work experience of 5 years.

Personnel selection is considered a long and difficult process. The list of responsibilities of dentists is determined individually. If the clinic employs highly qualified specialists, then the number of clients increases every day.

Risks

It is necessary to understand that risks exist in any business. An entrepreneur must independently manage a dental business and control all processes. A doctor should not be involved in building business processes, developing a price list, or selecting equipment. Doctors can be entrusted with the construction of the treatment process.

Risks are associated with difficulties in obtaining licenses. The problem is that opening a dentistry requires large investments. It is necessary to correctly draw up a business plan that is well adapted to the economic conditions of a particular region.

A well-thought-out advertising campaign will help minimize risks. It is necessary to order a modern website for dentistry, advertise in the media and on local TV channels, order billboards and banners. One of the advertising options would be a catchy sign.

Conducting a special assessment of working conditions

The next important element of occupational safety in a medical organization is conducting a special assessment.

A special assessment of working conditions must be carried out for all workplaces. To do this, you need to contact a specialized certification organization. Employees of this organization will take all the necessary measurements and draw up documents that will reflect the state of working conditions in the organization. The validity period of the SOUT results is 5 years.

After carrying out the SOUT, all employees must be familiar with its results against signature.

What else is needed at the stage of opening a dental clinic?

At the initial stage of opening a dentistry, it is important to automate the work of the institution. Modern programs allow you to automate the following work:

• controlling income and expenses;
• making an appointment with dentists;
• maintaining doctors' schedules;
• drawing up patient treatment plans;
• tracking business success from the first days;
• control the consumption of materials;
• tracking the effectiveness of special offers;
• analysis of patients' dental formula;
• calculation of salaries to employees.

Special software is designed to solve different problems. Registration, medical records, payroll, and warehouse records are maintained automatically. As a result, the consumption of materials is reduced, and the director of the dental clinic makes management decisions faster.

The program helps attract and retain customers and improve financial performance. Automatic filling of doctors' schedules saves time, and employee accounting makes it easy to manage the staff of a dental clinic. Modern software eliminates errors in business processes.