3Shape
Implementation PlaybookDSO Β· Group Practice

3Shape

Step-by-step implementation guide β€” pre-implementation checklist, onboarding, staff training, go-live runbook, and ROI tracking.

3Shape β€” Implementation Playbook (DSO)

3Shape Diagnostic Imaging AI Implementation Playbook

For Dental Service Organizations (DSOs)


1. Executive Summary

What This Tool Does

3Shape's diagnostic imaging platform combines industry-leading intraoral scanning technology with AI-powered diagnostic capabilities, including automated caries detection, shade matching, and treatment visualization. The system captures high-resolution 3D images that integrate with CAD/CAM workflows, enabling same-day restorations while providing AI-assisted analysis to support clinical decision-making and patient case presentation.

Why DSOs Specifically Benefit

DSOs gain distinct advantages from deploying 3Shape at scale:

  • Standardization: Uniform diagnostic protocols across all locations eliminate provider-dependent variability in detection and treatment planning
  • Data Aggregation: Centralized imaging data enables enterprise-wide clinical analytics, quality benchmarking, and identification of training gaps
  • Economies of Scale: Negotiated enterprise licensing, centralized support contracts, and shared training resources reduce per-location deployment costs by 20-35%
  • Quality Control: AI-assisted detection provides a consistent second opinion, reducing missed diagnoses and supporting defensible documentation
  • Patient Experience Consistency: Standardized visualization and case presentation workflows create brand-aligned patient experiences regardless of location

Expected Timeline

Phase Duration Cumulative
Decision to Contract Execution 2-4 weeks Week 4
Pre-Implementation & Pilot Planning 2 weeks Week 6
Wave 1 Pilot (2-3 locations) 4 weeks Week 10
Wave 1 Assessment & Optimization 2 weeks Week 12
Wave 2 Expansion (5-8 locations) 4 weeks Week 16
Wave 3+ Full Deployment 6-12 weeks Week 22-28
Total: Decision to Full Deployment 22-28 weeks Varies by portfolio size

For a 30-location DSO, expect 6-7 months from contract to full deployment with proper wave structuring.


2. Pre-Implementation Checklist (Weeks 1–2)

Technical Requirements

Hardware (Per Location)

☐ Workstation specifications: Intel i7 (10th gen+) or equivalent, 32GB RAM minimum, dedicated GPU (NVIDIA GTX 1660 or better) β€” verify against 3Shape's current spec sheet πŸ”΅

☐ TRIOS intraoral scanner hardware (TRIOS 3, TRIOS 4, or TRIOS 5) β€” confirm model compatibility with latest software version πŸ”΅

☐ 24"+ high-resolution monitor (1920x1080 minimum; 4K recommended for detailed case review)

☐ Backup scanner availability plan (loaner program or regional backup unit)

Estimated Time: 2-4 hours for inventory audit across all locations

Software

☐ 3Shape Unite platform license (enterprise tier) πŸ”΅

☐ 3Shape TRIOS software (current version; verify minimum version with vendor) πŸ”΅

☐ Compatible Windows 10/11 Pro (64-bit); macOS not supported for clinical workstations

☐ .NET Framework 4.7.2 or higher

☐ Current antivirus with exclusions configured for 3Shape directories

Estimated Time: 1-2 hours per location for software audit

Network

☐ Minimum 100 Mbps upload/download per location (500 Mbps recommended for high-volume practices)

☐ Dedicated VLAN for clinical imaging devices recommended

☐ Static IP addresses for scanner workstations (required for some integrations)

☐ Firewall ports configured per 3Shape specifications πŸ”΅

☐ Cloud connectivity verified (3Shape Communicate requires outbound HTTPS)

Estimated Time: 30 minutes per location for network assessment

Integrations

☐ Practice Management System integration capability verified:

  • Dentrix (via 3Shape Dental Desktop)
  • Eaglesoft (via API bridge)
  • Open Dental (via direct integration module)
  • Other PMS: confirm with vendor πŸ”΅

☐ Imaging PACS/archive system integration requirements documented

☐ Lab communication workflow (3Shape Communicate) configured

Estimated Time: 4-6 hours for enterprise integration architecture planning


Vendor Onboarding Steps

☐ Execute enterprise Master Service Agreement (MSA) πŸ”΅ 🟣

☐ Complete Business Associate Agreement (BAA) for HIPAA compliance πŸ”΅ 🟣

☐ Establish dedicated enterprise account manager relationship πŸ”΅

☐ Obtain enterprise admin portal access (3Shape Unite) πŸ”΅

☐ Schedule enterprise onboarding kickoff call πŸ”΅

☐ Confirm dedicated support escalation path for enterprise accounts πŸ”΅

☐ Document vendor SLA commitments (response times, uptime guarantees) πŸ”΅

Estimated Time: 1-2 weeks for contract and onboarding completion

Key Contacts to Establish

Role Purpose Obtain By
Enterprise Account Manager Strategic relationship, escalations Day 1 πŸ”΅
Technical Implementation Lead Integration and deployment support Day 1 πŸ”΅
Training Coordinator Champion certification, materials Week 1 πŸ”΅
Support Tier 2 Contact Complex technical issues Week 1 πŸ”΅
Customer Success Manager Ongoing optimization, renewals Week 2 πŸ”΅

Data/Access Prerequisites

☐ Enterprise admin credentials for 3Shape Unite portal πŸ”΅

☐ API keys for PMS integration (obtain from PMS vendor)

☐ Imaging archive access credentials (if migrating historical images)

☐ SSO/SAML configuration details from IT (if using centralized authentication)

☐ Provider NPI numbers for all clinicians who will use the system

☐ Location identifiers mapped to 3Shape location structure

Estimated Time: 4-8 hours to compile all access prerequisites


Internal Stakeholder Alignment

Inform (Awareness Required)

☐ All clinical providers across the organization ☐ All office managers ☐ Patient experience/call center teams (if applicable) ☐ Marketing team (patient communication implications)

Approve (Decision Authority Required)

☐ CEO/COO β€” strategic initiative approval 🟣 ☐ CFO β€” capital expenditure and ROI framework approval 🟣 ☐ Chief Dental Officer β€” clinical workflow and protocol approval 🟣 ☐ VP of IT β€” technical architecture and security approval 🟣 ☐ VP of Operations β€” rollout timeline and resource allocation approval 🟣 ☐ Board/Investors β€” significant capital deployment (if threshold met) 🟣

Execute (Hands-On Involvement)

☐ IT Director β€” technical implementation lead ☐ Clinical Operations Manager β€” workflow design and training ☐ Regional Managers β€” location-level coordination ☐ Location Champions β€” local implementation ownership

Estimated Time: 2-3 weeks for full stakeholder alignment cycle


Baseline Metrics to Capture

⚠️ Critical: Capture these metrics BEFORE go-live to enable accurate ROI measurement. Standardize measurement methodology across all locations.

Clinical Metrics (Per Location, Monthly Average)

Metric Data Source Measurement Method
Caries detection rate Chart audit (random sample of 50 patients) Diagnosed caries per 100 patients examined
Restorative case acceptance rate PMS treatment plan reports Accepted treatments / Presented treatments
Average diagnosis-to-treatment time PMS appointment data Days from diagnosis to completed treatment
Re-scan rate (if using existing scanners) Scanner logs Rescans required / Total scans
Same-day crown completion rate (if applicable) PMS procedure codes Same-day crowns / Total crowns

Operational Metrics (Per Location)

Metric Data Source Measurement Method
Average chair time for imaging Time studies (sample 20 appointments) Minutes from patient seated to images captured
Lab case turnaround time Lab invoices/tracking Days from impression to delivery
Impression retake rate (if applicable) Lab records Retakes / Total impressions

Financial Metrics (Per Location, Monthly)

Metric Data Source Measurement Method
Production per provider-hour PMS financial reports Total production / Provider clinical hours
Restorative revenue PMS procedure codes Revenue from D2000-D2999 codes
Imaging-related claim denial rate Clearinghouse reports Denied imaging claims / Total imaging claims
Lab costs (impressions, remakes) Accounting/AP records Monthly lab expense detail

Estimated Time: 2-3 weeks for comprehensive baseline data collection across all locations

Standardization Protocol

☐ Create standardized data collection template (Excel/Google Sheets) ☐ Assign data collection responsibility to each office manager ☐ Set uniform date range for baseline (recommend: trailing 3 months) ☐ Validate data completeness before proceeding with rollout ☐ Store baseline data in centralized location with access controls


Enterprise-Level Requirements

Network Standards

☐ Document minimum network specifications as enterprise standard ☐ Identify locations not meeting standards; create remediation timeline ☐ Establish network monitoring for imaging workstations ☐ Configure QoS policies prioritizing imaging traffic

Hosting Architecture Decision 🟣

Option Pros Cons Recommended For
Cloud-hosted (3Shape Unite) Centralized management, automatic updates, anywhere access Internet dependency, ongoing subscription cost Most DSOs
Hybrid (local + cloud sync) Offline capability, faster local performance More complex management, higher IT burden High-volume locations with unreliable internet

Recommendation: Cloud-hosted via 3Shape Unite for DSOs unless specific locations have documented connectivity issues.

Single Sign-On (SSO)

☐ Confirm 3Shape SSO compatibility with your identity provider (Azure AD, Okta, etc.) πŸ”΅ ☐ Plan SSO configuration timeline (typically 1-2 weeks with IT involvement) ☐ Document fallback authentication if SSO unavailable

Centralized Credentialing

☐ Map all provider credentials to 3Shape user accounts ☐ Establish role-based access control (RBAC) structure:

  • Enterprise Admin: Full system access
  • Regional Admin: Multi-location oversight
  • Location Admin: Single location management
  • Provider: Clinical use only
  • Staff: Limited clinical support functions

Stakeholder Alignment Map

β”Œβ”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”
β”‚                    BOARD / INVESTORS                            β”‚
β”‚         Strategic approval, capital allocation 🟣               β”‚
β”‚                Communication: Quarterly updates                 β”‚
β””β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”˜
                              β”‚
β”Œβ”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”
β”‚                        C-SUITE                                  β”‚
β”‚   CEO: Strategic alignment | CFO: ROI accountability            β”‚
β”‚   CDO: Clinical standards | COO: Operational execution 🟣       β”‚
β”‚               Communication: Bi-weekly steering                 β”‚
β””β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”˜
                              β”‚
β”Œβ”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”
β”‚                   REGIONAL MANAGERS                             β”‚
β”‚      Rollout coordination, location support, escalation         β”‚
β”‚               Communication: Weekly rollout calls               β”‚
β””β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”˜
                              β”‚
β”Œβ”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”
β”‚                LOCATION OFFICE MANAGERS                         β”‚
β”‚       Local logistics, staff coordination, daily ops            β”‚
β”‚               Communication: Daily during go-live               β”‚
β””β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”˜
                              β”‚
β”Œβ”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”
β”‚                       PROVIDERS                                 β”‚
β”‚        Clinical adoption, patient communication, feedback       β”‚
β”‚               Communication: Training + ongoing support         β”‚
β””β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”˜

3. Location Readiness Assessment

Scoring Framework

Rate each location 1-5 on each factor. Total possible score: 25 points.

Factor 1: IT Infrastructure Maturity (1-5)

Score Criteria
5 Exceeds all specs: Gigabit internet, new workstations (<2 years), current PMS version
4 Meets all specs: 500+ Mbps, adequate workstations (<4 years), compatible PMS version
3 Meets minimum specs: 100 Mbps, workstations need minor upgrades, PMS requires update
2 Below specs: <100 Mbps, workstations need replacement, PMS integration uncertain
1 Significant gaps: Major infrastructure investment required before deployment

Factor 2: Staff Tenure and Adaptability (1-5)

Score Criteria
5 Low turnover (<10%), previous successful tech adoption, tech-forward culture
4 Moderate turnover (10-20%), generally positive toward new technology
3 Average turnover (20-30%), mixed reactions to past tech changes
2 Higher turnover (30-40%), past resistance to technology changes
1 High turnover (>40%), significant resistance to change, recent staff disruptions

Factor 3: Patient Volume (1-5)

Score Criteria Impact/Risk Profile
5 High volume (40+ patients/day) Highest ROI potential; highest risk if issues
4 Above average (30-40 patients/day) Strong ROI potential; manageable risk
3 Average (20-30 patients/day) Moderate ROI; lower risk for pilot
2 Below average (10-20 patients/day) Lower ROI; good for learning
1 Low volume (<10 patients/day) Limited ROI; not recommended for early waves

Factor 4: Existing Tech Stack Compatibility (1-5)

Score Criteria
5 Supported PMS with existing integration, compatible imaging system, clean data
4 Supported PMS, minor integration configuration needed
3 Supported PMS, moderate integration work required, some data cleanup needed
2 PMS integration possible but complex, significant data preparation required
1 Unsupported PMS or major technical blockers

Factor 5: Local Champion Availability (1-5)

Score Criteria
5 Identified champion: tech-forward provider + engaged office manager, both committed
4 Strong champion: either provider or OM highly engaged, other supportive
3 Adequate champion: willing participant identified, moderate enthusiasm
2 Weak champion: no natural candidate, will require assignment and extra support
1 No champion: leadership vacancy, recent turnover, or active resistance

Composite Readiness Score Calculation

Total Score = IT + Staff + Volume + Tech Stack + Champion
Maximum: 25 points
Score Range Readiness Tier Rollout Recommendation
21-25 Tier 1: Pilot Ready Wave 1 candidate
16-20 Tier 2: Ready with Preparation Wave 2 candidate
11-15 Tier 3: Requires Investment Wave 3+, after remediation
≀10 Tier 4: Not Ready Defer until significant improvements made

Wave 1 Selection Criteria

Select 2-3 locations that meet ALL of the following:

  • Composite score β‰₯ 20
  • IT Infrastructure score β‰₯ 4
  • Local Champion score β‰₯ 4
  • Represent geographic and patient demographic diversity of portfolio
  • Office manager tenure > 1 year
  • No major operational disruptions planned (remodels, provider transitions)

Wave 2 Selection Criteria

Select 5-8 locations that meet:

  • Composite score β‰₯ 16
  • No individual factor score ≀ 2
  • Remediation plans in place for any factors scored 3

Wave 3+ Selection Criteria

  • All remaining locations
  • Remediation completed for any factors previously scored ≀ 2
  • Extended support plans for locations with composite scores 11-15

Sample Readiness Assessment Template

Location IT (1-5) Staff (1-5) Volume (1-5) Tech Stack (1-5) Champion (1-5) Total Tier Notes
Phoenix Central 5 4 4 5 5 23 1 Strong pilot candidate
Austin North 4 4 3 4 4 19 2 Wave 2
Denver West 3 3 4 3 2 15 3 Needs champion development
Seattle Metro 2 2 3 4 3 14 3 Network upgrade required

Estimated Time: 1-2 hours per location for complete assessment; 1-2 days for full DSO portfolio


4. Rollout Strategy

Wave 1: Pilot Phase (2-3 Locations)

Duration: 4 weeks active + 2 weeks assessment

Purpose:

  • Validate technical integration in production environment
  • Refine training materials based on real-world feedback
  • Identify workflow modifications needed before scale
  • Build internal case studies and champion testimonials

Timeline:

Week Activities
Week 1 Final technical preparation, champion intensive training
Week 2 Go-live, daily support calls, intensive monitoring
Week 3 Workflow stabilization, minor adjustments
Week 4 Full operational status, outcome tracking
Week 5-6 Assessment period, lessons learned documentation

Wave 2: Controlled Expansion (5-8 Locations)

Duration: 4 weeks active + 1 week assessment

Purpose:

  • Validate scalability of training model
  • Test regional support structure
  • Refine escalation procedures
  • Expand champion network

Timeline:

Week Activities
Week 1 Champion training (train-the-trainer), technical preparation
Week 2 Staggered go-live (2-3 locations Mon, 2-3 locations Wed)
Week 3 Stabilization, Wave 1 champions mentor Wave 2
Week 4 Full operational status, metrics comparison to Wave 1
Week 5 Assessment, final playbook refinements

Wave 3+: Full Deployment (Remaining Locations)

Duration: 6-12 weeks depending on portfolio size

Purpose:

  • Execute at scale using validated playbook
  • Maintain quality while increasing velocity
  • Complete enterprise deployment

Approach:

  • Deploy 5-10 locations per week (capacity dependent)
  • Stagger go-lives across week to manage support load
  • Regional managers coordinate within their territories
  • Central team provides oversight and escalation support

Wave 1 Pilot Location Selection

Selection Criteria

☐ Composite readiness score β‰₯ 20 ☐ Geographic representation (select from different regions if possible) ☐ Provider mix representation (GP + specialist if applicable) ☐ PMS representation (if using multiple PMS across DSO, include each) ☐ Engaged, articulate champion willing to share experience with other locations ☐ Office manager with bandwidth to dedicate extra time during pilot ☐ No planned disruptions (vacations, construction, provider transitions) during pilot period

Anti-Criteria (Exclude From Wave 1)

☐ Highest-volume location (too much risk if issues occur) ☐ Newest location (still establishing baseline operations) ☐ Locations with recent leadership changes ☐ Locations currently underperforming on key metrics (introduces confounding factors)


Timeline Per Wave with Buffer

Wave 1 (Pilot)
β”œβ”€β”€ Week 1-2: Pre-implementation
β”œβ”€β”€ Week 3-6: Active pilot (4 weeks)
β”œβ”€β”€ Week 7-8: Assessment & learning capture
β”‚   └── GO/NO-GO DECISION 🟣
β”‚
Wave 2 (Expansion)
β”œβ”€β”€ Week 9: Champion training
β”œβ”€β”€ Week 10-13: Active rollout (4 weeks)
β”œβ”€β”€ Week 14: Assessment
β”‚   └── GO/NO-GO DECISION 🟣
β”‚
Wave 3+ (Full Deployment)
β”œβ”€β”€ Week 15+: Scaled deployment
└── Ongoing: 5-10 locations per week

Go/No-Go Criteria

Wave 1 β†’ Wave 2 Advancement Criteria 🟣

Must Achieve (All Required): ☐ Technical integration stable (no critical bugs unresolved) ☐ β‰₯80% of staff report confidence using system (survey) ☐ No patient safety incidents related to AI diagnostics ☐ Data flowing correctly to centralized dashboard ☐ Support escalation process functioning (issues resolved within SLA)

Should Achieve (Majority Required): ☐ Case acceptance rate stable or improved vs. baseline ☐ Chair time for imaging within 15% of baseline (accounting for learning curve) ☐ Provider satisfaction β‰₯3.5/5 on standardized survey ☐ Staff satisfaction β‰₯3.5/5 on standardized survey ☐ Champion prepared to mentor Wave 2 locations

Red Flags (Any Triggers Pause): ⚠️ Unresolved technical issues affecting patient care ⚠️ Provider refusal to use system ⚠️ Integration causing PMS data corruption ⚠️ Support response times consistently exceeding SLA ⚠️ Staff turnover spike attributable to implementation

Wave 2 β†’ Wave 3 Advancement Criteria 🟣

Must Achieve (All Required): ☐ Wave 2 metrics comparable to Wave 1 (within 10%) ☐ Train-the-trainer model validated (champions successfully trained their teams) ☐ Regional support structure functioning ☐ No degradation in Wave 1 locations post-support transition

Should Achieve (Majority Required): ☐ Demonstrable ROI indicators emerging ☐ Cross-location benchmarking dashboard functional ☐ Champion network engaged and communicating


Rollback Plan

Trigger Conditions for Rollback

  • Critical technical failure affecting patient care
  • Integration causing data loss or corruption
  • Vendor unable to resolve blocking issues within agreed timeframe
  • Significant negative impact on practice operations (>20% productivity decline sustained)

Rollback Procedure

Location-Level Rollback:

  1. Regional manager notifies central team of trigger condition
  2. Central team assesses and confirms rollback decision 🟣
  3. Location reverts to pre-3Shape workflow
  4. 3Shape hardware remains in place but powered off
  5. PMS integration disabled
  6. Staff notified of temporary pause
  7. Root cause analysis initiated with vendor πŸ”΅
  8. Remediation plan developed before re-deployment

Wave-Level Rollback:

  1. Halt all pending go-lives in affected wave
  2. Assess whether issue is systemic or location-specific
  3. If systemic: pause program pending vendor resolution πŸ”΅ 🟣
  4. If location-specific: continue wave with exclusion, address individually

Rollback Communication Template

Subject: [Location Name] 3Shape Implementation Pause - Action Required

To: [Regional Manager], [Office Manager], [Champion]
Cc: [VP Operations], [IT Director]

The 3Shape implementation at [Location Name] has been paused effective 
[Date] due to [brief reason]. This is a temporary measure while we 
work with the vendor to resolve [specific issue].

Immediate Actions:
1. Revert to previous imaging workflow
2. Keep 3Shape hardware in place but powered off
3. Continue normal operations using prior methods

Expected Resolution Timeline: [X days/weeks]

Next Steps:
- Root cause analysis call: [Date/Time]
- Status update to staff: [Date]
- Anticipated restart date: [TBD pending resolution]

Questions: Contact [Central Team Lead] at [contact info]

5. Configuration & Integration (Weeks 2–3)

Step-by-Step PMS Integration

Dentrix Integration

Estimated Time: 2-4 hours per location

☐ Verify Dentrix version compatibility (G7.0+ required) πŸ”΅

☐ Install 3Shape Dental Desktop bridge software πŸ”΅

☐ Configure patient data sync settings:

  • Navigate to Dentrix Office Manager β†’ Preferences β†’ Third Party Links
  • Add 3Shape as authorized bridge partner
  • Map patient identifier fields

☐ Set up image attachment workflow:

  • Configure automatic attachment of 3D scans to patient records
  • Set default image categories for 3Shape outputs
  • Test attachment workflow with sample patient

☐ Validate provider list sync between systems

☐ Test appointment-based patient lookup

⚠️ Common Issue: Dentrix user permissions may block bridge installation. Ensure installing user has local admin rights.

Eaglesoft Integration

Estimated Time: 3-5 hours per location

☐ Verify Eaglesoft version (21.0+ required) πŸ”΅

☐ Install Eaglesoft Imaging Bridge module πŸ”΅

☐ Configure API connection:

  • Obtain API credentials from Patterson support
  • Enter credentials in 3Shape Unite portal
  • Test API connectivity

☐ Map operatory assignments to scanner locations

☐ Configure treatment plan image linking

☐ Validate insurance estimation integration (if applicable)

⚠️ Common Issue: Eaglesoft API rate limits may cause sync delays during high-volume periods. Configure off-peak sync windows.

Open Dental Integration

Estimated Time: 1-3 hours per location

☐ Verify Open Dental version (22.1+ recommended) πŸ”΅

☐ Enable Open Dental API in Program Properties

☐ Generate API key for 3Shape integration

☐ Configure 3Shape Direct Integration module:

  • Enter API endpoint and key
  • Set patient matching criteria (prefer PatNum)
  • Configure imaging bridge paths

☐ Test bidirectional data flow

☐ Validate charting integration for AI-detected findings

⚠️ Common Issue: Open Dental's open architecture allows multiple integration methods. Standardize on one approach across all locations to simplify support.


Imaging System Integration

TRIOS Scanner Setup

Estimated Time: 1-2 hours per scanner

☐ Unbox and inspect scanner hardware πŸ”΅

☐ Install scanner on workstation following 3Shape specifications πŸ”΅

☐ Complete scanner calibration wizard πŸ”΅

☐ Register scanner to location in 3Shape Unite portal πŸ”΅

☐ Configure scanner preferences:

  • Auto-upload settings (immediate vs. batched)
  • Scan resolution settings
  • Color/shade capture settings

☐ Assign scanner to specific operatory/workstation

☐ Test scan capture with calibration model

3Shape AI Diagnostic Settings

☐ Enable Caries Detection AI module πŸ”΅

☐ Configure AI sensitivity thresholds:

  • Standard sensitivity (recommended starting point)
  • Document threshold settings for consistency across locations

☐ Set AI finding display preferences:

  • Highlight colors for different pathology types
  • Opacity settings for overlays
  • Default view configuration

☐ Configure AI report generation settings

Historical Data Migration (If Applicable)

⚠️ Note: Migration of historical imaging data is complex and may not be necessary for all DSOs. Assess ROI before committing.

☐ Inventory existing imaging data formats and locations

☐ Assess data quality and completeness

☐ Work with 3Shape on migration feasibility πŸ”΅

☐ If proceeding:

  • Create data mapping document
  • Execute test migration with sample data set
  • Validate migrated data integrity
  • Schedule full migration during low-impact window

Test Environment Setup

☐ Establish dedicated test tenant in 3Shape Unite πŸ”΅

☐ Configure test environment to mirror production settings

☐ Create test patient records (clearly marked as test data)

☐ Validate all integrations in test environment before production deployment

☐ Maintain test environment for ongoing training and troubleshooting

Validation Checklist

☐ Patient creation in PMS appears in 3Shape (< 60 seconds)

☐ Scan captured in 3Shape attaches to correct patient in PMS

☐ AI analysis completes and displays within expected timeframe

☐ Treatment plan created from AI findings syncs to PMS

☐ Scan data uploads to 3Shape cloud successfully

☐ Multi-user concurrent access functions correctly

☐ Reporting data flows to centralized dashboard


Standardized Configuration Template

Settings to Standardize Centrally (All Locations Identical)

Setting Category Configuration Rationale
AI sensitivity thresholds Standard (default) Consistent diagnostic support
Scan resolution High (default) Quality standardization
Finding highlight colors Red: caries, Yellow: watch, Blue: existing Visual consistency
Auto-upload Enabled, immediate Real-time data availability
Cloud backup Enabled Data protection
User role definitions Standard RBAC template Security consistency
Report templates Enterprise standard templates Branded, consistent patient experience

Settings Allowing Local Discretion

Setting Category Local Options Constraints
Operatory assignments Match local operatory layout Must be documented
Provider-specific preferences Overlay opacity, view defaults Within approved range
Scan naming conventions Can include location identifier Must include patient ID and date
Lab preferences Location's preferred lab(s) Must be network-approved labs
Appointment integration Match local scheduling workflow Must maintain data sync

Security and HIPAA Compliance Verification

Enterprise-Level HIPAA Checklist

☐ Business Associate Agreement (BAA) executed with 3Shape πŸ”΅ 🟣

☐ Data processing addendum reviewed and accepted πŸ”΅

☐ Verify 3Shape's SOC 2 Type II compliance πŸ”΅

☐ Verify data encryption standards:

  • Data at rest: AES-256 encryption
  • Data in transit: TLS 1.2+ encryption

☐ Document data residency (where patient data is stored) πŸ”΅

☐ Configure minimum necessary access controls

☐ Establish audit log review procedures

☐ Document data retention and deletion policies

☐ Verify backup and disaster recovery procedures πŸ”΅

☐ Complete internal security assessment checklist

Access Control Configuration

☐ Implement role-based access control (RBAC)

☐ Configure automatic session timeout (15 minutes recommended)

☐ Enable multi-factor authentication for admin accounts

☐ Disable default accounts and passwords

☐ Create access provisioning and de-provisioning procedures

☐ Document emergency access procedures

Per-Location Security Checklist

☐ Workstation auto-lock configured

☐ Workstation encryption (BitLocker) enabled

☐ Scanner physical security (secured when not in use)

☐ Visitor access controls in clinical areas

☐ Staff training on imaging data handling completed


6. Team Training Plan

Train-the-Trainer Model Overview

β”Œβ”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”
β”‚                    CENTRAL TRAINING TEAM                        β”‚
β”‚           Creates materials, certifies champions                β”‚
β””β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”˜
                              β”‚
                    Certifies (1-day intensive)
                              β”‚
                              β–Ό
β”Œβ”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”
β”‚                    LOCATION CHAMPIONS                           β”‚
β”‚           1 per location, train-the-trainer certified           β”‚
β””β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”˜
                              β”‚
                    Trains (role-specific sessions)
                              β”‚
                              β–Ό
β”Œβ”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”
β”‚                      LOCATION STAFF                             β”‚
β”‚              All roles: providers, hygienists,                  β”‚
β”‚              front desk, billing                                β”‚
β””β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”˜

Champion Selection Criteria

Required Qualifications: ☐ Minimum 1 year tenure at location ☐ Demonstrated technical competence (comfortable with existing tech) ☐ Respected by peers (influence without authority) ☐ Reliable communication (responsive, clear updates) ☐ Available for full champion certification training

Preferred Qualifications: ☐ Previous experience implementing new technology ☐ Clinical background (provider or hygienist) provides credibility ☐ Enthusiasm for the project (self-nominated preferred) ☐ Leadership aspirations (development opportunity)

Champion Responsibilities:

  • Complete certification training (1 full day)
  • Train all staff at their location (role-specific sessions)
  • Serve as first-line support during go-live
  • Escalate issues appropriately
  • Provide feedback to central team
  • Mentor champions at subsequent wave locations

Champion Certification Training (1 Day)

Delivered by: Central Training Team + 3Shape Trainer πŸ”΅

Format: In-person at central location or selected pilot site

Agenda:

Time Topic Content
8:00-8:30 Welcome & Objectives Program overview, champion role expectations
8:30-10:00 Technical Deep Dive Full system functionality, all features
10:00-10:15 Break
10:15-11:30 Clinical Workflows Integration into patient flow, provider use cases
11:30-12:00 AI Interpretation Understanding AI outputs, appropriate use, limitations
12:00-1:00 Lunch
1:00-2:00 Hands-On Practice Each champion completes full scan and workflow
2:00-2:45 Train-the-Trainer Techniques Adult learning principles, demonstration skills
2:45-3:00 Break
3:00-4:00 Troubleshooting & Support Common issues, escalation procedures
4:00-4:30 Role-Specific Training Review Walk through each role's training module
4:30-5:00 Certification Assessment Demonstrate competency, receive certification

Certification Requirements: ☐ Complete all training modules ☐ Pass hands-on competency demonstration ☐ Commit to training completion timeline ☐ Sign champion agreement


Role-Specific Training Outlines

Dentists/Providers

Training Time: 90 minutes (delivered by champion)

Format: Live demonstration + hands-on practice

Modules:

  1. System Overview (15 min)

    • What 3Shape does and doesn't do
    • AI as clinical decision support, not replacement
    • Your clinical judgment remains paramount
  2. Workflow Integration (30 min)

    • When scanning occurs in patient visit
    • How scans appear in your workflow
    • Reviewing AI findings before patient consultation
  3. Interpreting AI Outputs (30 min)

    • Understanding confidence scores
    • Color coding and highlighting conventions
    • When AI findings should prompt additional investigation
    • Documenting agreement/disagreement with AI findings
  4. Patient Communication (15 min)

    • Explaining AI-assisted diagnosis to patients
    • Using visualizations for case acceptance
    • Responding to patient questions about AI

Common Resistance Points:

Resistance Response
"AI will replace my judgment" AI is a second opinion tool; you make all clinical decisions
"This will slow me down" Initial learning curve is 2-3 weeks; then time-neutral to time-saving
"I don't trust AI for diagnosis" Review AI accuracy data; you always validate before acting
"My way of diagnosing works fine" This adds consistency and documentation, not replacement

Day 1 Provider Cheat Sheet:

β”Œβ”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”
β”‚          3SHAPE PROVIDER QUICK REFERENCE                       β”‚
β”œβ”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€
β”‚ BEFORE PATIENT VISIT:                                          β”‚
β”‚ ☐ Check that scan has uploaded and processed                   β”‚
β”‚ ☐ Review AI findings (red = detected, yellow = watch)          β”‚
β”‚ ☐ Compare to your clinical observations                        β”‚
β”‚                                                                β”‚
β”‚ DURING PATIENT VISIT:                                          β”‚
β”‚ ☐ Use visualizations to explain findings                       β”‚
β”‚ ☐ Document your clinical assessment                            β”‚
β”‚ ☐ Note agreement/disagreement with AI findings                 β”‚
β”‚                                                                β”‚
β”‚ IF AI FINDS SOMETHING YOU DON'T SEE:                          β”‚
β”‚ β†’ Take additional radiographs if indicated                     β”‚
β”‚ β†’ Document your clinical reasoning                             β”‚
β”‚ β†’ Mark finding as "reviewed, not confirmed" if appropriate     β”‚
β”‚                                                                β”‚
β”‚ NEED HELP?                                                     β”‚
β”‚ Champion: [Name] at [Extension]                                β”‚
β”‚ IT Support: [Number]                                           β”‚
β”‚ 3Shape Support: [Number]                                       β”‚
β””β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”˜

Hygienists

Training Time: 45 minutes (delivered by champion)

Format: Live demonstration + observation

Modules:

  1. Your Role in the Workflow (15 min)

    • Scanning responsibilities (if applicable)
    • Assisting with scan capture
    • Initial patient communication
  2. Scanning Best Practices (if performing scans) (20 min)

    • Proper scanning technique
    • Patient positioning
    • Handling common issues (fog, saliva, patient movement)
  3. Supporting Provider Review (10 min)

    • Preparing images for provider review
    • Flagging notable findings
    • Documenting in patient notes

Common Resistance Points:

Resistance Response
"This isn't in my scope" You're assisting, not diagnosing; provider reviews all findings
"More work added to my plate" Scanning replaces traditional impressions; net time savings

Day 1 Hygienist Cheat Sheet:

β”Œβ”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”
β”‚          3SHAPE HYGIENIST QUICK REFERENCE                      β”‚
β”œβ”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€
β”‚ SCANNING CHECKLIST:                                            β”‚
β”‚ ☐ Verify patient in system                                     β”‚
β”‚ ☐ Position patient comfortably                                 β”‚
β”‚ ☐ Apply anti-fog as needed                                     β”‚
β”‚ ☐ Start with upper right, follow consistent pattern            β”‚
β”‚ ☐ Verify complete capture before saving                        β”‚
β”‚                                                                β”‚
β”‚ TROUBLESHOOTING:                                               β”‚
β”‚ Scanner won't connect β†’ Restart scanner and software           β”‚
β”‚ Foggy images β†’ Apply anti-fog, check patient breathing         β”‚
β”‚ Incomplete scan β†’ Re-scan affected area                        β”‚
β”‚                                                                β”‚
β”‚ NEED HELP? Champion: [Name] at [Extension]                     β”‚
β””β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”˜

Front Desk / Office Manager

Training Time: 30 minutes (delivered by champion)

Format: Walkthrough + documentation review

Modules:

  1. Patient Check-In Changes (10 min)

    • Any new paperwork or consent requirements
    • Scheduling considerations for scan appointments
  2. Reporting Overview (10 min)

    • Accessing location dashboard
    • Key metrics to monitor
    • Generating standard reports
  3. Patient Communication (10 min)

    • Explaining 3Shape technology to patients
    • Handling patient questions and concerns
    • Scheduling follow-up appointments

Common Resistance Points:

Resistance Response
"Patients will have questions I can't answer" Provide approved FAQ; escalate clinical questions to providers
"This changes my workflow" Minimal changes at front desk; mostly same processes

Day 1 Front Desk Cheat Sheet:

β”Œβ”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”
β”‚          3SHAPE FRONT DESK QUICK REFERENCE                     β”‚
β”œβ”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€
β”‚ PATIENT QUESTIONS:                                             β”‚
β”‚ "What is this scanner?"                                        β”‚
β”‚ β†’ "It's a 3D camera that takes detailed images of your teeth.  β”‚
β”‚    It's more comfortable than traditional impressions."        β”‚
β”‚                                                                β”‚
β”‚ "Is this AI safe?"                                             β”‚
β”‚ β†’ "The AI helps Dr. [Name] spot potential issues. The doctor   β”‚
β”‚    reviews everything and makes all treatment decisions."      β”‚
β”‚                                                                β”‚
β”‚ "Will this cost extra?"                                        β”‚
β”‚ β†’ [Follow your location's billing guidance]                    β”‚
β”‚                                                                β”‚
β”‚ REPORTING ACCESS:                                              β”‚
β”‚ Dashboard: [URL]  |  Login: [Your credentials]                 β”‚
β”‚                                                                β”‚
β”‚ NEED HELP? Champion: [Name] at [Extension]                     β”‚
β””β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”˜

Billing/Insurance Staff

Training Time: 45 minutes (delivered by champion)

Format: Documentation review + coding walkthrough

Modules:

  1. Coding Changes (20 min)

    • New CDT codes applicable to digital imaging
    • AI-assisted diagnosis documentation requirements
    • Bundling and unbundling considerations
  2. Claims Documentation (15 min)

    • Attaching imaging to claims
    • Narrative requirements for AI-assisted findings
    • Payer-specific requirements
  3. Denial Management (10 min)

    • Common denial reasons and responses
    • Appeal documentation
    • Payer education on AI technology

Common Resistance Points:

Resistance Response
"Insurance won't pay for AI" You're billing for imaging, not AI; AI supports clinical decision
"This creates more documentation work" System auto-generates much of the documentation needed

Day 1 Billing Cheat Sheet:

β”Œβ”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”
β”‚          3SHAPE BILLING QUICK REFERENCE                        β”‚
β”œβ”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€
β”‚ COMMON CODES:                                                  β”‚
β”‚ D0350 - 2D oral/facial photographic image                      β”‚
β”‚ D0470 - Diagnostic casts (if applicable)                       β”‚
β”‚ [Add location-specific codes]                                  β”‚
β”‚                                                                β”‚
β”‚ DOCUMENTATION REQUIREMENTS:                                    β”‚
β”‚ ☐ Date of scan                                                 β”‚
β”‚ ☐ Provider signature/attestation                               β”‚
β”‚ ☐ Clinical findings (from provider notes)                      β”‚
β”‚ ☐ Medical necessity statement                                  β”‚
β”‚                                                                β”‚
β”‚ DENIAL RESPONSE:                                               β”‚
β”‚ "AI-assisted" denial β†’ Emphasize provider reviewed findings    β”‚
β”‚ "Not medically necessary" β†’ Attach clinical notes and images   β”‚
β”‚                                                                β”‚
β”‚ NEED HELP? Champion: [Name] at [Extension]                     β”‚
β”‚ Billing Questions: [Central billing contact]                   β”‚
β””β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”˜

Training Completion Tracking

Tracking System

☐ Create training completion matrix (location Γ— staff member Γ— module)

☐ Champions report completions to central team weekly during rollout

☐ No location goes live until 100% training completion verified

Training Completion Matrix Template

Location Staff Member Role Module 1 Module 2 Module 3 Certified Date
Phoenix Central Dr. Smith Provider βœ“ βœ“ βœ“ 2024-01-15
Phoenix Central Jane Doe Hygienist βœ“ βœ“ - -
... ... ... ... ... ... ...

Ongoing Training Requirements

☐ New hire training: Complete within first 2 weeks of employment

☐ Refresher training: Annual (30-minute online module)

☐ Major update training: As needed when significant software changes occur πŸ”΅


7. Change Management

Executive Sponsor Communication Plan

Board/Investor Updates

Frequency: Quarterly (aligned with board meetings) + ad-hoc for milestones

Format: Executive summary (1-page) + detailed appendix

Content Framework:

β”Œβ”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”
β”‚          3SHAPE AI IMPLEMENTATION - BOARD UPDATE               β”‚
β”‚                      [Quarter/Year]                            β”‚
β”œβ”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€
β”‚ EXECUTIVE SUMMARY                                              β”‚
β”‚ β€’ Deployment progress: [X of Y locations live]                 β”‚
β”‚ β€’ On track / Behind schedule by [X weeks]                      β”‚
β”‚ β€’ Key milestone achieved: [Description]                        β”‚
β”‚ β€’ Emerging ROI indicators: [Metric + trend]                    β”‚
β”‚                                                                β”‚
β”‚ FINANCIAL SNAPSHOT                                             β”‚
β”‚ β€’ Capex deployed: $XXX of $XXX budget                          β”‚
β”‚ β€’ Projected ROI timeline: [On track / Revised]                 β”‚
β”‚ β€’ Early financial indicators: [Production/efficiency gains]   β”‚
β”‚                                                                β”‚
β”‚ KEY DECISIONS NEEDED                                           β”‚
β”‚ β€’ [Any decisions requiring board input]                        β”‚
β”‚                                                                β”‚
β”‚ NEXT QUARTER OUTLOOK                                           β”‚
β”‚ β€’ Planned: [X locations to deploy]                             β”‚
β”‚ β€’ Risk factors: [Any concerns]                                 β”‚
β””β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”˜

C-Suite Updates

Frequency: Bi-weekly during active rollout; monthly during steady-state

Format: Dashboard review + exception-based discussion

Participants: CEO, CFO, CDO, COO, VP IT, VP Operations


Regional Manager Briefing Guide

Pre-Rollout Briefing (2 Weeks Before Wave)

Duration: 60 minutes

Agenda:

  1. Wave overview and timeline (10 min)
  2. Location-specific readiness status (15 min)
  3. Regional manager responsibilities (15 min)
  4. Escalation procedures (10 min)
  5. Q&A (10 min)

Regional Manager Responsibilities: ☐ Verify location readiness with office managers

☐ Confirm champion availability and preparation

☐ Clear schedule for go-live week to support locations

☐ Conduct daily check-ins with locations during first week

☐ Escalate issues per defined pathways

☐ Provide weekly status updates to central team

Cascade Communication Template

Subject: 3Shape Implementation Coming to Your Region - [Wave X] Timeline

To: [Office Managers in Wave]
From: [Regional Manager]

I'm excited to share that our 3Shape AI imaging implementation will be 
coming to your location(s) in [Wave X], with go-live scheduled for 
[Date Range].

KEY DATES:
β€’ Champion training: [Date]
β€’ Staff training window: [Date Range]
β€’ Go-live date: [Date]
β€’ First-week support: Daily check-ins at [Time]

YOUR ACTION ITEMS:
1. Confirm your location champion by [Date]
2. Block staff training time on schedules
3. Review attached readiness checklist
4. Notify staff of upcoming change

I'll be scheduling a prep call with each office manager next week. 
Please come prepared with any questions or concerns.

[Regional Manager Name]

Staff Resistance Framework

Common Resistance Patterns in Multi-Location Environments

Pattern Signs Response Strategy
Wait and See Low engagement, "let other locations figure it out" Share early wins from pilot locations; create FOMO
Not Invented Here "Our location is different" Involve them in configuration decisions; acknowledge uniqueness while maintaining standards
Change Fatigue "Another initiative?" Acknowledge past changes; differentiate this as a tool, not process overhaul
Tech Anxiety Avoiding training, excessive questions Extra hands-on time; pair with tech-comfortable peer
Clinical Skepticism "AI can't replace my expertise" Emphasize AI as decision support; share clinical evidence

Resistance Response Escalation

Level 1: Champion handles locally
         ↓ (if unresolved after 1 week)
Level 2: Regional manager intervenes
         ↓ (if unresolved after 2 weeks)
Level 3: Central team + CDO involvement 🟣
         ↓ (if unresolved after 4 weeks)
Level 4: Performance management discussion

Internal Marketing

Initiative Naming

Create a branded name for the initiative that:

  • Is memorable and positive
  • Connects to organizational values
  • Avoids "AI" in the name (reduces tech anxiety)

Examples:

  • "Vision 2024" (forward-looking)
  • "ClearView Initiative" (clarity, visualization)
  • "DiagnostIQ" (intelligence + diagnostic)

Creating Momentum

☐ Launch video from CEO/CDO explaining the "why" 🟣

☐ "Coming Soon" communications 3 weeks before each wave

☐ Champion spotlight features in internal communications

☐ Progress tracker visible to all staff (% locations live)

☐ Early win announcements (specific patient outcomes, efficiency gains)

Celebrating Milestones

Milestone Recognition
Location goes live Recognition in company newsletter
Wave completion Virtual celebration, regional shoutout
50% deployment All-hands announcement, champion awards
100% deployment Celebration event, success story video
ROI targets achieved Performance bonuses per plan 🟣

8. Go-Live Day Runbook

Standardized Go-Live Checklist (Every Location)

T-3 Days: Final Preparation

☐ Technical readiness verified (checklist complete)

☐ All staff training completed and documented

☐ Champion confirmed available for go-live week

☐ Vendor support notified of go-live date πŸ”΅

☐ Regional manager notified and available

☐ Patient communication materials in place (if applicable)

☐ Rollback plan reviewed with office manager

T-1 Day: Pre-Go-Live

☐ Final system test (end-to-end scan and workflow)

☐ Backup workflows documented and accessible

☐ Support contact information posted in clinical areas

☐ Staff briefing meeting completed

☐ Patient schedule reviewed (first day not overbooked)

Go-Live Day: Hour-by-Hour

Time Activity Owner
7:00 AM Champion arrives early, final system check Champion
7:15 AM Brief huddle with clinical staff Champion
7:30 AM First patient arrival All staff
7:30-8:00 AM Champion shadows first scan Champion
8:00 AM Check-in call with central team Champion + Central
10:00 AM Mid-morning pulse check Champion
12:00 PM Lunch check-in call Champion + Regional Manager
12:30 PM Address any morning issues Champion + Support
2:00 PM Afternoon pulse check Champion
4:00 PM End-of-day debrief with staff Champion
4:30 PM End-of-day report to central team Champion
5:00 PM Document issues and wins Champion

Go-Live Day: On-Site/On-Call Requirements

Role Location Availability
Location Champion On-site all day Required
Office Manager On-site all day Required
Regional Manager On-call, available within 30 min Required
Central IT Support On-call, phone support Required
3Shape Support On-call per SLA Required πŸ”΅

Known Gotchas and Troubleshooting

Common First-Day Issues

⚠️ Issue: Scanner not recognized by workstation

Symptoms: Software launches but no scanner listed

Troubleshooting:

  1. Check USB connection (try different port)
  2. Restart 3Shape software
  3. Restart workstation
  4. Verify scanner firmware is current πŸ”΅
  5. Escalate to vendor support if persists

⚠️ Issue: Patient lookup fails from PMS

Symptoms: "Patient not found" when starting scan

Troubleshooting:

  1. Verify patient exists in PMS
  2. Check patient ID format matches between systems
  3. Manually enter patient if urgent
  4. Check integration service is running
  5. Escalate to IT support

⚠️ Issue: Scan upload fails

Symptoms: Scan completes locally but doesn't appear in cloud

Troubleshooting:

  1. Check network connectivity
  2. Verify cloud sync status in software
  3. Check if firewall is blocking
  4. Scans queue locally; will upload when connection restored
  5. Escalate if persistent

⚠️ Issue: AI analysis not appearing

Symptoms: Scan visible but no AI findings displayed

Troubleshooting:

  1. Check AI module is enabled for location
  2. Verify scan quality meets minimum threshold
  3. Allow additional processing time (2-3 minutes)
  4. Check cloud connectivity
  5. Escalate to vendor support πŸ”΅

⚠️ Issue: Staff forget new workflow

Symptoms: Reverting to old processes, skipping scans

Troubleshooting:

  1. Champion shadow and redirect
  2. Quick refresher at huddle
  3. Post visual workflow reminders
  4. Reduce patient volume temporarily if needed
  5. Additional one-on-one training

Patient Communication Script

If Patients Ask About the New Technology

"We've added new 3D imaging technology that gives [Dr. Name] incredibly 
detailed views of your teeth. It uses advanced computer analysis to help 
identify potential issues early.

[Dr. Name] reviews everything personally – the computer just helps make 
sure nothing gets missed. Many patients find the images really interesting 
to see, and it helps us explain what's going on with your teeth.

The scan itself only takes a few minutes and is much more comfortable 
than traditional impressions. Do you have any questions?"

If Patients Express AI Concerns

"That's a great question. The computer analysis is just one more tool 
[Dr. Name] uses – like a really thorough second opinion. [Dr. Name] 
makes all the decisions about your care and always reviews everything 
personally.

Think of it like spell-check for your teeth – it might highlight 
something, but [Dr. Name] decides if it's actually an issue and what 
to do about it."

First-Week Daily Check-In Protocol

Champion β†’ Central Team (Daily at 4:30 PM)

Format: 10-minute call or standardized form submission

Report Contents:

  1. Scans completed today: [Number]
  2. Issues encountered: [Brief description]
  3. Issues resolved: [Which ones, how]
  4. Outstanding issues: [Pending items]
  5. Staff sentiment: [1-5 rating, brief note]
  6. Patient feedback: [Any notable comments]
  7. Support needed: [Specific requests]

Escalation Tiers

β”Œβ”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”
β”‚ TIER 1: Location Champion                                       β”‚
β”‚ β€’ First response for all issues                                 β”‚
β”‚ β€’ Expected resolution: 80% of issues                            β”‚
β”‚ β€’ Response time: Immediate                                      β”‚
β””β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”˜
              β”‚ (if unresolved in 2 hours)
              β–Ό
β”Œβ”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”
β”‚ TIER 2: Regional Manager                                        β”‚
β”‚ β€’ Workflow and staff issues                                     β”‚
β”‚ β€’ Cross-location support coordination                           β”‚
β”‚ β€’ Response time: Within 1 hour                                  β”‚
β””β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”˜
              β”‚ (if unresolved in 4 hours or technical)
              β–Ό
β”Œβ”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”
β”‚ TIER 3: Central IT Support                                      β”‚
β”‚ β€’ Technical issues, integration problems                        β”‚
β”‚ β€’ Configuration changes                                         β”‚
β”‚ β€’ Response time: Within 30 minutes                              β”‚
β””β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”˜
              β”‚ (if beyond internal capability)
              β–Ό
β”Œβ”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”
β”‚ TIER 4: 3Shape Vendor Support                                   β”‚
β”‚ β€’ Software bugs, hardware failures                              β”‚
β”‚ β€’ Advanced technical issues                                     β”‚
β”‚ β€’ Response time: Per SLA (typically 2-4 hours) πŸ”΅               β”‚
β””β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”€β”˜

9. Post-Launch Optimization (Weeks 4–8)

Weekly Metrics Review Cadence

Week 1-2: Stabilization Phase

Frequency: Daily champion check-ins; 2x weekly regional roll-ups

Focus Metrics:

  • Scan completion rate (% of eligible patients scanned)
  • Technical issue frequency
  • Staff comfort level (qualitative)
  • System uptime

Week 3-4: Normalization Phase

Frequency: Daily champion β†’ weekly regional β†’ bi-weekly central

Focus Metrics:

  • Scan volume vs. baseline
  • AI finding rates (establishing location norms)
  • Workflow timing (are we at pre-implementation efficiency?)
  • Support ticket volume (should be declining)

Week 5-8: Optimization Phase

Frequency: Weekly location β†’ bi-weekly regional β†’ monthly central

Focus Metrics:

  • Case acceptance rate (compare to baseline)
  • Production indicators
  • Patient satisfaction scores
  • ROI indicators emerging

30-Day Checkpoint

What "Good" Looks Like

Metric Target Method
Scan completion rate β‰₯ 90% of eligible patients Dashboard
Staff training retention β‰₯ 85% competency on spot-check Random observation
Technical issues ≀ 2 per week, none critical Support logs
Provider utilization All providers using system Usage logs
Patient complaints about technology ≀ 1 per 100 patients Patient feedback

Red Flags (Require Intervention)

⚠️ Scan completion rate < 70%

⚠️ Any provider refusing to use system

⚠️ Technical issues increasing (not decreasing) week-over-week

⚠️ Staff satisfaction declining vs. Week 1

⚠️ Patients declining scans at rate > 10%

⚠️ Production decline > 10% vs. baseline (attributable to implementation)

30-Day Checkpoint Meeting

Attendees: Regional Manager, Office Manager, Champion, Central Team Rep

Duration: 30 minutes

Agenda:

  1. Review metrics against targets (10 min)
  2. Identify root causes for any gaps (10 min)
  3. Action plan for optimization (10 min)

60-Day Checkpoint: ROI Assessment Framework

Productivity Metrics

Metric Baseline Current Change Status
Production per provider-hour $XXX $XXX +/-X% 🟒/🟑/πŸ”΄
Patients seen per day XX XX +/-X% 🟒/🟑/πŸ”΄
Chair time for imaging XX min XX min +/-X% 🟒/🟑/πŸ”΄

Quality Metrics

Metric Baseline Current Change Status
Restorative case acceptance XX% XX% +/-X pts 🟒/🟑/πŸ”΄
Same-day completion rate XX% XX% +/-X pts 🟒/🟑/πŸ”΄
Diagnosis consistency (audit) XX% XX% +/-X pts 🟒/🟑/πŸ”΄

Cost Metrics

Metric Baseline Current Change Status
Lab costs (impression materials) $XXX $XXX -$XXX 🟒/🟑/πŸ”΄
Remake/retake rate XX% XX% -X pts 🟒/🟑/πŸ”΄
Claim denial rate (imaging) XX% XX% -X pts 🟒/🟑/πŸ”΄

ROI Calculation

Monthly Benefit:
  + Production increase: $______
  + Lab cost savings: $______
  + Efficiency savings (staff time): $______
  = Total Monthly Benefit: $______

Monthly Cost:
  + Software licensing: $______
  + Equipment depreciation: $______
  + Support/maintenance: $______
  = Total Monthly Cost: $______

Net Monthly ROI: $______
Payback Period: ______ months

Staff Feedback Collection

5-Question Pulse Survey (Administer at 30 and 60 Days)

  1. Ease of Use: "How easy is the 3Shape system to use in your daily work?"

    • Scale: 1 (Very Difficult) to 5 (Very Easy)
  2. Workflow Impact: "How has 3Shape affected your workflow efficiency?"

    • Scale: 1 (Much Worse) to 5 (Much Better)
  3. Training Adequacy: "How prepared do you feel to use 3Shape effectively?"

    • Scale: 1 (Not Prepared) to 5 (Very Prepared)
  4. Patient Benefit: "Do you believe 3Shape improves patient care?"

    • Scale: 1 (Strongly Disagree) to 5 (

AI-generated implementation guide based on public vendor information. Verify specifics directly with 3Shape.