Park Column — Hygiene Visits / Hygienist-Day

SGA West · 56 live offices · FTE-normalized (visits ÷ hygienist days worked), from the PBI · vs a non-Park-Column baseline
Source: Gen4 PBI · May 2026 vs 2025 & YTD Jan–May · pulled 2026-06-10

On the FTE-correct metric — hygiene visits per hygienist per day — Park Column GP offices rose +1.9% YTD while a comparable, data-cleaned baseline of non-Park-Column offices declined −2.4%: a +4.3pp relative edge. Directionally positive — enough to justify driving adoption now.

What this tells us

  • Park Column offices outpaced the baseline by +4.3pp YTD. Per hygienist-day (SGA East’s metric), rollout GP offices went 5.83 → 5.94 (+1.9%) while comparable non-Park-Column offices slipped 6.26 → 6.11 (−2.4%). May was about even (+0.4pp). The rollout group is moving the right way against a market that’s sliding.
  • The “7.9 vs 5.9” gap was mostly bad data. One control office — Gage Dental Group — showed 11,413 hygiene visits but zero hygienist-days in the PBI (a provider-coding issue), which inflated the control to 7.9. Remove it and the control is ~6.1 — right next to the Park Column’s 5.9. The cohorts are genuinely comparable; the remaining small gap is office mix (the column was targeted at offices that needed help).
  • Reporting is NOT usage — don’t read the tiers as a usage test. The daily-form submission counts measure whether an office bothered to send a summary, not whether they work the column. An office can run the Park Column daily and never report it. So the flat reporting-vs-results pattern says the form is a poor instrument — it is not evidence the column doesn’t work.
  • We still can’t see true usage. Neither the form nor the PBI tells us who’s actually parking and backfilling appointments. That’s the visibility gap to close — through the RODs and, ideally, appointment-level (CDT) data — the same gap SGA East flagged.
  • Net read. Against a clean, comparable baseline the Park Column cohort is ahead +4.3pp YTD. It’s observational, not proof of causation, but the signal is positive — and the priority now is getting every office actually using the tool.

The fuller picture

What the Park Column is meant to do. When an appointment isn’t confirmed ~24 hours out, the office moves it into a “park” column and backfills the freed slot — the goal is to stop losing hygiene chair time to broken appointments. If it works, a rollout office gets more completed hygiene visits out of each hygienist day than an office without the column.

Why per-hygienist, and why a baseline. Dividing by office operating days inflates the instant an office adds a hygienist, so we use visits per hygienist-day (completed hygiene visits ÷ hygienist days worked) — the SGA East metric. We compared the 47 Park Column GP offices against the Active GP West offices that never rolled out the column, same periods, as a difference-in-differences. Gage Dental Group was excluded for a data-integrity issue (hygiene visits with no hygienist-days), leaving a clean control of 26.

What we found. Per hygienist-day, Park Column GP went 5.83 → 5.94 YTD (+1.9%) while the clean control went 6.26 → 6.11 (−2.4%) — a +4.3pp relative edge; May was +0.4pp. The cohorts now sit at comparable levels (~5.9 vs ~6.1), so the difference-in-differences is a fair read rather than an artifact of two different populations.

On reporting vs usage. We split the rollout offices by daily-form submissions, but that measures reporting diligence, not column use — an important distinction Karen flagged. Regular reporters +1.2%, occasional +0.2%, dormant +5.4%; correlation with results −0.14. Read correctly, this says self-reporting doesn’t track outcomes — not that the column is idle at non-reporting offices. We have no true usage signal yet.

Bottom line. On the FTE-correct metric and a cleaned, comparable baseline, Park Column offices are ahead +4.3pp year-to-date. It’s observational — to make it airtight we’d want real usage data and a same-ROD matched control — but the direction is positive, and the lever now is adoption: get every office actually working the column.

GP cohort — hygiene visits/hygienist-day, year over year

47 Park Column GP offices. Gray = last year (2025), gold = this year (2026). Volume-weighted (Σ hygiene visits ÷ Σ hygienist days worked). Bars from zero — change is modest (~2% YTD).

Park Column vs baseline — rollout offices edged ahead +4.3pp YTD

47 Park Column GP offices vs the cleaned non-Park-Column Active GP control. Per hygienist-day, same periods. Gray = last year (2025), gold = this year (2026). Gage Dental Group excluded (11k visits, 0 hygienist-days — data artifact that had inflated the control to 7.9).

Reporting vs results — context, not a usage test

Park Column GP offices split by daily-form submissions. Reporting ≠ usage — a non-reporting office may still work the column and just not send a summary. So this shows whether self-reporting tracks outcomes (it doesn’t), not whether the column works.
CohortOffices YTD ’25YTD ’26YTD Δ May ’25May ’26May Δ
Office ROD May ’25 May ’26 May Δ YTD ’25 YTD ’26 YTD Δ
Click any row for the full office record. Δ = % change in hygiene visits per hygienist-day (FTE).

Hygiene VpD movement by ROD

Offices with PBI data (GP + perio). Navy bars = YTD ’26; gold line = YTD ’25.
RODOffices May ’25May ’26May Δ YTD ’25YTD ’26YTD Δ
Heidy Riall’s portfolio is entirely periodontics — the Park Column is not actively run there.

The question

Karen asked whether hygiene visits per day actually improved at the 56 SGA West offices that rolled out the Park Column — measured from the PBI, because the offices won’t keep the manual daily form (22% form compliance). This is the SGA West parallel to the SGA East risk-score readout.

Metric definition (FTE-normalized)

Hygiene Visits per Hygienist-Day = completed hygiene visits ÷ hygienist days worked, per office per period.

  • Completed hygiene visits[Completed Visits] filtered to providers where User Type = "HYG".
  • Hygienist days worked[Work Days] filtered to User Type = "HYG": the FTE denominator. This normalizes for headcount — an office that added a hygienist (3 in ’25 → 4 in ’26) no longer looks busier just for the extra body. Matches SGA East’s “Appointments ÷ Days Worked”.
  • Cohort numbers are volume-weighted: Σ visits ÷ Σ hygienist-days across the cohort, not an average of office ratios.
  • Note: an earlier cut divided by office operating days, which inflates when headcount grows — superseded by this per-hygienist metric.

Periods

May 2026 vs May 2025 (last year), and YTD Jan–May 2026 vs YTD Jan–May 2025. Park Column went live Oct/Nov 2025, so YTD captures pre- and post-launch on the 2026 side.

Source

Gen4 / SGA West Power BI dataset (Appointments + Providers + Date), queried directly via Service Principal. 120 West locations available; the 56 live Park Column offices were matched by practice name to the PBI location dimension.

Baseline (control group)

To separate the Park Column from network-wide trends, we ran the identical per-hygienist-day metric for the Active GP West offices that never rolled out the column, over the same periods. Data-integrity exclusion: Gage Dental Group reported 11,413 hygiene visits with zero hygienist-days in the PBI (a provider-coding issue), which is uncomputable per-hygienist and had inflated the raw control to ~7.9; it is excluded, leaving a clean control of 26. Result: Park Column GP +1.9% YTD vs control −2.4% — a +4.3pp difference-in-differences edge; May +0.4pp. After the cleanup the cohorts sit at comparable levels (~5.9 vs ~6.1 visits/hygienist-day), so the comparison is fair rather than an artifact of two different populations.

Reporting tiers (NOT a usage test)

We split the 47 GP rollout offices by the Implementation Tracker’s daily-form submission count: Regular (10+), Occasional (1–9), Dormant (0). Important: submissions measure reporting diligence, not column usage — an office can run the Park Column every day and simply not send the summary. On the per-hygienist-day metric the tiers show no dose-response (regular +1.2%, occasional +0.2%, dormant +5.4% YTD; correlation −0.14). The correct reading is that self-reporting doesn’t track outcomes — not that the column is idle at non-reporting offices. We have no true usage signal; closing that visibility gap (RODs + ideally CDT-level data) is the next step.

Coverage & exclusions

  • 47 GP offices — the core Park Column cohort; this is the real test.
  • 6 perio offices (Heidy Riall’s portfolio) — shown separately; per Scheduling Optimization, perio teams aren’t actively using the Park Column.
  • 3 offices excluded — no usable PBI hygiene data: MCP Salinas (perio, no completed-visit facts), DDM Bloomington (no facts under this entity — production appears to roll up under DDM Apple Valley), ACR LDC (PBI entity unresolved — “ACR Lawrence” carries no 2025/26 visits).

Read it carefully

Hygiene VpD moves for reasons beyond the Park Column (provider staffing, demand, schedule template). This shows whether throughput moved in the right direction in the rollout offices — it is not a clean attribution of the column alone. Same caveat flagged for SGA East: without CDT-level appointment data we can’t yet prove the office moved the right appointments.