During our policy analysis class in third year, I investigated the efficacy of O’Leary’s plaque index at the Nobel Biocare Oral Health Centre at UBC. Although all sites are documented, the severity of the plaque cannot be measured. For example, there should be a difference of whether plaque is present on the whole surface of the tooth, or just the gingival margin of the distal aspect. This information would affect the oral hygiene instruction for the client, a key service provided by dental hygienists. Additionally, scanning of the paper document is not a mandatory policy at UBC and therefore information that is valuable is sometimes not present in the client’s file. Thus, this policy at UBC should be re-evaluated to determine a more effective way to conduct this assessment.