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OHA's Smiles Across America Share and Learn webinar from Sept. 24, 2014
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HOUSEKEEPING INFORMATION
• Please remember to MUTE your phone.
• Questions are welcome! We’ll allow 10-15 minutes after the presentation for questions.• Questions will be accepted in writing through the control panel on the
upper right hand of your screen.
• Submit questions at any time; we will address them at the end of the presentation.
• Webinar is being recorded; for rebroadcast on OHA’s website –OralHealthAmerica.org
• Your feedback is important to us. Please take our brief webinar evaluation after this session; link will be sent via email.
Oral Health America changes lives by connecting communities with
resources to increase access to care, education, and advocacy for
all Americans,
especially those most vulnerable.
OUR MISSION
OHA PRIORITIESOur Programs and Campaigns must have the capacity –short term or longer term – to influence health literacy, improve access to services and to advocate for systemic changes that will impact the oral and overall health of all Americans – particularly those most vulnerable.
ACCESS EDUCATION
ADVOCACY
Innovation, Integration, Inspiration
Presented by Krista Postai, Chief Executive OfficerCommunity Health Center of Southeast Kansas
Describe Key Aspects of a Multi-FacetedRural-Based Oral Health Program
and Its Contribution to Eliminating Dental Disparities
Demonstrate How a Mission Focus Can Translate Into a Sustainable Model
Explain How “Cats and Dogs” Can Work Together to Createan Integrated Health Home
Reveal the “Secret” to Garnering Programmatic Supportfrom Community Dentists to Congressmen
Today’s Objectives….
One-Third of our Population; All of our Future
•50% of the children born are low-income
*1 in 3 elementary children have visible signs of tooth decay; in some districts, it’s 1 out of 2.
*SEK has highest rate of reported child abuse, neglect,
out-of-home placement in Kansas.
*Almost 30% live below FPL
Our Children
*50% of our children don’t have their immunizations by age 2 as recommended.
CHC/SEK …Designated FQHC 2003.4,000 patients to 35,000 patients
11,000 visits to 130,000 patient visits
Dental Hubs
• Distributive model for providing dental services using…
– Existing safety net clinics
– Hub-and-spoke delivery sites
– Increases in resources dedicated to oral health
– Integration of oral health with other aspects of care
Hub(Safety Net
Clinic)
Schools/Day Care
Facilities
Public Health
Department
Group or Nursing Home
Fixed
Satellite
Hub and Spokes
• Hubs – Dentists and hygienists– Safety net clinics
– Provide preventive, emergency, restorative services
• Spokes – ECP hygienists– Fixed satellites
• Outreach to unserved or underserved rural populations in permanent clinic locations
– Public health and community settings• Outreach to targeted underserved
rural populations using portable equipment
Model Specifications
Staffing
Up to 3 full-time dentists
Up to 1 FTE in-house hygienist
Up to 2 FTE extended-care practice registered dental hygienists
Up to 2 dental assistants per dentist
Model Specifications
Equipment 2.5 operatories/dentist, one operatory/on-site hygienist
Level of Service Preventive, emergency and restorative dental services to the underserved.
Integration of medical and dental services
Outreach workers to support case management
Productivity standards of 2400 encounters per year for dentists; 1400 encounters per year for hygienists
OUTCOMES
$1 million Dental Hub Investment
5,590 to 11,422 patients
2.5 to 8 dentists
2 to 8 ECP Hygienists
22,000+
children
from 15
counties
screened
annually
Outreach to Children
Area Schools, Head Starts, WIC, Child Care Facilities
Forms, forms, forms….Instructions, consents, parent
education…
http://tinyurl.com/SchoolOralHealth
Percentage of Third Grade Children in Southeast Kansas with Untreated Dental Decay
2004 Smiles Across Kansas Data 28%
Healthy People 2020 Target:
Reduce the Proportion of Children Aged 6 to 9 years with Untreated Dental Decay in their Primary and Permanent Teeth
Under 25.9%
2012 Smiles Across Kansas Data 12%
Innovation Integration
*Blood Pressures
*Blood Glucose, INR, HIV/AIDs
*Special Populations
*Case Collaboration
*Trainings
Children below poverty level: Omaha: 18.7%State: 14.6%
Second highest percentage of uninsured patients in the US.
A total of 5.3% of parents with children under 18 at home report having no insurance coverage for their child’s healthcare expenses.
Federally Qualified Health Centers
FQHCs qualify for enhanced reimbursement from Medicare and Medicaid, as well as other benefits. FQHCs must serve an underserved area or population, offer a sliding fee scale, provide comprehensive services, have an ongoing quality assurance program, and have a governing board of directors.
Benefits of Partnering with FQHC’s
FQHC’s receive Section 330 of the Public Health Service (PHS) Act Funding providing:
New Access Points Grants Expanded Medical Capacity Grants Service Expansion Grants
Boundaries with FQHC’s
In order to maximize limited resources and access to care for their patients, health centers are expected to collaborate in service areas serving underserved populations to create a community-wide service delivery system.
Who FQHC’s Should Serve
FQHC’s are designed to focus on areas with high populations of unmet need who may need special approaches to ensure access (e.g., non-English speaking groups, people who are homeless, or newly arrived immigrants/refugees).