Upload
oral-health-america
View
214
Download
0
Tags:
Embed Size (px)
DESCRIPTION
Â
Citation preview
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.
OUR MISSION
Oral Health America’s mission is to change lives by
connecting communities
with resources to increase access to care,
education and advocacy for all Americans,
especially those most vulnerable.
OHA PRIORITIES
ADVOCACYEDUCATIONACCESS
OHA’s Programs and Campaigns are designed to improve
access to care, oral health literacy and policies that
prioritize the impact of oral health on the overall health of all
Americans – particularly those most vulnerable.
OUR PROGRAMS
Provides oral disease preventive
services in school-linked settings
Served 440,000 kids through 193
programs in 43 states during 2013-2014 school year
Facilitated donation of more than 500,000
units of dental product
Provided nearly $400K grants plus
technical assistance to treatment partners
On schedule to seal 2 million teeth by 2015 (5 years ahead of schedule)
Focused on the oral health needs of
community-dwelling older
adults and their caregivers
Educates older
adults/caregivers re: importance of oral health + connects with resources for care
Tooth Wisdom: Get Smart About
Your Mouth workshops in pilot
OUR CAMPAIGNS
Educate the public, including policy makers, about the importance of oral health for overall health
Emphasize the need to prioritize oral disease alongside other serious health conditions
Advocate for policies that positively impact programs and stakeholders
Current campaigns include:
10
Introduction
April LewallenSenior Executive DirectorValley of the Sun YMCA Association
Dr. Ken Snyder, DDSDental DirectorSt. Vincent de Paul of Arizona YMCA Dental Clinic
11
About Valley of the Sun YMCA
• The Valley of the Sun YMCA is one of the oldest nonprofits in the state of Arizona, born before Arizona became a state. We serve over 100,000 families and are located in 18 communities. We are a values based organization.
Our Mission:
• To put Christian principles into practice through programs that build a healthy spirit, mind and body for all. Our impact is felt when an individual makes a healthy choice, when a mentor inspires a child and when a community comes together for the common good.
12
Youth Development:
• Nurturing the potential of every child and teen through programs that include; childcare, educational programs, sports, activities, summer day camps, overnight camps, swim programs, teen leadership programs, volunteering, events, clubs and volunteering programs.
Healthy Living:
• Improving our community’s health and well-being by offering support, guidance, resources, facilities and expertise.
Social Responsibility:
• Inspiring hope, creating new opportunities for success, and meaningfully changing futures through initiatives in education, health, character building, vocational training, mentoring, financial aid, and cultural understanding.
13
THE Y IS SO MUCH MORE
• We’re not just a gym – WE ARE A CAUSE.
• The Y is for EVERYONE. Our programs, services and initiatives: enable kids to realize their potential, prepare teens for college, offer ways for families to have fun together, empower people to be healthier in spirit, mind and body, prepare people for employment, welcome and embrace newcomers and help foster a nationwide service ethic and SO MUCH MORE.
14
Health Care and the YMCA Really?
Creativity is not new to the YMCA
• 1851 First YMCA• 1856 English as a second language for German immigrants• 1881 Coined term body building – developed exercise classes• 1891 Basketball and physical fitness invented• 1895 Volleyball invented• 1910 Fathers Day
Fast Forward to 2008….• First YMCA School Based Health Center
15
School Based Health Center Model Provides Access to Care; the program provides preventative
and primary medical and dental care to school age children who are uninsured and under served
SBHC Model – Getting Started….2008 Pilot Clinic Opened • Central site for parents• Proximity to public transportation• Hours of operations• Reduced wait list at SVdP main clinic
• Partners - Abrazo Health Care Phoenix Baptist Hospital- St. Vincent de Paul of Arizona
16
SBHC Model – Getting Started….Converted conference room in 2008 Fully equipped health and dental clinics in 2011
17
SBHC Model – Getting Started….
Objectives
• Reducing school absenteeism and improving academic achievement. Over 80 percent of the children seen by School-Based Health Center providers have returned to class, allowing them to focus on learning and academics.
• Reducing emergency room usage by the targeted children. Over 90 percent of program participants have indicated through client satisfaction surveys that without services provided by the School-Based Health Centers, they would have obtained services at a local emergency department.
• Managing chronic illnesses such as asthma, diabetes and others.
18
Grand Opening September 13th, 2011 New Partners • A.T. Still University and Mid Western
University• Esperanca – Nutritional Services for Adults• St. Vincent de Paul – “Every Little Step
Counts” Nutritional services for families
FY ‘11 FY ‘12 FY ‘13 FY ‘14 Total
Patients 407 2013 1661 1638 5719 visits
Dentist NA NA 1289 1232 2521 hours
Dental Students NA NA 3308 2776 6084 hours
Medical services… Staff work closely with school nurses, school social workers, and parents to bring health care services, as well as health care education, social services to children and their families.
• Diagnosis/treatment of major and minor illnesses (diabetes, asthma, seizure disorders, etc.);
• Medications and prescriptions
• Physical exams, well child care
• Dental care services; oral health education
• Referrals to hospitals, specialty physicians, immunization clinics, mental health services, radiology & lab
• Health education including nutrition, exercise, and the dangers of drugs, alcohol, and tobacco
Our evening clinic provides all the aforementioned services except dental services
• Medical exams for adults (management of acute and chronic conditions)
• Laboratory testing: diabetes, pregnancy, cholesterol, anemia, urine, lung function, ear, etc.
• Patient prescription assistance for medications including insulin, etc.19
20
Dental services…• Oral health education• Exams• Xrays• Cleanings• Oral Hygiene Instruction• Restorations (Fillings)• Pulpotomies• Stainless Steel Crowns• Extractions• Nutritional CounselingWe also have the referral resources (SVDP) for Root Canals, Oral Surgery and Orthodontics
21
http://valleyymca.org/media-spotlights-dental-clinic/If the link does not open on the first try, position cursor overLink, right click and choose open hyperlink. Thank you
https://www.youtube.com/watch?v=1oq5QXvDy6sIf the link does not open on the first try, position cursor overLink, right click and choose open hyperlink. Thank you
Presented by:
Kathy Keiser, Executive Director
Ronald McDonald House Charities-Bismarck
Kathy Mangskau, RDH, MPAProgram Consultant
Ronald McDonald House
Charities - Bismarck
Objectives
• Describe the Ronald McDonald Care Mobile
Program of North Dakota
• Describe the sustainability plan
• Share lessons learned and best practices
23
Why a Care Mobile in North Dakota?
• Access to dental care for low-income children and specific population groups is a dilemma.
• Fewer dental providers locate in the rural areas.
• There are only 4 public health dental clinics and 1 urgent care walk-in clinic in the state and they are not able to meet the current need.
• Indian Health Service dental clinics are understaffed.
• Low Medicaid reimbursement rates and high-no-show rates present challenges for private dental practices and for clients seeking care.
Goals
Long Term
• Improve the oral health of underserved children.
• Reduce oral health disparities among
underserved children.
Intermediate
• Increase access to oral health services for
children at high risk for oral disease.
Priority Service Areas
• Schools with >40% of the children enrolled in
the free- and reduced-fee school lunch
program
• Head Start and Early Head Start Programs
• Reservation areas
• Community Health Centers without dental
clinics/services
Staffing
• Business Operations
– Executive Director
– Program Manager
– Drivers/intake coordinators
– Program Consultant
• Clinical Operations
– Contract with clinical service provider• Dentist
• Dental hygienist
• Dental assistant
Clinical Service Provider
Bridging the Dental Gap, Inc.
Provides staffing,
insurance billing and
oversees the clinical
operations
Ronald McDonald Care Mobile
Services Include:
• Exams
• X-rays
• Caries risk assessment
• Oral health education
• Cleanings
• Fluoride treatments
• Sealants
• Fillings
• Pulpotomies
• Stainless steel crowns
• Simple extractions
• Referrals as needed
Data
• Showing Results and Outcomes
– Increase in % of children with
dental sealants
– Decrease in the % of children with tooth decay
– Increase in the % of Medicaid eligible children receiving dental services
– Less school absenteeism
– Decrease in ER use for non-traumatic dental care(pain and infection)
• Driving Decisions (Quality Assurance and Quality Improvement Plan)
Dental Care Highlights
• In 2012 the Ronald McDonald Care Mobile
served 796 children with 1,822 patient
appointments, providing 7,793 dental
services for a total value of $410,187
• In 2013 the Ronald McDonald Care Mobile
served 880 children with 2,074 patient
appointments, providing 8,881 dental
services for a total value of $470,148
Services Provided in 2012 & 2013Diagnostic Number Provided
Exams 781
X-rays 1,020
Referrals 82
Preventive
Oral health education 785
Cleanings 780
Fluoride Treatments 780
Sealants 2,311
Restorative/Surgical
Fillings 1,366
Stainless Steel
Crowns
15
Extractions 115
Pulpotomies 19
Diagnostic Number Provided
Exams 781
X-rays 1,150
Referrals 60
Preventive
Oral health education 882
Cleanings 773
Fluoride Treatments 775
Sealants 2,817
Restorative/Surgical
Fillings 1,524
Stainless Steel
Crowns
20
Extractions 124
Pulpotomies 35
Demographics of the Children
Age Percentage
2012 2013
0-2 8% 6%
3-5 20% 21%
6-8 22% 26%
9-11 17% 21%
12-14 13% 12%
15-17 10% 9%
18-21 10% 6%
Grade Percentage
2012 2013
Pre-K 10% 12%
K-6 53% 55%
7-9 11% 10%
10-12 11% 9%
13+ 2% 1%
NA* 14% 14%
Demographics (continued)
32%
63%
3% 1% 1%
Race/Ethnicity
2013
Caucasian
NativeAmerican
AfricanAmerican
Hispanic
Other
56%36%
4%3% 1%
Race/Ethnicity
2012
Caucasian
NativeAmerican
AfricanAmercian
Hispanic
Other
Payor Source
2012 2013
22%
6%
72%
MedicaidPrivate Ins.Uninsured
27%
4%
69%
MedicaidPrivate Ins.Uninsured
Sharing Results
• Quarterly newsletter
• Annual Report
• Summaries for policy makers
• Presentations to local and statewide groups
Building Sustainability
• Five-year business plan
• Annual needs assessment
• Input from key stakeholders
• Diversified funding
• Fundraising events
• Promotional events
• Partnerships
Ronald McDonald Care Mobile Partners
• Ronald McDonald House Charities, Inc.
• Ronald McDonald House Charities, Bismarck
• State of North Dakota
• Health Resources and Services Administration
• The Tom and Frances Leach Foundation, Inc.
• Touchstone Energy Cooperatives (Basin Electric, Slope Electric, KEM
Electric, Roughrider Electric, Verendrye Electric)
• Otto Bremer Foundation
• Western ND McDonalds Owners and Operators
• MDU Resources Foundation
• ADHA/Wm. Wrigley Jr. Company Foundation
• Minnesota Power Foundation
• Delta Dental of Minnesota
Ronald McDonald Care Mobile Partners
• Walmart Foundation (State Giving Grant, Bismarck North, Mandan,
Sam’s Club)
• Tesoro Companies, Inc.
• Delta Air Lines Foundation
• Bismarck Mandan Community Foundation
• Gate City Bank
• Bismarck Marathon
• Scheels
• Oral Health America/Smiles Across America®/RMHC®
Benefits of a Ronald McDonald
Care Mobile
• Eliminate barriers underserved families face
• Address the community’s most critical oral health needs
• Reduce reliance on expensive and inappropriate health resources (e.g., emergency rooms)
• Raise awareness of good oral health habits
• Help families acquire SCHIP and Medicaid services
• Complement existing oral health services in the community
Lessons Learned & Challenges
• Ongoing diversified funding
• Computer system compatibility/connectivity
• Equipment malfunctions
• Staffing concerns
• Inclement weather
• Building strong site partners
Next Steps
• Add a school-based sealant program
• Continue fundraising
• Continue to enhance data collection for monitoring and evaluation of program operations
• Plan for use of portable equipment and volunteers to expand and enhance operations
Contact Information
Kathy Keiser, Executive Director
Ronald McDonald House Charities-Bismarck
Kathy Mangskau, RDH, MPA
Project Consultant