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TELEDENTISTRY: REDEFINING PATIENT CENTERED CARESharity Ludwig, EPDH, MS
July 25, 2019
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TO REVOLUTIONIZE ORAL HEALTH FOR EVERYONE BY REDEFINING
PREVENTION AND CAREUltimately, we are driven to shift
the paradigm of oral health
care to revolve around
prevention across benefits,
care delivery and impact
Our purpose puts a bold new stake in the
ground, but our inclusive mission — to
improve the oral health of all —
remains the same
Beyond incremental
shifts in how we deliver,
we are innovating and
fundamentally
changing the system
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Why Teledentistry?
Care
Network
Community
Health
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STAFF BASED PRACTICE & TELEDENTISTRY
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Teledentistry Pilot Locations
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COMMUNITY CARE & TELEDENTISTRY
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Staff
• Manager, Community Care
• 13.5 FTE RCEPDHs
• 5 Outreach Assistants
Geographic Reach (2018)
• 30 Oregon Counties
• 622 sites
• 29,569 Unique Patients
• 74% Medicaid
• 26% non-Medicaid
Services
• Phase I
Oral Health Assessments
Fluoride varnish
Silver Diamine Fluoride
Protective restorations without
excavation
Coordination of Care
• Phase II
Hygiene services as allowed by
scope of practice
• Phase III
Telehealth
Community Care
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PRACTICAL CONSIDERATIONSPractice and Community Care
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Staff Based and Community Care
• Establish Tele-connected Team
• Staff training
• Scope of practice
• Billing
• ADA Guidelines
• State regulations
• Compliance
• Processes in place to audit
• Scope of practice
• Informed Consent
https://www.ada.org/~/media/ADA/Publications/Files/D9995andD9996_ADAGuidetoUnderst
andingandDocumentingTeledentistryEvents_v1_2017Jul17.pdf?la=en
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Community Care Specific
• Scope of Practice
• Community of awareness around oral health care
• Equipment
• Connectivity
• EDR connected