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COLLABORATIVE CARE NETWORKS ACROSS
THE DISCIPLINES
Ellen Crean RDH MS DDS PHD
Objectives Understand what “Collaboration “ means Gain insights into healthcare today and how
collaboration plays a role Review initiatives in healthcare relating to
collaborative care Discuss dentistry’s role in collaborative care Understand collaborative care networks in sleep
medicine Place the dentist into that collaborative network Review examples of existing networks in sleep
medicine Understand how dentists can establish and
participate in these networks
“ Collaboration”
Act of working together with one or more people to achieve shared goals
Healthcare Reform- Push to
Address cost of healthcare
Improve quality of healthcare
Increase access to healthcare
Healthcare initiatives that have arose to meet the needs
Integrated Patient Centered Medical Home
Developing accountable care organizations
Increasing focus on pay for performance Comparative effectiveness research
“ Collaborative Care in Healthcare”
A healthcare philosophy and movement that includes the provider of mental health , behavioral health ,and substance use in primary care
Agency for Healthcare Research and Quality
Published overview of outcomes of collaborative healthcare models and research to support them
Focus on treating whole person and whole family
Collaborative Family Healthcare Association
Promotes a comprehensive model of healthcare delivery that integrates mind and body , individuals and families, patients , providers and community
CFHA Goals
Develop Knowledge base of CFH Advocate for the CFH perspective Develop opportunities and projects in
healthcare related to CFH Create partnerships that will strengthen
the delivery of CFH
Collaborative Care in Dentistry
For the longest time dentistry has survived remaining isolated from the collaborative healthcare care model –an island all to itself.
Paradigm shift
Patient centered care and total body health is shifting the isolated model of dentistry .
Collaboration is occurring in disease management ( diabetes, heart disease , pregnancy and fetal health , oral medicine, head neck and facial pain , cancer, sleep breathing disorders.)
Collaborative care networks in sleep medicine Patients Sleep MD PCP PA/NP Behavioral Sleep /PHD Sleep Centers RPSGT RT ENT Dentist Oral Myologists Nutritionists
Barriers to success in collaborative networks Turf battles between professions Lack of models or systems utilizing
collaborative care Wide variations in regulations Lack of systems for referral and
communication Lack of evidence based protocols for
collaboration that provide basis for care
Key points for success in collaborative networks Organizational mandate Clear sets of responsibilities Team structure Team process Shared goals and outcomes Mutual trust and respect Communication
Dentists Role in Successful Collaborative Sleep Networks
Recognize and acknowledge that the physician oversees the treatment and management of the sleep breathing disorder
Understand the role of all therapy options available to patient and when they are beneficial
Be an expert on the treatment options you can provide for the patient .
Dentists Role Have well defined systems and protocols for the
network relationship ( referral systems , communication systems , treatment protocols)
Enhance patients access to care (become a contracted provider for medical insurance)
Propose and establish only medically /legal structured relationships
Be focused on patient care and patient outcomes and not only on financial gain
Be supportive of your other network providers and understand how your role can build their practices as well as yours.
Examples of Collaborative Networks Hospital Based Program – Dentist part
of sleep center/ hospital staff. Runs Awake group with RT and does grand rounds presentation with Sleep medical director.
Sleep ENT group - Dentist and Oral Myology evaluation done on all patients
Sleep Center central hub for all providers / manage patient referrals
