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Fundamentals of Leading a Health Center Oral Health Program

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Fundamentals of Leading a Health Center Oral Health Program Fundamentals of Leading a Health Center Oral Health Program Jane Gillette, DDS Ethan Kerns, DDS Kecia Leary, DDS, MS An Nguyen, DDS, MPH Bob Russell, DDS, MPH Tena Springer, RDH, MA Moderators: Martin Lieberman, DDS and Scott Wolpin, DMD History of NNOHA . Founded in 1991 by a group of Dental Directors from FQHCs who identified a need for peer-to-peer networking, collaboration, research and support in running an effective oral health program. Membership has grown to represent the full diversity of safety-net oral health providers and has become a leader in strengthening and supporting the oral health safety-net. NNOHA’s Mission . To improve the oral health of underserved populations and contribute to overall health through leadership, advocacy, and support to oral health providers in safety-net systems. NNOHA Resources . Visit website for: • Recent publications: • Partnering with Academic Institutions and Residency Programs to Develop Service Learning Programs • Survey of School-Based Oral Health Programs Operated by Health Centers: Descriptive Findings • Operations Manual for Health Center Oral Health Programs • Job Bank • Promising Practices • Dental Forms Library-recently updated • Listserv www.nnoha.org National Oral Health Learning Institute . Year-long leadership training for clinical leaders in a safety net dental programs for <5 years . Online and in-person trainings . Based on NNOHA’s Operations Manual and Patient Centered Health Home Action Guide . Next call for applications: summer of 2015 http://www.nnoha.org/pro grams-initatives/nohli/ Today’s schedule Track 1A Track 1B 1:00-1:10pm Welcome 1:10-2:00pm Health Center Fundamentals 2:00-2:45pm Financials 2:45-3:15pm Break in Coronado K Lobby (enjoy snacks and choose which sessions you want to attend) 3:15-4:00pm Workforce and Staffing Risk Management Rm: Durango 1 Rm: Monterrey 1-3 4:00-4:45pm Leadership Quality Rm: Durango 1 Rm: Monterrey 1-3 4:45-5:30pm Small group discussions Small group discussions Rm: Durango 1 Rm: Monterrey 1-3 Stop by the Coffee House (Cancun Room) to collaborate with colleagues and recharge on coffee, tea and conversation! Day Time Discussion Topic Facilitator Monday 7:30-8:30 am Medical screenings in the dental office: oral Mary Ellen Young and Dr. health professionals helping to keep you Scott Wolpin healthy Monday 11:05-11:30 am Dental students & residents Dr. Martin Lieberman and Lutheran Medical Center staff Monday 3:30-4:00 pm Meaningful Use Dr. Maggie Maule and Dr. Huong Le Tuesday 7:30-8:00 am Working with specialists Dr. Kecia Leary and Dr. Ariane Terlet Tuesday 10:35-11:00 am Medical-dental integration Dr. Lisa Kearney and Dr. Ethan Kerns Tuesday 3:45-4:15 pm Scheduling/No-shows Dori Bingham and Dr. Bob Russell Wednesday 8:00-9:00 am Dental dashboard/Quality improvement Dr. An Nguyen, Dr. Sarah Vander Beek, Alison Cusick Wednesday 10:35-11:00 am Big Data: How Will It Transform Oral Health? Mary Ellen Young Fundamentals of Leading a Health Center Oral Health Program Jane Gillette, DDS Ethan Kerns, DDS Kecia Leary, DDS, MS An Nguyen, DDS, MPH Bob Russell, DDS, MPH Tena Springer, RDH, MA Moderators: Martin Lieberman, DDS and Scott Wolpin, DMD History of NNOHA . Founded in 1991 by a group of Dental Directors from FQHCs who identified a need for peer-to-peer networking, collaboration, research and support in running an effective oral health program. Membership has grown to represent the full diversity of safety-net oral health providers and has become a leader in strengthening and supporting the oral health safety-net. NNOHA’s Mission . To improve the oral health of underserved populations and contribute to overall health through leadership, advocacy, and support to oral health providers in safety-net systems. NNOHA Resources . Visit website for: • Recent publications: • Partnering with Academic Institutions and Residency Programs to Develop Service Learning Programs • Survey of School-Based Oral Health Programs Operated by Health Centers: Descriptive Findings • Operations Manual for Health Center Oral Health Programs • Job Bank • Promising Practices • Dental Forms Library-recently updated • Listserv www.nnoha.org National Oral Health Learning Institute . Year-long leadership training for clinical leaders in a safety net dental programs for <5 years . Online and in-person trainings . Based on NNOHA’s Operations Manual and Patient Centered Health Home Action Guide . Next call for applications: summer of 2015 http://www.nnoha.org/pro grams-initatives/nohli/ Today’s schedule Track 1A Track 1B 1:00-1:10pm Welcome 1:10-2:00pm Health Center Fundamentals 2:00-2:45pm Financials 2:45-3:15pm Break in Coronado K Lobby (enjoy snacks and choose which sessions you want to attend) 3:15-4:00pm Workforce and Staffing Risk Management Rm: Durango 1 Rm: Monterrey 1-3 4:00-4:45pm Leadership Quality Rm: Durango 1 Rm: Monterrey 1-3 4:45-5:30pm Small group discussions Small group discussions Rm: Durango 1 Rm: Monterrey 1-3 Stop by the Coffee House (Cancun Room) to collaborate with colleagues and recharge on coffee, tea and conversation! Day Time Discussion Topic Facilitator Monday 7:30-8:30 am Medical screenings in the dental office: oral Mary Ellen Young and Dr. health professionals helping to keep you Scott Wolpin healthy Monday 11:05-11:30 am Dental students & residents Dr. Martin Lieberman and Lutheran Medical Center staff Monday 3:30-4:00 pm Meaningful Use Dr. Maggie Maule and Dr. Huong Le Tuesday 7:30-8:00 am Working with specialists Dr. Kecia Leary and Dr. Ariane Terlet Tuesday 10:35-11:00 am Medical-dental integration Dr. Lisa Kearney and Dr. Ethan Kerns Tuesday 3:45-4:15 pm Scheduling/No-shows Dori Bingham and Dr. Bob Russell Wednesday 8:00-9:00 am Dental dashboard/Quality improvement Dr. An Nguyen, Dr. Sarah Vander Beek, Alison Cusick Wednesday 10:35-11:00 am Big Data: How Will It Transform Oral Health? Mary Ellen Young Health Center Fundamentals Bob Russell, DDS, MPH Learning Objectives . Discuss the characteristics of Health Center patient populations . Recognize common terms used to reference Health Center oral health programs . Describe how Health Centers are financed . List partners with which Health Centers collaborate Health Centers Public or private not-for-profit organizations that provide primary health care services to populations with limited access to health care Health Centers were created to increase access to care among underserved and medically disenfranchised populations. United States Department of Health & Human Services Examples of Health Centers HRSA 330 grant-supported programs can be: . Federally Qualified Health Centers (FQHCs) . Outpatient health programs/facilities operated by tribal organizations . Hospital- based . Dental schools . County public health departments Sources: U.S. Department of Health and Human Services Health Resources and Services Administration, bphc.hrsa.gov and CDA May 2009 Federally Qualified Health Centers (FQHCs) . Health care delivery organization must apply to be designated an FQHC by HRSA . An FQHC can be reimbursed for Medicaid visits in a different manner than private practice- i.e. by encounter/visit . FQHCs can apply for Federal Torts Claim Act malpractice protection . Participate in federal student loan repayment programs Health Center vs. FQHC . Health Centers that also receive 330-HRSA grants are FQHCs . FQHC “look-alikes” do NOT receive 330-HRSA grant funding, for example, a county health department or a non-profit clinic, but can apply and also receive alternative Medicaid reimbursement such as the encounter-based method Choptank Community Health Systems Federalsburg, MD Health Center Facts 2012 UDS . Number Health Center programs receiving 330- grant funding: 1,198 . Number HC programs with dental programs: 898/1,198 = 75% . Total users: 21.1 million . Number medical users: 18 million . Number dental users: 4.3 million (24%) 2012 Demographics: Age & Ethnicity . 0-17 years 31.6% . 18-64 years 61.3% . 65 years & older 6.8% . 61.9% identify as racial and/or ethnic minorities . Hispanic/Latino 34.4% . African-American 24.2% Income as % of Federal Poverty Level Scope of Service . Each HC has a defined scope of service • should be based on assessment of the health care needs of the Health Center service population . When a new service or a new site is added, a change in scope must be approved by HRSA Primary Care Focus . Health Centers strive to provide community oriented primary care . Focus on family medicine, pediatrics, general dentistry, pediatric dentistry Public Health Focus . Develop policies and plans that support health on individual and community level . Emphasis is on health care that improves and maintains health . Focus on prevention, screening, and patient self- management of chronic conditions Health Care Services Integration • Strength of HC is multiple services available in one location • Some only provide medical services • Most provide medical, dental, behavioral health and ancillary services (social workers, enabling services, community outreach etc.) at the same site • Additional services: • optometry, pharmacy, lab, imaging, podiatry, WIC HealthPoint Community Health Center Seattle, WA Dental Program Scope of Service . Phase I - Basic/Routine • Level I - Emergency care • Level II - Diagnostic & preventive care • Level III - Expected care: Routine periodontal, restorative (including endodontics) and surgical care If not available on site, Level I & II care must be available through contractual arrangements (1998 & later programs) Dental Program Scope of Service . Phase II - Rehabilitative/Complex • Level IV- Recommended/Rehabilitative care: Complex periodontal, restorative (including endodontics) surgical care and prosthodontics. Other-than-routine specialty care. Scope of Service . Scope of service should be determined by the oral health needs of the HC population . Most HC dental programs provide a majority of Phase I care services . Many Phase II services have up-front fixed costs (i.e. prosthetic lab fees), which must be factored in to the cost of delivering services 2012 Productivity .
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