The U.S. Oral Health Workforce in the Coming Decade Workshop Summary (2009) / Chapter Skim
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10 Workforce Strategies for Improving Access
10 Workforce Strategies for Improving Access
Pages 81-96
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From page 81... ...
As the number of oral health programs in community health centers increases, there is a corresponding increase in demand for efficient strategies to maximize the use of the existing infrastructure of these centers. Various types of community health workers are already prevalent in many health centers.
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From page 82... ...
CDHCs must be high school graduates and may already be oral health professionals or acting as a general community health worker, providing assistance with health education, translation, and transportation. As the CDHC model enters pilot testing, outcomes will need to be evaluated, such as how often patients follow through on referrals by the CDHC, improvements in untreated disease among CDHC patients, and increases in the number of patients seen in clinics by CDHCs.
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From page 83... ...
For example, years ago, villages picked one individual responsible for the daily disbursement of tuberculosis medicines, forming the model for the modern community health worker. Finally, Alaska Natives suffer from caries rates that are several times higher than the national average and, largely due to the geographic concerns described, it is difficult to have dentists or dental hygienists visit each village at the necessary intervals.
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From page 84... ...
oral health practitioner Colleen M Brickle, Ed.D., RDH Normandale Community College and Metropolitan State University In Minnesota, there has been increased interest in examining oral health workforce needs.
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From page 85... ...
Currently, dental hygienists in Minnesota, under a collaborative agreement with a dentist, may practice in community settings such as hospitals, nursing homes, and Head Start schools. OHPs are also proposed to practice in these and other community settings, including assisted living facilities, Veterans Administration settings, patient homes, and certain clinics.
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From page 86... ...
registered dental hygienists in alternative practice and virtual dental homes Paul Glassman, D.D.S., M.A., M.B.A. University of the Pacific School of Dentistry In this country, resources need to be aligned with health promotion and disease prevention.
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From page 87... ...
Even minor dental procedures can be done in community settings. Virtual Dental Home Community-based case management models have had much success, often through integration of dental hygienists and dental assistants with social service agencies to provide health promotion, triage, and referral California Business and Professions Code, Section 1774, 1775.
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From page 88... ...
Under the proposed virtual dental home model, the RDHAP can collect a full set of digital records including X-rays and other information and enter these into an electronic medical record that can be examined by a dentist remotely. This dentist may then make a diagnosis and create a treatment plan in consultation with the community-based oral health professional who is familiar with the patient, their health history, consent information, and resources and may help coordinate needed services.
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From page 89... ...
Caplin, D.M.D., CCHP Oral Health Impact Project The Oral Health Impact Project (OHIP) is a patient-focused, selfsustaining public health care model that focuses on perpetual practitioner development.
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From page 90... ...
These scholarships require the students to perform public health dentistry upon graduation by providing care in the military, the Public Health Service, the Indian Health Service, in a federally qualified health center, or in the school-based program. This will foster the repopulation of our public health professionals pool and reintroduce a new set of mentors and leaders in oral health.
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From page 91... ...
with the second and third years being spent largely in community-based settings like community health centers. In dentistry, residents participate in community-based rotations around the state.
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South Valley Health Commons Derksen noted his employment at the South Valley Health Commons, which he described as a 40,000-square-foot facility that provides comprehensive health care services with some wrap-around social services. In terms of oral health, he said this particular facility has 5 dentists, 1 dental resident, 3 dental hygienists, 14 dental assistants, and 16 operatories.
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. In this same manner, the POHE could provide individualized medical management of pediatric caries disease while the pediatric dentist provides the treatment intervention.
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Ultimately, the goal of the POHE is to arrest the active caries disease process so that definitive dental repair is successful in both the short and long terms. reaction and DISCUSSION Moderator: Len Finocchio, Dr.P.H.
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From page 95... ...
In addition, keeping people healthy in community settings using effective prevention and care management strategies reduces costs incurred from operating room and emergency room use. Several participants asked about the costs related to the training of new types of practitioners.
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From page 96... ...
For example, he noted the long-term experiences in i ntegrating oral health professionals into social service systems in community settings. Newer models, he said, often add components to these previously successful models, such as expanded scopes of practice and expanded collaboration, and so expectations are for similar or even better results.
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