Volunteer Dental Program Coletta McGrath, Executive Director Jenny Stranges, Program Director
Agenda • Quest CHC • Dental Facts • Dental Advisory Committee • Dental Operations and Service Planning
Quest Community Health Centre
Quest CHC 
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Our Mission Quest CHC provides primary health care services to individuals experiencing social, economic and cultural barriers while promoting wellness, community and social justice. Our Vision A healthy and engaged community that participates, collaborates, celebrates and grows.
Quest CHC Quest
CHC serves the municipality of St. Catharines, with a LHIN wide focus for the LGBTQ population
A
future direction is to establish a point of access in Thorold
Permanent
Catharines
location secured - 145 Queenston , St
Outreach External points of services at various sites around the community identified/established
Start Me Up Niagara St. Catharines Collegiate Institute and Vocational School Niagara Falls, Port Colborne, Grimsby – RYN Home Visits for isolated Seniors with limited mobility Virgil – Migrant Workers Clinic
Priority Populations Priority target populations identified include:
Individuals without a healthcare provider
Individuals experiencing mental health, addictions and/or concurrent disorders
Street involved populations (homeless, under-housed, sex trade workers)
Sexually and gender diverse populations -GLBTQ
At risk children, youth and families
Isolated seniors.
Quest CHC
Executive Director Program Director
Volunteer Chiropractor
Nurse Practitioners
Registered Nurses
Outreach Workers
Physicians
Staff Compliment Registered Dietitian
Admin Staff
Dental Services Coordinator
Social Workers/ Therapist
Health Promoter
Community Health Worker
Specialized Programs
RYN (Rainbow Youth Niagara)
On site Pharmacy Partnership
USAT (Urgent Services Access Team)-partnering with NHS (Niagara Health System), CASN (Canadian Addiction Services Niagara), and CMHA (Canadian Mental Health Association)
Volunteer Chiropractic Services
Volunteer Dental Program
Dental Facts
Oral Health
One in three Ontario adults has no dental benefits(AOHC). One in five people needing dental treatment avoid going to the dentist because of cost (Public Health Ontario, Report on Access to Dental Care and Oral Health Inequalities in Ontario, July 2012). They experience pain and infection and have nowhere to turn but the emergency room of their local hospital. AOHC champions an affordable, accessible oral healthcare program for all low-income children and adults in Ontario. In 2008 the Ontario government committed to develop a dental program for all low income families but there are still no new programs for low income adults. OHIP covers health care for every part of our body except our teeth and gums. Reference: REGION OF NIAGARA PUBLIC HEALTH & AOHC
What is Currently Covered Ontario Works (OW) Coverage
$134 is maximum coverage per client, per dentist, per month (excludes laboratory charges) Emergency coverage only to relieve pain, infection or trauma. Client must have proof of eligibility for the month they are having treatment.
Ontario Disability Support Program (ODSP) No treatment dollar limit specified
Client must be adult age 18 and over
All claims must be accompanied by a copy of their monthly card
Recalls covered every 9 months
4 units of scaling covered every 12 rolling months Amalgam fillings (silver) and composite resin fillings (tooth coloured) covered Root canals covered Extractions covered (as long as they are not for orthodontic purposes)
X-rays covered ( maximum of 8 films per 12 months, per client, per dentist, per address) & maximum payable is $27.02
Additional Considerations
Eligibility criteria varies by Regional Municipality.
Fee schedules vary for clients who are on OW or ODSP vs. Private Insurance.
In Niagara Region, OW covers emergency services only.
OW Services can also be billed under “Discretionary Benefits”; “Other Health Benefits” are available as well, based on advocacy.
ODSP clients lose their coverage when they turn 65 years of age.
It’s worthwhile noting that community advocacy often determines what is covered in your municipality.
Dental Advisory Committee
DAC
History 
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Southridge Community Church initiated a volunteer program including the development of a community coalition. This Southridge coalition partnered with Quest CHC who assumed responsibility for the volunteer dental program.
DAC ď ą
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Acts as a resource to the Dental Program, Quest and our Board of Directors, on planning, developing, implementing and evaluating CHC dental services and activities, including policies and procedures. Provides information to Quest regarding funding resources to support Dental Program operating expenses.
Members volunteer in program.
DAC Continued…..
Membership consists of:
Representatives of the dental/oral health community, provider organizations and community at large, such as:
Community Dentists
Dental Hygienists
Community Members including a chiropractor, a faculty member from Niagara College, a service coach from Southridge Community Church homeless shelter and a member of the Niagara Community Foundation
Benefits of DAC Broader Community Perspective Larger network to tap into for resources Increased human resource capacity to implement program
Recruitment of volunteers from DAC itself More individuals to contribute to problem solving, leveraging resources Ensures the service is relevant and responsive to the community
Dental Program Funding
Our Dental Program was made possible thanks to Capital Funding from Public Health (Healthy Smiles Ontario) as well as donations from Henry Schein Canada and Community Volunteers. Continued relationship building with Henry Schein and other dental suppliers for donations and support. Successfully obtained a 2 year Trillium Foundation Grant to support program start up and development. Quest Direct billing to OW and ODSP for services based on eligible amounts.
Dental Operatories
Our Operatories 2 Fully equipped dental operatories that include:
Digital x-rays Full electronic charting The capacity to provide restorative services State of the art equipment (e.g. Statim 5000 cassette sterilizer and Delta Q Pelton & Crane Autoclave sterilizer).
Service Planning
Dental Pilots
To date we have completed 4 dental pilots:
1st2nd 3rd 4th
Dec. 2, 2011 Feb. 3, 2012 Mar. 30, 2012 Dec. 7, 2012
Goals of pilots:
To establish workflow (intake and assessment process), ensuring that they integrated well with pre-established Quest processes, as well as ensuring all equipment functioned properly.
GO LIVE DATE!
May 23, 2013
Providing Treatment‌
Infrastructure Development
Dental Advisory Committee (on boarding process, TOR etc. ) Volunteer Recruitment Strategy /Orientation Process Promotional Materials Procedures Manual Electronic Dental Records – Dentrix
Unique Considerations
Challenges include:
Scheduling clients with missing information (personal, medical Ensuring a smooth workflow Identifying and addressing barriers to client participation Managing expectations of volunteer dental staff Ensuring adequate time for ongoing volunteer recruitment Infrastructure development - ensuring we have necessary supplies and that equipment is functioning properly.
Volunteer Recruitment
Volunteer Recruitment Strategies to date:
Presentation to the Niagara Peninsula Dental Association (NPDA) Advertisement in NPDA newsletter Presentation to the Niagara Peninsula Dental Hygienists Outreach to Student Dental Assistants via the local college One on one calls and meetings with potential dental volunteers.
Next Steps ď ą
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Development and implementation of recruitment, orientation and training for dental program volunteers.
Initiate billing and fundraising to ensure availability of supplies/sundries/equipment.
Quest CHC
Thank You For Your Time !