ORAL HEALTH AMERICA
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October 29, 2014
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@Smile4Health
HOUSEKEEPING INFORMATION • •
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OUR MISSION Oral Health America’s mission is to change lives by connecting communities with resources to increase access to care, education and advocacy for all Americans, especially those most vulnerable.
OHA PRIORITIES OHA’s Programs and Campaigns are designed to improve access to care, oral health literacy and policies that prioritize the impact of oral health on the overall health of all Americans – particularly those most vulnerable.
ACCESS
EDUCATION
ADVOCACY
OUR PROGRAMS
Provides oral disease preventive services in school-linked settings Served 440,000 kids through 193 programs in 43 states during 20132014 school year Facilitated donation of more than 500,000 units of dental product Provided nearly $400K grants plus technical assistance to treatment partners On schedule to seal 2 million teeth by 2015 (5 years ahead of schedule)
Focused on the oral health needs of community-dwelling older adults and their caregivers Educates older adults/caregivers re: importance of oral health + connects with resources for care
Tooth Wisdom: Get Smart About Your Mouth workshops in pilot
OUR CAMPAIGNS Educate the public, including policy makers, about the importance of oral health for overall health Emphasize the need to prioritize oral disease alongside other serious health conditions Advocate for policies that positively impact programs and stakeholders Current campaigns include:
Grant Funding
Product Donation
Sealant Initiative
Technical Assistance
Supportive Research
Legacy Foundation Chris-Town YMCA
Dental Innovation for Low-Income Children October 29th, 2014 9
Introduction April Lewallen Senior Executive Director Valley of the Sun YMCA Association Dr. Ken Snyder, DDS Dental Director St. Vincent de Paul of Arizona YMCA Dental Clinic
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About Valley of the Sun YMCA • The Valley of the Sun YMCA is one of the oldest nonprofits in the state of Arizona, born before Arizona became a state. We serve over 100,000 families and are located in 18 communities. We are a values based organization. Our Mission: • To put Christian principles into practice through programs that build a healthy spirit, mind and body for all. Our impact is felt when an individual makes a healthy choice, when a mentor inspires a child and when a community comes together for the common good.
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Youth Development: • Nurturing the potential of every child and teen through programs that include; childcare, educational programs, sports, activities, summer day camps, overnight camps, swim programs, teen leadership programs, volunteering, events, clubs and volunteering programs. Healthy Living: • Improving our community’s health and well-being by offering support, guidance, resources, facilities and expertise. Social Responsibility: • Inspiring hope, creating new opportunities for success, and meaningfully changing futures through initiatives in education, health, character building, vocational training, mentoring, financial aid, and cultural understanding.
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THE Y IS SO MUCH MORE • We’re not just a gym – WE ARE A CAUSE.
• The Y is for EVERYONE. Our programs, services and initiatives: enable kids to realize their potential, prepare teens for college, offer ways for families to have fun together, empower people to be healthier in spirit, mind and body, prepare people for employment, welcome and embrace newcomers and help foster a nationwide service ethic and SO MUCH MORE.
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Health Care and the YMCA Really? Creativity is not new to the YMCA • • • • • •
1851 1856 1881 1891 1895 1910
First YMCA English as a second language for German immigrants Coined term body building – developed exercise classes Basketball and physical fitness invented Volleyball invented Fathers Day
Fast Forward to 2008…. • First YMCA School Based Health Center
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School Based Health Center Model
Provides Access to Care; the program provides preventative and primary medical and dental care to school age children who are uninsured and under served
SBHC Model – Getting Started…. 2008 Pilot Clinic Opened • • • • •
Central site for parents Proximity to public transportation Hours of operations Reduced wait list at SVdP main clinic
Partners - Abrazo Health Care Phoenix Baptist Hospital - St. Vincent de Paul of Arizona
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SBHC Model – Getting Started‌. Converted conference room in 2008 Fully equipped health and dental clinics in 2011
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SBHC Model – Getting Started…. Objectives •
Reducing school absenteeism and improving academic achievement. Over 80 percent of the children seen by School-Based Health Center providers have returned to class, allowing them to focus on learning and academics.
•
Reducing emergency room usage by the targeted children. Over 90 percent of program participants have indicated through client satisfaction surveys that without services provided by the School-Based Health Centers, they would have obtained services at a local emergency department.
•
Managing chronic illnesses such as asthma, diabetes and others. 17
Grand Opening September 13th, 2011 New Partners • A.T. Still University and Mid Western University • Esperanca – Nutritional Services for Adults • St. Vincent de Paul – “Every Little Step Counts” Nutritional services for families
FY ‘11
FY ‘12
FY ‘13
FY ‘14
Total
Patients
407
2013
1661
1638
5719 visits
Dentist
NA
NA
1289
1232
2521 hours
Dental Students
NA
NA
3308
2776
6084 hours
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Medical services… Staff work closely with school nurses, school social workers, and parents to bring health care services, as well as health care education, social services to children and their families. • Diagnosis/treatment of major and minor illnesses (diabetes, asthma, seizure disorders, etc.); • Medications and prescriptions • Physical exams, well child care • Dental care services; oral health education • Referrals to hospitals, specialty physicians, immunization clinics, mental health services, radiology & lab • Health education including nutrition, exercise, and the dangers of drugs, alcohol, and tobacco
• • •
Our evening clinic provides all the aforementioned services except dental services Medical exams for adults (management of acute and chronic conditions) Laboratory testing: diabetes, pregnancy, cholesterol, anemia, urine, lung function, ear, etc. Patient prescription assistance for medications including insulin, etc. 19
Dental services… • Oral health education • Exams • Xrays • Cleanings • Oral Hygiene Instruction • Restorations (Fillings) • Pulpotomies • Stainless Steel Crowns • Extractions • Nutritional Counseling We also have the referral resources (SVDP) for Root Canals, Oral Surgery and Orthodontics 20
http://valleyymca.org/media-spotlights-dental-clinic/ If the link does not open on the first try, position cursor over Link, right click and choose open hyperlink. Thank you https://www.youtube.com/watch?v=1oq5QXvDy6s If the link does not open on the first try, position cursor over Link, right click and choose open hyperlink. Thank you
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Ronald McDonald House Charities - Bismarck Presented by: Kathy Keiser, Executive Director Ronald McDonald House Charities-Bismarck kathy@rmhcbismarck.org
Kathy Mangskau, RDH, MPA Program Consultant kmconsult@btinet.net
Objectives • Describe the Ronald McDonald Care Mobile Program of North Dakota • Describe the sustainability plan • Share lessons learned and best practices
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A Dream Come True “Delivering Hope on Wheels” 24
Service Area
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Sites in 2013
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Why a Care Mobile in North Dakota? • Access to dental care for low-income children and specific population groups is a dilemma. • Fewer dental providers locate in the rural areas. • There are only 4 public health dental clinics and 1 urgent care walk-in clinic in the state and they are not able to meet the current need. • Indian Health Service dental clinics are understaffed. • Low Medicaid reimbursement rates and high-noshow rates present challenges for private dental practices and for clients seeking care.
Mission
To provide access to oral health care to underserved children in their own neighborhoods.
Goals Long Term • Improve the oral health of underserved children. • Reduce oral health disparities among underserved children. Intermediate • Increase access to oral health services for children at high risk for oral disease.
Reaching Out to Children in Need • Schools
• Reservations
• Head Starts
Priority Service Areas • Schools with >40% of the children enrolled in the free- and reduced-fee school lunch program • Head Start and Early Head Start Programs • Reservation areas • Community Health Centers without dental clinics/services
Staffing • Business Operations – Executive Director – Program Manager – Drivers/intake coordinators – Program Consultant
• Clinical Operations – Contract with clinical service provider • Dentist • Dental hygienist • Dental assistant
Clinical Service Provider Bridging the Dental Gap, Inc.
Provides staffing, insurance billing and oversees the clinical operations
Ronald McDonald Care Mobile Services Include: • • • • • • • • • • • •
Exams X-rays Caries risk assessment Oral health education Cleanings Fluoride treatments Sealants Fillings Pulpotomies Stainless steel crowns Simple extractions Referrals as needed
State of the Art Equipment • Digital X-ray • Digital Intraoral Camera
Data • Showing Results and Outcomes – Increase in % of children with dental sealants – Decrease in the % of children with tooth decay – Increase in the % of Medicaid eligible children receiving dental services – Less school absenteeism – Decrease in ER use for non-traumatic dental care (pain and infection)
• Driving Decisions (Quality Assurance and Quality Improvement Plan)
Site Reports
Data is Aggregated
Dental Care Highlights • In 2012 the Ronald McDonald Care Mobile served 796 children with 1,822 patient appointments, providing 7,793 dental services for a total value of $410,187 • In 2013 the Ronald McDonald Care Mobile served 880 children with 2,074 patient appointments, providing 8,881 dental services for a total value of $470,148
Services Provided in 2012 & 2013 Diagnostic Exams X-rays Referrals Preventive Oral health education Cleanings Fluoride Treatments Sealants Restorative/Surgical Fillings Stainless Steel Crowns Extractions Pulpotomies
Number Provided 781 1,020 82 785 780 780 2,311 1,366 15
115 19
Diagnostic Exams X-rays Referrals Preventive Oral health education Cleanings Fluoride Treatments Sealants Restorative/Surgical Fillings Stainless Steel Crowns Extractions Pulpotomies
Number Provided 781 1,150 60 882 773 775 2,817 1,524 20
124 35
Demographics of the Children Age
Percentage 2012
2013
0-2
8%
6%
3-5
20%
21%
6-8
22%
26%
9-11
17%
21%
12-14
13%
12%
15-17
10%
9%
18-21
10%
6%
Grade
Percentage 2012
2013
Pre-K
10%
12%
K-6
53%
55%
7-9
11%
10%
10-12
11%
9%
13+
2%
1%
NA*
14%
14%
Demographics (continued)
Demographics (continued) Race/Ethnicity 2012
4%
3% 1%
Race/Ethnicity 2013
Caucasian
Native American 36% 56%
Caucasian
3% 1% 1%
32%
Native American
African Amercian
African American
Hispanic
Hispanic 63%
Other
Other
Payor Source 2012
2013
22%
27%
6% 72%
Medicaid Private Ins. Uninsured
4% 69%
Medicaid Private Ins. Uninsured
Sharing Results • • • •
Quarterly newsletter Annual Report Summaries for policy makers Presentations to local and statewide groups
Sharing Results Tooth Fairy Tales
Annual Report
Summary for Policy Makers
Building Sustainability • • • • • • •
Five-year business plan Annual needs assessment Input from key stakeholders Diversified funding Fundraising events Promotional events Partnerships
Ronald McDonald Care Mobile Partners • • • • • • • • • • • •
Ronald McDonald House Charities, Inc. Ronald McDonald House Charities, Bismarck State of North Dakota Health Resources and Services Administration The Tom and Frances Leach Foundation, Inc. Touchstone Energy Cooperatives (Basin Electric, Slope Electric, KEM Electric, Roughrider Electric, Verendrye Electric) Otto Bremer Foundation Western ND McDonalds Owners and Operators MDU Resources Foundation ADHA/Wm. Wrigley Jr. Company Foundation Minnesota Power Foundation Delta Dental of Minnesota
Ronald McDonald Care Mobile Partners • Walmart Foundation (State Giving Grant, Bismarck North, Mandan, Sam’s Club) • Tesoro Companies, Inc. • Delta Air Lines Foundation • Bismarck Mandan Community Foundation • Gate City Bank • Bismarck Marathon • Scheels • Oral Health America/Smiles Across America®/RMHC®
Partners
Fundraiser
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Benefits of a Ronald McDonald Care Mobile • Eliminate barriers underserved families face • Address the community’s most critical oral health needs • Reduce reliance on expensive and inappropriate health resources (e.g., emergency rooms) • Raise awareness of good oral health habits • Help families acquire SCHIP and Medicaid services • Complement existing oral health services in the community
Lessons Learned & Challenges • • • • • •
Ongoing diversified funding Computer system compatibility/connectivity Equipment malfunctions Staffing concerns Inclement weather Building strong site partners
Promoting Healthy Smiles
Next Steps • Add a school-based sealant program • Continue fundraising • Continue to enhance data collection for monitoring and evaluation of program operations • Plan for use of portable equipment and volunteers to expand and enhance operations
Warming Our Hearts
Grateful Appreciation
For more information: http://rmhcbismarck.com/caremobile/
Contact Information Kathy Keiser, Executive Director Ronald McDonald House Charities-Bismarck kathy@rmhcbismarck.org
Kathy Mangskau, RDH, MPA Project Consultant kmconsult@btinet.net
Questions