Baltimore City Health Department Ryan White Part A Office, CQM team - PowerPoint PPT Presentation

Baltimore City Health Department Ryan White Part A Office, CQM team Rodrique Sumpter, M.A. Research Analyst

 Thirty-two to 46 percent of PLWHA will have at least one HIV-related oral health problem in the course of their disease.  Fifty-eight to 64 percent of PLWHA do not receive regular dental care, according to various studies.  Currently only 20% of RW PMC clients receive oral health services within the Baltimore-Towson EMA.  Many adult plans do not cover Oral Healthcare, including Medicaid Expansion.

 Assess OH EMA provider capacity to serve more clients and expend additional funds.  Identify best practices among the OH EMA providers.  Evaluate the challenges of the OH EMA providers.  Explore the needs of the OH EMA providers.

Providers  There are five oral health providers.  Two providers serve Baltimore and Baltimore City Health Department Howard Counties Chase Brexton Health Care Independent Living Foundation Total Health Care University of Maryland School of Dentistry

A survey was developed with questions focusing on capacity, current services, 1. and patient engagement. Assessments were sent electronically to all providers. 2. Three face-to-face interviews were conducted and two were emailed and 3. returned. Data were complied into an excel spreadsheet. 4. Data were analyzed, summarized and presented in a word document. 5.

 Total of 48 OH staff  Each site has a range of 5-15 staff  The average site has 9 staff  3 Hygienists, general dentist and surgeon

 All providers use referral systems  1of 5 use instant messaging and in-house advertisement

 All OH general services are offered within the EMA  2 would like to employ an in-house oral Surgeon and orthodontist  1 wants to provide Restorative procedures (crowns)  1 wants to provide Bridge work  1 wants to provide Endodontic procedures (root canals)  1 wants to provide Fixed Prosthodontic procedures

 3 of 5 providers use referrals  2 of 5 providers house an oral surgeon

Number of Sites  There are a total of 11 OH sites within the EMA.  Each provider has a range of 2-3 OH sites. Additional Space needed  1 of 5 providers will need additional space to serve more patients.

Ability to provide extended hours  3 of 5 providers can extend their hours.  1of 5 providers may add weekend hours.

 If funds were available, three providers would hire Hygienists, general dentists and/or OH surgeons.  Most providers have the capacity to serve more patients, one needs additional space.  One provider uses text-messaging to communicate with clients and advertise their services.

Human Resource and Service Administration, 2010 Oral  Health and HIV Fast Facts. Retrieved from: http://hab.hrsa.gov/abouthab/files/ oral_health_fact_sheet.pdf  2013 Baltimore-Towson Ryan White HIV/AIDS Program Services Report