UNCH CHAR ARTE TED WA WATER ERS, S, THE J E JOU OURN RNEY EY FOR OR OR ORAL AL HEA EALT LTH EQ EQUITY Y ON ON TH THE E EA EAST STER ERN N SH SHOR ORE E OF OF VI VIRG RGINIA NIA 2019 Virginia Oral Health Summit Nancy Stern, CEO Noel Root, DDS Scott Wolpin, DMD
THE EA E EAST STER ERN SH SHOR ORE: E: WH WHER ERE AR E ARE E WE WE N NOW OW? Visits 26.87 Pop. 45,086 57% 14.67 63,551 49,164 12.2 45% Unmet Current Capacity Private Sector ESRHS
ESRHS’ DENTAL PROGRAM HAS: • two o 6+ + denta tal l chair r offices fices co-located located in two o medica dical l offic ices es • two o fixed ed dental al units ts, , with th two o chairs rs each, h, on the campuses uses of two o elemen mentary tary schoo ools ls • a T Traveli eling g Oral Health th Preven vention tion Progr gram am (TOPs) that t bring ngs s oral l health th care service ices to local al Head d Start, t, public lic schoo ools s and other her commu mmunity ity agencies ncies • and is openi ening g an 8 chair ir dental tal office, ice, collocat located ed with th medica dical, l, in 2020. 0. with th one treatme atment t room om equipped ipped to care for indivi ividual duals with th specia cial l health h care needs ds Increas reasing ing dental tal services ices to meet t the need d in the commun mmunity ity has been en the number ber one strategic tegic goal of the organ aniza ization tion since e 2012
AC ACHIEV EVEM EMEN ENTS TS • The ESRHS Dental tal Program ram is financial cially ly sustain ainab able • In 2018, 8, over r 2,8 ,800 00 children dren recei eived ved qualit lity, y, conveni enient ent oral l health th care from m TOPs • 70 70% of children dren age ges 6-9 at elevated vated risk k for denta tal l caries ies have sealants nts on one or more re perman manent ent molars ars (UDS Meas asure ure) • 84% of all patie ients ts presen senting ting with th emer ergen gent t concern cerns s recei eived ved defini initiv tive e care • 43% patie ients nts ages 6-36 6 month ths s have e had an initia tial dental tal visit it • Academic emic partn tners erships hips with th A.T .T. S . Still ll Arizon ona a Schoo ool, , VCU CU, , Tufts s Univers ersity ity Schoo ools s of Dentis tistry try and Oral Health th, , a and Easter ern n Shore re Commu mmunity ity College lege
OU OUR FI R FIVE VE OVE OVERA RARC RCHING ING GOA GOALS LS • Compl plet eting ing dental tre reatment nt pl plans • Focu cusing ing serv rvic ice e on high ri risk po popu pulation ions • Serv rvin ing as P Patient t Centered red He Health Ho Home/M /Med edical ical-De Dent ntal al In Integra ration on • De Developi oping ng an and tra rack cking g impo porta rtant nt out utcom come metri rics cs (i (i.e .e., ., ca case co compl pletion tion rate, d ra , dental sealant nt utiliz izati tion, on, % ch childr dren n < 3 3 y y/o with dental visit it) • Assuri ring ng the dental l pr progra ram is financial cially ly sustain inable ble
We simply can not be everything to everybody but we must for some!
CHALLENGES CONTINUE… • Long wait t times es • Inabi bilit lity to compl mplete ete recomme commended nded treatme atment t plans • High rates s of emergen ergency cy dental tal visits its • Majo jori rity ty of region ion lacks fluori oridate dated d water er • The Shore’s geographic isolation makes specialty care e diff fficult icult to acces ess • Recruit ruitme ment t of support ort staff (Dental tal Assista tants nts) ) is proble blema matic tic
PI PIONE ONEER ERS In search of oral health equity
BU BUILDING DING AND ND SU SUST STAIN AINING ING A CO COMM MMUN UNITY ITY HE HEALT LTH H CE CENTER ER DE DENTA TAL L PROGRAM OGRAM Through persistence, patience, pioneering, partnerships, perseverance, problem-solving, and passionate people
WES ESRHS HS BEG EGAN AN IN THE E LOCAL AL SCHOOLS LS, , AN AND HAS AS PARTNERE RED D WITH TH OUR SCHOOLS S FOR NEARLY 25 YEARS
Inco Incorpora rporatin ting ora oral hea health lth ser services vices int into school chool-based based hea health lth cen centers ters cont contributes ributes to to improved impro ved academi academic pe perfor formance, mance, posit positive ive • be behavio avioral ral out outcom comes es, increa creased sed at attenda tendance, nce, and nd bett better er qua quality lity of of li life fe for for student students at at all grade de levels ls. Sc Scho hool ol nur nurses ses are are ide ideall ally sit situat uated ed to to serve serve as as ora oral hea health lth ch champi ampions ons for for our our sc scho hool ol- based ed dental tal progr gram am.
Former mer Assista tant nt Surgeon geon General eral, , Dr. . Marily ilyn n Gaston ton awarded rded ES ESRHS School ool Dental al Program a “Best Practice Model” in 1997 Dr. Step ephanie anie Shelle ley, y, one of our many y dedicated cated dental l provide ders rs
Im Implement plementin ing sc scho hool ol-based sed ora oral hea health lth ser servi vices ces si significa gnificant ntly ly imp improve roves the the stat state of of children’s oral al health th in in our commu mmunit nity. Relev Relevant ant, age age-app appropriate ropriate ora oral hea health lth educat educatio ion comb combine ined wi with th preve preventi ntive ve ora oral hea health lth servi services ces bene benefits fits students tudents at at all gr grade ade level levels. Addit dditiona onally ly, acces access to to sc scho hool ol-ba based sed ora oral healt health se services rvices addre addresses ses so some me of of the the ba barri rriers ers th that at pa parent rents face face whe when att attempti empting to to access access or oral al health th care for their ir children dren.
ESRHS’ DENTAL PROGRAM ALSO DEVELOPED THR HROUGH GH THE HE MIS ISSIO ION OF M MERCY Y PROJECT CT
IN IN 200 002, , ESRHS S RECEIV IVED D EXTRAORDI AORDINARY NARY GI GIFTS TS – PANOR NOREX EX AND D DE DENTAL TAL CHAIRS AIRS!
Adding dental l to our s r sco cope pe of pr pract ctice ce be began at the he Bay ayvie iew w an and Fra ranktown n CHC HCs
Tra rave veling ling Ora ral He Health th Pro rogra ram m (TOPs) OPs) • We We of offer r denta tal l services rvices at at MES an and PE PES ye year ar-round, round, including in luding ov over r the he entire ire sum ummer mer an and som ome ho holi lidays. days. • Th The ESRHS RHS dental tal team am trav avels els wi with h por ortable able dental al cha hairs irs to p o prov ovid ide e denta tal l services rvices to s o studen udents ts at at sc scho hool ol witho wi hout ut an an on onsite ite dental tal of offic ice. e.
SOME OF THE MANY SMILING FACES EMBRACED BY ESRHS ’ DENTAL PROGRAM!
We We ta take ke ou our car are e ou outside ide the he fo four ur wa wall lls s fo for ou our mig igra rant nt an and seaso asonal nal far armworkers workers
Tra raining! ng! A re rece cent cl class of dental l assistan tants ts under r the tutelage our d r dentis ist, t, Dr Dr. . Randi i Wingate, , in pa part rtners rship hip with Eastern rn Shore re Commun munity ity Colleg lege.
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