bassett healthcare network pediatrics-school-based health betsy bray, rdh
TRANSCRIPT
Milestones across Mountains
Bassett Healthcare NetworkPediatrics-School-Based Health
Betsy Bray, RDH
Partnership between…..
Source: School-Based Health Alliance 2010-11 Census Report
School-Based Health Centers:Geography Matters
Bassett Healthcare Network and the School-Based Health Program
BHN6 hospitals, 26 outreach clinics in 9 counties
covering 5,600 square miles12,591 inpatient visits and 698,178 outpatient
visits in 2013SBHP
19 sites in 14 school districts in 4 counties32,109 visits in 2013, 30% for mental health,
10% dental
School-Based Health Center StaffNurse PractitionersPractical NursesSchool Nurses**Physician AssistantsMental Health Workers Registered Dental HygienistsPatient NavigatorsSupport StaffPhysiciansDentist
What Does the SBHCs Provide?
Comprehensive Primary Health Care
Mental Health Care
Preventive and RestorativeOral Health Care
Health Education
Preventative Oral Health Care in School-Based Health Centers
Three delivery modelsSBHC- D NonSBHC- D SBHC- Comp. care
Preventative Care Preventative Care Comprehensive Care
RDH DMD
Dental educationAnd referral services
begin in SBHC
Bassett offers sealants at all schools in Otsego Co.
Restorative Dental Services offered at
4 Schools/6 SBHC
Educate and train pediatric healthcare staff within the Bassett system on: caries risk assessment the application of Fluoride varnish in the well
child visit.
Recipient of NY State Dental Foundation Give a Kid a Smile Award 2010
Primary care staff become fully engaged in oral health care:
Caries Risk Assessments Mass and individual screenings Fluoride Varnish Application by LPNs
Recipient of NASBHC’sExpansion of Preventative Dental Services Grant 2012
Care Integration ProjectFunded by HRSA
Health Resources and Services AdministrationSupport by National Maternal and Child Oral Health
Resource Center Georgetown University
12 Programs across the country funded2 in New York State- *Bassett Healthcare Network*North Country Family Health Center
Four Year Project- 4 Bassett SBH Centers
New to Bassett SBH:Restorative Oral Health Care
The workYear 1- Research and Development
Recruitment of Dentist Policy and Procedure Baseline data
Year 2- Securing staff and equipment
Purchasing Equipment and SuppliesHiring and Credentialing of DentistHiring and training staff
The work continues…
Year 3- Fully operational 3 sites
Electronic Dental Record
Year 4- Self Sustainability, Best Practice Sharing
Expanded ServicesData collection
Summary of SBHC Dental ServicesChildren Eligible to be served 4,982Users 1,388 28%Total visits by Dental Team 2,125# of patients receiving sealants 463
33%# of patients with sealants present 826 60%# of patients with untreated caries 576 41%
HP 2020OH-12.3 Increase the proportion of adolescents aged 13 to 15 who have increased
dental sealants on one or more of their permanent molar teeth Target 21.9%
OH-12.2 Increase the proportion of children aged 6 to 9 years who have received dental sealants on one or more of their permanent first molar teeth
Target 28.10%
On the horizonExpanding services to additional SBH
enrolled students
Teledentistry
Pediatric IntegrationPCMH initiative- projected launch 2015
Study Asthma/inhaler use correlation
Dental Health Trade Alliance Funding
Reduce incidence of ECC through increased assessment, broader application of fluoride varnish application, caregiver education, increase referrals.
GOALS:Expansion of Oral Health Assessment in Pediatrics
-Caries RAT in EMR- smart sets-Develop tool kit for mass screening-varnish application events in SBH-Provide Training to PCP and Nursing staff
Advocacy: Part of SBHC Work
Thank you!
Betsy Bray, RDHProject Coordinator
Pediatrics: School-Based Health- DentalBassett Healthcare [email protected]