collaborative practice: bridging the gap n preventive dental services julie ann janssen, rdh, ma...
TRANSCRIPT
![Page 1: Collaborative Practice: Bridging the Gap n Preventive Dental Services Julie Ann Janssen, RDH, MA IFLOSS Coalition Sherri M Lukes, RDH, MS, FAADH President,](https://reader035.vdocuments.us/reader035/viewer/2022081521/5a4d1af37f8b9ab05998007a/html5/thumbnails/1.jpg)
Collaborative Practice: Bridging the Gap n Preventive Dental Services
Julie Ann Janssen, RDH, MAIFLOSS Coalition
Sherri M Lukes, RDH, MS, FAADHPresident, Illinois Dental Hygienists Association
![Page 2: Collaborative Practice: Bridging the Gap n Preventive Dental Services Julie Ann Janssen, RDH, MA IFLOSS Coalition Sherri M Lukes, RDH, MS, FAADH President,](https://reader035.vdocuments.us/reader035/viewer/2022081521/5a4d1af37f8b9ab05998007a/html5/thumbnails/2.jpg)
Access, a multifaceted health problem, encompassing a broad set of concerns that center on the degree to which individuals and groups are able to obtain needed oral health care.
![Page 3: Collaborative Practice: Bridging the Gap n Preventive Dental Services Julie Ann Janssen, RDH, MA IFLOSS Coalition Sherri M Lukes, RDH, MS, FAADH President,](https://reader035.vdocuments.us/reader035/viewer/2022081521/5a4d1af37f8b9ab05998007a/html5/thumbnails/3.jpg)
MedicaidSystem
PreventionPrograms
Public HealthClinics
Workforce Value ofOral Health
![Page 4: Collaborative Practice: Bridging the Gap n Preventive Dental Services Julie Ann Janssen, RDH, MA IFLOSS Coalition Sherri M Lukes, RDH, MS, FAADH President,](https://reader035.vdocuments.us/reader035/viewer/2022081521/5a4d1af37f8b9ab05998007a/html5/thumbnails/4.jpg)
Access to oral health care is limited by such factors as the:
WorkforceState dental practice actPublic facilitiesReimbursementValue of oral healthPreventionLocation
![Page 5: Collaborative Practice: Bridging the Gap n Preventive Dental Services Julie Ann Janssen, RDH, MA IFLOSS Coalition Sherri M Lukes, RDH, MS, FAADH President,](https://reader035.vdocuments.us/reader035/viewer/2022081521/5a4d1af37f8b9ab05998007a/html5/thumbnails/5.jpg)
Oral Health of Illinois’ Third Graders22% have untreated decay (26%
FRMP)48% are cavity free (41% FRMP)2% need urgent care (2% FRMP)50% have dental sealants (51%
FRMP)
![Page 6: Collaborative Practice: Bridging the Gap n Preventive Dental Services Julie Ann Janssen, RDH, MA IFLOSS Coalition Sherri M Lukes, RDH, MS, FAADH President,](https://reader035.vdocuments.us/reader035/viewer/2022081521/5a4d1af37f8b9ab05998007a/html5/thumbnails/6.jpg)
![Page 7: Collaborative Practice: Bridging the Gap n Preventive Dental Services Julie Ann Janssen, RDH, MA IFLOSS Coalition Sherri M Lukes, RDH, MS, FAADH President,](https://reader035.vdocuments.us/reader035/viewer/2022081521/5a4d1af37f8b9ab05998007a/html5/thumbnails/7.jpg)
![Page 8: Collaborative Practice: Bridging the Gap n Preventive Dental Services Julie Ann Janssen, RDH, MA IFLOSS Coalition Sherri M Lukes, RDH, MS, FAADH President,](https://reader035.vdocuments.us/reader035/viewer/2022081521/5a4d1af37f8b9ab05998007a/html5/thumbnails/8.jpg)
The statute does not require the presence or supervision of a dentist in a public or private school, a dental or dental hygiene school or a facility owned by a local health department. Special Requirements: None Services: Hygienist can provide prophylaxis, root planing, screening, treatment planning, sealants and delegable duties. Notes: - Direct Medicaid reimbursement allowed.
![Page 9: Collaborative Practice: Bridging the Gap n Preventive Dental Services Julie Ann Janssen, RDH, MA IFLOSS Coalition Sherri M Lukes, RDH, MS, FAADH President,](https://reader035.vdocuments.us/reader035/viewer/2022081521/5a4d1af37f8b9ab05998007a/html5/thumbnails/9.jpg)
![Page 10: Collaborative Practice: Bridging the Gap n Preventive Dental Services Julie Ann Janssen, RDH, MA IFLOSS Coalition Sherri M Lukes, RDH, MS, FAADH President,](https://reader035.vdocuments.us/reader035/viewer/2022081521/5a4d1af37f8b9ab05998007a/html5/thumbnails/10.jpg)
Differences exist between populations seeking oral health care. All have unique problems that act to further exacerbate the difficulties in accessing oral health care. Special needs populations Incarcerated Poor ChildrenElderlyRural
![Page 11: Collaborative Practice: Bridging the Gap n Preventive Dental Services Julie Ann Janssen, RDH, MA IFLOSS Coalition Sherri M Lukes, RDH, MS, FAADH President,](https://reader035.vdocuments.us/reader035/viewer/2022081521/5a4d1af37f8b9ab05998007a/html5/thumbnails/11.jpg)
The DilemmaOral Health Needs Assessment and
Planning (1995-2003) All grantee communities have identified access
to oral health care as a priority problemProject Smile Data (1993)
55% of 6-8 year-olds have had cavities 38% of 6-8 year-olds have untreated cavities 19 % of 8 year olds have dental sealants
![Page 12: Collaborative Practice: Bridging the Gap n Preventive Dental Services Julie Ann Janssen, RDH, MA IFLOSS Coalition Sherri M Lukes, RDH, MS, FAADH President,](https://reader035.vdocuments.us/reader035/viewer/2022081521/5a4d1af37f8b9ab05998007a/html5/thumbnails/12.jpg)
Access to Oral Health Care in Illinois
Dental SealantGrant Program 1986
1993Project Smile OH Survey
OH ConferenceDental Directors 1998
1998Beyond Dental Clinic Directors
1996 O H Needs Assessment & Planning
IPLAN 1995
IFLOSS 1998
![Page 13: Collaborative Practice: Bridging the Gap n Preventive Dental Services Julie Ann Janssen, RDH, MA IFLOSS Coalition Sherri M Lukes, RDH, MS, FAADH President,](https://reader035.vdocuments.us/reader035/viewer/2022081521/5a4d1af37f8b9ab05998007a/html5/thumbnails/13.jpg)
The IFLOSS Coalition is a private-public group addressing access to oral health care in Illinois.
![Page 14: Collaborative Practice: Bridging the Gap n Preventive Dental Services Julie Ann Janssen, RDH, MA IFLOSS Coalition Sherri M Lukes, RDH, MS, FAADH President,](https://reader035.vdocuments.us/reader035/viewer/2022081521/5a4d1af37f8b9ab05998007a/html5/thumbnails/14.jpg)
IFLOSS Coalition November 1998
Partners: Local Health Departments Illinois State Dental Society Illinois Dental Hygienists Association State Agencies Advocacy Groups
![Page 15: Collaborative Practice: Bridging the Gap n Preventive Dental Services Julie Ann Janssen, RDH, MA IFLOSS Coalition Sherri M Lukes, RDH, MS, FAADH President,](https://reader035.vdocuments.us/reader035/viewer/2022081521/5a4d1af37f8b9ab05998007a/html5/thumbnails/15.jpg)
Goal:Develop Strategic Plan to Increase AccessFramework
community based focus on prevention integrate with primary health care Medicaid system partner with private sector
Workgroups Reimbursement Clinic Development Marketing and Data
![Page 16: Collaborative Practice: Bridging the Gap n Preventive Dental Services Julie Ann Janssen, RDH, MA IFLOSS Coalition Sherri M Lukes, RDH, MS, FAADH President,](https://reader035.vdocuments.us/reader035/viewer/2022081521/5a4d1af37f8b9ab05998007a/html5/thumbnails/16.jpg)
FY9714 Grantees17 Communities1,437,876 Pop
FY9815 Grantees21 Communities4,199,951 Pop
FY998 Grantees9 Communities651,575 Pop
FY0011 Grantees12 Communities1,256,314 Pop
![Page 17: Collaborative Practice: Bridging the Gap n Preventive Dental Services Julie Ann Janssen, RDH, MA IFLOSS Coalition Sherri M Lukes, RDH, MS, FAADH President,](https://reader035.vdocuments.us/reader035/viewer/2022081521/5a4d1af37f8b9ab05998007a/html5/thumbnails/17.jpg)
FY873 Grantees7,121,Sealants
FY9326 Grantees60,812 Sealants
FY9956 Grantees48,146 Sealants
Total (FY87 - FY00)502,446 Sealants
![Page 18: Collaborative Practice: Bridging the Gap n Preventive Dental Services Julie Ann Janssen, RDH, MA IFLOSS Coalition Sherri M Lukes, RDH, MS, FAADH President,](https://reader035.vdocuments.us/reader035/viewer/2022081521/5a4d1af37f8b9ab05998007a/html5/thumbnails/18.jpg)
Safety Net Dental Clinics
•What is the role of safety net What is the role of safety net dental providers…dental providers…
![Page 19: Collaborative Practice: Bridging the Gap n Preventive Dental Services Julie Ann Janssen, RDH, MA IFLOSS Coalition Sherri M Lukes, RDH, MS, FAADH President,](https://reader035.vdocuments.us/reader035/viewer/2022081521/5a4d1af37f8b9ab05998007a/html5/thumbnails/19.jpg)
Dental Services Use by Medicaid Children
IDPA, 2000. For the period of March 1, 1999-February 29, 2000.
0%10%20%30%40%50%60%
% u
tiliz
ing
dent
al se
rvic
es
HP 2010 goal of 57%
![Page 20: Collaborative Practice: Bridging the Gap n Preventive Dental Services Julie Ann Janssen, RDH, MA IFLOSS Coalition Sherri M Lukes, RDH, MS, FAADH President,](https://reader035.vdocuments.us/reader035/viewer/2022081521/5a4d1af37f8b9ab05998007a/html5/thumbnails/20.jpg)
Type of Dental Services Provided
Preventive30%
EPSDT19%FQHC Encounter
Fee1%
Diagnostic29%
Restorative15%
Oral Surgery4%
Other2%
![Page 21: Collaborative Practice: Bridging the Gap n Preventive Dental Services Julie Ann Janssen, RDH, MA IFLOSS Coalition Sherri M Lukes, RDH, MS, FAADH President,](https://reader035.vdocuments.us/reader035/viewer/2022081521/5a4d1af37f8b9ab05998007a/html5/thumbnails/21.jpg)
Counties With At Least One Pediatric Dentist
![Page 22: Collaborative Practice: Bridging the Gap n Preventive Dental Services Julie Ann Janssen, RDH, MA IFLOSS Coalition Sherri M Lukes, RDH, MS, FAADH President,](https://reader035.vdocuments.us/reader035/viewer/2022081521/5a4d1af37f8b9ab05998007a/html5/thumbnails/22.jpg)
Illinois Dental Graduates 1980-2002
460399
315
178 181110
050
100150200250300350400450500
Total IL DentalGraduates
Source: 1996/97 Survey of Predoctoral Dental Educational Institutions: Academic Programs, Enrollment, and Graduates, Vol. 1, ADA, Chicago, IL.
![Page 23: Collaborative Practice: Bridging the Gap n Preventive Dental Services Julie Ann Janssen, RDH, MA IFLOSS Coalition Sherri M Lukes, RDH, MS, FAADH President,](https://reader035.vdocuments.us/reader035/viewer/2022081521/5a4d1af37f8b9ab05998007a/html5/thumbnails/23.jpg)
Percentage of Active Dentists Who Participate in Medicaid
0%10%20%30%40%50%60%70%80%90%
100%
Illinois CookCounty
Urban Rural
Part
icip
atin
g
IDPA, 2000. For the period of March 1, 1999-February 29, 2000.
![Page 24: Collaborative Practice: Bridging the Gap n Preventive Dental Services Julie Ann Janssen, RDH, MA IFLOSS Coalition Sherri M Lukes, RDH, MS, FAADH President,](https://reader035.vdocuments.us/reader035/viewer/2022081521/5a4d1af37f8b9ab05998007a/html5/thumbnails/24.jpg)
24
The future of oral health in Illinois depends on committed communities.