current oral health workforce: trends and models diane brunson, rdh, mph september 27, 2012
TRANSCRIPT
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Current Oral Health Workforce: Trends and Models
Diane Brunson, RDH, MPHSeptember 27, 2012
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Objectives
• Describe national oral health workforce trends and their applicability to Colorado
• Outline how dental care financing impacts workforce trends
• What is the role of non-dental providers in oral health?
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Dental Care Financing
• Procedures rather than disease diagnosis
• 22% of Colorado children are dentally uninsured
• No cost shifting
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Dental Insurance
• Uninsured do not get dental care - usually
• 22% of INSURED also do not get needed care because of cost
• No grant funds to cover uninsured care
• Dental care financing credit card schemes
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Relative Value Units (RVU)
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CIVHC
• Focus Areas:– Data and transparency– Payment Reform
– Delivery system redesign• Palliative care• Care transitions
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U.S. Dental School Applicants and First-Year Enrollment Trends 1980 - 2008
Source: American Dental Education Association, U.S. Dental School Applicants and Enrollees, 2007 and 2008 Entering Classes
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$30,000
$40,000
$50,000
$60,000
$70,000
$80,000
Anschutz Medical CampusSchool of Dental Medicine State Appropriation per Student FY
2008-2009 Compared with the other Public Dental Schools
Mean = $30,536
Colorado = $11,784
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Race and Ethnicity
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Dental Hygiene Education Programs: 2008 - 2009
University or Four-Year College Community or Junior College
Technical College or Institute
Vocational School
Other
School of Allied Health
Sciences
Dental School Separate Dental
Department
Other University or
Four-Year College
Institutions 30 23 3 0 175 34 4 12
Capacity 1,029 840 134 510 4,446 925 180 626
Enrollment (First-year)
987 723 129 450 4,252 802 84 263
Diploma Certificate Associate Degree Baccalaureate Degree
Baccalaureate Degree in Dental
Hygiene
Other Total
N % N % N % N % N % N % N %
1 0.3 6 2.0 247 82.1 9 3.0 28 9.3 10 3.3 301 100
Source: American Dental Association, 2008-2009 Survey of Allied Dental Education, Table 2 and Table 5
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2009 Dental Hygiene Job Market& Employment Survey - ADHA
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Workforce Data
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Access to Care
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“Midlevel” Providers• Dental Health Aide Therapist
– AAPHD Curriculum: JPHD– http://www.dentalboard.state.mn.us/Default.aspx?tabid=1165
• Community Dental Health Coordinator– http://www.ada.org/4925.aspx
• Advanced Dental Hygiene Practitioner– http://www.adha.org/downloads/competencies.pdf
• Extended Care Permit Hygienist III – KS– http://
kslegislature.org/li/b2011_12/measures/documents/summary_hb_2631_2012.pdf
• Advance Function Dental Auxiliary – WA– http://www.wsda.org/
• Study re: new provider - CA
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www.niioh.org
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Smiles for Life
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Only in certain circumstances
States with MEDICAID Funding for Physician Oral Health Screening and Fluoride Varnish
Medicaid coverage approved
Version: 8/11
Approved but not fully implemented
Reimbursement not yet approved
DE
RI
NJ
DC
WA
OR
CA
NV
AK
HI
ID
MT
WY
UT
AZ NM
ND
SD
NE
CO KS
TX
OK
MN
IA
MO
AR
LA
WI
IL IN
MI
MS AL GA
TN
KY
OHPA
NY
ME
FL
SC
NC
VAWV
VT
NH
MA
RICTNJDEMD
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