our current reality
DESCRIPTION
Our Current Reality. Upper Peninsula Children’s Oral Health Summit NMU Conference Center May 17, 2014 --Kayla West, MBA. 5 Buckets. Coverage & Financing Safety Net Workforce Prevention Surveillance. Focusing on “Systems”. Remember the 1980’s—Haven’t we been here before?. - PowerPoint PPT PresentationTRANSCRIPT
OUR CURRENT REALITY
Upper Peninsula Children’s Oral Health SummitNMU Conference Center
May 17, 2014--Kayla West, MBA
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500
1,000
1,500
2,000
2,500
3,000
Dental Visits in 2012--Medicaid Children Ages 0-4
Total Eligible1 or More Visits
Alger
Baraga
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0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Dental Visits in 2012--Medicaid Children Ages 0-4
No Visits1 or More Visits
Alger
Baraga
Chippe
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Dickins
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500
1,000
1,500
2,000
2,500
3,000
Dental Visits in 2012--Medicaid Children Ages 5-14
Total Eligible1 or More Visits
Alger
Baraga
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0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Dental Visits in 2012--Medicaid Children Ages 5-14
No Visits1 or More Visits
Alger
Baraga
Chippe
waDelt
a
Dickins
on
Gogeb
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Hough
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Kewee
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500
1,000
1,500
2,000
2,500
3,000
Dental Visits in 2012--Medicaid Children Ages 15-20
Total Eligible1 or More Visits
Alger
Baraga
Chippe
waDelt
a
Dickins
on
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Hough
ton Iron
Kewee
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Luce
Mackin
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Menom
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Ontona
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Schoo
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0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Dental Visits in 2012--Medicaid Children Ages 15-20
No Visits1 or More Visits
Alger
Baraga
Chippe
waDelt
a
Dickins
on
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Kewee
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-
500
1,000
1,500
2,000
2,500
3,000
Dental Visits in 2012—Medicaid Adults Age 21-60
Total Eligible1 or More Visits
Alger
Baraga
Chippe
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0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Dental Visits in 2012—Medicaid Adults Age 21-60
No Visits1 or More Visits
0%
10%
20%
30%
40%
50%
60%
70%
80%
Household Income Correlated With Health Status and Access To Care
(WUP CHNA)$0 - $24,999
$25,000 - $49,999
$50,000 or more
Western UP Overall
• Coverage & Financing
• Safety Net• Workforce• Prevention• Surveillance
5 Buckets
Focusing on “Systems”
Remember the 1980’s—Haven’t we been here before?
• 2000 US--Former Surgeon General David Satcher’s “Silent Epidemic”• 2000 SOM--Healthy Kids Dental for Medicaid Children (22 counties)• 2000 SOM—Community Dental Clinics North – 21 counties• 2000 SOM—4th Year Dental Student Externships• State Office of Oral Health
• Fluoride Equipment Grants• Varnish! Michigan, Varnish! Michigan – Babies Too!• SEAL! Michigan
• 2003 SOM—Michigan Oral Health Coalition• 2004 Michigan Community Dental Clinics, Inc.• 2012 US—Affordable Care Act• 2014 SOM—Medicaid Expansion With Adult Dental Benefits
Driving Distances – 30 Minute
Radius
Distribution of Safety Net Dental Clinics
Uninsured adults only
Which Safety Net Dental Clinics Will See Children in 2015?
Dr. Brian Anderson--Hospital Cases (10/12 – 4/14)
Number of Cases by Year Number of Cases by Age
1 2 3 4 5 6 7 8 9 10 11 120
2
4
6
8
10
12
14
16
18
10
5
10
15
20
25
30
35
40
45
2011 2012 2013 2014
Distribution of Hospital Cases for Children
Hospital Cases—Dr. Brian Anderson
$ Billed vs. $ Reimbursed Billed vs. % Reimbursed
1 6 11 16 21 26 31 36 41 46 51 56 61 66 71$0
$1,000
$2,000
$3,000
$4,000
$5,000
$6,000
$7,000
1 6 11 16 21 26 31 36 41 46 51 56 61 66 710.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
80.00%
90.00%
100.00%
% Reimbursed
Fluoridation of community water supplies is “One of the greatest public health advances of the last century.” (Centers for Disease Control and Prevention) 33% of the UP population
has access to fluoridated community water systems.
Sources: Kayla West (Oral Health for All Coalition). Map by Eric Anderson, PHD, Senior Planner, County of Marquette Data from John Clark, DEQ.
Do Health Departments Apply Fluoride Varnish in
MIHP and WIC Programs?
Yes
Yes
Yes
Marquette County, Pop. 67,906 (2012)
FRL = Free/Reduced Lunch• Community Water System With Fluoride• Community Water System No Fluoride
Marquette**Cherry Creek = 378,
27% FRLVandenboom = 20,
10% FRLSandy Knoll = 376,
38% FRLSuperior Hills = 294,
27% FRLGravereat = 122,
46% FRLMiddle = 860,
29% FRLHigh School = 1042,
38% FRLNorth Star = 271,
62% FRL RESA = 60 42% FR Total Students: 3,423
PowellK-8 = 46, 52% FRL
Ishpeming Birchview = 310, 55% FRLMiddle = 254, 48% FRLHigh School = 266, 36% FRL
Total Students: 830
Republic-MichigammeK-12 = 136,
63% FRL
WellsK-8 = 12, 75% FRL
Gwinn Sawyer
West Ishpeming, NICE
Aspin Ridge = 823, 32% FRLWestwood = 345, 19% FRLTotal Students: 1,168
Sawyer Elem = 285 , 87% FRLGwinn Elem = 263, 59% FRLMiddle = 262, 70% FRLHigh = 386, 51% FRLTotal Student Pop. = 1,196
Negaunee Lakeview = 738, 33% FRLMiddle = 326, 32% FRLHigh School = 421, 30% FRL Total Students: 1,485
I’m sure glad the hole isn’t in our end…..
Source: Russell Ackoff (http://www.youtube.com/watch?v=UdBiXbuD1h4)
END OF OVERVIEW
LUCE COUNTYCase Study of a “Positive Deviant”
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0%
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100%
What Percentage of Healthy Kids Dental Children, Ages 0-4, In Each County, Had At Least One Dental Visit in 2012?
With 1+ Dental Visits in Past Year Without Dental Visit in Past Year