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Medical/Dental Partnerships

NNOHA supports the concept of medical and dental providers integrating their care for the optimal health of their patients. NNOHA will continue to expand on resources to promote this practice. Currently, this section is devoted to findings and resources from the Oral Health Collaborative.

In 2005 the Health Resources and Services Administration (HRSA) supported a pilot study for an Oral Health Disparities Collaborative. The pilot ran from 2005-2006 within four Community Health Centers.   The aim of the collaborative was to develop comprehensive primary oral health care system change interventions, based upon the Planned Care model and evidence-based concepts that generated major improvements in process and outcome measures for 1. Early Childhood Caries prevention and treatment and 2. Perinatal oral health. Additionally, emphasis was placed on practice redesign and office efficiencies that supported improvements in the targeted areas.

To assist health center leaders with implementing an Oral Health Collaborative, the faculty and participating teams of the Pilot program developed the “Oral Health Disparities Collaborative Implementation Manual” below.  For more information, contact Colleen Lampron, faculty for the Oral Health Disparities pilot at colleen@nnoha.org.

Oral Health Collaborative Implementation Manual
Click the Title above to read the complete Oral Health Implementation manual. The following documents are referenced throughout the oral health implementation manual and are included here in their entirety for your reference:

1. Pedo Caries Risk Assessment – Sticker used for children ages 0-5 during initial exam and prevention visit. We print this onto a full page sticker then cut out so it will fit onto our progress note page. There are 2 entries per page.
   Author: High Plains Community Health Center
2. CAMBRA Risk Assessment – Caries Management by Risk Assessment – Caries risk assessment tool for children 0-5 years of age.
   Author: John D.B. Featherstone, MSc, PhD, Department of Preventive and Restorative Dental Sciences at UCSF and others
3. Anticipatory Guidance –  can be used by health professionals to educate pregnant women and caregivers of children about the importance of oral health and appropriate preventive interventions.
   Author: unknown
4. Oral Health and Pregnancy: A Review
   Author: Sangeeta Gajendra, B.D.S., M.P.H.;Jayanth V. Kumar, D.D.S., M.P.H.
5. Clinical Considerations for an Infant Oral Care Program
   Author: Francisco J. Ramos-Gomez, DDS, MS, MPH, Associate Professor of Pediatric Dentistry, University of California, San Francisco, San Francisco, California
6. ECC AG-6 step visit – Six steps for the child dental exam including Anticipatory Guidance
   Author: unknown
7. Fluoride Varnish Study 2006
   Author:  J.A. Weintraub*, F. Ramos-Gomez, B. Jue, S. Shain, C.I. Hoover,J.D.B. Featherstone, and S.A. Gansky
8. OHDP Patient Satisfaction Survey – Satisfaction survey for dental patients
   Author: Developed by the Oral Health Disparities Pilot
9. CHP Dental Balanced Scorecard – A dashboard of measures to assess program improvement and vitality.
   Author: Community Health Partners
10. Perinatal Oral Health – A PowerPoint presentation about oral health in pregnant women.
    Author: Jay R. Anderson, DMD, MHSA, Chief Dental Officer, Division of Clinical Quality,  Bureau of Primary Health Care, Health Resources and Services Administration Mary E. Foley, RDH, MPH
11. Example of Flow Child - An example of a process map of the flow of a young child visit.
    Author: Kevin Little, Ph.D., Martin Leiberman, DDS
12. Redesign Tools Exercises–Power Point describing how to measure demand and capacity, work analysis, process mapping, waste analysis
    Author: Christine St. Andre, CSI, LLC.
13. Cycle Time Tool - a tool used to measure the time of a patient visit (from when the patient enters the clinic to departure from clinic).
    Author: © 2001, Trustees of Dartmouth College, Godfrey, Nelson, Batalden, Institute for Healthcare Improvement
14. Cycle Time Tool Spanish – unknown translator
15. Oral Health DSD Indicators– A set of 6 Delivery System Design (also called redesign) measures to assess practice efficiency and patient care effectiveness.
    Author:  Christine St. Andre, Colleen Lampron
16. Improving Access and Efficiency Dental – A presentation describing the principles behind improving access and practice efficiency in the dental setting.
    Author: Christine St. Andre, CSI LLC
17. Prenatal Brochure HP– Oral health educational brochure for pregnant women.
    Author: High Plains Community Health Center
18. HP Perinatal SMGS– Example of a SM goal sheet for use with pregnant women.
    Author: High Plains Community Health Center
19. HP ECC SMGS – SM goal sheet for use with young children and caregivers.
    Author: High Plains Community Health Center
20. CHP SM Sheet Child – Example of a SM goal sheet for use with young children.
    Author: Community Health Partners
21. CHP SM Sheet Caregiver – Example of a SM goal sheet for use with caregivers of young children.
    Author: Community Health Partners
22. SM Bibliography – Obtained from the Institute for Healthcare Improvement website (www.ihi.org)
23. Dental SM Tool – Example of a SM tool for use in the dental setting.
    Author: Grace Hill Community Health Center
24. NYSDOH Perinatal Guidelines- Practice guidelines developed by the New York State Department of Health. The guidelines address oral health care during pregnancy and early childhood. Separate recommendations are included for prenatal, oral health and child health professionals. Author: New York State Department of Health, 2006

Additional Resources for Medical/Dental partnerships:

1. Excellent summation about reimbursing medical providers for preventive oral health services: state policy options.