Clinical Excellence

Integrated Care

A Patient-Centered Health Home is created when all health care team members work together for improved health, enhanced patient experience, and controlling the cost of care. This is a new approach to dentistry,  and these resources will help you make the shift.

A User’s Guide for Implementation of  Interprofessional Oral Health Core Clinical Competencies: Results of a Pilot Project

Description

In 2013, the Health Resources and Services Administration (HRSA) awarded the National Network for Oral Health Access (NNOHA) supplemental funding to pilot the implementation of the interprofessional oral health core clinical competencies (IPOHCCCs) in three Health Centers across the country. The goal of the IPOHCCC pilot project was to adopt and implement the oral health competencies using a sustainable-systems approach that results in integrating oral health and primary care through interprofessional collaborative practice, and, ultimately, to increase integration of oral health care into primary health care.
The experiences of the three IPOHCCC pilot project teams helped inform the recommendations included in this guide. Sections include assessing readiness, planning, developing training systems, updating health information systems, modifying clinical care systems, developing evaluation systems and addressing challenges.
This user’s guide provides a structure, options, and suggestions to help Health Centers develop programs to implement oral health competencies which integrate oral health care into primary care practice, increasing access to oral health care, and improving the oral health status of the populations  Health Centers serve.
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Oral Health and the Patient-Centered Health Home: Action Guide

Description

This action guide explains the characteristics and organizational factors of pre-identified early adopter Health Centers that facilitated medical-dental integration and the establishment of the Patient-Centered Health Home, along with barriers that hinder this achievement.
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Oral Health Disparities Collaborative Implementation Manual

Description

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, with the aim of developing comprehensive oral health care system change, based upon the Planned Care model and evidence-based concepts to generate improvements in measures for Early Childhood Caries prevention and treatment and Perinatal oral health.
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Establishing Dental Treatment Guidelines for Adult Patients with Uncontrolled Hypertension Attending Acute Care

Description

This promising practice describes how Choptank Community Health System established dental treatment guidelines for adult patients with uncontrolled hypertension who were attending acute care.
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Integrated Pediatric Health Home Project: A Caries Prevention Project for Pediatric Medical / Dental Patients

Description

This promising practice describes how El Rio Community Health Center instituted an integrated, preventive approach to caries prevention utilizing the pediatric medical and dental professional staff, while simultaneously increasing access to care.

 

Benefits of Oral HIV Testing in the Dental Chair

Description

This promising practice describes an initiative designed to increase the number of oral HIV testing conducted during a dental examination.
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Using the Capabilities of eClinicalWorks (eCW) to Create Patient Centered Care in Dental Programs

Description

In this promising practice, Community Healthcare Network in Brooklyn, NY shares how the dental program uses eCW order sets during the dental visit, which allows for enhanced data collection and coordination of care.
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Integrating Oral Health Into Primary Care Practice: An Overview of NNOHA’s New User’s Guide

Description

In February 2014, HRSA announced the Interprofessional Oral Health in Primary Care Practice (IPOHPCP) initiative. The goal of this initiative is to increase access to oral health care in Health Centers and safety net settings by increasing the oral health clinical competencies of Health Center primary care providers and incorporating oral health into primary care practice.
The first element of this initiative was the development of Interprofessional Oral Health Core Clinical Competencies (IPOHCCC) for primary care providers. NNOHA served as the coordinator and technical assistance provider for an 18-month pilot implementation of IPOHCCC in three Health Centers, resulting in the ability of primary care providers to deliver oral health services including risk assessment, oral evaluation, preventive procedures, education and referral for dental care, to their patients during the primary care visit.
The experiences and findings from the three IPOHCCC pilot project teams resulted in NNOHA’s recent publication, A User’s Guide for Implementation of Interprofessional Oral Health Core Clinical Competencies: Results of a Pilot Project. This presentation provides an overview of the user guide including sections on assessing readiness, planning, developing training systems, updating health information systems, modifying clinical care systems, developing evaluation systems and addressing challenges.
This user’s guide provides a structure, options, and suggestions to help Health Centers develop programs to implement oral health competencies, thereby integrating oral health into primary care practice, increasing access to oral health care, and improving the oral health status of the populations Health Centers serve. This webinar was presented by Dr. Irene Hilton on 2/23/15.

 

Medical-Dental Integration Learning Community Call

Description

On July 7, 2014, NNOHA conducted a learning community call on medical-dental integration. This forum allowed Health Center members (and Primary Care Association members) of the Strengthening the Oral Health Initiative (SOHSN) to connect with other programs in the initiative in order to discuss their challenges and promising practices around the topic.

 

Creating Medical Dental Integration – Helpful Hints & Promising Practices

Description

Integration of oral health and primary care can improve patient care quality and enhance communication and collaboration within your Health Center. If done successfully, integration may lead to improved patient outcomes. This webinar provides oral and primary health care providers with case studies, revenue strategies and further address Health Centers’ development of integrated models of service delivery. This webinar was presented as part of the Strengthening the Oral Health Safety Net Initiative in June 2014.

 

Integrating Oral Health Into the Patient Centered Health Home

Description

The Patient-Centered Health Home is a concept being implemented through a variety of approaches including full integration, co-location, shared financing, virtual linkages and facilitated referral and follow-up. Health Homes are an important approach for helping to ensure that health center populations have access to comprehensive health care services, including dental care. This presentation describes how oral health can be integrated into primary care systems to improve health care quality and outcomes of the patients we serve, by illustrating promising practices from a health center oral health program. Note: The audio in the webinar recording begins at 00:45 seconds. Due to technical difficulties, the quality of the slides in the webinar recording is not optimal. Consider downloading a copy of the slides to look at while viewing the recording.

 

Health Literacy: Implications for the Dental Setting

Description

Co-hosted by NNOHA and the Association of Clinicians for the Underserved (ACU), this webinar shares the implications of low health literacy and discuss ways providers and health care facilities can address office practices to improve patients’ understanding of oral health issues.

 

Tobacco Cessation in the Dental Home

Description

Co-hosted by NNOHA and the Association of Clinicians for the Underserved (ACU), this webinar discusses what oral health providers can do to help their patients effectively stop smoking. Participants will learn strategies and tools that address smoking cessation and incorporate culturally and linguistically appropriate patient education.

 

Oral Health, Systemic Health and Pharmacology

Description

This webinar addresses the linkage between oral and systemic health and strategies for integration, such as medication management.

 

Creating Medical Dental Integration – Helpful Hints & Best Practices

Description

This 2012 webinar provides helpful hits and tips for implementing medical-dental integration.

 

Integration of Oral Health and Primary Care Practice

Description

The Health Resources and Services Administration (HRSA) Integration of Oral Health and Primary Care Practice initiative strives to improve access to early detection and preventive interventions by expanding oral health clinical competency of primary care clinicians, leading to improved oral health. This report describes three components of the initiative and makes the recommendations for designing a competency-based, interprofessional practice model to integrate oral health and primary care.
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Oral Health Integration in the Patient-Centered Medical Home (PCMH) Environment

Description

This 2012 white paper, prepared to support the work of the Funders Oral Health Policy Group by Qualis Health, presents case studies of four Community Health Centers that have taken steps to have medical and dental delivery systems work more closely together and to incorporate oral health in their quality improvement processes. Drawing on insights from these case studies as well as national literature on this subject this paper identifies key lessons learned.
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Smiles for Life

Description

Developed by the Society of Teachers of Family Medicine Group on Oral Health, the Smiles for Life curriculum is designed to enhance the role of primary care clinicians in the promotion of oral health for all age groups through the development and dissemination of high-quality educational resources.
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