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Resources - Oral Health Integration

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Step 1: Planning

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Planning Resources

Integration of Oral Health & Primary Care Practice Readiness Assessment

NNOHA has identified common characteristics of Health Centers that successfully integrate oral health care and primary care practice. It is important that CHCs conduct thorough planning and identify their readiness for an integration project. This document serves to assist CHCs in identifying their readiness for integrating oral health and primary care practice.

NNOHA Oral Health Infrastructure Toolkit

This NNOHA toolkit provides guidance on new start-ups for direct dental services. The toolkit is a collection of resources from NNOHA and outside organizations.


This resource was supported by NNOHA's HRSA National Training and Technical Assistance Partnership.

Oral Health Core Clinical Competencies

NNOHA is working to measure the impact on oral health services when the medical team receives training in oral health core competencies.


This resource was supported by NNOHA's HRSA National Training and Technical Assistance Partnership.

Integration of Oral Health and Primary Care Technical Assistance Toolkit
Considerations for Oral Health Integration in Primary Care Practice for Children
NNOHA User's Guide for Integration of Behavioral Health and Oral Health

This publication provides guidance on how to implement a behavioral health and oral health integration program. The User's Guide includes a description of NNOHA's systems-based framework for behavioral health integration, promising practices from community health centers, and workflow examples. There is also a readiness assessment to help community health centers determine their level of preparedness to implement a behavioral health integration program.


This resource was supported by NNOHA's HRSA National Training and Technical Assistance Partnership.

Oral Health Disparities Collaborative Implementation Manual

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.

Oral Health and the Patient-Centered Health Home: Action Guide

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.

Teledentistry Resources
Safety Net Dental Clinic Manual

This manual is designed to help dental clinic staff with all aspects of clinic development and ongoing operations. Chapter topics include partnerships and planning, facility design and staffing, financing, clinic operations, quality improvement, and program sustainability. Links to sample policies, efficiency tips, professional standards, supply lists, floor plans, design tips, equipment photographs, customizable budget worksheets, funding strategies, quality improvement plans, fact sheets, and websites are included. Updates to the Web site’s contents are made continually. Funded by the Maternal and Child Health Bureau. Written by Ohio Department of Health, Bureau of Oral Health Services, U.S. Indian Health Service, and Association of State and Territorial Dental Directors.

Strategies to Improve Collaboration Between State Oral Health Programs and Health Center Oral Health Programs

This Issue Brief is intended to help state and territorial oral health programs, Health Centers, funders, policy makers, and other stakeholders recognize and support opportunities for collaboration between SOHPs and Health Centers.

Contracting for Dental Services in Health Centers: A Checklist for Planning

This checklist assists health centers in determining if contracting is an appropriate strategy and for planning and implementing contracting.


This resource was supported by NNOHA's HRSA National Training and Technical Assistance Partnership.

Contracting for Dental Services in Health Centers: Implementation Strategies

This implementation guide includes promising practices from interviews with health centers that are sustainably contracting for dental services. 


This resource was supported by NNOHA's HRSA National Training and Technical Assistance Partnership.

Integrated Care Models Survey Results: Embedded Dental Providers

Integration of oral health and primary care practice is a strategy to increase access and improve health outcomes. There is an emergence of a new and alternative model, embedding a dental provider in the medical clinic. This document summarizes the results of the 2019 NNOHA Integrated Models survey and the subsequent focus group findings.

Hospital-Based Early Childhood Caries Intervention

This promising practice describes the Children’s Hospital Boston and St. Joseph Hospital’s clinical protocol, implemented to manage early childhood caries in children younger than 60 months of age using a chronic disease management approach.

Partnering with Academic Institutions to Develop Service Learning Programs

This publication updates NNOHA's previous white paper on academic partnerships. Partnerships between academic institutions and community health centers can be a useful strategy to enhance the recruitment and retention of oral health professionals. This publication includes strategies, recommendations, and promising practices from community health centers across the country.


This resource was supported by NNOHA's HRSA National Training and Technical Assistance Partnership.

Increasing Access to Dental Care through Public Private Partnerships: Contracting Between Private Dentists and Federally Qualified Health Centers – an FQHC Handbook

This handbook by CDHP provides background on how contracting works, includes a model contract, and offers step-by-step options for implementation.

Oral Health Integration in the Patient-Centered Medical Home (PCMH) Environment

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.

Promising Practices

Increasing Oral Health Access Through Teledentistry

This promising practice is the story of Ravenswood’s Virtual Dental Home Project which is part of their strategy to increase access to care in south San Mateo County.

Expanding Scope- The Swedish Community Specialty Clinic

This promising practice describes how Swedish Community Specialty Clinic, working in conjunction with community partners, provides complex oral surgery procedures that safety net clinics are unable to provide for their non-insured and/or low-income patients.

Establishing a Dental Clinic in a Hospital Emergency Department

This promising practice highlights Franklin County Health Center. They created a dental clinic in a hospital emergency department as a strategy for emergency room diversion.

Increasing Access to Care Through Contracting for Dental Services

This promising practice describes how one health center has approached contracting for dental services and key points to consider.

Increasing Oral Health Access Through Clinic Expansion

This promising practice describes key points and lessons learned when expanding a dental clinic or building a new one through a HRSA expansion grant.


This resource was supported by NNOHA's HRSA National Training and Technical Assistance Partnership.

Webinars

Oral Health Infrastructure Series: Brick and Mortar Expansion

Live webinar 9/25/19  


As part of the 2019 HRSA Oral Health Infrastructure funding, NNOHA is offering a series of four webinars on various infrastructure enhancements for new or enhanced integrated oral health services. The first webinar of the series will focus on brick and mortar expansion. This webinar will feature Capital Link and two Oral Health Service Expansion awardees: Terry Reilly Health Services, and Project HOME. Capital Link is a HRSA National Cooperative Agreement grantee that provides assistance to health centers in capitalization. Capital Link will discuss capitalization strategies for health centers. Terry Reilly Health Services, ID, will discuss their previous dental clinic expansion of adding a dental suite into a medical clinic. Project HOME, PA, will discuss how they expanded the number of operatories in their dental clinic


This resource was supported by NNOHA's HRSA National Training and Technical Assistance Partnership.

Webinar: Contracting with Private Practice Dentists: Partnerships for Access

This webinar provides an overview of contracting practice, discusses the parameters to be negotiated, shares examples of contracts and highlights successes and challenges from the actual FQHCs.

Examples of Integration by Setting & Care Delivery Model

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Glossary

  • Same day dual care – patient receives dental services on the same day with medical services

  • Dual care – patient receives dental services as well as medical services but not on the same day

  • Coordinated care – patients receive assistance with accessing outside dental care

  • Outreach and education – patients receive education and information about dental care in community based setting

  • Embedded provider – dental provider is assigned to the medical clinic and sees patients there or vice versa, the medical provider is assigned to the dental clinic and sees patients there

  • Visiting provider – dental provider visits medical side as needed for warm handoff or provision of care and vice versa

  • Community based care – patients are seen outside the four walls of the health center, for example at schools or nursing homes. Medical and dental services may be available the same day or on different days.

  • Direct scheduling (integrated EHR) – medical staff schedule medical patients for dental visits directly in the dental schedule and vice versa

  • Coordinated scheduling (non-integrated EHR) – medical staff have some visibility of the dental schedule or contact dental scheduler to schedule medical patients for dental visits. This  can be accomplished  via schedule blocks.

This webpage was supported by NNOHA's HRSA National Training and Technical Assistance Partnership

Donate

Making a gift to the National Network for Oral Health Access is one of the easiest ways to positively impact our work, enhance our services, and help our community strengthen and increase access to oral health services.  NNOHA is a 501(c)(3) non-profit organization. Your contributions are tax-deductible to the extent permitted by law.

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NNOHA is the largest group of safety-net oral health practitioners in the country, and our members all share a commitment to increasing access to quality oral health care for underserved populations. NNOHA is committed to providing the highest quality resources and support designed to meet the unique needs of our members and their programs.

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