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Resources | Access to Care | Start-Up & Expansion of Dental Services


Resources | Access to Care

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

Health Center Oral Health Start-Up Tool Kit

This  document highlights NNOHA resources that may be beneficial for a Health  Center or safety-net organization considering starting up an oral health  program and/or applying for an Oral Health Expansion Grant.

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.

Increasing Oral Health Access Through Process Redesign

This promising practice describes how one health center is improving access to care through a process redesign.

NNOHA Operations Manual

The NNOHA Operations Manuals include six chapters to support health center dental programs.

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.

NNOHA Technical Assistance Resources Toolkit

This Toolkit highlights NNOHA resources that may be beneficial for a new Dental Director/Dental Program Manager or new oral health program.

Needs Assessment of Health Centers without Oral Health/Dental

This document provides a summary of the assessment of Health Centers without oral health/dental programs and what the barriers are to expansion.

Webinar: Midlevel Dental Providers: One Approach to Expanding Access to Care

Dentist shortages, lack of dental insurance, and too few dentists accepting Medicaid have contributed to a lack of access to oral health care across the country, especially for the underserved. As a result, innovative ways of delivering oral health care are emerging. One approach to improving access is the creation of the midlevel dental provider. Midlevel providers are currently practicing in Alaska and Minnesota and have been recently authorized in Maine. This NNOHA webinar, hosted on June 30, 2015, explores the factors that are behind the dental care access problem in the U.S. and explains the four midlevel provider models that are being used in parts of the country to expand access to care. An update about current state laws and legislative interest from the states is also explained. The recording includes the question and answer segment of the webinar with dentists who have worked directly with midlevel providers in Alaska and Minnesota.

ADA: Amalgam Waste, Best Management

This site  highlight’s the ADA’s “Best Management Practices for Amalgam Waste”, a  series of amalgam waste handling and disposal practices.

Bright Smiles for Bright Futures

Learn about Bright Smiles for Bright Futures, a promising practice that provides free emergency and preventive care, and up to $600 allowance for restorative and/or periodontal care for as many as 400 pregnant women per year.

Characteristics of a Quality Oral Health-Dental Program

This fact-sheet lists 8 characteristics of successful Health Center oral health programs.

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.

Financial Management Part II for Health Center Oral Health Programs

A follow-up to the first session, “Financial Management of Health Center Oral Health Programs,” this webinar covers several topics more in-depth and answers some frequently asked questions.

Financial Management of Health Center Oral Health Programs

This webinar provides basics of financial management for effectively operating Health Center oral health programs.

Going Green in Dental

This promising practice describes the “Going Green in Dental” initiative, which aims to increase recycling and create and promote sustainable green practices across dental sites.

HRSA in your State

HRSA In Your State provides summary data fact sheets about HRSA’s activities in each State, County, and Congressional District.

Interactive Budget Planning Worksheet

This worksheet in the Safety Net Dental Clinic Manual enables you to analyze and save the analysis of the financial impacts of different decisions, assumptions and costs specific to your situation.

Ohio Safety Net Dental Clinics

Maintained by the National Maternal and Child Oral Health Resource Center and the Ohio Department of Health, Oral Health Program, Ohio Safety Net Dental Clinics is a comprehensive online portal to the tools and information necessary to start and maintain the operations and delivery of health care services in safety net dental clinics in Ohio.

Oral Health Service Expansion Resources

This document highlights resources that may be beneficial for a Health Center or safety-net organization operating with an Oral Health Expansion Grant.

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.



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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Phone: (303) 957-0635
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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.

Start-Up & Expansion of Dental Services

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