ORAL HEALTH AMERICA

October 29, 2014

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/Oral Health America @Smile4Health

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OUR MISSION

Oral Health America’s mission is to change lives by

connecting communities

with resources to increase access to care,

education and advocacy for all Americans,

especially those most vulnerable.

OHA PRIORITIES

ADVOCACYEDUCATIONACCESS

OHA’s Programs and Campaigns are designed to improve

access to care, oral health literacy and policies that

prioritize the impact of oral health on the overall health of all

Americans – particularly those most vulnerable.

OUR PROGRAMS

Provides oral disease preventive

services in school-linked settings

Served 440,000 kids through 193

programs in 43 states during 2013-2014 school year

Facilitated donation of more than 500,000

units of dental product

Provided nearly $400K grants plus

technical assistance to treatment partners

On schedule to seal 2 million teeth by 2015 (5 years ahead of schedule)

Focused on the oral health needs of

community-dwelling older

adults and their caregivers

Educates older

adults/caregivers re: importance of oral health + connects with resources for care

Tooth Wisdom: Get Smart About

Your Mouth workshops in pilot

OUR CAMPAIGNS

Educate the public, including policy makers, about the importance of oral health for overall health

Emphasize the need to prioritize oral disease alongside other serious health conditions

Advocate for policies that positively impact programs and stakeholders

Current campaigns include:

Technical Assistance

Sealant Initiative

Product Donation

Grant Funding

Supportive Research

Legacy Foundation Chris-Town YMCA

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Dental Innovation for Low-Income Children

October 29th, 2014

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Introduction

April LewallenSenior Executive DirectorValley of the Sun YMCA Association

Dr. Ken Snyder, DDSDental DirectorSt. Vincent de Paul of Arizona YMCA Dental Clinic

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About Valley of the Sun YMCA

• The Valley of the Sun YMCA is one of the oldest nonprofits in the state of Arizona, born before Arizona became a state. We serve over 100,000 families and are located in 18 communities. We are a values based organization.

Our Mission:

• To put Christian principles into practice through programs that build a healthy spirit, mind and body for all. Our impact is felt when an individual makes a healthy choice, when a mentor inspires a child and when a community comes together for the common good.

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Youth Development:

• Nurturing the potential of every child and teen through programs that include; childcare, educational programs, sports, activities, summer day camps, overnight camps, swim programs, teen leadership programs, volunteering, events, clubs and volunteering programs.

Healthy Living:

• Improving our community’s health and well-being by offering support, guidance, resources, facilities and expertise.

Social Responsibility:

• Inspiring hope, creating new opportunities for success, and meaningfully changing futures through initiatives in education, health, character building, vocational training, mentoring, financial aid, and cultural understanding.

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THE Y IS SO MUCH MORE

• We’re not just a gym – WE ARE A CAUSE.

• The Y is for EVERYONE. Our programs, services and initiatives: enable kids to realize their potential, prepare teens for college, offer ways for families to have fun together, empower people to be healthier in spirit, mind and body, prepare people for employment, welcome and embrace newcomers and help foster a nationwide service ethic and SO MUCH MORE.

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Health Care and the YMCA Really?

Creativity is not new to the YMCA

• 1851 First YMCA• 1856 English as a second language for German immigrants• 1881 Coined term body building – developed exercise classes• 1891 Basketball and physical fitness invented• 1895 Volleyball invented• 1910 Fathers Day

Fast Forward to 2008….• First YMCA School Based Health Center

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School Based Health Center Model Provides Access to Care; the program provides preventative

and primary medical and dental care to school age children who are uninsured and under served

SBHC Model – Getting Started….2008 Pilot Clinic Opened • Central site for parents• Proximity to public transportation• Hours of operations• Reduced wait list at SVdP main clinic

• Partners - Abrazo Health Care Phoenix Baptist Hospital- St. Vincent de Paul of Arizona

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SBHC Model – Getting Started….Converted conference room in 2008 Fully equipped health and dental clinics in 2011

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SBHC Model – Getting Started….

Objectives

• Reducing school absenteeism and improving academic achievement. Over 80 percent of the children seen by School-Based Health Center providers have returned to class, allowing them to focus on learning and academics.

• Reducing emergency room usage by the targeted children. Over 90 percent of program participants have indicated through client satisfaction surveys that without services provided by the School-Based Health Centers, they would have obtained services at a local emergency department.

• Managing chronic illnesses such as asthma, diabetes and others.

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Grand Opening September 13th, 2011 New Partners • A.T. Still University and Mid Western

University• Esperanca – Nutritional Services for Adults• St. Vincent de Paul – “Every Little Step

Counts” Nutritional services for families

FY ‘11 FY ‘12 FY ‘13 FY ‘14 Total

Patients 407 2013 1661 1638 5719 visits

Dentist NA NA 1289 1232 2521 hours

Dental Students NA NA 3308 2776 6084 hours

Medical services… Staff work closely with school nurses, school social workers, and parents to bring health care services, as well as health care education, social services to children and their families.

• Diagnosis/treatment of major and minor illnesses (diabetes, asthma, seizure disorders, etc.);

• Medications and prescriptions

• Physical exams, well child care

• Dental care services; oral health education

• Referrals to hospitals, specialty physicians, immunization clinics, mental health services, radiology & lab

• Health education including nutrition, exercise, and the dangers of drugs, alcohol, and tobacco

Our evening clinic provides all the aforementioned services except dental services

• Medical exams for adults (management of acute and chronic conditions)

• Laboratory testing: diabetes, pregnancy, cholesterol, anemia, urine, lung function, ear, etc.

• Patient prescription assistance for medications including insulin, etc.19

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Dental services…• Oral health education• Exams• Xrays• Cleanings• Oral Hygiene Instruction• Restorations (Fillings)• Pulpotomies• Stainless Steel Crowns• Extractions• Nutritional CounselingWe also have the referral resources (SVDP) for Root Canals, Oral Surgery and Orthodontics

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http://valleyymca.org/media-spotlights-dental-clinic/If the link does not open on the first try, position cursor overLink, right click and choose open hyperlink. Thank you

https://www.youtube.com/watch?v=1oq5QXvDy6sIf the link does not open on the first try, position cursor overLink, right click and choose open hyperlink. Thank you

Presented by:

Kathy Keiser, Executive Director

Ronald McDonald House Charities-Bismarck

kathy@rmhcbismarck.org

Kathy Mangskau, RDH, MPAProgram Consultant

kmconsult@btinet.net

Ronald McDonald House

Charities - Bismarck

Objectives

• Describe the Ronald McDonald Care Mobile

Program of North Dakota

• Describe the sustainability plan

• Share lessons learned and best practices

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A Dream Come True

“Delivering Hope on Wheels”

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Service Area

25

Sites in 2013

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Why a Care Mobile in North Dakota?

• Access to dental care for low-income children and specific population groups is a dilemma.

• Fewer dental providers locate in the rural areas.

• There are only 4 public health dental clinics and 1 urgent care walk-in clinic in the state and they are not able to meet the current need.

• Indian Health Service dental clinics are understaffed.

• Low Medicaid reimbursement rates and high-no-show rates present challenges for private dental practices and for clients seeking care.

Mission

To provide access to oral health care

to underserved children

in their own neighborhoods.

Goals

Long Term

• Improve the oral health of underserved children.

• Reduce oral health disparities among

underserved children.

Intermediate

• Increase access to oral health services for

children at high risk for oral disease.

Reaching Out to Children in Need

• Schools

• Reservations

• Head Starts

Priority Service Areas

• Schools with >40% of the children enrolled in

the free- and reduced-fee school lunch

program

• Head Start and Early Head Start Programs

• Reservation areas

• Community Health Centers without dental

clinics/services

Staffing

• Business Operations

– Executive Director

– Program Manager

– Drivers/intake coordinators

– Program Consultant

• Clinical Operations

– Contract with clinical service provider• Dentist

• Dental hygienist

• Dental assistant

Clinical Service Provider

Bridging the Dental Gap, Inc.

Provides staffing,

insurance billing and

oversees the clinical

operations

Ronald McDonald Care Mobile

Services Include:

• Exams

• X-rays

• Caries risk assessment

• Oral health education

• Cleanings

• Fluoride treatments

• Sealants

• Fillings

• Pulpotomies

• Stainless steel crowns

• Simple extractions

• Referrals as needed

State of the Art Equipment

• Digital X-ray

• Digital Intraoral Camera

Data

• Showing Results and Outcomes

– Increase in % of children with

dental sealants

– Decrease in the % of children with tooth decay

– Increase in the % of Medicaid eligible children receiving dental services

– Less school absenteeism

– Decrease in ER use for non-traumatic dental care(pain and infection)

• Driving Decisions (Quality Assurance and Quality Improvement Plan)

Site Reports

Data is Aggregated

Dental Care Highlights

• In 2012 the Ronald McDonald Care Mobile

served 796 children with 1,822 patient

appointments, providing 7,793 dental

services for a total value of $410,187

• In 2013 the Ronald McDonald Care Mobile

served 880 children with 2,074 patient

appointments, providing 8,881 dental

services for a total value of $470,148

Services Provided in 2012 & 2013Diagnostic Number Provided

Exams 781

X-rays 1,020

Referrals 82

Preventive

Oral health education 785

Cleanings 780

Fluoride Treatments 780

Sealants 2,311

Restorative/Surgical

Fillings 1,366

Stainless Steel

Crowns

15

Extractions 115

Pulpotomies 19

Diagnostic Number Provided

Exams 781

X-rays 1,150

Referrals 60

Preventive

Oral health education 882

Cleanings 773

Fluoride Treatments 775

Sealants 2,817

Restorative/Surgical

Fillings 1,524

Stainless Steel

Crowns

20

Extractions 124

Pulpotomies 35

Demographics of the Children

Age Percentage

2012 2013

0-2 8% 6%

3-5 20% 21%

6-8 22% 26%

9-11 17% 21%

12-14 13% 12%

15-17 10% 9%

18-21 10% 6%

Grade Percentage

2012 2013

Pre-K 10% 12%

K-6 53% 55%

7-9 11% 10%

10-12 11% 9%

13+ 2% 1%

NA* 14% 14%

Demographics (continued)

Demographics (continued)

32%

63%

3% 1% 1%

Race/Ethnicity

2013

Caucasian

NativeAmerican

AfricanAmerican

Hispanic

Other

56%36%

4%3% 1%

Race/Ethnicity

2012

Caucasian

NativeAmerican

AfricanAmercian

Hispanic

Other

Payor Source

2012 2013

22%

6%

72%

MedicaidPrivate Ins.Uninsured

27%

4%

69%

MedicaidPrivate Ins.Uninsured

Sharing Results

• Quarterly newsletter

• Annual Report

• Summaries for policy makers

• Presentations to local and statewide groups

Sharing Results

Tooth Fairy Tales Annual Report

Summary for Policy Makers

Building Sustainability

• Five-year business plan

• Annual needs assessment

• Input from key stakeholders

• Diversified funding

• Fundraising events

• Promotional events

• Partnerships

Ronald McDonald Care Mobile Partners

• Ronald McDonald House Charities, Inc.

• Ronald McDonald House Charities, Bismarck

• State of North Dakota

• Health Resources and Services Administration

• The Tom and Frances Leach Foundation, Inc.

• Touchstone Energy Cooperatives (Basin Electric, Slope Electric, KEM

Electric, Roughrider Electric, Verendrye Electric)

• Otto Bremer Foundation

• Western ND McDonalds Owners and Operators

• MDU Resources Foundation

• ADHA/Wm. Wrigley Jr. Company Foundation

• Minnesota Power Foundation

• Delta Dental of Minnesota

Ronald McDonald Care Mobile Partners

• Walmart Foundation (State Giving Grant, Bismarck North, Mandan,

Sam’s Club)

• Tesoro Companies, Inc.

• Delta Air Lines Foundation

• Bismarck Mandan Community Foundation

• Gate City Bank

• Bismarck Marathon

• Scheels

• Oral Health America/Smiles Across America®/RMHC®

Partners

Fundraiser

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Benefits of a Ronald McDonald

Care Mobile

• Eliminate barriers underserved families face

• Address the community’s most critical oral health needs

• Reduce reliance on expensive and inappropriate health resources (e.g., emergency rooms)

• Raise awareness of good oral health habits

• Help families acquire SCHIP and Medicaid services

• Complement existing oral health services in the community

Lessons Learned & Challenges

• Ongoing diversified funding

• Computer system compatibility/connectivity

• Equipment malfunctions

• Staffing concerns

• Inclement weather

• Building strong site partners

Promoting

Healthy

Smiles

Next Steps

• Add a school-based sealant program

• Continue fundraising

• Continue to enhance data collection for monitoring and evaluation of program operations

• Plan for use of portable equipment and volunteers to expand and enhance operations

Warming Our Hearts

Grateful Appreciation

For more information:http://rmhcbismarck.com/caremobile/

Contact Information

Kathy Keiser, Executive Director

Ronald McDonald House Charities-Bismarck

kathy@rmhcbismarck.org

Kathy Mangskau, RDH, MPA

Project Consultant

kmconsult@btinet.net

Questions