Building a Culture of Health: Interprofessional Tools and Partnerships to Expand Oral Health Workforce Capacity
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1 Building a Culture of Health: Interprofessional Tools and Partnerships to Expand Oral Health Workforce Capacity Anita D. Glicken, MSW Program Consultant Initiative activities are made possible as a result of funding from the DentaQuest Foundation, the Washington Dental Service Foundation, and the REACH Healthcare Foundation
2 the Joining Fight the Fight for for Oral Oral Health 2 Interprofessional Practice Collaboration in Oral Health
3 Medicine and Dentistry - Separate Systems
4 Consortium: Funders and health professionals Vision: Eradicate dental disease Mission: Engage primary care team Focus: Integrate oral health into primary care education + practice Function: Backbone support organization 4
5 The Opportunity for Change Interprofessional Competencies The What and How Collective Impact 5
6 Theory of Change Collective Impact National Interprofessional Initiative on Oral Health Theory of Change Interprofessional Initiative Activities CULTIVATE LEADERSHIP FACILITATE INTER- PROFESSIONAL LEARNING & AGREEMENT DEVELOP TOOLS (e.g., curriculum) Oral Health Recognized Through Accreditation Licensure Certification Curriculum Endorsements Health Professional Education Systems Teach Oral Health Adopt Interprofessional Culture External Factors Access to Care Patient Motivation Appropriate Reimbursement June 28, 2012 Primary Care Clinicians Ready To deliver oral health services To work with dentists Optimal Oral Health 6
7
8 A Growing Population of Users > 1 million visits 192,087 courses completed for credit
9 Facilitate Interprofessional Agreement 9
10 Resources
11 Smiles for Life Survey Key Question: How does Smiles for Life influence practice?
12 How Does SFL Influence Practice?
13 Influence on 6 Key Activities
14 Influence on 6 Key Activities
15 Published June 2015 Oral Health: An Essential Component of Primary Care
16 Field-Testing a Conceptual Framework 19 diverse healthcare delivery organizations: Private practices, Federally Qualified Health Centers; medical only and on-site dental Adults with diabetes (12), pediatrics (5), pregnancy (1), adult well visits (1) ecw (5), EPIC (8), NextGen (2), Centricity (2), Success EHS (2) Using population health to address missed opportunities Total population at risk for caries and periodontal disease Population receiving regular medical care Population receiving regular dental care Qualis Health, 2016
17 Field-Testing Results Informed the Creation of the Implementation Guide and Tools Oral Health Integration Implementation Guide Toolkit for primary care teams (Released 10/10/16) What s in the Guide? Workflow maps Referral agreements Patient engagement strategies Patient/family education resources EHR templates Case examples Impact data and more Qualis Health, 2016 Resources available at:
18 What we have learned Organizational change process requires system-wide intervention Having the right people, right place, right reason can change ideas and practice A key is having the right tools and strategies to impact knowledge, skills and attitudes of providers We cannot achieve our vision of oral health for all unless we change our approach to oral health care Integration and collaboration is key, we can t do this alone! 18
19 What s next? We need to be able to measure clinical outcomes We need to be able to demonstrate how this supports the triple aim We need to develop a shared accountability for oral health outcomes We re working on these! Qualis Health, 2016
20 Support From LEARN MORE: Resources available at: Anita Duhl Glicken, MSW 20
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