Dental Therapists: Building Team-Based Care. Louisville, KY Community Catalyst April 2018
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1 Dental Therapists: Building Team-Based Care Louisville, KY Community Catalyst April 2018
2 Community Catalyst Community Catalyst is a national non-profit advocacy organization that works with national, state and local consumer organizations, policymakers and foundations to build consumer and community leadership to improve the health care system. We support consumer advocacy networks that impact state and federal health care policy, and ensure consumers have a seat at the table as health care decisions are made.
3 Oral health is important to overall health, yet Tens of millions of Americans can t get dental care. They are suffering as a result. Photo credit: United Press International
4 Building the team: Dental Therapists 4
5 Based on Evidence 2014
6 Brief History of Dental Therapy Model began in the 1920s Dental therapists practice in 50+ countries First U.S. based dental therapist program began in 2005 Part of dental teams in Alaska, Minnesota and recently authorized in Vermont and Maine; Demonstrations in Oregon Commission on Dental Accreditation (CODA) approved national standards 2017 Authorized for Tribal Communities in Washington
7 What is CODA? The Commission on Dental Accreditation The accrediting body for the dental profession CODA establishes national standards and accredits dental education programs
8 Economic Viability Total Revenue Generated Dental Health Aide Therapists (AK) Advanced Dental Therapists & Dental Therapists (MN) Dental therapists cost their employers less than 30 cents for every dollar of revenue they generate.
9 What did dental therapists mean for Alaska? 10
10 What did dental therapists mean for Minnesota? 12
11 Dental Therapists mean better outcomes.
12 In High-DT Communities: More adults get preventative care. Adults need fewer teeth extractions. 9.6% 5.6% 7.1% 3.2% Adult Preventative Care Adult Extraction Rate No DT Communities High DT Communities Dental Utilization for Communities Served by Dental Therapists in Alaska s Yukon Kuskokwim Delta: Findings from an Observational Quantitative Study Final Report August 11, 2017 Principal Investigator Donald L. Chi, DDS, PhD Associate Professor University of Washington, School of Dentistry dchi@uw.edu Co-Investigators Dane Lenaker, DMD, MPH; Lloyd Mancl, PhD; Matthew Dunbar, PhD; Michael Babb, MA
13 In High-DT Communities: More kids get preventative care % Kids need fewer front teeth extractions. Fewer kids need general anesthesia % 7.3% 1.9 % 7.9% 5.5% Child Preventative Care Child Extraction Rate Child General Anesthesia Rate No DT Communities High DT Communities Dental Utilization for Communities Served by Dental Therapists in Alaska s Yukon Kuskokwim Delta: Findings from an Observational Quantitative Study Final Report August 11, 2017 Principal Investigator Donald L. Chi, DDS, PhD Associate Professor University of Washington, School of Dentistry dchi@uw.edu Co-Investigators Dane Lenaker, DMD, MPH; Lloyd Mancl, PhD; Matthew Dunbar, PhD; Michael Babb, MA
14 Population Health 17
15 Dental Therapists: They re Working Conan Murat, DHAT 18
16 Bernadette Charles, Dental Health Aide Therapist
17 Elizabeth Branca, RDH, ADT
18 Dr. Rachel Hogan 21
19 Heather Luebben, RDH, ADT 22
20 Aurora Johnson, Dental Therapist 23
21 Conan Murat, Dental Therapist 24
22 Transferable Delivery Model Dr. Frank Catalanotto 25
23 A transferable model to address local need 26
24 A transferable solution to a local problem 27
25 A transferable solution to a local problem 28
26 Momentum is Growing 29
27 Community Informed Initiative 30
28 Momentum for Dental Therapists
29 Momentum for Dental Therapists 2017 ALASKA Dental Therapists are Working Dental Therapists working through pilot projects Dental Therapists Authorized in All or Some Settings States Actively Exploring Authorizing Dental Therapists States with Interest in Authorizing Dental Therapists Swinomish Indian Tribal Community Confederated Tribes of Coos, Lower Umpqua & Siuslaw Coquille Indian Tribes WASH. ORE. NEV. CALIF. IDAHO UTAH ARIZ. MONT. WYO. COLO. N.M. N.D. MINN. S.D. WIS. IOWA NEB. ILL. KAN. MO. MO. OKLA. ARK. MISS. N.H. VT. MASS. N.Y. MICH. PA. OHIO IND. W.VA. VA KY. TENN. ALA. GA. N.C. S.C. MAINE R.I. CONN. N.J. DEL. MD. D.C.. HAWAII TEXAS LA. FLA. Adapted from map created by W.K. Kellogg Foundation Updated 2017
30 Thank You CONTACT: Tera Bianchi DENTAL ACCESS PROJECT DIRECTOR
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