Contents. I. Program Description. Program History. New for 2008 Program. V. Partners/Collaboration. VI. Looking to the Future. VII.

Transcription

1 Program Report

2 Contents I. Program Description II. Program History III. New for 2008 Program IV. Data V. Partners/Collaboration VI. Looking to the Future VII. Program Cost 2

3 DANE COUNTY GIVE KIDS A SMILE PROGRAM 2008 EVALUATION REPORT JULY 2008 Program Description Dane County dentists recruited by local pediatric dentist and dental offices coordinated by Dental Program Coordinator. Local dentists donate comprehensive oral health services to Dane County school children (6-18 years old). Children receive both preventive services (cleanings, exams, x-rays and sealants) and restorative care (fillings, extractions, root canals, and crowns). School nurses or social workers identify and case manage children with oral health needs, who are either uninsured or have medical assistance and cannot find a dentist willing to provide care. Spanish - speaking families are case managed by Bilingual Oral Health Outreach Specialist and Interpreters, who are coordinated by Interpreter Coordinator. Two of the most common barriers to access dental care are addresses: 1) transportation to and from the appointments (cab services); and 2) interpreting services for non-english speaking families. Data is entered and compiled by Oral Health Outreach Specialist. Public Health administers program and acts as fiscal agent. Oversight for program is provided by the Dane County Give Kids a Smile Coalition. Program History The program began in In 2004, a Program Coordinator, who was a Dental Hygienist, was contracted to recruit and coordinate dental offices. As of 2007, Program Coordination was provided by the Office Manager of a local Dental Clinic. Between 2003 and 2006, Madison Metropolitan School District coordinated volunteer interpreters for Madison Schools and Public Health coordinated Interpreters for outlying schools. In 2007, Interpreters were contracted/ paid to provide more reliable and consistent interpreting services, coordinated by Public Health. Between 2003 and 2006, initial appointments began on the national Give Kids a Smile Day in February and the follow-up care continued until the end of the school year. In 2007, some dentists began offering their appointments to participating Give Kids a Smile children throughout the year. Beginning in 2007, all specialist dental groups (pediatric dentists, endodontists, oral surgeons) in Dane County, agreed to see patients, if referred by general dentists participating in the program. 3

4 New for 2008 Program At the end of each program year, evaluation and discussion takes place and changes are made to improve the program. As a result of the 2007 evaluation, the following changes took place in 2008: Spanish-speaking Interpreter Coordinator/ Oral Health Outreach Specialist who recruited and scheduled Interpreters for appointments, contacted Spanish speaking families, and arranged transportation when needed. See attached personnel roles for details. Oral Health Outreach Specialist who offered case management to English speaking families in Dane County schools, including cab arrangements, and did data entry. See attached personnel roles for details. Oral Health Outreach Specialists streamlined communication between families, schools and dental offices Database was developed and used to communicate to key players and to compile evaluation data. Data Initial Dental Appointments and Participating Dentists Numbers Years Initial Dental Appts. Participating Dentists For 2008: 188 appointments in spring, 78 year-round appointments (24 used as of 6/13/08) For those children using interpreters 81 follow-up appts., 10 Specialist referrals 4

5 Type of Treatment RCT- Root canal Pulp - Pulpotomy (nerve of primary tooth removed) S.S. - Stainless steel crown P. - Porcelain crowns Preventive Visits # of Teeth Sealed # of Teeth Filled # of Teeth Extracted # of RCT's # of Pulp's # of S.S. Crowns # P Crown * Data not yet available for 2008 Value of Donated Dental Care $200,000 $180,000 $168,000 $175,000 $160,000 $147,000 $140,000 $127,000 Dollars x 0 $120,000 $,000 $80,000 $95,000 $60,000 $40,000 $40,000 $20,000 $ Years * 2008 value predicted for 266 kids; $111,433 as of 7/15/08 for 147 patient records 5

6 Gives Kids a Smile Participants: Total Served - Race/Ethnicity - Interpreter Needs Total no. as of June 15, 2008 (appt. available for 266 children) Participating Children (86% needing interpreters) Total Hispanic Black White Asian Native American City - 9 County Unknown Race/Ethnicity * Breakdown for the number of children served as of June 15, 2008 Personnel Responsible For Getting School Children to 2008 GKS Appointments Personnel Numbers School Districts 10 Schools 65 School Nurses/Social Workers 52 Bilingual Resource Specialist * Interpreters 12 Total Spanish Hmong Chinese Oral Health Outreach Specialists 2 School District Nurse Coordinators ** 2 * Used in many of the MMSD Schools ** For Madison Metropolitan School District and Middleton - Cross Plains Area School District 6

7 Partners/Collaboration Volunteer general dentists and specialist dentists (provide in office dental care) Dentist Coordinator (recruits and coordinates dental offices) GKS Program Coordinator Public Health (fundraise for program, oversee personnel) Dental Clinic point of contact (schedule GKS appointments) MMSD Nurse Coordinator (coordinates MMSD school nurses and assigns appointment slots) School nurses and social workers MMSD and DC schools (identify children) Interpreters (contracted) and Bilingual Resource Specialists- MMSD (interpreting for non-english speaking families) Interpreter Coordinator/ Oral Health Outreach Specialist Public Health (schedules interpreters, case manages non-english speaking families) Oral Health Outreach Specialist Public Health (case manages English-speaking families; data entry) Union Cab (transportation) United Way, Delta Dental, Axley Brynelson, Veridian Homes, private dental office donations, Golden K Kiwanis (fund program) GKS Coalition (planning and oversight) -(Public Health Madison and Dane, Madison Metropolitan School District, local pediatric clinic Dentist and Office Manager) Neighborhood Health Check Program and Seal Dane Program (another source of referral for Dane County school children enrolled in GKS program) Access Community Dental Clinic and MATC/Children s Dental Health Program -Public Health (additional and collaborative resource) Looking to the Future This program is unique because comprehensive care is provided and the typical barriers to getting dental access are addressed - transportation and language. Cabs are arranged to get families to appointments and interpreters are provided for non-english speaking families. The continuing success of this program relies on having personnel to do the following: Coordinate dental offices Coordinate interpreters School nurses/social workers to case manage families Case manage and educate the Spanish-speaking families Assist County schools with identification/scheduling of kids 7

8 Program Cost Expenses Personnel Budget Cost to Date (7/15/08) (hours) Cost Predicted (by end of 2008) (hours) Dental Coordinator $8,500 $5,000. $8,000. Oral Health Outreach Specialist/ Data Entry $3,500 $ 960. (60 hrs) $ 1,360. (85 hrs) Bilingual OH Specialist/ Interpreter Coordinator $3,500 $5,748. (290 hrs) $6,840. (345 hrs) Interpreters $6,000 $5,135. $ 5,800. Special costs Cabs $5,000 $2,575. $ 2,750. (182 rides) Travel & Training $80. $ 90. Material & Supplies Supplies & printing $48. $ 160. Total $26,500. $19,546. $25,000. Community Match In-Kind Personnel Estimated In-kind cost GKS Coalition (planning, recruiting) $ 3,500. MMSD & MCPSD School Nurse Coordinators $ 12,000. Public Health GKS Program Coordinator $ 11,. Public Health Oral Health Program Coordinator $ 1,000. Dental Office Coordinators $ 12,000. School nurses/social workers $ 91,000. MMSD $ 69,200. Dane County schools $ 21,600. Public Health Oral Health Supervisor $ 2,050. In-Kind Operating Fiscal Management $ 600. Subtotal $133,250. In-Kind Special Costs Dental Care $ 175,000.* Total $308,250. * Value predicted for 266 children ($ 101,861 as of 7/15/08 for 139 children) Total Cost of Program - $333,250 Expenses - $25,000 (7.5%) Community Match - $ 308,250 (92.5%) 8