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1 Arkansas Children s Hospital NPOHC 2011 Providing Comprehensive Dental Care with Mobile Dental Clinics Presented by: Craig Rechkemmer, DDS ACH Dental Outreach
2 Disclaimers Ih have no disclaimers li
3 The Need in 2008 Dental caries (tooth decay) is the single most common chronic childhood disease--5 times more common than asthma and 7 times more common than hay fever. - Oral Health in America: A Report of the Surgeon General, % of Arkansas children have evidence of current or past cavities - Arkansas Dept of Health s Oral Health 2007 Report 31% of Arkansas children have untreated dental decay - Arkansas Dept of Health s Oral Health 2007 Report More than 51 million hours of schooling are lost annually due to lack of dental care among children. - Oral Health in America: A Report of the Surgeon General, 2000
4 2008 State Report
5
6 2008 Statistical Data
7 Shortage of Dentists Second to Last Source: 3/20/09,
8 Shortage of Dentists Approximately 60 percent of practicing dentists are located in just 8 of Arkansas 75 counties Pulaski County has twice as many Medicaid dental practitioners than its surrounding six counties combined Source: Natural Wonders Report, 2011
9 Mobile Dental Clinics
10 Video Tour
11 Our Partners & Sponsors
12 Six Years of Supporting Data July 2002 ~ July 2008 Springfield, MO 20,627 Appointments 6,965 Children Treated $4,297,748 in Dental Services 18,564 Sealants 16,310 Composites 1,647 Amalgams 1603E 1,603 Extractions 2,129 Pulpotomies 2,794 Stainless steel crowns 113 SSC with resin facing 314 Space maintainers
13 February 2010 April 2009 May 2011
14 Mobile Unit Statistics As of June 30, % First Dental Visit $1,445,504 1,993 Children Served 4504Cavities 4,504 Treated 3,402 Sealants Placed 1,192 Children treated in the mobile clinic had never seen a dentist 82% Treatment Plan Completion Rate
15 Mobile Clinic Logistics We stay at each site for two to three weeks During the school hours we treat children from that school After school hours we treat children from other schools that have not been completed or have emergencies Most of the treatment plans are completed at each site During the summer we go to summer schools, Boys & Girls Clubs and Head Starts
16 Our Primary Focus Ages 3 ~ 11 Medicaid eligible children Children without dental insurance Children enrolled in the Free and Reduced Lunch Program Children in 2nd grade are our initial focus Other students are prioritized by the school nurse Children that are not active patients of a private dental office
17 Site Selection Rationale Northwest Arkansas Mile 2nd Total % on Name County s Grade Enrollment F&R 1 Old Wire Elementary School BENTON % 2 Eastside Elementary School BENTON % 3 Bonnie Grimes Elementary School BENTON % 4 Frank Tillery Elementary School BENTON % 5 Joe Mathias Elementary School BENTON % 6 Decatur Northside Elementary School BENTON % 7 Grace Hill Elementary School BENTON % 8 Jones Elementary School BENTON % 9 Harp Elementary School WASHINGTON % 10 Leverett Elementary School WASHINGTON % 11 Lincoln Elementary School WASHINGTON % 12 Owl Creek School WASHINGTON % 13 Bayyari Elementary School WASHINGTON % 14 Asbell Elementary School WASHINGTON % 15 Robert E. Lee Elementary School WASHINGTON % 16 Westwood Elementary School WASHINGTON % 17 Elmdale Elementary School WASHINGTON % 18 Parsons Hills Elementary School WASHINGTON % 19 Jones Elementary School WASHINGTON %
18 Mobile Dental Clinic Needs School Nurse Distribute & Collect applications Prioritizing kids Liaison between teachers and clinic Shore Power (Parts $600) - 50 amp, 250 volt, 4 wire, dedicated circuit Internet Access (Parts $95) - Outdoor Cat5e/RJ45 Outlet Carpool Vehicle
19 School Reports
20 Paperwork & Consent Forms
21 Dental Home Concerns
22 Mobile Unit Considerations Backup Dental Delivery System Backup Batteries for Clinici Backup Internet Provider
23 Electronic Medical Records
24 Staffing & Recruiting In the past three years Recruited Five Dentists One Program Manager Clinic Team per Mobile Unit Dentist (Two with CDLs) Two Dental Assistants (Four with CDLs) Patient Information Assistant (One with CDL)
25 Before After
26 5 years old -24 cavities -10 visits -$4,123 Before After
27 My Best Work
28 2011 Noted Progress 1) Statewide Water Fluoridation (Act 197) 2) Collaborative Hygiene-Sealant (Act 89) 3) Dental Varnish Application (Act 90) 4) Arkansas served more than half of Medicaid-enrolled kids
29 Fluoridation Progress Statewide Water Fluoridation (Act 197): Mandates communities with 5,000+ residence to have community water fluoridated Delta Dental will fund the installation of the FL equipment for Act 197 Source: Community Water Fluoridation: A Position Paper Prepared by the Office of Oral Health and the Science Advisory Committee; March 12, 2008
30 Prevention Progress Statewide Sealant Program Statewide Sealant Program 2,400 Children 4,000 Sealants 22 schools
31 National Sealant Goals % Source: Natural Wonders Report, 2011
32 Fluoride Varnish Progress Dental Varnish Application (Act 90) Nevada Medicaid reimburses Dental and Medical providers $18.39 per application Photo Source:
33 School-based Dental Clinic Wakefield Elementary Serves six schools Dr. Collins
34 School-based Dental Clinic Wakefield Elementary
35 More than just Teeth
36 Thank you Letters
37 New Smile Video
38 Did Not Smile Video
39 Contact Info Craig A Rechkemmer, DDS Arkansas Children s Hospital Dental Outreach Ronald McDonald Care Mobile RechkemmerCA@ARChildrens.org
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