WISCONSIN ORAL HEALTH COALITION ACCESS WORKGROUP FOCUS CHART WORKGROUP SUMMARY CURRENT STATUS ACTION ITEMS TOOLS NECESSARY

Transcription

1 WISCONSIN ORAL HEALTH COALITION ACCESS WORKGROUP FOCUS CHART WORKGROUP SUMMARY CURRENT STATUS ACTION ITEMS TOOLS NECESSARY ACCESS 1 Big idea: Increase knwledge f the value f regular dental care t the general public Aim statement: Increase access thrugh awareness f the imprtance f ral health and the impact f ral health t verall health and wellbeing amng peple in Wiscnsin. Pint(s) f cntact:

2 WORKGROUP SUMMARY CURRENT STATUS ACTION ITEMS TOOLS NECESSARY ACCESS 2 Big idea: Mandating ral health screenings in well-baby checks Aim statement: Increase the number f primary care prviders wh cnduct ral health screenings during well-baby visits. Pint(s) f cntact:

3 WISCONSIN ORAL HEALTH COALITION DENTALY HYGIENE PRACTICE SETTINGS WORKGROUP FOCUS CHART WORKGROUP SUMMARY CURRENT STATUS ACTION ITEMS TOOLS NECESSARY DENTAL HYGIENE Big idea: Create a cmprehensive tlkit fr each practice setting. Cmpnents t include Hw t btain a Natinal Prvider Identifier (NPI) number Business mdel fr setting f care Regulatry guidelines Examples f cntracts and memrandums f understandings Plicy/prcedures Infrastructure within business mdels Site specific insurance infrmatin Electrnic health recrd (EHR) Sustainability and funding surces Credentialing - btain NA, tax exempt number Billing and CDT cdes fr dental hygiene Mbile dentistry registratin Malpractice insurance infrmatin Equipment - purchase and maintenance Educatin cmpnent fr practice settings Cntact persn/medical histry/referral system Practive utreach and awareness Partner engagement Cntinuing engagement (site specific ex: schl v. hspital) Resurces fr best practices Outcme data/measure f success Use f technlgy (i.e. teledentistry) Pint(s) f cntact:

4 WISCONSIN ORAL HEALTH COALITION INFRASTRUCTURE WORKGROUP FOCUS CHART WORKGROUP SUMMARY CURRENT STATUS ACTION ITEMS TOOLS NECESSARY INFRASTRUCTURE Big idea: Create a ne-pager fr ral health prviders and prfessinal assciatins in Wiscnsin n facts and myths abut being a Medicaid prvider Aim statement: By February 2018, create ne educatinal dcument and distribute the dcument t ral health prviders t educate n enhanced Medicaid reimbursement. Met twice in fall 2017 Draft dcument created Refining dcument Cntinue phne meetings Gathered input frm dentists and hygienists Obtain WDA and State apprval fr letter Meeting frmat - phne lists and apprval Gathering cntact lists f all dentists/hygienists in all pilt cunites Find grups and purchase r create lists Access t cntact tls r largescale lists f prviders Pint(s) f cntact: Michael Schwartz-Oscar , michael@bchp.rg

5 WORKGROUP SUMMARY CURRENT STATUS ACTION ITEMS TOOLS NECESSARY INFRASTRUCTURE 2 Pint(s) f cntact:

6 WISCONSIN ORAL HEALTH COALITION PREVENTION AND HEALTH PROMOTION WORKGROUP FOCUS CHART WORKGROUP SUMMARY CURRENT STATUS ACTION ITEMS TOOLS NECESSARY PREVENTION AND HEALTH PROMOITON 1 Big idea: Fact sheet fr well-child visit Aim statement: By Octber 2018, we will have a fact sheet/infgraphic targeted fr parents f children birth t 2 years ld. Pint(s) f cntact:

7 WORKGROUP SUMMARY CURRENT STATUS ACTION ITEMS TOOLS NECESSARY PREVENTION AND HEALTH PROMOITON 2 Big idea: Incrprate/expand ral health int WIC Aim statement: By September 1, 2018 develp ne best practices resurce guide fr ral health integratin int WIC. Pint(s) f cntact:

8 WISCONSIN ORAL HEALTH COALITION WORKFORCE WORKGROUP FOCUS CHART WORKGROUP SUMMARY CURRENT STATUS ACTION ITEMS TOOLS NECESSARY WORKFORCE 1 Big idea: increase ral health wrkfrce in rural settings Aim statement: Increase number f dental hygiene and dental rtatins in rural practice settings by establishing 4 additinal affiliatin agreements by Octber Pint(s) f cntact:

9 WORKGROUP SUMMARY CURRENT STATUS ACTION ITEMS TOOLS NECESSARY WORKFORCE 2 Big idea: Prvide dentists wh vlunteer at a dental clinic prviding services t patients with special health care needs, with cntinuing educatin credit. The gal is t increase the cmfrt level f dentists and dental hygienists wh wrk with special health care needs patients. Aim statement: By December 31, 2018 we will have at least ne dentist r dental hygienist in St. Ann s r anther clinic that prvides dental services t patients with special health care needs, cmpleting their special needs CE. Pint(s) f cntact:

10 2017 WISCONSIN ORAL HEALTH CONFERENCE WORKGROUP MEETING NOTES Preventin and Health Prmtin 1 Big idea/strategy: Fact sheet fr well-child visit Timeline: Octber 2018 Wh needs t be at the table: WOHC members, DHS, Diane Flanagan Barriers/challenges and hw they can be vercme: Time Planning Graphic design What specific steps are necessary t begin implementatin? Determine pints f interest Research best practice Build int template Hw will we knw we ve been successful: The fact sheet/infgraphic will be cmplete and ready fr distributin. Aim statement: By Octber 2018, we will have a fact sheet/infgraphic targeted fr parents f children birth-2 years ld. Ntes/questins: What abut an implementatin plan? Where will this be distributed? What will the fcus f the infgraphic be? Will there be a QI aspect hw d we knw the infgraphic is effective? Hw will we create buy-in fr pediatricians t distribute the infgraphic? Preventin and Health Prmtin 2 Big idea/strategy: Incrprate/expand ral health int WIC Timeline: September 2018 Wh needs t be at the table: WIC directrs 1

11 Oral Health Wrkfrce Educatrs Oral health prfessinals Lcal health departments Barriers/challenges and hw they can be vercme? Buy-in frm WIC supervisrs WIC staff attitude twards ral health Cmpleting the survey The grup wuld like t cnduct a survey as part f an envirnmental scan/needs assessment Availability f RN and/r RDH Implementatin f the prgram What specific steps are necessary t begin implementatin: 1. An envirnmental scan t cllect and cmpile data 2. Needs assessment 3. Cmpile best practices Hw will we knw we ve been successful: Aim statement: By September 1, 2018 this preventin wrkgrup will develp ne best practices resurce guide fr ral health integratin int WIC. Wrkfrce 1 Big idea/strategy: Increase ral health wrkfrce in rural settings Timeline: 1-3 years Wh needs t be at the table: Dental schls Residency prgrams RDH and dental assisting prgrams Student rtatin prgram Health department (state and lcal) FQHCs, CHCS and safety nets Barriers/challenges and hw they can be vercme? Affiliatin agreements between dental schls and dentists Chair time (scheduling t free up chair time) Finding a dentist that is nt n any lan repayment prgram Faculty cannt be attached t lan repayment preceptr Jint educatinal missins (partners wh bth value educatin) 2

12 What specific steps are necessary t begin implementatin: 1. Have cnversatins with leadership a. Internal cnversatins at dental, dental hygiene and dental assisting schls b. Internal cnversatins at dental clinics i. Establish a buy-in frm dental team members c. Jint cnversatin t discuss ptential partnership between schl(s) and dental clinic 2. Wrk plan, mem f understanding, business agreements and cntracts between schl and dental ffice 3. Onbarding 4. Starting a rtatin 5. Mnitring utcmes and wrking with partners t ensure gals are met Hw will we knw we ve been successful: When 4 affiliatin agreements are cmplete, which includes nbarding, starting the rtatin and mnitring utcmes. Aim statement: Increase number f rtatins and establish 4 additinal affiliatin agreements by Octber 2018 Ntes: Carrie Rberts wants t wrk n finding dentists wh are nt n a lan repayment prgram Sheila Stver was very active in this grup Wrkfrce 2 Big idea/strategy: Prvide dentists wh vlunteer at a dental clinic prviding services t patients with special health care needs, with cntinuing educatin credit. The gal is t increase the cmfrt level f dentists and dental hygienists wh wrk with special health care needs patients. Timeline: December 31, 2018 Wh needs t be at the table: WDA WDHA Dental clinics (St. Ann) CE accreditatin/gverning bdy DEB Barriers/challenges and hw they can be vercme? Cannt just lecture a persn n wrking with special health care needs patients Increasing amunt f WI dental clinics wh prvide services t patients with special health care needs 3

13 Difficult fr dentists t vlunteer fr a day at clinic t prvide dental services t patients with special health care needs What specific steps are necessary t begin implementatin: 1. Find ut hw t prvide CE 2. Create a cnnectin with St. Ann s Hw will we knw we ve been successful: Staff at clinics that prvide dental services t patients with special health care needs will prvide CE credit t vlunteer dentists and dental hygienists Specifically, St. Ann s Aim statement: By December 31, 2018, we will have at least ne dentist r dental hygienist in St. Ann s r anther clinic that prvides dental services t patients with special health care needs, cmpleting their special needs CE Ntes: What type f CE is this? Is the intent t prvide vlunteer dentists and dental hygienists with training? What abut evaluatin hw will we knw the training is effective? Hw d we knw if mre clinics begin seeing patients with special health care needs? Infrastructure Big idea/strategy: Create a ne-pager fr ral health prviders and prfessinal assciatins in Wiscnsin n facts and myths abut being a Medicaid prvider Timeline: April 2018 Wh needs t be at the table: Prfessinal assciatins DHS Funders Health educatrs Medicaid prviders (fr strytellers) Children s Health Alliance f Wiscnsin SE dental funds administratrs Barriers/challenges and hw they can be vercme? Funding Cmpiling data n current Medicaid prviders Creating buy-in fr dental prviders wh are nt enrlled in Medicaid Distributin What specific steps are necessary t begin implementatin: 4

14 1. Identify wh will distribute the ne-pager 2. Identify the target audience 3. Identify infrmatin that will create buy-in t increase Medicaid enrllment 4. Determine funding surces 5. Generate cntent Hw will we knw we ve been successful: The develpment and distributin f the ne-pager. Aim statement: By February 2018, create ne educatinal dcument and distribute the dcument t ral health prviders t educate n enhanced Medicaid reimbursement. Ntes: Hw will we knw the effectiveness f the ne-pager? Dse this nly apply t the fur pilt cunties? Access 1 Big idea/strategy: Increasing knwledge f the value f regular dental care t the general public (11 vtes) Lw utilizatin rate due t lack f knwledge f dental benefit; cnnectin f dental t verall health. Timeline: Wh needs t be at the table: DHS Medicaid Office HMO s ETS Barriers/challenges and hw they can be vercme? What specific steps are necessary t begin implementatin: Gain a better understanding f the current prmtin f dental benefits by insurance prvides i.e. Medicaid, ETS, Private insurance (Delta Dental). Increase member understanding f benefits and hw t find dental prviders. Create and insert a ne pager that culd g ut via insurance prviders t enrllees Utilize scial wrkers/navigatrs wh have direct cntact with enrllees t cmmunicate the message abut imprtance f ral health/verall health. Utilize medical prviders t prmte ral health. Understand hw the BadgerCare explanatin f benefits is distributed. Hw will we knw we ve been successful: Aim statement: Increase access thrugh awareness f the imprtance f ral health and the impact f ral health t verall health and wellbeing amng peple in Wiscnsin. 5

15 Access 2 Big idea/strategy: Mandating ral health screenings in well-baby checks (replicatin f wrk dne in Dane Cunty n this). (8 vtes) Timeline: Wh needs t be at the table: Wiscnsin Assciatin f Family Physicians Health Systems Medical Hmes Barriers/challenges and hw they can be vercme? Access t ral health; if prvider finds smething during screening NEEDS t have referral surce. Meaningful use Identifying wh is the right messenger; and what incentivizes prviders/health systems What specific steps are necessary t begin implementatin: Identify health systems wh currently d nt require ral health screens and target them. Identify what incentives prviders Identify areas with ral health access as starting area Identify what criteria t use fr ral health screening ; lk t thers examples fr starting pint/ guidelines. Hw will we knw we ve been successful: Aim statement: Increase the number f primary care prviders wh cnduct ral health screenings during well-baby visits. Dental hygiene practice settings Cmpnents t include in a cmprehensive tlkit: Steps t cmplete prir t creating tlkit: Interpretatin f statute Identify settings f care Create a tlkit fr each practice setting and include the fllwing items that pertain t that practice setting: Hw t btain a Natinal Prvider Identifier (NPI) number Business mdel fr setting f care Regulatry guidelines Examples f cntracts and memrandums f understandings Plicy/prcedures Infrastructure within business mdels Site specific insurance infrmatin Electrnic health recrd (EHR) 6

16 Sustainability and funding surces Credentialing - btain NA, tax exempt number Billing and CDT cdes fr dental hygiene Mbile dentistry registratin Malpractice insurance infrmatin Equipment - purchase and maintenance Educatin cmpnent fr practice settings Cntact persn/medical histry/referral system Practive utreach and awareness Partner engagement Cntinuing engagement (site specific ex: schl v. hspital) Resurces fr best practices Outcme data/measure f success Use f technlgy (i.e. teledentistry) 7