Trillium and Willamette Dental Group: Dental-Medical Diabetes Management and Care Coordination

Transcription

1 Trillium and Willamette Dental Grup: Dental-Medical Diabetes Management and Care Crdinatin

2 Grant Prpsal Willamette Dental Grup (WDG) was awarded $117,024 as part f Trillium s Transfrmatin Grant Prgram: The Chrnic Cnditin Dental Management Prgram (CCDM) will manage dental disease in Trillium members with high r extreme dental risk due t tbacc use r diabetes diagnses using evidence-based dentistry. This prject presents a unique pprtunity t serve members in a truly transfrmative manner by strengthening linkages between medical and dental care, and experimenting with alternative payment methdlgy.

3 Prject Cmpnents: Funding was used fr: Persnnel train and imbed in ffice care crdinatrs knwn as Care Advcates Clinical prducts Evidence Based Dentistry prducts nt cvered under OHP: 1)Chlrhexidine an anti-bacterial muth rinse 2)Clinpr a prescriptin-strength fluride tthpaste 3)Xylitl a natural sugar substitute Shared savings fr members wh shw imprvement in their ral and verall health Administratin prgram peratins cst (mnitring, reprting, infrmatin systems, utreach materials, etc.) Only $52, was used due t the limited number f eligible members available fr this prgram.

4 Care Advcates: The WDG Care Crdinatr Rle WDG embedded care crdinatrs within ur dental hmes. These Care Advcates were identified and selected frm current FTE psitins that had custmer service and patient engagement as central tenets f their rle. Each Care Advcate received speciallydesigned WDG training predicated n whle persn health and behaviral/mtivatin techniques. A Care Advcate s respnsibilities include the fllwing: Prvide extensive in-ffice educatin s patients fully understand their treatment Make fllw-up calls with patients Develp relatinships which lead t higher patient engagement Cntact patients t encurage participatin Make persnal reminder calls Inspire the entire ffice team t rally arund crdinated care Fllw up with patients as needed t ensure cmpliance Create linkages between medical, dental, mental as necessary Track cntact with patients

5 CCDM Aims and Objectives Leveraging infrmatin systems Implementing a risk and evidenced based dental (EBD) care CDSS mdel Targeted, systematic utreach t increase patient engagement Intentinal, evidence-based care crdinatin fr imprved preventin and wellness Prf f Cncept fr dental versin f a PCPCH: Alignment f dental PCPCH with medical PCPCHs. Effectiveness f dental PCPCH wrking with medical PCPCHs. Care Integratin: Strengthen care delivery linkages between medical and dental Crdinatin f Care: Strengthen cmmunicatin linkages between medical and dental Experiment with alternative payment methdlgy: Shared Savings Metric Alignment

6 Plicy Perspective and Justificatin The remarkable link between dental and verall health Oral health is cnnected t csts and cmplicatins f many cnditins. Peple with peridntal disease are almst twice as likely t have heart disease. Peple with diabetes are mre likely t have gum disease, making it difficult t stabilize bld sugar levels. Treating gum disease can have a psitive impact n bld glucse. Pregnant wmen wh maintain gd ral health see a psitive impact n their health and their babies health. Patients taking asthma medicatin may be at risk f dental caries, dental ersin, peridntal diseases and ral candidiasis, s thse n medicatin shuld receive preventive dental care. Cited frm NADP The Evlutin f Dental & Mental Care Integratin reprt. Gum disease leads t increased inflammatin, which can wrsen the cmplicatins f kidney disease. Treating gum disease reduces inflammatin, which can reduce the risk f kidney failure. Peridntal disease may increase the risk fr respiratry disease, including COPD.

7 Testimnials One f ur CCDM patients has his whle family n a regular dental care regimen fr the first time in their lives, and prud that they haven t missed any appintments. The children are all f schl age. They bust thrugh the drs when they arrive fr appintments as if we are serving fresh ckies! Three generatins f the same family signed up fr this prgram thrugh wrd f muth! A mther jined the prgram first, and raved abut it t her daughter. The daughter cnvinced her grandmther t jin sn after. They have all said that they wrk t keep each ther mtivated with their hme care. A patient has seen her health level classificatin drp frm Extreme Risk t Mderate Risk! We can tell that she is prud f her hard wrk. One patient is a smker and diabetic, has a mental disability and,smetimes, can be hard t cmmunicate with. I made a very detailed calendar fr her and even clr-cded her dental plan t matchup with instructins. She was very excited, she kept saying ver and ver, I can d this, I can d this. A patient was SO PROUD t tell me that with the insurance infrmatin I gave her, her physician was able t prescribe her nictine patches. She has been tbacc free since 3/12/2016! She reprts that she feels better, can breathe better, and her muth feels amazing thanks t the prducts.