Engaging the Medical Community in Improving Children s Oral Health

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1 Engaging the Medical Community in Improving Children s Oral Health ABCD Coordinator Meeting September Madlen Caplow, MPH Primary Care Medical Provider Initiative Washington Dental Service Foundation Hands-on demonstration at training for Valley Medical Center in Clarkston/Lewiston 1

2 Why Engage Primary Care Medical? Nearly 40% of WA children enter kindergarten with decay experience Nationally 67% of teens (ages 16-19) have decay in their permanent teeth See children early and often well-child visits 10+ visits by age 3 Addressing overall health already Add oral health screening to well-child visits

3 Why Engage Primary Care Medical? (cont) Dental disease is a behavioral disease OH anticipatory guidance is critical Focusing on prevention Fluoride varnish prevents/reverses early disease Assessing risk: not all kids at high risk; target use of limited resources Dental referral resources key

4 Vision Improve pediatric oral health in WA Prevent disease/intervene early All Well-Child Visits include: Oral screening/risk assessment Oral health education/anticipatory guidance Fluoride varnish application Dental referrals, as needed 4

5 Building Demand for Prevention/ Early Intervention Parents: Child Profile: Statewide health education program Brochures Ads: Radio, print, online, Facebook Earned media Articles Social media 5

6 Building Demand - Earned Media 6

7 Training Primary Care Medical Providers How Delivered Training Topic Link with ABCD Demonstration of oral health services during training at Group Health s Olympia Medical Center

8 Prework, Toolkit and Coaching Tailored to individual medical clinic/system Pre-work: set up systems Toolkit: materials and resources (available online at kidsoralhealth.org) Coaching: ongoing support and follow up 8

9 The Training Delivered in-office over lunch, 1 ½ hrs Include all providers and staff CME credit Hands-on demonstration at training for Northwest Pediatric Center in Centralia 9

10 Training Topics Build the case for primary care medical The disease process caries How to conduct an oral screening and risk assessment Oral health tips/anticipatory guidance for parents Fluoride varnish application Dental referral information/abcd Building business processes work flow, health records, billing Hands-on practice delivering oral health preventive services 10

11 WA State Medicaid Reimbursement Code Description Max Fee Limitations D0120 Periodic oral evaluation $29.46* One periodic oral evaluation is allowed every six months through age 5 per provider, per client D1208 Topical application of fluoride $13.25 Up to 3 times in a 12-month period through age 5, per provider, per client D9999 Family oral health education $27.58* Limited to one visit per day per family, per provider. Up to 2 visits in a 12-month period through age 5 per provider, per client. *To be reimbursed, providers must be trained & certified by Washington Dental Service Foundation 11

12 Link with ABCD ABCD Coordinators invited to training Provide an overview of ABCD Eligibility Local dental resources Share copies of local ABCD flyers Discuss other dental resources in their community 12

13 PRIMARY CARE TRAININGS: Trained: -2,100 Primary Care Providers -2,557 clinic staff Approximately 1/3 of practicing primary care MDs have been trained 13

14 Let s work together Outreach Promotion Connect Share ABCD and ongoing referral support 14

15 Oral Disease Impacts all Ages! Engaging primary care medical providers to address oral health across the life span Focus on: pregnancy people with multiple chronic conditions patients with dry mouth older adults 15

16 Questions? Hands-on demonstration at training for Valley Medical Center in Clarkston/Lewiston 16

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