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Collaborative Partnerships to Achieve Oral Health Objectives
Kimberly R. Dehler, MS DDSSeptember 30, 2010
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Overview
• Cabarrus County history of collaboration • Regional collaborative activities• Additional local oral health initiatives
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1997-2000
• Cabarrus Health Alliance created• Community Needs Assessment by Healthy
Cabarrus–Dental prioritized–Dental Task Force established
• Smart Start Grant• Fixed Clinic Opened (3 chairs)–Cannon Foundation
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2001 - 2003
• Public Health Hygienist funded by CHA and Smart Start
• Decay rate surveillance with NC OHS• Increased follow up and referral of children• Pediatric dentist established practice• Clinic expanded to 6 chairs– Cannon Foundation
• Expanded service population to age18
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2004 - 2008
• Healthy Cabarrus Community Needs Assessment– Lack of dental care still a top issue
• Hospital ER dental volume • Dental clinic expansion to 12 chairs funded by
hospital and Cannon
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Intra Agency Collaborations
• Pediatrics– Dental home referrals– Direct referral / same day access
• Maternity– Referrals for routine and urgent– Centering Pregnancy
• School nurses• WIC• Ryan White
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Regional Collaborative Opportunities
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What are Public Health Incubators?
• Voluntary groups of local public health agencies leveraging resources for regional collaboration to accomplish shared goals – Improve service delivery– Increase sharing of resources– Foster innovation
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Why “Incubators?”
• Borrowed from a business concept, ‘incubating’ new ideas
• Incubators focus on innovation
• Regional partnerships aim to solve common public health problems with new approaches
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SPPPH Dental Focus Group2006 - present
• Initiated by SPPPH Finance Focus Group• Endorsed by SPPPH Health Directors• 7 of 11 health departments of the SPPPH• Goals – Identify dental program operational issues– Share resources– Develop best practices
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SPPPH Top 10 Issues
1. Lack of Standardized Policies and Procedures for Dental Programs
2. Staff Recruitment3. Financial Issues4. Lack of Oral Health
Awareness 5. Need for Specialty
Referral
6. Need for Maximal Utilization of Public Health Hygienists
7. Patient Service Policies8. Staff Compensation and
Benefits9. Continuity of Care between
Providers10. Need for Interdisciplinary
Communication to Solve Common Problems
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2006 - present
• Meet monthly and expanded to include NW PPH dental programs
• Share policy manuals, consents, etc.• Funded a dental clinic efficiency study for 5
counties• Identified barriers and best practices• 3 of the 5 SPPPH counties showed increases in
production 7-25% in first 6 months
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Additional Oral Health Initiatives
• HWTF Oral Health Initiative• Blue Cross Blue Shield Foundation-Safety Net
Solutions • NC Head Start-AAPD Dental Home Initiative
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For More Information Contact:
• http://nciph.sph.unc.edu/incubator/index.htm
• Kimberly R. Dehler, MS,DDSDental DirectorCabarrus Health Alliance(704) [email protected]