Oral Health Assessment of Seniors 2009 by miv12499

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									Oral Health Assessment of Seniors
              2009
  The Massachusetts Experience
          Lynn Bethel, RDH, MPH
      Director, Office of Oral Health
     Massachusetts Department of Public
                   Health
About Massachusetts
        • 13.3% of residents are 65
          years of age or older

        • Ranks 12th in the country
          for having the highest
          population of seniors

        • 46,000 residents are in
          nursing home care
• 44.8% of MassHealth
  eligible residents in LTC
  facilities utilized the dental
  benefit FY’07

• 27% of MassHealth
  members over the age of 60
  utilized the dental benefit in
  FY’ 07
Collaborators
        • Harvard School of Dental
          Medicine

        • Executive Office of Elder
          Affairs

        • Massachusetts Senior Care
          Association

        • MDPH Office of Healthy
          Aging
Purpose

          • To identify the oral
            health needs of low
            income seniors and those
            residing in long term care
            facilities

          • To promote and improve
            the oral health needs of
            seniors
Sampling
           • Random Sample
              – Congregate Meal Sites
              – Long Term Care Facilities

           • Originally 42 sites
              – 6 (3 of each type) dropped
                out, but most replaced

           • Ended with 41 sites**
              – 21 LTC Facilities (n=834)
              – 20 Meal Sites (n=212)

           **Rural was recognized
Components of the Assessment

           • Dental Screenings-Office of
             Oral Health Staff

           • Soft Tissue Screening (Oral
             Cancer)-Harvard Residents
             and Faculty

           • Referrals for Restorative
             Treatment

           • Oral Hygiene Products
Process-Before the Screening
         • Introductory Letter with
           Survey
           – Executive Director
           – Medical Director

         • Follow-up Phone Call-
           Schedule Screening/Q&A

         • Follow-up Letter, Poster
           (and Consent Form)
Screening Indicators-LTC/MS
            •   Demographics
            •   Functional Disability
            •   Presence of Pain
            •   Edentulism
            •   Presence & Function of
                Dentures
            •   Soft Tissue Lesion
            •   Untreated Decay
            •   Gingivitis
            •   Xerostomia
            •   Oral Hygiene
            •   Treatment Urgency
Screening Indicator-MS

         •   Prescription Medication
         •   Private Dental Insurance
         •   MassHealth (Medicaid)
         •   Dentist
         •   Last Dental Visit
         •   Tobacco Use
         •   Alcohol Use
After the Screening

           • Screening Report

           • Letter to dentist of record
             with permission from meal
             site participant

           • Referral given
             – CHC Dental Programs
             – MassHealth Dentist

           • Thank You Letter to Site
             and Survey ?
Looking Back…
          • Meal Site: Seniors concerned
            about what their friends
            would think and knowledge of
            their dentures
          • Nursing Home: Bed to bed
          • Re-calibrate mid-screening
          • One recorder per screener
          • No more than 2 screenings
            each week
          • Be Flexible...
 “The facility must care for
you in a manner that enhances
     your quality of life.”

   Long Term Care Resident Rights
Where do we go next…

          • Release Report

          • Policy Changes

          • Education of the Children

          • Back to Basics…“Reality
            Dental Care”

          • Encourage use of Public
            Health Dental Hygienists
Remembering “Ellie”...
         For more information contact

           Lynn.Bethel@state.ma.us
                617-624-6074

          Janice.Healey@state.ma.us
                617-624-5942

   Check out our website
www.mass.gov/dph/oralhealth

Check out our oral health blog
http://publichealth.blog.state.ma.us

								
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