Community Dental Health Coordinator

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Community Dental Health Coordinator Powered By Docstoc
					Mark J Feldman DMD
   Unlike every other new model, the CDHC
    model focuses on community outreach,
    coordination of care, educational and social
    interventions in the community.

   A Community Health Worker who is a
    member of the dental team.
 As a member of the dental health team,
the CDHC will work in communities where
residents have no or limited access to
dental care. The concept of the CDHC in
reaching the underserved communities is
that the CDHC will come from the
community in which they will serve.
Because they come from this community,
the CDHC understands the culture,
language and barriers to care.
A Community Health Worker
     with dental skills
                      VISION
Patient Navigation                    Prevention of Dental/
                                          Oral Diseases

             Reduce oral health disparities

            Improve access to dental care



                                         Palliative
                                           Care
•   1. The CDHC must be competent in
    the development and implementation
    of community-based oral health
    prevention and promotion programs.
    –   a. Support water fluoridation programs
    –   b. Collaborate and develop community oral health initiatives
    –   c. Collaborate and develop oral health programs with other
        health and social services organizations and providers to
        promote oral health (e.g., Women, Infants and Children
        Programs, Head Start, mental health organizations, healthy
        baby initiatives, long-term care providers, hospices, senior
        citizen centers, substance abuse clinics, cancer societies,
        chambers of commerce, local businesses, school boards)
•   a. Medical and dental histories
•   b. Dental health screening/assessment (data
    collection) via:
    –   1. Visual inspection of the oral cavity for carious
        lesions and other hard tissue anomalies
    –   2. Visual soft tissue inspection
    –   3. Take radiographs, when appropriate
•   c. Vital Signs
•   d. Dental Charting
•   a. Practice infection and hazard control protocol consistent with
    published professional guidelines
•   b. Prepare tray set-ups
•   c. Prepare and dismiss patients
•   d. Assist with or apply fluoride agents
•   e. Process and store digital radiographs
•   f. Provide oral health instruction
•   g. Maintain accurate patient treatment records
•   h. Maintain operatory area and dental equipment in a community
    setting.
•   i. Assist in the management of medical and dental emergencies
•   j. Administer basic life support
•   k. Clean removable oral appliances and prostheses in community
    settings
    a. Collaborate with community partners including
    telephone management and communication skills
•   b. Maintain supply inventory
•   c. Control appointments and manage recall
    systems
•   d. Operate business equipment, including
    computers
•   e. Complete and process appropriate
    reimbursement papers and online forms.
•   f. Facilitate basic legal and regulatory compliance,
    (e.g., HIPAA, Informed Consent)
•   a. Identify potential emergent dental care needs
•   b. Communicate findings to the supervising
    dentist using electronic or paper transmissions
•   c. Revise the screening/assessment based upon
    dentist directive
•   d. Develop a referral recommendation and
    submit it to the dentist for approval
•   e. Develop an oral preventive recommendation
    and submit it to the dentist for approval
•   a. Oral hygiene education
•   b. Tobacco cessation
•   c. Dietary counseling
•   d. Fluoride applications
•   e. Sealant applications
•   f. Coronal polishing
•   g. Scaling for periodontal Type I (gingivitis)
    patients in community settings
   a. Hand instrumentation only
   b. Only open cavities that are accessible to
    hand instruments
   c. Manual removal of debris from cavities
   d. Placement of temporary materials such glass
    ionomer materials
Will the CDHC be using a high
speed drill to remove decay?
No, a slow speed handpiece will ONLY be
used to polish teeth (Perio I care) and
remove high spots from the temporary
glass ionomer restorations (GIC) and high
spots on sealants. The CDHC will only be
provided with a prophylaxis head and a
large finishing bur for use with the
handpiece.
   1,872.25 HOURS OF INSTRUCTION
   672.25 HOURS OF DIDACTIC WORK
   160 HOURS OF IN-PERSON ASSESSMENTS
   1040 HOURS OF INTERNSHIP
   12 MONTHS OF ONLINE COURSES WITH
    REGULAR ASSESSMENTS AND
    INTERACTION WITH SITE DIRECTORS
   6 MONTH INTERNSHIP
   Community health clinics
       FQHCs, IHS, Local Health Departments
   Schools
   WIC programs
   HeadStart centers
   Institutional settings
   Social Service agencies
   Community dentists
Will the CDHC work in the dentist’s office?

No. Primarily, the CDHC will work in health
and community settings such as clinics,
schools, churches, senior citizen centers,
Head Start Programs and other public
settings with residents who have ethnic
and cultural backgrounds similar to the
CDHC.
   The CDHC pilot officially launched March 6th
    2009 with 12 students. (Oklahoma/UCLA)
   This 1st cohort will finish the didactic modules
    mid-March and will begin their 6 month
    internships.
   2nd cohort will begin on March 26th with
    students from Oklahoma, UCLA, and Temple.
   Plan to have the 1st evaluation by Oct-2011.
•   It is the vision of the American Dental
    Association that the Community Dental
    Health Coordinators will assist in the
    reduction of disparities in oral health and
    improving access to dental care through
    organized community development in an
    integrated dental care system provided in
    community-based clinics. The Community
    Dental Health Coordinator will provide oral
    health promotion, prevention, palliative care
    and patient navigation.
A community
health worker
who is a member
of the dental team   .