Transcript 'Points of Light' - Michigan Oral Health Coalition

‘Points of Light’
Presented to the
Michigan Oral Health Coalition
January 30, 2008
Enduring Goals of the Organized
Dental Community:
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Improve the Oral Health of the Citizenry.
Improve Access to Oral Health Care.
Improve the effectiveness of Oral Health
Care delivery systems.
Improve the Oral Health of Children,
(MAPD).
Defining the Issue: Michigan
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~ 130,000 live births/year
Nationally, 15 to 17 million children
without access to oral health care
(increasing).
~900K of Michigan’s 2.5 million kids are
Medicaid eligible, (increasing).
Decay rates are on the rise in pre-school
children (4% in last 10 years; CDC, 07)
58% of Michigan 3rd Graders have caries.
Dentistry in Michigan: By the
Numbers
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82 pediatric dentists of which an
estimated 84% (~70) see 1 year olds.
4630 general dentists, (MDA, 08)
Evidence suggests that Pediatric Dentist
migrate to upper income communities.
There will never be enough Pediatric
Dentists and most general dentists are not
comfortable treating very young children.
Good doctors treat disease.
Great doctors prevent disease.
Justifying IOH: General Overview
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Demographics of the Professional
Communities, (Medical and Dental).
Cariology that defines: Primary Prevention
vs. Secondary Prevention that create
timing dependant opportunities.
Economic Implications that define the
impact on dental practices and lower the
cost of managing low SES populations.
Culminating in a new ‘Best Practice’.
Addressing the Needs of Michigan’s
Infants
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Currently: 130,000 live births
=>1800 new patients/pediatric
dentist/year.
If all Pediatric Dentists accepted
infants = ~1500 infants/year.
If all Dentists accepted infants = ~27
infants/year. (If only half see infants
= ~ 60 infants/year)
Conclusion: This is possible!
Advocacy:
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Improving the Oral Health of the entire
community. (Not just low SES, because
low SES will benefit along with the
community)
Enacting the ‘Atlas Concept’: Taking
responsibility for all patients within a
community regardless of the fact that they
will never walk into your practice.
Advocacy Goals:
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To improve the Health and Oral Health of
the Citizenry, (Pan SES).
To Create behavioral transitions in arenas
of impact: Dentistry, Medicine, Legislative,
General Public.
To have infants presented to a ‘Dental
Home’ for primary prevention rather than
surgical intervention.
The Challenge of providing care
to Low SES:
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Medicaid covers 25% of children and 33% of
infants
Nationally, 27 million children are covered by
Medicaid. (Michigan: 1:1.5)
Economic distress is increasing , impacting
middle income families. These are NOT
‘Welfare Deadbeats’!
Relationships are not about
obligation. Relationships are
about opportunity.
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This tenant pertains to all relationships.
If you not looking at relationships from
this perspective, you are really missing the
point of relationships altogether.
What opportunities can you create for
your patients and your community?
Caring for our poorest and most
vulnerable:
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Consider that children seen early are less
costly to care for over time.
Consider that, with very young patients,
preventing decay is far easier than restoring
teeth.
Consider that children with less complex
restorative needs are less likely to require
referral to a pediatric dentist.
Involvement vs.
Commitment:
The difference between involvement and
commitment is like an eggs & ham breakfast.
The chicken was ‘involved’, the pig was
‘committed’!
Ongoing Efforts:
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Varnish! Michigan
Adopt-a-Head Start program
Early Head Start & Head Start Programs
PA 161
Community Dental Health Coordinator
gpj.4000nacS
Ideal Dental Care: ‘Dental Home’
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Ongoing relationship between the dental
office and the family.
Care that is Comprehensive
Care that is Accessible
Care that is family-centered
Care that is Culturally-effective
Care that you would want for your child
Meta-Questions:
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How do we improve the oral health of very
young children?
How do we lower the cost of providing oral
health care to low SES populations?
How do improve the oral health of the
community at large?
How do we best utilize our workforce?
What is ‘Points of Light’?
Organizational Transition:
Changing Behaviors on a large
scale
# of Adopters
Tipping Point
Mavens Brokers Pragmatists
(early adopters)
Conservatives
(late adopters)
‘Social Proof’
A behavior that has reached a
‘tipping point’ within a given
population group resulting in mass
adoption and participation, (Herd
Behavior).
i.e., stock runs, fads, voting tends,
drug use, suicides, movie
attendance, etc….
Organizations of Interest:
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The General Public: Parents & children.
Dentistry: General Dentists, Pediatric
Dentists, Dental Hygienists, etc…
Medicine: Pediatricians, Family Practice,
Nurse Practitioners, Physician Assistants,
etc…
Legislative Bodies: Federal, State & local.
Educational Institutions: Pre & Post
Doctoral Programs in Medicine and
Dentistry.
Organizations of Impact
Legislators
Dentistry
Medicine
General Public
Education
“Points of Light”
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Identify a ‘Point Dentist’ within a
community.
Establish a dental provider network, ‘EPII’.
Provide the EPII list to Pediatric Medical
Providers.
Interact with medical providers, ‘ECTAMR’.
Educate medical providers, AAP policy.
Operationalize ‘Points of Light’ locally.
Operationalize ‘Points of Light’ state wide.
Infant Dental Exams become a ‘Social
Proof’.
Three Levels of Advocacy:
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Bronze Level: Initiating an Infant Oral
Health program in your practice.
Silver Level: Instigating ‘Infant Oral Health’
Programs in your community, (EPII).
Gold Level: Developing a multi-community
project that impacts the entire state over
time, (Points of Light).
“Life has taught us that love
does not consist in gazing at
each other but in looking
outward together in the same
direction”
-Antonio de SaintExupéry
Question/Comments
MOHC, Thank You!!