Transcript Community Task Force on Oral Health Needs of People with

Community Task Force on Oral
Health Needs of People with
Developmental Disabilities
KEY FINDINGS
Workgroup Leaders
Demographics: Who is Receiving What from Whom?
– Ann Costello and Brian Klafehn
Consumer Perceptions and Satisfaction
– Lenora Colaruotolo
Provider Experiences and Expectations
– Lisa DeLucia
Current and Unfolding Policy
– Rich Speisman
Model IDD Oral Health Care Programs
– Maricelle Abayon.
Facilitator
– Larry Belle
Demographics: Who is Receiving
What from Whom?
FLDDSO - 9,300 individuals in 2012 - Monroe, Wayne,
Ontario, Livingston, Orleans.
12,000 in the 11 county Finger Lakes region.
Monroe County (55%); with 40% between the ages of 21-44
years; and 35% living in some type of certified residence.
EIOH, RGH, Anthony Jordon, CP Rochester and FLDDO
Dental Clinic - 2,786 patients (2011)-Wait time -ambulatory
<6 months, OR >12 months.
<17% private DDS see Medicaid.
Demographics: Who is Receiving
What from Whom?
Development of a standard patient classification system to
be used by the community-based clinics as well as private
practice dentists.
Clarify the actual number of individuals receiving dental
services on an annual basis by using DOH Medicaid claims
data.
Determine how many individuals are not receiving routine,
preventive dental services and why?
Work collaboratively with local area hospitals to reduce
wait-time for needed OR services and improve oral health
to mitigate the need for OR services.
Consumer Perceptions and Satisfaction
Determine areas of oral health satisfaction, perception and
need.
Survey of local agencies and Focus groups of constituents.
Type of Respondent
8% Individual
29% Care Provider
32% Parent
29% Other
2% Guardian
Consumer Perceptions and Satisfaction
Regularity of Past Dental Attendance
n=560
48, 8.60%
102,18.20%
410, 73.20%
Regular Dental Visit
Occasional Dental Visit
Only if Trouble with Teeth
Perceptions on Oral Health Care
90%
85%
80%
77%
74%
72%
70%
70%
60%
60%
50%
53%
47%
40%
30%
20%
20%
10%
0%
77%
73%
Suggestions for Improvement
80% of dental disease occurs in 20% of the population-the
most underserved and least likely to access services and care.
(NOT SAMPLED)
Patient-centered care.
Knowledgeable staff and practitioners.
Universal design.
The concerns and requests of the family members should be
incorporated into any systemic design of oral health services
for this population.
Provider Experiences and Expectations
Surveys and Focus Groups.
7th District Dental Society and Dental Hygiene Society, RGH and EIOH.
151 respondents – DDS 59% (high % specialists and institutional
providers), OH 41%.
Close to 70% of respondents treated individuals with IDD and feel
relatively comfortable and competent doing so.
Respondents felt more competent and prepared to treat patients with
mobility issues than they did with patients who had communication and
behavioral limitations.
High % wanted additional training.
Topics for Continuing Education
70%
59%
60%
60%
50%
41%
38%
40%
30%
20%
10%
0%
25%
21%
19%
42%
Current and Unfolding Policy
Managed Care.
Fragile and ever-changing dental reimbursement picture.
Reduction or elimination of services.
Dental Accreditation.
Role of Dental Hygienists.
Inefficient and limited use of OR care.
Dental Disco Advisory Group (DDSG).
Opportunity for demonstration projects.
Model IDD Oral Health Care Programs
Atlantic County Special Services School District by
University of Medicine and Dentistry of New Jersey.
The Special Smiles Program – Philadelphia.
Tufts, Boston – closed.
Glassman, San Francisco.
Glassman Model California
Focuses on prevention of dental diseases.
Utilizes a case management approach.
Employs a tiered delivery system.
Provides care as close as possible to where individuals with IDD
disabilities live, work and go to school.
Enables hygienists to play a major role in oral health maintenance, as
well as in education of family and caregivers.
Use of Tele-health.
Uses existing community health professionals in new ways.
Rewards services that will improve oral health.
Website
Full report and executive summary can
be found on the following website:
http://www.urmc.rochester.edu/dentistry/news-events.aspx