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Current Oral Health Workforce: Trends and Models

Current Oral Health Workforce: Trends and Models. Diane Brunson, RDH, MPH September 27, 2012. Objectives. Describe national oral health workforce trends and their applicability to Colorado Outline how dental care financing impacts workforce trends

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Current Oral Health Workforce: Trends and Models

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  1. Current Oral Health Workforce: Trends and Models Diane Brunson, RDH, MPH September 27, 2012

  2. Objectives • Describe national oral health workforce trends and their applicability to Colorado • Outline how dental care financing impacts workforce trends • What is the role of non-dental providers in oral health?

  3. Dental Care Financing • Procedures rather than disease diagnosis • 22% of Colorado children are dentally uninsured • No cost shifting

  4. Dental Insurance • Uninsured do not get dental care - usually • 22% of INSURED also do not get needed care because of cost • No grant funds to cover uninsured care • Dental care financing credit card schemes

  5. Relative Value Units (RVU)

  6. CIVHC • Focus Areas: • Data and transparency • Payment Reform • Delivery system redesign • Palliative care • Care transitions

  7. U.S. Dental School Applicants and First-Year Enrollment Trends 1980 - 2008 Source: American Dental Education Association, U.S. Dental School Applicants and Enrollees, 2007 and 2008 Entering Classes

  8. Race and Ethnicity

  9. Dental Hygiene Education Programs: 2008 - 2009 Source: American Dental Association, 2008-2009 Survey of Allied Dental Education, Table 2 and Table 5

  10. 2009 Dental Hygiene Job Market& Employment Survey - ADHA

  11. Workforce Data

  12. Access to Care

  13. “Midlevel” Providers • Dental Health Aide Therapist • AAPHD Curriculum: JPHD • http://www.dentalboard.state.mn.us/Default.aspx?tabid=1165 • Community Dental Health Coordinator • http://www.ada.org/4925.aspx • Advanced Dental Hygiene Practitioner • http://www.adha.org/downloads/competencies.pdf • Extended Care Permit Hygienist III – KS • http://kslegislature.org/li/b2011_12/measures/documents/summary_hb_2631_2012.pdf • Advance Function Dental Auxiliary – WA • http://www.wsda.org/ • Study re: new provider - CA

  14. www.niioh.org

  15. Smiles for Life

  16. States with MEDICAID Funding for Physician Oral Health Screening and Fluoride Varnish VT WA ME AK MT ND NH MN MA OR NY ID WI RI SD MI WY CT PA IA NE NJ OH IN NV IL DE UT WV CO VA MD CA KS MO KY NC TN HI OK SC AR AZ NM GA AL MS LA DE TX RI FL DC Medicaid coverage approved NJ Approved but not fully implemented Only in certain circumstances Reimbursement not yet approved Version: 8/11

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