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Embracing Leadership Within the Community

Embracing Leadership Within the Community. Steve Geiermann DDS February 1, 2014. 21 million patients. HRSA Expectations. Requirement:

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Embracing Leadership Within the Community

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  1. Embracing Leadership Within the Community Steve Geiermann DDS February 1, 2014

  2. 21 million patients

  3. HRSA Expectations Requirement: • Health center provides all required primary, preventive, enabling health services and additional health services as appropriate and necessary, either directly or through established written arrangements and referrals. (Section 330(a) of the PHS Act)

  4. PIN 87-8 • All centers must provide or arrange for treatment of dental emergencies. • All centers must provide or arrange for the provision of primary preventive services appropriate for their target population.

  5. Pin 87-8 • When a 330/329 supported dental program has filled the requirements for a primary preventive program, the PHS will consider funding Level III services (restorative) if: • There is a documented need, • Dental department capacity can be made available • A financial analysis with income projections indicates that significant revenue will be generated. • Similarly, limited Level IV (basic rehabilitation) services may be provided if revenue will cover a majority of the costs of those services.

  6. HRSA expectations over the last decade • To provide comprehensive primary dental care • Increase the number of dental patients who complete their treatment plans within one year

  7. “Insanity: doing the same thing over and over again and expecting different results. “ Albert Einstein

  8. Actions speak louder than words.

  9. Disease burden overwhelming

  10. Do not hesitate to resort to bribes!

  11. Putting the pieces together… Prevention and Treatment

  12. Resolution 18H - 2011 • Resolved, that the American Dental Association encourages active participation by member dentists as leaders in grassroots community efforts that impact the oral health of the public.

  13. A Balancing Act

  14. Work Smart Be efficient, effective & productive

  15. Use what tools you have available

  16. Do they know your face?

  17. Community Water Fluoridation

  18. Medical/dental collaboration • AAP Chapter Oral Health Advocates • Smiles for Life Oral Health Curriculum • Oral Health Care During Pregnancy: A National Consensus Statement

  19. Action for Dental Health:Dentists making a Difference

  20. A Three Prong Approach • Provide Care Now • Reduce number of people going to hospital ERs for dental pain - refer to private practice or health centers for care • Expand access to care for elderly in nursing homes • Expand MOM and Give Kids A Smile® events

  21. A Three Prong Approach 2. Strengthen the Safety Net • Contracting between private practice dentists and health centers with practitioners receiving enhanced Medicaid reimbursement • Continue to advocate for simplified Medicaid administration reforms and fee increases

  22. A Three Prong Approach 3. Highlight Education and Prevention • Ensuring more Americans have access to fluoridated drinking water • Increasing number of Community Dental Health Coordinators • Strengthening collaborations with other health professionals and organizations: for increased understanding of oral health value

  23. Changing course in midstream…

  24. “Never doubt that a small group of thoughtful, committed citizens can change the world; indeed, it’s the only thing that ever has.” -- Margaret Mead

  25. Thank you!! Dr. Steve Geiermann Senior Manager Access, Community Oral Health Infrastructure and Capacity Council on Access, Prevention and Interprofessional Relations geiermanns@ada.org 312-440-2667

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