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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

Current Oral Health Workforce: Trends and Models

Diane Brunson, RDH, MPH

September 27, 2012

objectives
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?
dental care financing
Dental Care Financing
  • Procedures rather than disease diagnosis
  • 22% of Colorado children are dentally uninsured
  • No cost shifting
dental insurance
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
civhc
CIVHC
  • Focus Areas:
    • Data and transparency
    • Payment Reform
    • Delivery system redesign
      • Palliative care
      • Care transitions
u s dental school applicants and first year enrollment trends 1980 2008
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

dental hygiene education programs 2008 2009
Dental Hygiene Education Programs: 2008 - 2009

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

midlevel providers
“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
slide30

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