Alternative Dental Care Delivery Models

What factors affect care delivery models (5)?

1. SES

2. Geographic and workforce availability

3. Technology

4. Race and ethnicity

5. Health literacy and education

What are the 3 aspects of socioeconomic?

1. Income and access to care

2. Affordability of care

3. Dental insurance status

What are the 3 aspects of race and ethnicity?

1. Language barriers

2. Cultural barriers

3. Disparities in the dental workforce

What are the 6 aspects of health and literacy education?

1. Literacy skills

2. Education levels

3. Language differences

4. Cultueral differences

5. Knowledge of the US healthcare system

6. Lack of time for communication

What are some other factors in alternative dental care delivery models?

Fear and anxiety

Precieved racial discrimination

Immigration status

Risk Factors/ Behaviors

Systemic Health conditions

Private practice, DSOs, FQHCs, Community health clinics and NFP clinics are examples of what?

Traditional Dental Healthcare Systems

Mobile dental clinics
School-based dental programs
Teledentistry
Medical-Dental Integration
Correctional and Detention Facilities
Hospitals and Dental Schools are all examples of what?

Alternative Oral Healthcare Systems

The 2017 Wisconsin Act 20 allows for what?

dental hygienists to treat patients without a dentist's authorization or supervision in specific situations

Goal was to reach and rpovide dental care to more vulnerable populations

Where can dental hygenists work without dentist? (5)

Correctional facilities
Nonprofit health care centers
nursing homes
outpatient medical services
adult family homes/care centers

Mobile dental clinics serve what populations?

Marginalized/at risk communities

Pros of Mobile Dental Clinics (4)?

1. Improve access to care (aid with dental deserts)

2. Aid with prevention

3. Cost effective

4. Model to integrate care (medical-dental integration)

Cons of mobile dental clinics (5)??

1. Scope of service (potential limitations)

2. Start-up and operating costs (risk of vehicle accidents)

3. Logistics (schedule, transportation, power supply)

4. Regulatory issues

5. Continuity of care

Pros of the school based mobile clinic (3)???

Flexible
Accessible
Possibly lower cost

Cons of school based mobile clinic (3)???

Limited space
Schedule Challenges
Transportation

Pros of the school based permanent clinic (3)?

Consistent access
More space and equipment
Established infrastructure

Cons of the school based permanent clinic (3)?

Challenges with productivity
Higher initial cost
Limited Mobility

What are the 4 types of Teledentistry?

1. Synchronous

2. Asynchronous

3. Remote pt Monitoring

4. Mobil Health

"Live, two-way interaction between a person (patient, caregiver, or provider) and a provider using audiovisual telecommunications technology

Synchronous tele dentistry

Transmission of recorded health information (for example, radiographs, photographs, video, digital impressions and photomicrographs of patients) through a secure electronic communications system to a practitioner, who uses the information to evaluate a patient's condition or render a service outside of a real-time or live interaction."

Asynchronous tele dentistry

Personal health and medical data collection from an individual in one location via electronic communication technologies, which is transmitted to a provider (sometimes via a data processing service) in a different location for use in care and related support of care

Remote pt montioring

Health care and public health practice and education supported by mobile communication devices such as cell phones, tablet computers, and personal digital assistants

Mobile Health

Syncronous v Asynchronous: (interaction)?

Real-time/ live video (immediate)

Delayed stored information

Syncronous v Asynchronous: Communication?

Video conferencing or phone call

Secure electronic transmission of files

Syncronous v Asynchronous: Case Examples ?

Remote exams, consultation, quick evaluations

Remote monitoring, specialit referrals, treatment planning

What are the two models of medical dental integration?

Co location (one location)
Integration (shared electronic health records)

Ideally what model of collaboration for medical-dental integration?

Bi-directional

Pros of medical dental integration (4)?

1. Improve Patient Outcomes

2. Increased Access to Care and Care follow- through

3. Efficiency (potential cost savings)

4. Interprofessional collaboration

Cons of medical dental integration (4)?

1. Schedule and Logistical challenges (workflow)

2. Reimbursement challenges (financial)

3. Workforce shortages

4. System barriers (separate locations, differing EHRs, etc.)