2005 national primary oral health care conference hyatt regency atlanta august 7-11, 2005 atlanta,...
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2005 NATIONAL PRIMARY 2005 NATIONAL PRIMARY ORAL HEALTH CARE ORAL HEALTH CARE
CONFERENCECONFERENCE
HYATT REGENCY ATLANTAHYATT REGENCY ATLANTA
AUGUST 7-11, 2005AUGUST 7-11, 2005
ATLANTA, GEORGIAATLANTA, GEORGIA
2005 NATIONAL PRIMARY ORAL 2005 NATIONAL PRIMARY ORAL HEALTH CARE CONFERENCEHEALTH CARE CONFERENCE
ORAL HEALTH DISPARITIES PLENARYORAL HEALTH DISPARITIES PLENARY
AUGUST 9AUGUST 9thth, 2005, 2005
PRESENTER: HUONG N. LE,DDSPRESENTER: HUONG N. LE,DDS
CO-PRESENTERS: JANE GROVER, CO-PRESENTERS: JANE GROVER, DDSDDS
and COLLEEN LAMPRON, MPHand COLLEEN LAMPRON, MPH
2005 NATIONAL PRIMARY ORAL 2005 NATIONAL PRIMARY ORAL HEALTH CARE CONFERENCEHEALTH CARE CONFERENCE
““HOW CAN WE HAVE GOOD HEALTH IF HOW CAN WE HAVE GOOD HEALTH IF WE HAVE BAD TEETH?”WE HAVE BAD TEETH?”
AHS AHS PatientPatient
2005 NATIONAL PRIMARY ORAL 2005 NATIONAL PRIMARY ORAL HEALTH CARE CONFERENCEHEALTH CARE CONFERENCE
ASIAN HEALTH SERVICESASIAN HEALTH SERVICES• Medical clinic started 31 years ago Medical clinic started 31 years ago • Dental clinic opened the doors in June 2003Dental clinic opened the doors in June 2003• Besides primary medical and oral heath Besides primary medical and oral heath
care, the center also provides other services care, the center also provides other services including mental health, teen clinic, health including mental health, teen clinic, health education, some specialty care, advocacy, education, some specialty care, advocacy, language and cultural access program, and language and cultural access program, and many othersmany others
• www.ahschc.orgwww.ahschc.org
2005 NATIONAL PRIMARY ORAL 2005 NATIONAL PRIMARY ORAL HEALTH CARE CONFERENCEHEALTH CARE CONFERENCE
ASIAN HEALTH SERVICES DENTAL ASIAN HEALTH SERVICES DENTAL CLINICCLINIC•The Dental Clinic operates The Dental Clinic operates 99% paperless, using 99% paperless, using Dentrix Enterprise systemDentrix Enterprise system•TheThe clinic went through its clinic went through its Performance Review in Performance Review in DecemberDecember•Selected oral health Selected oral health measure for Performance measure for Performance Review was the completion Review was the completion rate of patient cases who rate of patient cases who had a periodontal diagnosishad a periodontal diagnosis
2005 NATIONAL PRIMARY ORAL 2005 NATIONAL PRIMARY ORAL HEALTH CARE CONFERENCEHEALTH CARE CONFERENCEASIAN HEALTH SERVICES DENTAL CLINICASIAN HEALTH SERVICES DENTAL CLINICLessons learned from Performance Review processLessons learned from Performance Review process• The process: data drivenThe process: data driven• Good data allowed us to learn about the what’s , how’s and Good data allowed us to learn about the what’s , how’s and
why’s of our practice and patients. why’s of our practice and patients. • Great open discussions among team members and OPR Great open discussions among team members and OPR
Team helped to identify contributing and restricting factors Team helped to identify contributing and restricting factors to the success and effective ways to improve outcome to the success and effective ways to improve outcome measuresmeasures
• After Performance Review: The clinic implemented many After Performance Review: The clinic implemented many new codes to help us learn much more about our patients, new codes to help us learn much more about our patients, their oral health status and needs, and their health their oral health status and needs, and their health outcomes. From these results, we can plan better on how to outcomes. From these results, we can plan better on how to accommodate our patients and develop a strategic plan for accommodate our patients and develop a strategic plan for the futurethe future
2005 NATIONAL PRIMARY ORAL 2005 NATIONAL PRIMARY ORAL HEALTH CARE CONFERENCEHEALTH CARE CONFERENCEExamples of new codes:Examples of new codes:• MULTI-CODE: NewPtMULTI-CODE: NewPt NoCariesNoCaries CariesCaries Sealants onlySealants only Fillings and sealants Fillings and sealants • MULTI-CODE: PeriodxMULTI-CODE: Periodx PeriocompPeriocomp• MULTI-CODE: DiabeticMULTI-CODE: Diabetic DiabwithperiodxDiabwithperiodx DiabperiocompDiabperiocomp DiabeSMGoalsDiabeSMGoals• MULTI-CODE: SmokerMULTI-CODE: Smoker RefertobacRefertobac TobacF/U TobacF/U • PerinatRefPerinatRef
2005 NATIONAL PRIMARY ORAL 2005 NATIONAL PRIMARY ORAL HEALTH CARE CONFERENCEHEALTH CARE CONFERENCE
Additional CodesAdditional Codes
• BPDiastolic over 100BPDiastolic over 100
• EdentNewPtEdentNewPt
• MULTI-CODE:ERInitialVisitMULTI-CODE:ERInitialVisit
ERReturnF/UERReturnF/U
ERReturnfor FMXERReturnfor FMX
• All Specialist referrals and Follow upsAll Specialist referrals and Follow ups
2005 NATIONAL PRIMARY ORAL 2005 NATIONAL PRIMARY ORAL HEALTH CARE CONFERENCEHEALTH CARE CONFERENCE
TRACKING DATATRACKING DATA• Periodically, we run reports for any Periodically, we run reports for any
measures we selectmeasures we select• To verify for accuracy, IT has also set To verify for accuracy, IT has also set
up a separate database to match with up a separate database to match with DentrixDentrix
• RVU’s are trackedRVU’s are tracked• In February, we were able to use RVU’s In February, we were able to use RVU’s
to revise our fee scheduleto revise our fee schedule
2005 NATIONAL PRIMARY ORAL 2005 NATIONAL PRIMARY ORAL HEALTH CARE CONFERENCEHEALTH CARE CONFERENCEEXAMPLE of INTEGRATION using Electronic Health Record EXAMPLE of INTEGRATION using Electronic Health Record
System:System:• Diabetes Collaborative: Medical uses Centricity for their Diabetes Collaborative: Medical uses Centricity for their
PCMS and PECS for Diabetes RegistryPCMS and PECS for Diabetes Registry• Dental can access for patient information from both Dental can access for patient information from both
systems electronically from dental clinicsystems electronically from dental clinic• Patients are identified as diabetic patients when they are Patients are identified as diabetic patients when they are
seen in dental.seen in dental.• Their periodontal diagnosis is made by dental providers.Their periodontal diagnosis is made by dental providers.• Reports can be run and results are then sent to medical Reports can be run and results are then sent to medical
providers regarding their registered diabetic patient’s providers regarding their registered diabetic patient’s periodontal diagnosisperiodontal diagnosis
• As part of Performance Review plan, we now will provide As part of Performance Review plan, we now will provide medical providers the periodontal diagnosis on ALL patientsmedical providers the periodontal diagnosis on ALL patients
2005 NATIONAL PRIMARY ORAL 2005 NATIONAL PRIMARY ORAL HEALTH CARE CONFERENCEHEALTH CARE CONFERENCEAnother Example:Another Example:• Tobacco EducationTobacco Education• Patients are identified as smoker from their medical Patients are identified as smoker from their medical
history and information is entered in Dentrix as history and information is entered in Dentrix as “smoker”“smoker”
• Tobacco education is one of the oral health indicatorsTobacco education is one of the oral health indicators• Patients will be referred to Health Education for Patients will be referred to Health Education for
Tobacco Counseling and referral is recorded in the Tobacco Counseling and referral is recorded in the systemsystem
• Health Education gives dental reports on patients' Health Education gives dental reports on patients' progress including no show, which will be recorded in progress including no show, which will be recorded in referral log of Dentrixreferral log of Dentrix
2005 NATIONAL PRIMARY ORAL 2005 NATIONAL PRIMARY ORAL HEALTH CARE CONFERENCEHEALTH CARE CONFERENCE
TRACKING HAS NEVER BEEN THIS TRACKING HAS NEVER BEEN THIS EASY!EASY!
BUT…BUT…
2005 NATIONAL PRIMARY ORAL 2005 NATIONAL PRIMARY ORAL HEALTH CARE CONFERENCEHEALTH CARE CONFERENCE
GARBAGE IN, GARBAGE GARBAGE IN, GARBAGE OUT!OUT!
2005 NATIONAL PRIMARY ORAL 2005 NATIONAL PRIMARY ORAL HEALTH CARE CONFERENCEHEALTH CARE CONFERENCE
LEARN ABOUT LEARN ABOUT OURSELVESOURSELVES OUR PRACTICEOUR PRACTICE OUR PATIENTSOUR PATIENTSSO THAT WE CAN IMPROVE SO THAT WE CAN IMPROVE OURSELVESOURSELVES OUR PRACTICEOUR PRACTICE HEALTH OUTCOMES OF OUR HEALTH OUTCOMES OF OUR
PATIENTSPATIENTS
2005 NATIONAL PRIMARY ORAL 2005 NATIONAL PRIMARY ORAL HEALTH CARE CONFERENCEHEALTH CARE CONFERENCE
DELIVERING THE CARE FOR OUR PATIENTSDELIVERING THE CARE FOR OUR PATIENTSInvolvesInvolves• Clinic staff and providersClinic staff and providers• Local partners: specialists, local dental Local partners: specialists, local dental
society partnerssociety partners• Regional and state: Oral health Regional and state: Oral health
organizations, councils and task forces, organizations, councils and task forces, foundations, state dental associations, and foundations, state dental associations, and other health professional organizationsother health professional organizations
WE CAN’T DO IT ALONE!WE CAN’T DO IT ALONE!
2005 NATIONAL PRIMARY ORAL 2005 NATIONAL PRIMARY ORAL HEALTH CARE CONFERENCEHEALTH CARE CONFERENCE
THANK YOU FOR YOUR TIME AND THANK YOU FOR YOUR TIME AND ATTENTION!ATTENTION!
HUONG N. LE, DDSHUONG N. LE, DDS
ASIAN HEALTH SERVICESASIAN HEALTH SERVICES
OAKLAND, CAOAKLAND, CA
[email protected]@ahschc.org