Embracing Leadership Within

the Community

Steve Geiermann DDSFebruary 1, 2014

21 million patients

HRSA ExpectationsRequirement:

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)

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.

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.

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

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

Albert Einstein

Actions speak louder than

words.

Disease burden overwhelming

Do not hesitate to resort to bribes!

Preventionand

Treatment

Putting the pieces together…

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.

A Balancing Act

Work Smart

Be efficient, effective & productive

Use what tools you have available

Do they know your face?

Community Water Fluoridation

Medical/dental collaboration

AAP Chapter Oral Health Advocates

Smiles for Life Oral Health Curriculum

Oral Health Care During Pregnancy: A National Consensus Statement

Action for Dental Health:Dentists making a

Difference

A Three Prong Approach1. 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

A Three Prong Approach2. 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

A Three Prong Approach3. 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

Changing course in midstream…

“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

Thank you!!

Dr. Steve Geiermann

Senior ManagerAccess, Community Oral Health Infrastructure and Capacity

Council on Access, Prevention and Interprofessional Relations

geiermanns@ada.org 312-440-2667