Access to Baby and Child Dentistry ABCD

1
Access to Baby and Child Dentistry (ABCD)

• Presented
• by
• Spokane Regional Health District
• Spokane, Washington

2
ABCD BACKGROUND

• This began as a five year pilot program in
  February,1995
• Program has evaluated the effects of access and
  enhanced preventive benefits
• Program provides access to prevention, routine
  diagnosis treatment
• Program has increased both provider and client
  education
• Overall program improves access reduces oral
  health disease

3
ABCD GOALS

• To increase dental access to children aged 0-6
  years who live in Spokane or Stevens County and
  are on Medicaid
• To positively impact the oral health status of
  clients and their families
• To examine the effects of improved access
  enhanced preventive dentistry

4
ABCD Project Partnerships

• Spokane Regional Health District
• Department of Social and Health Services (DSHS) /
  Medical Assistance Administration (MAA)
• Spokane District Dental Society
• University of Washington School of Dentistry
• Washington State Dental Association
• Washington Dental Service Foundation

5
ABCD Who is Eligible?

• Any Spokane/Stevens County child under the age of
  5 with a Medicaid ID card

6
ABCD PROCESS

• Parent/guardian must enroll the child
• Once enrollment is complete, a list of ABCD
  dentist is given to the parent/guardian
• Dental education is provided

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ABCD Registration

• 1. Make sure the child is eligible
• 2. Complete enrollment information
• 3. Issue an ABCD Identification Card
• 4. List of participating dentists
• 5. Dental education
• 6. Dental Dos

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ABCD Education

• 1. Educate Clients
• Appropriate behavior and protocol
• Basic oral and personal hygiene
• Dental education-first visit with first teeth or
  by age one
• 2. Training for Healthcare agencies (Train the
  Trainer)
• (Public Health nurses, WIC, maternity access
  programs, foster care)
• 3.Client/Provider Linkage and Referral
• Inform clients of participating dentists
• Refer to pedodontist as needed
• ABCD staff provides case management for
  troubleshooting

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ABCD Outreach

• 1. Enrollment sites
• Convenient community sites (WIC, Head
  Start/ECEAP, Community Centers)
• Spokane Regional Health District
• 2. Reduce Barriers to Access
• Transportation services
• Interpreter services
• Referrals to DSHS to obtain Medicaid coverage
• Referral to other services as needed

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Department Of Social And Health Services (DSHS) /
Medical Assistance Administration (MAA) The
University of Washington

• 1.Tracking System to identify client/provider
  match
• Clients enrolled
• Client/provider visits
• Billing procedures
• Program requirements
• Evaluation
• 2. Program research
• Evaluation project
• Journal articles
• Focus Groups

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Spokane District Dental Society

• Dental provider participation
• Client/Provider linkage and referral
• Private office protocol
• Number of children seen
• Provider services
• Report of NO SHOWS
• Ombudsmen funded by WDSF for the first year to
  trouble shoot claim problems

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ABCD Dental Dos Before the Visit

• DO keep from using the dentist as a threat
• DO keep from using words such as Hurt, Pain, or
  Brave when talking about the visit to the
  dentist
• DO keep from talking to your child about any bad
  dental visits you may have had
• DO present the first visit in a good light. Let
  the dentist do most of the explaining about what
  will be done
• DO stay in the waiting room if requested to do so
• DO tell the dentist about any bad dental visits
  and/or fears your child has had
• DO keep friends older brothers sisters from
  trying to scare your child about the dentist

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The ABCD Childs Dental Visit

• Do present with clean teeth clean body
• Do carry with you a means of disposing of dirty
  diapers
• Do bring only the child who has the appointment
  (if possible)
• DO keep the appointment or call to cancel 24
  hours in advance

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ABCD POINTS of EMPHASIS

• Making an appointment immediately after
  enrollment and timely recalls
• Timeliness
• Cleanliness
• Setting a good example for the child

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ABCD today

• Over 22,000 children enrolled
• 130 participating Dentists
• ABCD E Expanded into Medical
• offices