2005 NATIONAL PRIMARY ORAL HEALTH CARE CONFERENCE

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2005 NATIONAL PRIMARY ORAL HEALTH CARE CONFERENCE

• HYATT REGENCY ATLANTA
• AUGUST 7-11, 2005
• ATLANTA, GEORGIA

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2005 NATIONAL PRIMARY ORAL HEALTH CARE CONFERENCE

• ORAL HEALTH DISPARITIES PLENARY
• AUGUST 9th, 2005
• PRESENTER HUONG N. LE,DDS
• CO-PRESENTERS JANE GROVER, DDS
• and COLLEEN LAMPRON, MPH

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2005 NATIONAL PRIMARY ORAL HEALTH CARE CONFERENCE

• HOW CAN WE HAVE GOOD HEALTH IF WE HAVE BAD
  TEETH?
• AHS
  Patient

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2005 NATIONAL PRIMARY ORAL HEALTH CARE CONFERENCE

• ASIAN HEALTH SERVICES
• Medical clinic started 31 years ago
• Dental clinic opened the doors in June 2003
• Besides primary medical and oral heath care, the
  center also provides other services including
  mental health, teen clinic, health education,
  some specialty care, advocacy, language and
  cultural access program, and many others
• www.ahschc.org

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2005 NATIONAL PRIMARY ORAL HEALTH CARE CONFERENCE

• ASIAN HEALTH SERVICES DENTAL CLINIC

• The Dental Clinic operates 99 paperless, using
  Dentrix Enterprise system
• The clinic went through its Performance Review in
  December
• Selected oral health measure for Performance
  Review was the completion rate of patient cases
  who had a periodontal diagnosis

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2005 NATIONAL PRIMARY ORAL HEALTH CARE CONFERENCE

• ASIAN HEALTH SERVICES DENTAL CLINIC
• Lessons learned from Performance Review process
• The process data driven
• Good data allowed us to learn about the whats ,
  hows and whys of our practice and patients.
• Great open discussions among team members and OPR
  Team helped to identify contributing and
  restricting factors to the success and effective
  ways to improve outcome measures
• After Performance Review The clinic implemented
  many new codes to help us learn much more about
  our patients, their oral health status and needs,
  and their health outcomes. From these results, we
  can plan better on how to accommodate our
  patients and develop a strategic plan for the
  future

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2005 NATIONAL PRIMARY ORAL HEALTH CARE CONFERENCE

• Examples of new codes
• MULTI-CODE NewPt
• NoCaries
• Caries
• Sealants only
• Fillings and sealants
  
• MULTI-CODE Periodx
• Periocomp
• MULTI-CODE Diabetic
• Diabwithperiodx
• Diabperiocomp
• DiabeSMGoals
• MULTI-CODE Smoker
• Refertobac
• TobacF/U
  
• PerinatRef

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2005 NATIONAL PRIMARY ORAL HEALTH CARE CONFERENCE

• Additional Codes
• BPDiastolic over 100
• EdentNewPt
• MULTI-CODEERInitialVisit
• ERReturnF/U
• ERReturnfor FMX
• All Specialist referrals and Follow ups

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2005 NATIONAL PRIMARY ORAL HEALTH CARE CONFERENCE

• TRACKING DATA
• Periodically, we run reports for any measures we
  select
• To verify for accuracy, IT has also set up a
  separate database to match with Dentrix
• RVUs are tracked
• In February, we were able to use RVUs to revise
  our fee schedule

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2005 NATIONAL PRIMARY ORAL HEALTH CARE CONFERENCE

• EXAMPLE of INTEGRATION using Electronic Health
  Record System
• Diabetes Collaborative Medical uses Centricity
  for their PCMS and PECS for Diabetes Registry
• Dental can access for patient information from
  both systems electronically from dental clinic
• Patients are identified as diabetic patients when
  they are seen in dental.
• Their periodontal diagnosis is made by dental
  providers.
• Reports can be run and results are then sent to
  medical providers regarding their registered
  diabetic patients periodontal diagnosis
• As part of Performance Review plan, we now will
  provide medical providers the periodontal
  diagnosis on ALL patients

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2005 NATIONAL PRIMARY ORAL HEALTH CARE CONFERENCE

• Another Example
• Tobacco Education
• Patients are identified as smoker from their
  medical history and information is entered in
  Dentrix as smoker
• Tobacco education is one of the oral health
  indicators
• Patients will be referred to Health Education for
  Tobacco Counseling and referral is recorded in
  the system
• Health Education gives dental reports on
  patients' progress including no show, which will
  be recorded in referral log of Dentrix

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2005 NATIONAL PRIMARY ORAL HEALTH CARE CONFERENCE

• TRACKING HAS NEVER BEEN THIS EASY!
• BUT

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2005 NATIONAL PRIMARY ORAL HEALTH CARE CONFERENCE

• GARBAGE IN, GARBAGE OUT!

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2005 NATIONAL PRIMARY ORAL HEALTH CARE CONFERENCE

• LEARN ABOUT
• OURSELVES
• OUR PRACTICE
• OUR PATIENTS
• SO THAT WE CAN IMPROVE
• OURSELVES
• OUR PRACTICE
• HEALTH OUTCOMES OF OUR PATIENTS

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2005 NATIONAL PRIMARY ORAL HEALTH CARE CONFERENCE

• DELIVERING THE CARE FOR OUR PATIENTS
• Involves
• Clinic staff and providers
• Local partners specialists, local dental society
  partners
• Regional and state Oral health organizations,
  councils and task forces, foundations, state
  dental associations, and other health
  professional organizations
• WE CANT DO IT ALONE!

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2005 NATIONAL PRIMARY ORAL HEALTH CARE CONFERENCE

• THANK YOU FOR YOUR TIME AND ATTENTION!
• HUONG N. LE, DDS
• ASIAN HEALTH SERVICES
• OAKLAND, CA
• hle_at_ahschc.org