City of Portland, Maine Oral Health Program

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City of Portland, Maine Oral Health Program
2
Overview of Presentation

• Purpose
• Demographics
• Community collaboration
• Oral Health program overview
• Integrated Homeless Health Clinic
• Innovations
• Open access
• Case management
• Outcomes

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Purpose

• To offer an overview of the program to suggest
  ways to help other clinics operate more
  effectively, including reducing lost provider
  time, accommodating emergencies, decreasing the
  time between appointments, and increasing
  collaboration with other providers.

4
Demographics

• Rural New England state
• Metropolitan population 230,000
• Homeless population 5,000
• Special populations served
• Refugee
• HIV positive
• Teenagers

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Community Collaboration

• Social service agencies
• Mental Health
• Halfway houses
• Teen Center
• Oral surgeons
• Community dental clinics
• Hospitals
• Public Health Division of the City of Portland
• State of Maine
• Public Health nurses
• Intensive case managers

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Portland Oral Health Program

• Homeless
• Hygiene
• Dental clinic
• Denture laboratory contract
• Low-income
• Hygiene
• Volunteer Dentists, Oral Surgeons, and
  Endodontists
• Community clinic
• Nursing home
• Case Management

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Homeless Health Clinic Overview

• Integrated clinic
• Dental
• Primary care
• Mental health
• Substance abuse
• Close to day shelter, soup kitchen, overnight
  shelter, social services agencies

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Open Access

• No-shows vs. lost time
• Client working list
• Sit and wait
• Emergencies
• 1 slot per day
• Customer satisfaction
• Control over pace of care
• Always an option to engage services

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Case Management

• Follow-up on no-shows
• Outside providers
• Oral surgeons
• Denture program
• Outreach
• Contact hard-to-reach patients
• Teens
• Street
• Education
• Health fairs
• Progress in treatment
• Resources
• Volunteer dentists
• Local philanthropic societies

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Outcomes

• No-show rate/lost time
• Case management
• Same-day/next-day service
• Booking out maximum 2 weeks
• Only with people who follow-up