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    April 29 8:30AM - Dental Residencies by Mark Koday

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    jordyn1990
    The document discusses the Yakima Valley Farm Workers Clinic's experience with dental residency programs and how they help integrate dental care into the patient-centered medical home model of care. Key points: 1) Residency programs increase access to dental care, especially for children and medically compromised patients. They also increase productivity and the range of services clinics can provide. 2) Integrating dental and medical care through referrals and standardized protocols improves coordination of care. 3) Residency programs help with long-term recruitment by providing a pipeline of experienced dentists and exposing residents to the community health center model of care. 4) Financial support is available for residency programs through federal programs and clinics can

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    April 29 8:30AM - Dental Residencies by Mark Koday

    Uploaded by

    jordyn1990
    651 views23 pages
    The document discusses the Yakima Valley Farm Workers Clinic's experience with dental residency programs and how they help integrate dental care into the patient-centered medical home model of care. Key points: 1) Residency programs increase access to dental care, especially for children and medically compromised patients. They also increase productivity and the range of services clinics can provide. 2) Integrating dental and medical care through referrals and standardized protocols improves coordination of care. 3) Residency programs help with long-term recruitment by providing a pipeline of experienced dentists and exposing residents to the community health center model of care. 4) Financial support is available for residency programs through federal programs and clinics can

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    Dental Residencies by Mark Koday

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    The document discusses the Yakima Valley Farm Workers Clinic's experience with dental residency programs and how they help integrate dental care into the patient-centered medical home model of care. Key points: 1) Residency programs increase access to dental care, especially for children and medically compromised patients. They also increase productivity and the range of services clinics can provide. 2) Integrating dental and medical care through referrals and standardized protocols improves coordination of care. 3) Residency programs help with long-term recruitment by providing a pipeline of experienced dentists and exposing residents to the community health center model of care. 4) Financial support is available for residency programs through federal programs and clinics can

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    651 views23 pages

    April 29 8:30AM - Dental Residencies by Mark Koday

    Uploaded by

    jordyn1990
    The document discusses the Yakima Valley Farm Workers Clinic's experience with dental residency programs and how they help integrate dental care into the patient-centered medical home model of care. Key points: 1) Residency programs increase access to dental care, especially for children and medically compromised patients. They also increase productivity and the range of services clinics can provide. 2) Integrating dental and medical care through referrals and standardized protocols improves coordination of care. 3) Residency programs help with long-term recruitment by providing a pipeline of experienced dentists and exposing residents to the community health center model of care. 4) Financial support is available for residency programs through federal programs and clinics can

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    The Yakima Valley Farm Workers Clinic Experience

    Mark Koday DDS Chief Dental Officer- YVFWC Director- Northwest Dental Residency
    Best Practices Conference Austin, Texas

    Defining Elements of PCMH*


    Comprehensive Care
    Patient Centered Coordinated Care Accessible Services
    *US Department of Health and Human Services

    PCMH and Dentistry = PCHH


    1.
    2. 3. 4. 5. 6.

    Access: medical to dental; dental to medical; WIC access Increased procedure range Huddles Tx plans and treatment option presentations Quality of care Risk improvement

    What Holds Dental Back From True Integration?


    Dental capacity issues due to the unequal size of the

    medical and dental department: Access for medical patients into dental Increased range of services Dental/Administrative leadership Medical/ Dental connection

    How Do Residencies Add to PCHH


    Increased encounters and productivity Funding to support growth (if you own the residency) Outside expertize: increase quality Increased range of services Need to recruit a new type of provider Increased ability to recruit Medical consults Residents want the experience of working out of multiple operatories- improved ability to efficiently schedule = increased access

    PCHH Integration and Residencies


    Children: pediatric residency
    Adults (pregnant women, diabetics

    emergencies: AEGD residency Community: Dental Public Health Residency

    Pediatric Residencies
    Increased childrens access
    Increased specialty access Access for medically and

    developmentally compromised children Risk assessment development General anesthesia services

    Pediatric Dental Productivity


    Clinic # Pediatric Dentists # of Residents Encounters 2013

    Childrens Village

    4,958 = 2,479/ DDS

    Viewcrest
    Total

    2
    4

    4
    5

    11,553 = 5,776/ DDS


    16,511 = 4,127/ DDS

    Public Health Dental Residency


    Help in integration of health services Connecting with outside health organizations Increased dedicated time to any project (i.e.

    quality metrics, designing PDSAs etc.) Design and conduct population based studies Evaluate and monitor dental care delivery systems Select interventions and strategies to improve oral health

    Advanced Education in General Dentistry (AEGD) Residency


    Increased access for adults
    Increased Access for medically

    compromised adults Wider range of procedures = better ability to serve the patient Increased ability to recruit experienced dentists

    CODA Accreditation and PCHH


    Residents must see adults
    Must see medically compromised patients Pregnant women and one-year old access

    Quality of care focus


    Need for dentists to be more engaged in the dental

    program than just getting their numbers in Focus on tx completion

    Long Term Provider Recruitment Issues


    Staff turnover- cost
    Project where you want to be in the future Create a new niche for recruiting

    Develop provider skills


    Additional equipment possibilities (own your own) Wider procedure lists = higher retention Residents will fill your own CHC staff openings- year

    long working interview

    Operations
    Planning for a residency is a clinical and operational

    project Staffing Operatory availability Office space Front office staffing Equipment needs (sterilization, instruments, equipment, supplies) Video-conferencing equipment and support

    Financial Resources
    Northwest Dental Residency Title 7 funding: $250,000/ year Teaching Health Center funding: $150,000/ resident Resident generated production/ encounters Lutheran Medical Center GME funded program Residents salary and benefits paid for by LMC Resident generated production/ encounters

    Residents: maximizing encounters

    Dr. MM is YVFWC highest producer Dr. DB- first year at the clinic All dentists have 3 chairs and 3 DAs

    Residents- maximizing productivity

    Dr. MM is our highest producing dentist

    Medical/ Dental Connection


    Formalized referrals between medical and dental
    WIC referrals Incorporate and standardize protocols in both dental

    and medical: i.e. Narcotic prescriptions

    Productivity- Potential new model


    3 chairs/ 3 DAs per DDS/ resident team
    Multiple chairs: new model- SS clinic

    Quality Monitoring
    Chart Audits
    Treatment Plan Completion reports Clinical photos

    Huddle % reports
    Consent completion reports

    Where Do Our Residents Go?


    32% employed by Community Health Centers
    61% worked in rural areas 89% worked with the underserved

    54% worked in health professional Shortage areas


    43% have patient pools composed of 51 to 100%

    Medicaid

    Politics of Residencies
    Dentist driven access
    WA State Dental Association- Task Force on Public

    Policy Capital equipment and facility requests State-wide dental residency committee

    Quality Monitoring- Critical

    CHC Considerations for Deciding on a Residency Program

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