2013 HP/DP Program

Award: SFIH Dental

Kathryne Feng, DDS

Santa Fe Service Unit

SFSU HP/DP Award

Increasing Dental Access for Students at Santa Fe Increasing Dental Access for Students at Santa Fe Indian School (SFIS)Indian School (SFIS)

Objectives:Objectives:1.1. By June 1, 2013 increase the number of By June 1, 2013 increase the number of

comprehensive exams comprehensive exams provided to children provided to children between 12-15 yrs old by between 12-15 yrs old by 20 percent20 percent..

2.2. By June 1, 2012, increase the number of By June 1, 2012, increase the number of PlannedPlanned Treatment Completed Treatment Completed for children between 12-15 for children between 12-15 yrs old by yrs old by 15 percent15 percent..

Overview

Why this age group?Why this age group?

Importance of Interdepartmental CollaborationImportance of Interdepartmental Collaboration

Barriers Encountered and Lessons LearnedBarriers Encountered and Lessons Learned

Background

Reduction in work force.Reduction in work force.

Reduced monetary resources for supplies and Reduced monetary resources for supplies and equipment.equipment.

No longer able to provide root canals, crowns, and No longer able to provide root canals, crowns, and bridges or any procedures that require lab work.bridges or any procedures that require lab work.

Community Outreach activities in the past have Community Outreach activities in the past have centered mainly on Head Start Children and centered mainly on Head Start Children and Elementary School students.Elementary School students.

Why this Age Group?

Manual dexterity to care for own oral hygiene.Manual dexterity to care for own oral hygiene.

Ability to make make healthy choices on choosing a Ability to make make healthy choices on choosing a non-cariogenic diet.non-cariogenic diet.

Lost all primary dentition and have unique Lost all primary dentition and have unique opportunity (second chance) to be caries-free!opportunity (second chance) to be caries-free!

Caries if detected early can be restored with simple Caries if detected early can be restored with simple restorations. (NO root canals or extractions!)restorations. (NO root canals or extractions!)

Barriers to Care

Requirement of parents to be present for Requirement of parents to be present for appointments.appointments.

Dental screenings provided, but parents had to Dental screenings provided, but parents had to schedule dental appointments for their children schedule dental appointments for their children themselves.themselves.

Limited dental exam slots available.Limited dental exam slots available.

Long wait between appointments for routine Long wait between appointments for routine dental treatment.dental treatment.

Partnership with Santa Fe Indian School

Routine dental care is provided as long as students Routine dental care is provided as long as students have parental consent on file without parents have parental consent on file without parents being present.being present.

NOTE: Parents still required to be present for NOTE: Parents still required to be present for extractions or treatment of deep caries close to extractions or treatment of deep caries close to the nerve.the nerve.

Priority exam slots reserved for students.Priority exam slots reserved for students.

Priority routine treatment appointments reserved.Priority routine treatment appointments reserved.

HP/DP Program Objectives:

1.1. Increase the number of comprehensive dental Increase the number of comprehensive dental exams to children between 12 to 15 years old exams to children between 12 to 15 years old by 20 percent from the previous school year.by 20 percent from the previous school year.

2. Increase the number of Planned Treatment 2. Increase the number of Planned Treatment Completed (PTCs) of children between 12 to Completed (PTCs) of children between 12 to 15 years old by 15 percent from the previous 15 years old by 15 percent from the previous school year.school year.

Interdepartmental Collaboration

Consultation with Dr. Coles, SFSU Pediatrician Consultation with Dr. Coles, SFSU Pediatrician who works with Santa Fe Indian School (SFIS) who works with Santa Fe Indian School (SFIS) students.students.

Linda Hummingbird, SFIS School Nurse.Linda Hummingbird, SFIS School Nurse.

SFIS AdministrationSFIS Administration

SFSU Business Office/ Patient Benefit SFSU Business Office/ Patient Benefit Coordinators (PBCs)Coordinators (PBCs)

Priority Chairs for SFIS Students

Wednesday Afternoon- Chair #2 designated Wednesday Afternoon- Chair #2 designated only for SFIS Student new exams.only for SFIS Student new exams.

Thursday Chair #2 (All Day)- designated only Thursday Chair #2 (All Day)- designated only for SFIS Student routine dental treatment. for SFIS Student routine dental treatment.

Students had the option of scheduling Students had the option of scheduling appointments in “Priority Chair #2” or regular appointments in “Priority Chair #2” or regular appointments available in the main clinic.appointments available in the main clinic.

Goodies Purchased with Grant Funds

Clinpro SealantsClinpro Sealants

Epic Xylitol Gum & MintsEpic Xylitol Gum & Mints

Happy Tooth Stress BallHappy Tooth Stress Ball

Customized Lip BalmCustomized Lip Balm

Customized Water BottleCustomized Water Bottle

Spin Brush.Spin Brush.

Quantitative Evaluation

By June 1, 2013 increased the number of By June 1, 2013 increased the number of comprehensive dental exams provided to comprehensive dental exams provided to children between 12-15 years old by children between 12-15 years old by 60 percent60 percent from the previous school year (Sept 1- May 31).from the previous school year (Sept 1- May 31).

By June 1, 2013, increased the number of By June 1, 2013, increased the number of Planned Treatment Completed (PTCs) for children Planned Treatment Completed (PTCs) for children between 12 to 15 years old by between 12 to 15 years old by 200 percent200 percent from from the previous school year (Sept 1- May 31).the previous school year (Sept 1- May 31).

Qualitative Evaluation

Patient Benefit Coordinator: Patient Benefit Coordinator:

Include SFSU Booth at registration on student Include SFSU Booth at registration on student registration checklist.registration checklist.

Provide freebies at booth.Provide freebies at booth.

Qualitative Evaluation

School Nurse:School Nurse:

- Indicate whether student is a Day Student or Indicate whether student is a Day Student or Dorm Student.Dorm Student.

- Mail consent forms to students along with - Mail consent forms to students along with school registration forms.school registration forms.

Cont. Qualitative Evaluation

Dental Staff Recommendations:Dental Staff Recommendations:

- Include a telephone number where parent can - Include a telephone number where parent can be reached on the consent form.be reached on the consent form.

- Mail letter to parent after initial exam so that - Mail letter to parent after initial exam so that parents can be aware of how many cavities child parents can be aware of how many cavities child has.has.

- Better communication with SFIS Administration - Better communication with SFIS Administration such that students aren’t scheduled for such that students aren’t scheduled for appointments on Testing Days at school.appointments on Testing Days at school.

Lessons Learned

Use grant funds for postage for mailing paperwork Use grant funds for postage for mailing paperwork to students.to students.

Use grant funds for goodies for booth at student Use grant funds for goodies for booth at student registration.registration.

Provider Shortage: Can keep Priority Chair #2 Provider Shortage: Can keep Priority Chair #2 “open” as opposed to letting staff shortage affect “open” as opposed to letting staff shortage affect scheduling. scheduling.

If we incorporate all our lessons learned, then next If we incorporate all our lessons learned, then next year should yield even better results!!!year should yield even better results!!!