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Ambassadors Brief. DENCOM Health Initiatives. UNCLASSIFIED. Mission. US Army Dental Command. - PowerPoint PPT Presentation

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Ambassador Program DENCOM Briefing

Ambassadors Brief

DENCOM Health Initiatives

UNCLASSIFIEDSelect SLIDE MASTER to Insert Briefing Title Here2-Dec-13Name/Office Symbol/(703) XXX-XXX (DSN XXX) / email addressMission DENCOM provides responsive and reliable oral health services and influences Health to improve readiness and advance wellness in support of the Force, Military Families, and all those entrusted to our care.

UNCLASSIFIED 1VisionStrengthening the health of our Nation by improving the oral health of our ArmyUS Army Dental CommandStrengthening the health of our Nation by improving the oral health of our ArmySelect SLIDE MASTER to Insert Briefing Title Here2-Dec-13Name/Office Symbol/(703) XXX-XXX (DSN XXX) / email addressArmy DentistryUNCLASSIFIED 2

Army Dentistry 2013Strengthening the health of our Nation by improving the oral health of our ArmySelect SLIDE MASTER to Insert Briefing Title Here2-Dec-13Name/Office Symbol/(703) XXX-XXX (DSN XXX) / email addressDENTAL ORGANIZATIONFACILITY TYPEQUANTITYDENCOM Headquarters1REGIONAL DENTAL COMMANDS5ARMY DENTAL LABORATORY1DENTAL ACTIVITIES25DENTAL CLINIC COMMANDS19DENTAL CLINICS132MISSION STATEMENT: DENCOM provides responsive and reliable oral health services and influences Health to improve readiness and advance wellness in support of the Force, Military Families, and all those entrusted to our care.

DENCOM Organization

PARENT FACILITY LOCATIONSDENCOM HeadquartersJoint Base San Antonio, TXNorthern RDCFort Belvoir, VASouthern RDCFort Gordon, GAWestern RDCFort Bliss, TXEuropean RDCHeidelberg, GermanyPacific RDCTripler, HIArmy Dental LaboratoryFort Gordon, GA

UNCLASSIFIED 3Strengthening the health of our Nation by improving the oral health of our ArmySelect SLIDE MASTER to Insert Briefing Title Here2-Dec-13Name/Office Symbol/(703) XXX-XXX (DSN XXX) / email addressDental Readiness CategoriesDRC 1 no dental treatment needed (wellness)DRC 2 - dental treatment needed but Soldier is deployable (readiness)DRC 3 dental treatment needed and a condition exists that will require emergency treatment within 12 months (non-deployable)DRC 4 annual dental exam required (status unknown, non-deployable)

UNCLASSIFIED 5

Strengthening the health of our Nation by improving the oral health of our ArmySelect SLIDE MASTER to Insert Briefing Title Here2-Dec-13Name/Office Symbol/(703) XXX-XXX (DSN XXX) / email addressGo First Class (GFC) InitiativeCurrent = ReactiveReact to high OPTEMPO needs to achieve readiness (DRC 2)DRC 2 Soldiers do not routinely return for care

DRC 2 become DRC 3 non-deployable

Multiple appointments to attain readiness, not wellnessDRC 4 walk in & mass/block exams - inefficient/labor intensiveMinimum of 3 separate appointments exam, cleaning, fillings to achieve wellness (DRC 1)**2.5 million hours of Soldiers time away from unit at DTFs for exam, cleaning, and initiate fillings over 3 separate appointments

GFC = ProactiveDesigned to achieve wellness (DRC 1) proactive approach50% of Soldiers achieve wellness in single appointment*DRC 1 five times less likely to experience dental emergency than DRC 3Single appointment for exam, cleaning, simple fillings wellness achievedShifts from inefficiencies of mass/block exams to population management over 12 monthsReduces actual time in DTF - Soldiers time away from unit decreases by approx. 50% = 1.25 million hours**1.25 million hours = 143 years of time returned to Army annually***1.25 million hours in E4 pay/benefits = ~ $31,250,000 annually

GFC Single dental appointment for annual exam, cleaning, and simple fillings *Use of Dental Disease Nonbattle Injury Encounter Module to Assess the Emergency Rate on an Army Military Installation Within The United States. Colthirst P, DeNicolo P, Will R, Simecek J. Military Medicine, 177, 9:1100, 2012 ** Based on end strength of 500,000 AD Soldiers *** Based on $25/hour for pay + benefits UNCLASSIFIED 6

Strengthening the health of our Nation by improving the oral health of our ArmySelect SLIDE MASTER to Insert Briefing Title Here2-Dec-13Name/Office Symbol/(703) XXX-XXX (DSN XXX) / email address

Implementation Plan

Worldwide Defense Connect Online sessions conducted with follow-up Q&AsArmy-wide execution schedule for 1 July 2013132 dental treatment facilities across the commandMass dental exam events phased outWounded Warrior Care priority Urgent care remains priorityDRC 3 and DRC 2 Soldiers continue to be treated

Go First Class ImplementationUNCLASSIFIED 7

Strengthening the health of our Nation by improving the oral health of our ArmyArmy Dentistry Virtual Symposium via DCO 16 April 2013 Rhoades Dental ClinicSelect SLIDE MASTER to Insert Briefing Title Here2-Dec-13Name/Office Symbol/(703) XXX-XXX (DSN XXX) / email address7Go First Class Timeline

Oct 12 Jan 13 April 13 July 13 Oct 13All DTFs OperationalProject Plan ApprovedBlack Belt Projects StartedGFC ImplementationGFC Training via DCOGFC Measurement ImplementationProcesses DevelopedWork Group EstablishedGFC Piloted at Ft BlissGFC Online Portal Established

UNCLASSIFIED 8Strengthening the health of our Nation by improving the oral health of our ArmySelect SLIDE MASTER to Insert Briefing Title Here2-Dec-13Name/Office Symbol/(703) XXX-XXX (DSN XXX) / email addressThe Go First Class initiative is nested within the Army Medicine 2020 Campaign Plan

Go First Class support Lines of Effort 1 and 3

LOE 1: Create Capacity Single appointment for exam, cleaning, simple fillings wellness achieved

Shifts from inefficiencies of mass/block exams to population management over 12 months

Reduces actual time in DTF - Soldiers time away from unit decreases by approx. 50%

LOE 3: Improve Stamina

Go First Class and Army Medicine 2020

50% of Soldiers achieve wellness in single appointmentStrengthening the health of our Nation by improving the oral health of our ArmyUNCLASSIFIED 9Select SLIDE MASTER to Insert Briefing Title Here2-Dec-13Name/Office Symbol/(703) XXX-XXX (DSN XXX) / email address9END STATE

System For HealthReduced VarianceConsistent Patient ExperienceImproved beneficiary healthImproved EfficiencyIDES ImprovementImproved BH OutcomesGFC - A part of the MEDCOM Operating CompanyHealth of the Force Installation VisitsVerify & Sustain ComplianceReady & Resilient EXORDPHASE-IIIPHASE-IIPHASE-IEstablish COP and AssessDevelop StandardsPCMH COPOutcome Metrics (CMS, SMS) &Process MetricsR&ASAVs, & OIPsNCQA RecognitionIDES COP in SMSIDES CAP MatrixMonthly VCSA VTCsIDES Site VisitsIDES CAP MatrixMonthly VCSA VTCsPCMHBHSLIDESIDES SOPs:IDES GuidebookIDES OPORD Annex O back briefsPCMH Implementation & Ops ManualsPolicy 12-035 (PTSD), EBH SOP BHSOC & EBD OPORDsBH Training DayBH Data Platform BH360, MEB Review DatabaseBH OIP, Staff Assistance Visits (SAVs)

GFC

Strengthening the health of our Nation by improving the oral health of our ArmyUNCLASSIFIED 10GFC process maps and standards developed

CDR Dashboard on ADP,Outcome Metrics KPIs, SPIs

R&A, SAVs, OIPs

Select SLIDE MASTER to Insert Briefing Title Here2-Dec-13Name/Office Symbol/(703) XXX-XXX (DSN XXX) / email addressFY13 Trends

Increase in DRC 1 (27.5% to 35.1%)

Steady increase in direct care (83.1% to 86.5%)

Steady increase in available provider FTEs

Monthly average assigned FTEs dropped, but available FTEs rose

17% drop in DRC2 unmet treatment needs

Increase in Patient Satisfaction from 94.4% to 95.3%

UNCLASSIFIED 11Strengthening the health of our Nation by improving the oral health of our ArmySelect SLIDE MASTER to Insert Briefing Title Here2-Dec-13Name/Office Symbol/(703) XXX-XXX (DSN XXX) / email address11Command Support Requested for GFC

Move away from mass/block/SRP examsSoldiers must remain in clinic to initiate/complete treatment (cant refuse to stay - e.g., I cant stay for any fillings because..)Reinforce importance of Soldiers keeping scheduled GFC appointments no failed appointments each failed appointment is ~ $378 in lost productivity Launch date - 1 July 2013

UNCLASSIFIED 12Strengthening the health of our Nation by improving the oral health of our ArmySelect SLIDE MASTER to Insert Briefing Title Here2-Dec-13Name/Office Symbol/(703) XXX-XXX (DSN XXX) / email address12Useful Websites

Go First Class Website Army Dentistry Portal

www.armygfc.info https://info.dencom.army.mil/SitePages/Home.aspx

UNCLASSIFIED 13

Strengthening the health of our Nation by improving the oral health of our ArmySelect SLIDE MASTER to Insert Briefing Title Here2-Dec-13Name/Office Symbol/(703) XXX-XXX (DSN XXX) / email address13A Proud Heritage

Supporting our nation for over 100 years!

UNCLASSIFIED 14

Strengthening the health of our Nation by improving the oral health of our ArmySelect SLIDE MASTER to Insert Briefing Title Here2-Dec-13Name/Office Symbol/(703) XXX-XXX (DSN XXX) / email addressSlide 15 of

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