Indian Health Service Oral Health Program Guide

Oral Health Program Guide

Table of Contents

Chapter 1: Management of Oral Health Programs

A. Introduction

B. Historical and Legislative Highlights

C. Mission, Goal, and Foundation of the IHS

D. Diversity of Programs

E. Title I and Title III Legislation Compared

(Self-Determination and Self-Governance)

F. Program Management and Planning

G. Legal Aspects of Medical/Dental Care

H. Resource Requirement Methodology and HSP

I. Guide for Preparing a Request for Contract (RFC)

J. Oral Health Surveys

K. Scientific Inquiry (Research)

L. Government Performance and Results Act (GPRA)

M. Emergency Medical Treatment and Labor Act (EMTALA)

N. Health Insurance Portability and Accountability Act (HIPAA)

O. Service Unit Dental Budget Management/Service Unit Dental Budget management Excel Spreadsheet

P. Dental Program Policies and Procedures

Q. Billing, Collecting, and Coding

R. Incident Reporting

Appendix I, Sample Policies and Procedures

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Indian Health Service Oral Health Program Guide

Chapter 2: Human Resources

A. Human Resources Development Philosophy

B. Recruitment

C. Orientation

D. Credentialing and Privileging

E. Continuing Dental Education

F. Advanced General Practice Residency Programs

G. EFDA Training and Utilization

H. Distance Learning

I. Personnel Systems

J. Career Development

K. Equal Employment Opportunity

L. Labor Relations

Chapter 3: Program Resources

A. Introduction

B. The Budget Process, National

C. Oral Health Resource Guide

D. HP/DP Awards Program

E. Sources of Grants

F. Tips for Obtaining Grants

G. Listserv

H. IHS Website

I. Area Supports Centers

Chapter 4: Oral Health Promotion and Disease Prevention

A. How to Use the OHP/DP Section

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Indian Health Service Oral Health Program Guide

B. The Community-Oriented Primary Care Model

C. HP/DP Program Planning and Implementation, POARE

D. Community Oral Health Education and Promotion

E. Caries Diagnosis, Risk Assessment, and Management

F. Use of Fluorides in a Public Health Program

G. Community Water Fluoridation

H. Dietary Fluoride Supplements

I. Topical Fluorides and Fluoride Varnish

J. Pit and Fissure Sealants

K. Running a School-based Sealant Program

L. Nutrition and Dental Caries

M. Xylitol

N. Early Childhood Caries

O. Risk-Based Approach to Periodontal Disease Prevention and Treatment

P. Periodontal Disease Treatment Protocol for Individuals with Non-Insulin-dependent Diabetes Mellitus

Q. Oral and Oropharyngeal Cancer and Tobacco Cessation

R. Traumatic Injury/Accident Prevention

S. Head Start

T. School HP/DP Programs

U. Child Abuse and the Mandated Reporter

V. Evaluation of Oral Health Promotion/Disease Prevention Programs

Chapter 5: Delivery of Dental Services

A. Introduction

B. Assessing and Meeting the Needs and Expectations of Customers

C. Access to Care

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Indian Health Service Oral Health Program Guide

D. IHS Schedule of Dental Services

E. RVUs

F. Consultation and Referral

G. Dental Facility Considerations

H. Emergency Procedures in the Dental Office

I. Pharmaceuticals

J. Prophylactic Antibiotic Coverage for Prevention of Bacterial Endocarditis

K. Prophylactic Antibiotic Coverage for patients with Total Joint Replacement

L. Care of the Anticoagulated patient

M. Recommendations for Conscious Sedation

N. Evaluation and Management of the Medically Complex Patients

O. IHS Dental Data System

P. Use of a Fiscal Intermediary to Manage Contract Care Funds

Chapter 6: Environmental Health and Safety

A. Introduction

B. Recommended Infection Control Practices for Oral Health Programs Serving Native Americans

C. Infection Control/Exposure Control Plan Templates

D. Nitrous Oxide Safety

E. Mercury in the Dental Office

F. Radiological Safety

G. Eye Protection

H. Noise Control

I. Ventilation

J. Latex Hypersensitivity

K. Ergonomics

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L. Hazard Communication Program

Chapter 7: Quality Assessment and Improvement

A. Introduction to Quality Assessment and Improvement

B. Evaluation of Clinical Quality

C. Peer Review

D. IHS Quality Assessment Methods and Tools

E. Accreditation Surveys

F. An in-Depth look at Quality Improvement

G. Dental Program Management QI

Chapter 7 Appendices

I. Responsibilities and Guidelines for Implementing the Quality Assessment System

II. Tool for the Evaluation of the Technical Quality of Care (Direct Observation)

III. Tool for the Indirect Review of Clinical Quality (Chart Review)

IV. Tool for the Evaluation of Community Involvement in Oral Health Programs

V. Tool for Evaluation of Management of Oral Health Programs

VI. Tool for Evaluation of Compliance with Infection Control Guidelines

VII. Clinic Efficiency Manual

VIII. Sample Letter