Arkansas Children`s Hospital

Arkansas Children’s Hospital
NPOHC 2011
Providing Comprehensive Dental Care with Mobile Dental Clinics
Presented by: Craig Rechkemmer
Rechkemmer, DDS
ACH Dental Outreach
Disclaimers
I have
h
no disclaimers
di l i
The Need in 2008
•
•
Dental caries (tooth decay) is the single most common chronic
childhood disease
disease--5
5 times more common than asthma and 7 times
more common than hay fever.
- Oral Health in America: A Report of the Surgeon General, 2000
61% of Arkansas children have evidence of current or past
cavities
- Arkansas Dept of Health’s Oral Health 2007 Report
•
31% of Arkansas children have untreated dental decay
- Arkansas Dept of Health’s Oral Health 2007 Report
•
More than 51 million hours of schooling
g are lost annually
y due to
lack of dental care among children.
- Oral Health in America: A Report of the Surgeon General, 2000
2008 State Report
2008 Statistical Data
Shortage of Dentists
Second
to
Last
Source: 3/20/09, http://www.statemaster.com/red/graph/hea_tot_den_percap-health-total-dentists-percapita&b_printable=1
Shortage of Dentists
• Approximately
pp
y 60 percent
p
of
practicing dentists are located in just
8 of Arkansas’ 75 counties
• Pulaski County has twice as many
Medicaid dental practitioners than its
surrounding
g six counties combined
Source: Natural Wonders Report, 2011
Mobile Dental Clinics
Video Tour
Our Partners & Sponsors
Six Years of Supporting Data
July
J l 2002 ~ July
J l 2008
Springfield, MO
• 20,627 Appointments
• 6,965 Children Treated
• $4,297,748 in Dental Services
•
•
•
•
•
•
•
•
18,564
18
564 Sealants
S l t
16,310 Composites
1,647 Amalgams
1 603 Extractions
1,603
E
i
2,129 Pulpotomies
2,794 Stainless steel crowns
113 SSC with resin facing
314 Space maintainers
February 2010
April 2009
May 2011
Mobile Unit Statistics
As of June 30, 2011
60%
First
Dental Visit
$1,445,504
1,993 Children Served
4 504 Cavities Treated
4,504
3,402 Sealants Placed
1,192 Children treated in the
mobile clinic had never
seen a dentist
82% Treatment Plan Completion Rate
Mobile Clinic Logistics
•
We stay at each site for two
to three weeks
•
During the school hours we
treat children from that
school
•
After school hours we treat
children from other schools
that have not been completed
or have emergencies
•
Most of the treatment plans
are completed at each site
•
During the summer we go to
summer schools
schools, Boys & Girls
Clubs and Head Starts
Our Primary Focus
• Ages 3 ~ 11
• Medicaid eligible children
• Children without dental
insurance
• Children
Child
enrolled
ll d in
i the
th Free
F
and Reduced Lunch Program
• Children in 2nd grade are
our initial focus
• Other students are
prioritized by the school
nurse
• Children that are not
active patients of a
private dental office
Site Selection Rationale
Northwest Arkansas
Name
County
Mile
s
2nd
Grade
Total
Enrollment
% on
F&R
1
Old Wire Elementary School
BENTON
3.9
48
334
61%
2
Eastside Elementary School
BENTON
4
75
471
65%
3
Bonnie Grimes Elementary School
BENTON
6
92
513
68%
4
Frank Tillery Elementary School
BENTON
5
80
523
72%
5
Joe Mathias Elementary School
BENTON
8
90
509
74%
6
Decatur Northside Elementary School
BENTON
26
40
238
79%
7
Grace Hill Elementary School
BENTON
6
86
502
81%
8
Jones Elementary School
BENTON
3
69
459
82%
9
Harp Elementary School
WASHINGTON
10
99
561
62%
10
Leverett Elementary School
WASHINGTON
17
47
283
64%
11
Lincoln Elementary School
WASHINGTON
35
103
612
65%
12
Owl Creek School
WASHINGTON
17
77
535
71%
13
Bayyari Elementary School
WASHINGTON
6
120
760
72%
14
Asbell Elementary School
WASHINGTON
16
62
451
74%
15
Robert E. Lee Elementary School
WASHINGTON
6
86
489
74%
16
Westwood Elementary School
WASHINGTON
6
88
482
76%
17
Elmdale Elementary School
WASHINGTON
6
106
618
76%
18
Parsons Hills Elementary School
WASHINGTON
9
125
671
81%
19
Jones Elementary School
WASHINGTON
6
91
495
93%
Mobile Dental Clinic Needs
School Nurse
– Distribute & Collect applications
– Prioritizing kids
– Liaison between teachers and clinic
Sh
Shore
Power
P
(Parts
(P t $600)
- 50 amp, 250 volt, 4 wire,
dedicated circuit
Internet Access (Parts $95)
- Outdoor Cat5e/RJ45 Outlet
Carpool Vehicle
School Reports
Paperwork & Consent Forms
Dental Home Concerns
Mobile Unit Considerations
B k B
Backup
Batteries
i f
for Cli
Clinic
i
Backup Dental
Delivery System
Backup Internet Provider
Electronic Medical Records
Staffing & Recruiting
I th
In
the pastt three
th
years
Clinic Team per Mobile Unit
• Dentist
(Two with CDLs)
• Two Dental Assistants
(Four with CDLs)
• Patient Information Assistant
(One with CDL)
•
Recruited Five Dentists
•
g
Manager
g
One Program
Before
After
5 years old - 24 cavities - 10 visits - $4,123
Before
After
My Best Work
2011 Noted Progress
1)
2)
3)
4)
Statewide Water Fluoridation (Act 197)
Collaborative Hygiene-Sealant (Act 89)
Dental Varnish Application (Act 90)
Arkansas served more than half of
Medicaid-enrolled kids
Fluoridation Progress
Statewide Water
Fluoridation (Act 197):
Mandates communities
with 5,000+
5 000+ residence
to have community
water fluoridated
Delta Dental
will fund the
installation of the FL
equipment for Act 197
Source: Community Water
Fluoridation: A Position
Paper Prepared by the
Office of Oral Health and
the Science Advisory
Committee; March 12,
2008
Prevention Progress
Statewide Sealant Program
2,400 Children • 4,000 Sealants • 22 schools
National Sealant Goals
2008
17%
Source: Natural Wonders Report, 2011
Fluoride Varnish Progress
Dental Varnish Application (Act 90)
Nevada Medicaid reimburses Dental
and
Medical providers $18.39 per application
Photo Source: https://decs.nhgl.med.navy.mil/DIS65/sec3.htm
http://www.healthunit.org/reportpub/ann_report/ann_report_2006/ann_fluoride_2006.htm
School--based Dental Clinic
School
Wakefield Elementary
Serves six schools
Dr. Collins
School--based Dental Clinic
School
Wakefield Elementary
More than just Teeth
Thank you Letters
New Smile Video
Did Not Smile Video
Contact Info
Craig A Rechkemmer, DDS
Arkansas Children
Children’ss Hospital
Dental Outreach
Ronald McDonald Care Mobile®
501-364-4291
RechkemmerCA@ARChildrens.org