Reaching Our Most Remote Sites With Oral Health Services

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Information about Reaching Our Most Remote Sites With Oral Health Services

Published on October 19, 2007

Author: nashp

Source: slideshare.net

Description

Presented at the National Academy for State Health Policy's 20th Annual State Health Policy Conference in Denver, Colorado. Author: Ron Nagel

Reaching Our Most Remote Sites With Oral Health Services Ron Nagel DDS MPH Alaska Native Tribal Health Consortium www.ANTHC.org

Ron Nagel DDS MPH

Alaska Native Tribal Health Consortium

www.ANTHC.org

Newtok Clinic Yukon Kuskokwim Health Corporation

 

Newtok Clinic, Yukon-Kuskokwim

AFHCAN Cart Alaska Federal Health Care Access Network Wireless Networking Touchscreen Mobile – Customized Consultation Patient education Provider education Health survey tool WWW. AFHCAN.ORG

Wireless Networking

Touchscreen

Mobile – Customized

Consultation

Patient education

Provider education

Health survey tool

WWW. AFHCAN.ORG

Peripherals Supported Digital Camera Still images Video Clips TWAIN Devices Scanners Microscope Imagers Specialty Scanners Video Devices Video Otoscope Dental Camera Other scopes … ECG Spirometer Tympanometer Audiometer Vital Signs Monitor Blood Pressure / Pulse Pulsoximetry Temperature Video Conferencing Under Development Stethoscope

Digital Camera

Still images

Video Clips

TWAIN Devices

Scanners

Microscope Imagers

Specialty Scanners

Video Devices

Video Otoscope

Dental Camera

Other scopes …

ECG

Spirometer

Tympanometer

Audiometer

Vital Signs Monitor

Blood Pressure / Pulse

Pulsoximetry

Temperature

Video Conferencing

Under Development

Stethoscope

Medicaid Study Decreased Travel = Cost Savings Note: For every $1 spent by Medicaid on reimbursement, $7.95 is saved on travel costs. 79 91 Quantity $48,467 Net Savings Realized by Medicaid $55,437 Telemedicine Prevented travel Notes: Only specialty clinic travel is being saved. 86% of cases were from village  region Assume all cases had an escort Travel costs average $307.57 RT per person No lodging / per diem calculated ($6,970) Claims paid by Medicaid Cost

Telemedicine Prevented travel

Notes:

Only specialty clinic travel is being saved.

86% of cases were from village  region

Assume all cases had an escort

Travel costs average $307.57 RT per person

No lodging / per diem calculated

Clinical Guidance

Dental Therapists W.H.O. cites 52 countries that utilize Dental Therapists Functions as part of the dental team under the supervision of a dentist New Zealand has 88 yrs experience and Canada has over 38. Exceptional safety record under general supervision for children and adults They are equipped to help us provide the educational, preventive and safety net services that are most needed.

W.H.O. cites 52 countries that utilize Dental Therapists

Functions as part of the dental team under the supervision of a dentist

New Zealand has 88 yrs experience and Canada has over 38.

Exceptional safety record under general supervision for children and adults

They are equipped to help us provide the educational, preventive and safety net services that are most needed.

Dental Therapy Scope X-rays and exams Cleaning , Sealants, Fluorides Oral health education Fillings and extractions By addressing pain, infection, and function they develop relationships that change behavior to prevent disease University of Washington MEDEX is now providing this training called DENTEX

X-rays and exams

Cleaning , Sealants, Fluorides

Oral health education

Fillings and extractions

By addressing pain, infection, and function they develop relationships that change behavior to prevent disease

University of Washington MEDEX is now providing this training called DENTEX

 

Gambell Clinic, Norton Sound

Future Directions – Pushing More Capability to the Clinics Ultra-Portable Telehealth Technology Home Health Extending more sophisticated technologies with midlevel providers

 

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