South Hampton Roads Dental Safety Net Convening Monday, June 18, - - PowerPoint PPT Presentation

South Hampton Roads Dental Safety Net Convening

Monday, June 18, 2018 Norfolk, VA

Welcome!

• Name
• Organization
• Who does your organization serve?
• Why are you here today?

Desired Outcomes

• Shared understanding of how we got here
• Shared understanding of VaOHC’s role in

facilitating the SHR Oral Health Alliance

• Shared understanding of what is happening in
• ther parts of VA to increase utilization of the

dental safety net

• Consensus on next steps to enhance dental

safety net coordination and utilization

Virginia Oral Health Coalition

Striving to ensure all Virginians have access to affordable comprehensive health care that is inclusive of oral health

4

Advocacy | Provider Education | Public Awareness

Guiding Principles

Virginians know that good oral health is essential to overall health. The prevalence of dental disease is reduced in Virginia through prevention activities and early diagnosis and treatment. The oral health workforce in Virginia adequately meets the needs of its citizens by working to the full extent of their education and training. Medical and dental providers and educators understand the links between oral health and overall health and work to ensure Virginians receive comprehensive care. Virginians have access to quality, affordable, and comprehensive dental insurance coverage.

Provider Education

Pregnancy and Early Childhood

• Partnering with CHIP of Virginia to train CHWs and home visitors
• Fluoride varnish and oral health integration training for pediatric

medical providers

Special Needs

• Providing continuing education to dental professionals on techniques

and resources to care for individuals with special health care needs

Oral Health Integration

• Safety Net Learning Collaborative
• Oral Health Integration Toolkit

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Virginia Oral Health Report Card

Regional Alliances

• Working groups with different

structures and focus areas

• Measurable goals and action

plans

• Data-Driven
• System change focus
• not just programs and education
• Timeframe for

implementation depends on the stakeholders involved

Determined not to recreate the wheel or develop more silos

The Coalition’s Role in the Alliances

We provide the backbone support to enable local and regional partners to collaborate more effectively to improve oral health.

• Convener
• Facilitator
• Topical expertise
• Resources and tools

Register by August 14: http://bit.ly/VaOHCAug2018

The Coalition is focused on deepening the leadership capacity of regional oral health alliance members and co-creating a sustainable infrastructure to continue their work. Participants from regional oral health alliances will gain or build upon the skills to

• Lead community-driven, collaborative

initiatives,

• Garner support for collective action and

policy change, and

• Build the infrastructure for sustainable

system change. Register by August 14: http://bit.ly/VaOHCAug2018

How Did We Get Here?

Summer 2018

• Convened a

planning group of 9 members

• Designed oral

health forum to kick-off collaborative efforts

• Reviewed and

provided feedback on

• ral health

data for the region

October 2017

• Over 50

participants in kick-off forum

• Examined
• ral health

data snapshot for the region

• Identified

potential regional goals and strategies to improve oral health for specific populations

• The Alliance

was formed

• Feb. 2018
• Over 35

participants

• Refined goals

further

• Identified

potential partners and existing coalitions that could address parts of the goals

Spring 2018

• Ongoing

stakeholder engagement

• Minus 9-to-5

and Aging Adults Affinity Group

TODAY!

• Discuss
• pportunities

to increase safety net collaboration

• Identify

specific next steps

What Did We Learn?

What’s Working Well

Safety Net Services

• Integrated medical-dental model
• Mobile van (HRCAP/HRCHC)
• Pre-pay option lowers no-show rates

Patient Education

• Access Partnership connects patients to resources

Support Programs

• Dental vouchers
• Homeless Connect

What else?

Opportunities

Coordinating Services

• More communication among safety net sites about eligibility, hours, and populations
• Coordination of emergency services
• Referring partner/social service education about services and benefits available

Transportation

• Transport to dental services between 9 and 11 a.m. Most appointments are booked

during this time, which overloads the I-ride system. There are no weekend services, and Uber and Lyft drivers are not prepared for potential medical issues of seniors.

Cost

• Sliding scale fees still too much for some patients

Language

• Language and cultural barriers
• Documentation issues lead to fear, care avoidance

Identified Goals and Strategies

• Goal: Increase the number of uninsured/under-insured

adult with an established dental home by improving collaboration among free and low-cost dental providers.

• Strategies:

– Convene a safety net group to share information and develop a resource sheet. – Explore qualitative data about barriers to utilization of care. – Work on a referral system for safety net partners – Improve coordination with CCEVA’s dental voucher program.

Medicaid expansion means that nearly 37,000 adults in SHR will be eligible for coverage Jan 1, 2019

What is Happening Outside of SHR?

Examples

• Capacity Mapping:

– Working with another regional coalition to map and survey safety net clinics and determine capacity to meet demand for services (including dental)

• Qualitative Research:

– Identify barriers from patient perspective

• Integration Collaborative

Medicaid Expansion This is a BIG deal!

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Coverage in Virginia

Medicare

• No dental benefits

Medicaid and FAMIS

• Comprehensive dental

coverage for children & pregnant women

• Extraction benefit for adults

– Caretaker adults – Aged, blind and disabled

Traditional Dental Benefit

• Prevention services are free
• Yearly cap

Exchange Dental Benefit

• Adult

– No mandate – No subsidies

What does this actually mean?

• 400,000 newly

eligible adults

– 37,500 in SHR

• Effective Jan 1 or

before

– Enrollment

• pening TBD
• State Plan

Amendment

• 1115 waiver

– Work requirements – Cost sharing

• Limited dental

benefit

– Extraction – MCO enhanced benefit (ex: cleaning)

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Dental Coverage - Medicaid

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*Income limits vary by family size

www.coverva.org

Coverage Gains by Locality

*Uninsured nonelderly adults up to 138 percent FPL residing in localities, some may not meet all eligibility requirements. Source: TCI analysis of US Census Bureau ACS 5-year data, 2012-2018. Updated: January 3, 2018.

Locality Could Gain Coverage* Chesapeake City 5,700 Franklin City 600 Isle of Wight County 1,000 Norfolk City 12,600 Portsmouth City 4,300 Southampton County 700 Suffolk City 2,100 Virginia Beach City 10,600 Total 37,600

South Hampton Roads Oral Health Alliance Safety Net Convening Monday, June 18, 2018 | 11:30 am – 1:30 pm United Way of South Hampton Roads, Norfolk, VA Participant List Virginia Oral Health Coalition Staff:

Sarah Bedard Holland, Chief Executive Officer Lauren Gray, Program and Engagement Manager Lauren Sawyer, Communications Manager Sarah Stemrich, Office and Program Coordinator

Participant Name: Organization:

Beatriz Amberman Virginia Coalition of Latino Organizations Kathleen Banfield United Way of South Hampton Roads Valda Branch Southeastern Virginia Health System Lakeshia Calhoun Hope House Foundation Theresa Chopito Hampton Roads Community Action Program

• Dr. Catherine Christie Scott

Hampton Roads Community Health Center Nikia Cobbs Catholic Charities of Eastern Virginia Melissa Eggen Obici Healthcare Foundation Angela Futrell Southeastern Virginia Health System Ashley Greene Western Tidewater Free Clinic Theresa Jackason-Pope Western Tidewater Community Services Board Brad Lazernick Senior Services of Southeastern Virginia Ginger Melton Hampton Roads Community Health Center Kevin Otey Hampton Roads Community Action Program Dourina Petersen Chesapeake Care Linda Rice Hampton Roads Community Foundation Brandon Rodgers Western Tidewater Community Services Board Shatina Simpson Catholic Charities of Eastern Virginia Phyllis Stoneburner Sentara Obici Hospital Jennifer Tomar Park Place Health and Dental Clinic Nancy Welch Chesapeake Health Department Barbara Willis Hampton Roads Community Health Center Karen Youmans Access Partnership Steve Zollos Senior Services of Southeastern Virginia

Workshop: Collaboration and Leadership

to Improve Oral Health

Tuesday, August 21 - Wednesday, August 22, 2018 | Richmond, VA

About the Workshop

This 2-day workshop is presented by the Virginia Oral Health Coalition and Community Tool Box to bring together partners from around the state who are change agents for oral health in their community. During the workshop attendees will gain or enhance their skills to:

• Lead community-driven, collaborative initiatives,
• Garner support for collective action and policy change, and
• Build the infrastructure for sustainable system change.

The workshop is best suited for those who are involved in regional oral health alliances, or those who would like to become involved, including: advocates, service providers, public health practitioners, and anyone with an interest in community health. 9:00am: Check-in and coffee 9:30am: Welcome, introduction and orientation 10:00am: Building Leadership 12:00pm: Lunch (provided) 1:00pm: Increasing Participation and Membership 3:00pm: Regional Breakout Sessions 4:00pm: Group Discussion 4:30pm: Day 1 Wrap-Up

Day 1: Tuesday, August 21, 2018

9:00 am—5:00 pm

8:30am: Coffee and networking 9:00am: Advocating for Change 11:00am: Regional Breakout Session 12:00pm: Lunch (provided) 1:00pm: Sustaining the Work or Initiative 3:00pm: Day 2 Wrap-Up and Close

Day 2: Wednesday, August 22, 2018

8:30 am—3:30 pm

Tentative Agenda

Presented by:

Contact: Lauren Gray | Virginia Oral Health Coalition

804-299-5506 | lgray@vaoralhealth.org

Register Now!

http://bit.ly/VaOHCAug2018

Event Information

When: August 21-22, 2018 Where: Richmond, VA—Exact Location TBA Cost: $15 per person to attend and includes lunch on both days for registered participants. Registration deadline: Tuesday, August 14, 2018. Register to attend at: http://bit.ly/VaOHCAug2018

Stay connected

Join the Coalition’s monthly e-update to learn more about upcoming events and trainings and be sure to follow the Coalition on Facebook and Twitter. Sign up at: http://bit.ly/VaOHCList. Secure comprehensive dental benefits for 45,000 low- income pregnant women through Medicaid. Educate more than 1,000 health care professionals on how to integrate oral health into all aspects of care. Share important oral health information with

• ver 19,000 individuals.

With the help of its 150+ partners the Coalition has worked to:

The Virginia Oral Health Coalition believes oral health is health. Coalition staff works with community partners, medical and dental professionals, and state leaders to ensure all Virginians can access comprehensive, affordable health care that includes oral health. Virginia Oral Health Coalition | www.vaoralhealth.org | 804.269.8720

Ensuring all Virginians have access to affordable, comprehensive health care that includes oral health.

Did you know? Virginia only

earns a "C+" when compared to the nation's performance on nine key indicators of oral health. Visit www.vaoralhealth.org to read the full Virginia Oral Health Report Card.

Get involved with the Virginia Oral Health Coalition

Share your voice on a statewide committee

The Coalition’s statewide committees inform policy and embolden community-led strategies that improve access to oral health care.

 Legislative Committee: Shapes the Coalition’s advocacy efforts and ensures

policy positions support the Virginia Oral Health Plan goals.

 Early Dental Home Workgroup: Fosters collaborate among organizations and

agencies working with young children and pregnant women to increase access to

• ral health services, education, and utilization of a dental home visit.

 Virginia Oral Health Coalition Stakeholder Convenings: Twice a year, the

Coalition convenes stakeholders from across the Commonwealth to spotlight innovative oral health practices and partnership, and monitor state and regional workgroup efforts. This provides an opportunity to align oral health advocacy and integration efforts within the framework provided by the Virginia Oral Health Report Card and the Virginia Oral Health Plan.

Attend an event

The Coalition works with its partners around the state to create educational events throughout the year. To see a complete calendar of upcoming events visit http://bit.ly/VAOHCEvents.

 Two-Day Workshop Collaboration and Leadership to Improve Oral Health

August 21-22, 2018 | Richmond, VA The Coalition is supporting alliance efforts to build long-term, system-wide change to improve oral health. This workshop is presented by the Coalition and Community Tool Box. The workshop is open to anyone who is currently working

• n regionally- or locally-based collaborative efforts to improve oral health care

access, care delivery, and outcomes. $15, lunch provided both days. Find a tentative agenda and register here: http://bit.ly/VaOHCAug2018

 Save the Date Virginia Oral Health Summit

Thursday, November 8, 2018 | Richmond, Virginia The annual Virginia Oral Health Summit brings people together to find innovative ways to improve oral health throughout the Commonwealth. Over 1,000 stakeholders from dentistry, academia, medicine, business, and philanthropy have shared ideas and learned the latest on oral health care trends through the Summit. Sign up to receive updates on the Summit and register to attend at: http://bit.ly/VaOHCList For more info, contact Lauren Gray at 804.299.5506 or lgray@vaoralhealth.org

2018 VIRGINIA

ORAL HE AL T H SUMMIT

Pre se nte d by the Virginia Oral H e alth Co alitio n

Ric hmo nd

NOVE MBE R 8

T hursday

keynot e speaker

heal th equi ty schol ar and physi ci an

feat ur ed pr esenter

denti st and exper t i n moti vati

• nal

i nter vi ewi ng and pati ent engagement

#Ora lHe a lth18

www.va ora lhe a lth.org | info@va ora lhe a lth.org | 804.269.8720

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