Oral Health Assessment of Seniors 2009 The Massachusetts Experience

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Presentation transcript:

Oral Health Assessment of Seniors 2009 The Massachusetts Experience Lynn Bethel, RDH, MPH Director, Office of Oral Health Massachusetts Department of Public Health

About Massachusetts 13.3% of residents are 65 years of age or older Ranks 12th in the country for having the highest population of seniors 46,000 residents are in nursing home care

44.8% of MassHealth eligible residents in LTC facilities utilized the dental benefit FY’07 27% of MassHealth members over the age of 60 utilized the dental benefit in FY’ 07

Collaborators Harvard School of Dental Medicine Executive Office of Elder Affairs Massachusetts Senior Care Association MDPH Office of Healthy Aging

Purpose To identify the oral health needs of low income seniors and those residing in long term care facilities To promote and improve the oral health needs of seniors

Sampling Random Sample Originally 42 sites Ended with 41 sites** Congregate Meal Sites Long Term Care Facilities Originally 42 sites 6 (3 of each type) dropped out, but most replaced Ended with 41 sites** 21 LTC Facilities (n=834) 20 Meal Sites (n=212) **Rural was recognized

Components of the Assessment Dental Screenings-Office of Oral Health Staff Soft Tissue Screening (Oral Cancer)-Harvard Residents and Faculty Referrals for Restorative Treatment Oral Hygiene Products

Process-Before the Screening Introductory Letter with Survey Executive Director Medical Director Follow-up Phone Call-Schedule Screening/Q&A Follow-up Letter, Poster (and Consent Form)

Screening Indicators-LTC/MS Demographics Functional Disability Presence of Pain Edentulism Presence & Function of Dentures Soft Tissue Lesion Untreated Decay Gingivitis Xerostomia Oral Hygiene Treatment Urgency

Screening Indicator-MS Prescription Medication Private Dental Insurance MassHealth (Medicaid) Dentist Last Dental Visit Tobacco Use Alcohol Use

After the Screening Screening Report Letter to dentist of record with permission from meal site participant Referral given CHC Dental Programs MassHealth Dentist Thank You Letter to Site and Survey ?

Looking Back… Meal Site: Seniors concerned about what their friends would think and knowledge of their dentures Nursing Home: Bed to bed Re-calibrate mid-screening One recorder per screener No more than 2 screenings each week Be Flexible...

“The facility must care for you in a manner that enhances your quality of life.” Long Term Care Resident Rights

Where do we go next… Release Report Policy Changes Education of the Children Back to Basics…“Reality Dental Care” Encourage use of Public Health Dental Hygienists

Remembering “Ellie”...

Check out our oral health blog http://publichealth.blog.state.ma.us For more information contact Lynn.Bethel@state.ma.us 617-624-6074 Janice.Healey@state.ma.us 617-624-5942 Check out our website www.mass.gov/dph/oralhealth Check out our oral health blog http://publichealth.blog.state.ma.us 22