Oral Health Personnel Orientation to Job Corps: An Oral Health and Wellness Program Overview Pamela Alston, DDS, MPP Lead Oral Health Specialist Kevin Avery, DMD, MPH Oral Health Specialist

Objectives Attendees will learn about the pertinent PRH requirements that guide the Oral Health and Wellness Program Attendees will learn their responsibilities and opportunities to help make students employable Attendees will learn about resources to support their success

“What are you doing?” “I’m laying brick.”

“What are you doing?” “I’m putting up a wall.”

“What are you doing?” “I’m building a cathedral.”

“What are you doing?”

“We are becoming employable.”

“What are you doing?”

“We are contributing to the employability of Job Corps students through engaging them in oral health and wellness.”

Important Resources PRH—The Policy and Requirements Handbook PAG—The Program Assessment Guide COP/SOP—Center or Standard Operating Procedures DRG—Desk Reference Guide TAGs—Technical Assistance Guides Oral Health personnel monthly teleconferences Job Corps Health & Wellness website ( Webinars

Oral Health and Wellness Program Requirements The PRH requires that each center provide an oral health and wellness program. The general emphasis of the Oral Health and Wellness Program shall be on early detection, diagnosis of oral health problems, basic oral health care, dental hygiene, and prevention/education (e.g., oral hygiene instructions, caries risk assessments, the relationship between oral health and employability, oral health and wellness plans). The minimum staffing pattern is 3 hours per 100 students per week for dentistry; 3 hours per 100 students per week for dental hygiene; 4 hours per 100 students for dental assisting.

Center Health & Wellness Personnel/Collaborative Oral Health and Wellness Team Health and Wellness Manager Medical Team Mental Health Consultant Trainee Employee Assistance Program Specialist Disability Coordinator

Regional Health Specialists (RHS) Provide technical assistance to center health staff Conduct center assessments Provide training to regional and center staff Available to answer your questions Can help you understand policies Provide up-to-date information that will assist you in your efforts to meet program requirements Conduct monthly teleconferences

Regional Oral Health Specialists Kevin Avery, DMD, MPH Region 1,2,3,4 Pamela Alston, DDS, MPP Region 5, 6

Career Development Services System (CDSS) Outreach & Admissions Career Preparation Period Career Development Period Career Transition Period

Outreach & Admissions Job Corps Health Questionnaire (ETA 653) An answer of a YES to any item in question 8…requires an explanation in question 11 on the reverse of this form. –Are you under the care of a physician, dentist, or mental health professional? –How often do you go see the doctor or counselor? –In the past 2 years, have you had a serious dental problem or problems (e.g., untreated dental infections, missing teeth, unresolved severe toothaches, etc.)?

8. e. Do you have braces on your teeth?

Career Prep Period— Medical History

Oral Disease Prevention Education & Management PRH Chapter 6, Exhibit 6-4, B3 –Oral hygiene instruction –Oral disease risk assessments –Group education –Oral health promotion activities

Dental Readiness Inspection PRH-6.10, R2(a) PRH Chapter 6, Exhibit 6-4: Assessment to include dental readiness inspection within 14 days after entry to identify urgent care need for oral conditions that if not treated are expected to result in dental emergencies in the near future.

Authorization

Physical Exam Form

Oral Exam Consent Form

Oral Exam Form PRH-6.10, R2(c): Elective oral examination upon student request, including x-rays to precede dental treatment. PRH Chapter 6, Exhibit 6-4. Copy onto heavy stock paper.

Oral Exam Form

Informed Consent

Summary of treatment plan Risks of not following tx plan Benefits of tx plan Alternatives to Tx plan Student’s decision Signature

Scope of Basic Oral Care PRH-6.10, R2(d) –Restorations –Extraction of pathological teeth –Root canal therapy on anterior and other strategic teeth –Replacement of missing upper anterior teeth with a removable prosthesis –Nonsurgical periodontal care PRH Chapter 6, Exhibit 6-4: Dental procedures to treat oral disease & correct oral health conditions that may represent employability barriers.

Advanced Oral Care Eligible students are enrolled in public insurance Identify community resources Consult leave policies for students who want to return to their home communities for oral health care Consider MSWR as last resort [PRH-6.4 Student Enrollments, Transfers and Separations]

Career Success Standards Workplace relationship and ethics Interpersonal skills Personal growth and development Independent living Career and personal planning Multicultural awareness Information management

Student Transfers

Other Duties Scheduling appointments Preventive equipment maintenance Maintaining supply inventory Pulling and filing charts Following up on missed appointments staff meetings Student introduction to Oral Health Services

Documentation Process and Procedure Notes should be legible and complete Document on Job Corps forms Create forms to enhance documentation PRH-6.12, R5 Professional Standards of Care: All center health staff and providers shall follow accepted professional standards of care and are subject to prevailing state laws…

Significant Incident Reports Centers shall report the following…incident reports to the National and Regional Offices – b. Serious illness or serious injury (e.g., hospitalization, emergency room treatment…) PRH-5.5 Management and Reporting of Significant Incidents, R1—Reportable events

Measuring Program Performance Download the spreadsheet from the Job Corps website and save it on your computer desktop.

Health Care Guidelines Avulsed tooth Oral bleeding Oral infection Oral pain PRH-6.12, R9: Health Care Guidelines The center dentist must review and sign the Health Care Guidelines every year.

Job Corps Medication List Prescription and non-prescription medications Posted on the Job Corps Health and Wellness Website.

Equipment and Supplies PRH-6.12, R14 a.The Center shall provide necessary equipment and supplies for routine and emergency delivery of basic…dental health services. All such equipment shall comply with federal and state requirements. b.Purchase major dental equipment according to the current dental equipment list.

Continuous Quality Improvement PRH-6.12(R15): Center health staff will seek feedback From students, employ mechanisms to document quality of care provided, and document quality improvement Activities.

Plan-Do-Check-Act

Infection Control PRH-6.12, R13 –Use protective measures as recommended by the CDC –Biologically monitor the function of autoclaves and maintain a log of spore test results

Center OSH Program Q1. Centers comply with federal, state, and local requirements and Job Corps policy regarding environmental safety and occupational health. Q2. Center operators establish and operate an Occupational Safety and Health program PRH-5.20: Occupational Safety and Health (OSH) Program and Written Plans

Career Transition Readiness Updates to Oral Health and Wellness Plans Follow-up on self-management goals List of community clinic dental resources

Oral Health Promotion Marketing Oral Health and Wellness –Include posters in the dorms, cafeteria, classrooms, and hallways advertising oral health and wellness –Be visible on center: introduce yourself to staff –Serve on a committee

Additional Center Support Programs Trainee Employee Assistance Program (TEAP) Tobacco Use Prevention Program (TUPP) Healthy Eating and Active Lifestyles (HEALs) And others to discover

Regional Office Center Assessments (ROCAs) Every 1 to 2 years, Health Specialists and Assessors visit each center as part of a Regional Office Center Assessment (ROCA) team Using the Program Assessment Guide (PAG), in conjunction with the Policy and Requirements Handbook (PRH), this team will conduct an overall assessment of your center’s health and wellness program

ROCA Rating Quality Indicator 1: Students are aware of the center’s health care delivery system and understand how to seek on-center care Quality Indicator 2: Students demonstrate a clear understanding of their individual health condition and treatment prescribed. Quality Indicator 3: Students’ health status will be maintained or improved while they are at Job Corps.

ROCA – PRH-6.12 Quality Indicator 1: Students utilize available health services appropriately. Quality Indicator 2: Students are satisfied with the quality and delivery of health services.

What are you doing?

“We are creating opportunities to help students become employable.” Dori Bermudez, RDA & M. Teresa Santana, DDS San Jose Job Corps Center