City of Portland, Maine Oral Health Program

Overview of Presentation Purpose Demographics Community collaboration Oral Health program overview Integrated Homeless Health Clinic Innovations Open access Case management Outcomes

Purpose To offer an overview of the program to suggest ways to help other clinics operate more effectively, including reducing lost provider time, accommodating emergencies, decreasing the time between appointments, and increasing collaboration with other providers.

Demographics Rural New England state Metropolitan population: 230,000 Homeless population: 5,000 Special populations served: Refugee HIV positive Teenagers

Community Collaboration Social service agencies Mental Health Halfway houses Teen Center Oral surgeons Community dental clinics Hospitals Public Health Division of the City of Portland State of Maine Public Health nurses Intensive case managers

Portland Oral Health Program Homeless Hygiene Dental clinic Denture laboratory contract Low-income Volunteer Dentists, Oral Surgeons, and Endodontists Community clinic Nursing home Case Management

Homeless Health Clinic Overview Integrated clinic Dental Primary care Mental health Substance abuse Close to day shelter, soup kitchen, overnight shelter, social services agencies

Open Access No-shows vs. lost time Client working list Sit and wait Emergencies 1 slot per day Customer satisfaction Control over pace of care Always an option to engage services

Case Management Follow-up on no-shows Outside providers Outreach Oral surgeons Denture program Outreach Contact hard-to-reach patients Teens Street Education Health fairs Progress in treatment Resources Volunteer dentists Local philanthropic societies

Outcomes No-show rate/lost time Same-day/next-day service Case management Same-day/next-day service Booking out maximum 2 weeks Only with people who follow-up