1. An Innovative Collaboration between a Community College, a Non-profit Agency, and a Community Health Center to Provide Dental Care to Underserved Populations
Lohring Miller DMD

2. Program Objectives
To describe an innovative dental clinic which utilizes existing community resources.
To describe how the unique collaboration works when serving an underserved and vulnerable population

3. Purpose
Our newly created dental program exists through a unique community collaboration.
A non-profit organization, HIV Alliance provides HIV+ clients seeking dental services.
Lane Community College provides clinical space and enthusiastic dental hygiene students.
Community Health Centers of Lane County employs staff and provides federal tort coverage.

4. Program Goals
To provide comprehensive dental care services (except for implants and orthodontics).
To improve the oral health status of vulnerable HIV+ patients in a friendly atmosphere.
To provide care for patients in a wide geographic area

5. Personnel
Denturist
Dental Hygiene and Dental Assisting Students and Faculty
County Staff
Dental Case Manager

6. Denturist Oregon allows the independent practice of a denturist.
Provides freedom in the schedule for the dentist.
Denturists construct, repair, reline, reproduce, duplicate, supply, fit or alter removable prosthetic dental appliances' otherwise known as dentures. In the fitting process, denturists also take impressions, bite registrations, try-ins or insertions. Denturists provide full dentures to replace complete sets of original teeth that are missing in the upper, lower or both sections of the mouth, and partial dentures, which fit sections of the mouth in which some of the original teeth remain.

7. School Faculty & Students
Utilize existing clinic in a community college dental program
18 dental chairs; beautiful facility
Utilize faculty
Supervision
Utilize students
Enthusiastic
Provide exceptional care
Work up each patient assessment (review medical histories and medications, radiographs, periodontal probing, soft tissue exam
Restorative functions for hygiene students

8. The Clinic

9. Lane County FQHC Staff are employed by the county.
County provides federal tort coverage for all employees.
The dental clinic is part of the county’s FQHC

10. Dental Case Manager An employee of the HIV Alliance.
Coordinates the dental appointment with the HIV+ patient.
May provide transportation and/or gas voucher, or a bus pass.
Reduces no show rate to 11%.
Important role in the success of our program.

11. Needs Addressed
HIV+ patients typically receive stigma and have had poor previous dental experiences.
Rather than only providing episodic or emergency dental treatment, our dental clinic provides increased access and improved oral health status through comprehensive dental treatment plans.

12. Results Achieved
HIV+ patients get comprehensive dental services in a friendly atmosphere.
More procedures performed in year 1 than other models with more clients
Our no show rate for this population is 11% due to the efforts of the case managers.
State funds are used more efficiently than in traditional DMO clinics
Students get a valuable and unique learning experience

13. Problems to Solve Transportation Coordination with school programs
Grant covers a wide area
Clients often don’t have cars
Coordination with school programs
Coordination among partners
Sustainability

14. Transportation Clinics in other dental assisting and hygiene programs
Prescreening
Supplies and equipment
Staff accommodations
Shuttles and hotel stays
Gas cards

15. Coordination with School
Allocating clinic chairs
Constant clinic needs – episodic learning needs
Dual use of staff
Electronic dental record(s)

16. Coordination Among Partners
HIV Alliance and Lane Community College
Case managers and clinic managers developed close working relationship
Alliance is a close knit agency with a committed staff
Lane County
Restructured and replaced staff involved in grant
Has minimal involvement

17. Sustainability
What will we do when the grant runs out?