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Weaving a Strong Safety Net: Oral Health Care Access

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Presentation on theme: "Weaving a Strong Safety Net: Oral Health Care Access"— Presentation transcript:

1 Weaving a Strong Safety Net: Oral Health Care Access
Presentation to the HDC 2005 National Primary Oral Health Care Conference Weaving a Strong Safety Net: Health Centers and Oral Health Care Access Donald L. Weaver, MD Assistant Surgeon General Deputy Associate Administrator U.S. Department of Health and Human Services Health Resources and Services Administration Bureau of Primary Health Care August 8, 2005

2 comprehensive, culturally competent, quality care.
HRSA Strategic Plan Improve Access to Health Care Improve Health Outcomes Achieve Excellence in Management Practices Enhance the Ability of the Health Care System to Respond to Public Health Emergencies Access to comprehensive, culturally competent, quality care. Improve the Quality of Health Care Improve the Public Health and Health Care Systems Eliminate Health Disparities

3 HRSA Supported Programs Weaving a Strong Safety Net
Future Partnerships Future Partnerships Consolidated Health Center Program Primary Care Associations Health Center Controlled Networks Primary Care Offices RESEP* Access to comprehensive, culturally competent, quality care. Health Disparities Collaboratives Minority and Special Populations Healthy Communities Access Program Black Lung Clinics National Partners National Hansen’s Disease Program Future Partnerships Future Partnerships Native Hawaiian Health Care *Radiation Exposure Screening and Education Program

4 Goal: Improve Access to Care Health Center Program – CY 2004
13.1 Million served 52.3 Million patient encounters 51.4% Rural Centers 48.6% Urban Centers 3,651 comprehensive service sites Source: Uniform Data System, 2004

5 Health Center Program – CY 2004
Who We Serve 63.5% are Racial/Ethnic Minority 726,813 Migrant/Seasonal Agricultural Workers 703,023 Homeless Clients Serve all ages: Source: Uniform Data System, 2004

6 Health Center Program-CY 2004: Who We Serve
Source: Uniform Data System, 2004; Census Bureau, Health Insurance Coverage in the U.S., 2003, Aug. 2004

7 Goal: Improve Access to Care President’s Health Centers Initiative
NAP – New Access Point EMC – Expanded Medical Capacity

8 Goal: Improve Access to Care Expanding Oral Health Access
210 New or Expanded Oral Health Service Awards since the start of the President’s Initiative In 2004: 66% of health centers provided onsite preventive dental services* 82% of health centers provided preventive dentistry either on site or by referral. 43% provided dental rehabilitative services onsite, up from 37% in 2003. *Healthy People 2010 defines on-site dental programs as those organizations with 0.5 or more Dentist FTEs or 500 or more dental encounters.

9 Percent of Health Centers Offering Dental Services Onsite* 1999 to 2004
Source: Uniform Data System *Healthy People 2010 defines on-site dental programs as those organizations with 0.5 or more Dentist FTEs or 500 or more dental encounters.

10 Goal: Improve Access to Care Oral Health Encounters and Staff
Overall: 52.3 million Medical Encounters, 6% increase from 2003 Dental Encounters: 5.13M; 15% increase Dental Users – m; 14% increase Dentists/Hygienists – 2,134; 13% increase

11 Health Centers Dental Users 1999 to 2004

12 Health Centers Dental Encounters 1999 to 2004

13 President’s Initiative to Expand Health Centers
By 2006: 1,200 new or expanded health centers 6 million additional people served Workforce Needs Health Centers need 36,000 new staff including: 11,000 clinicians; 3,100 MDs; 4,000 nurses; 1,700 NPs, PAs, CNMs; 600 DMDs; 200 dental hygienists; 900 mental health & substance abuse specialists; 900 other health professionals Demand for health professionals will grow at twice the rate of all other occupations Nation can anticipate overall physician shortages and shortages in nursing and pharmacy

14 HEALTH CENTERS: SOURCES OF FUNDING (CY 2004)
Self Pay 6% Other Federal 3% Other 3rd Party 6% Other Public 2% Medicaid 36% Medicare 6% State/Local/Other 19% Federal HC Grant 22% Source: Uniform Data System, 2004

15 Goal: Achieve Excellence in Management Practices Medicaid & Health Centers
Medicaid enrollment grew by 5.2 percent in FY 2004 and is expected to grow by 4.7 percent in FY Enrollment also grew among seniors and people with disabilities whose health care needs are greater and substantially more costly than low-income families. Between 2002 and 2005, all states reduced provider rates and implemented prescription drug cost controls, 38 states reduced eligibility, and 34 states reduced benefits. Sources: State Fiscal Conditions and Medicaid Kaiser Commission on Medicaid and the Uninsured, The Henry J. Kaiser Family Foundation, publication (#7220), November, 2004.

16 Consistent Performance
Goal: Achieve Excellence in Management Practices Health Center High Quality Care Consistent Performance Cost of treating Health Center Medicaid patients is 30-34% less than cost for those receiving care elsewhere; 26-40% lower for prescription costs; 35% lower for diabetics; 20% lower for asthmatics. Center for Health Policy Studies. Final Report; November 1994. Health Center Medicaid patients are 22% less likely to be hospitalized for potentially avoidable conditions than those obtaining care elsewhere. Falik et al. Medical Care Vol. 39, No 6; 2001. Health Center Medicaid patients are 11% less likely to be hospitalized for potentially avoidable conditions than those with a usual source of care who obtained care elsewhere. ACSC II Study Accepted for Publication, Journal of Ambulatory Care Management

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