1. Action For Dental Health 2015 Update Dr. Terry Buckenheimer Trustee- American Dental Association

2. © 2015 American Dental Association, All Rights Reserved 2 Opportunities for Professional Leadership Action for Dental Health – series of initiatives which were designed to advance the oral health of the public Solutions which have proven to be team generated, public focused, collaborative projects 8 initiatives grouped into three categories Florida Action for Dental Health launched

3. © 2015 American Dental Association, All Rights Reserved 3 A Three Prong Approach 1.Provide Care Now Reduce number of people going to hospital ERs for dental pain - refer to private practice or health centers for care Expand access to care for elderly in nursing homes Expand MOM and Give Kids A Smile ® events

4. © 2015 American Dental Association, All Rights Reserved 4 More Dental School GKAS events

5. © 2015 American Dental Association, All Rights Reserved 5 Action For Dental Health- ER Referral Models: 5 Distinct Types incorporating patient volunteerism, hospital contracting, educational programs, private practice and health center collaborations Dentistry in Long Term Care: CE Series, National Eldercare Advisory Committee, 10 States to begin Eldercare programs MOM projects throughout the country

6. © 2015 American Dental Association, All Rights Reserved 6 ER Referral Models- More Details Pay It Forward Model- Battle Creek Michigan Now in Year #8 with 74% reduction in ER use for dental pain DVD and 10 Step Document available Specialty Clinic Model- Seattle King County Partnership between Hospital/ Health Center/ Private Practitioners Saves hospital over $1 million yearly Private Practice Model- throughout the country Community Partners/ Health Center voucher programs/ Hospitals

7. © 2015 American Dental Association, All Rights Reserved 7 Long Term Care- Action for Dental Health Training dentists across the country to provide care in nursing homes Helping states develop geriatric oral health plans Upcoming webinar on LTC/ IME National Eldercare Advisory Committee (NECAC) provides technical assistance (Dr. Nolan Allen – Florida Consultant)

8. © 2015 American Dental Association, All Rights Reserved 8 MOM and Give Kids A Smile Care Events MOM events in each state; some states have 2-5 MOM events per year MOM events at ADA Annual Meetings 1200 patients treated at 2014 ADA Annual Meeting Legislators present at all MOM events with ADA members, media and community stakeholders

9. © 2015 American Dental Association, All Rights Reserved 9 Florida Action for Dental Health Goal: to improve the oral health and resulting overall health of all Floridians. The FDA promotes and advocates for oral health because a healthy mouth is essential to a healthy body. All Floridians should have access to quality dental care with programs and services tailored to all populations- infants to elderly.

10. © 2015 American Dental Association, All Rights Reserved 10 Give Kids A Smile Signature Program 400,000 children seen 2013-2014 Corporate Partners- Dental Homes Dental School and Private Practitioner Engagement Over 12 Years of Program Success Now occurs all year round February = Children’s Dental Health Month

11. © 2015 American Dental Association, All Rights Reserved 11 A Three Prong Approach 2. Strengthen the Safety Net Contracting between private practice dentists and health centers with practitioners receiving enhanced Medicaid reimbursement Continue to advocate for simplified Medicaid administration reforms and fee increases

12. © 2015 American Dental Association, All Rights Reserved 12 Safety Net Support Focus on reducing Medicaid credentialing time, highlighting best practices Provider education on Medicaid regulations to avoid unintentional noncompliance Contracting with health centers promotes efficiencies and reduces health center “bricks and mortar” costs Community benefits from a strong safety net- enhanced sense of community pride

13. © 2015 American Dental Association, All Rights Reserved 13 Health Centers Contracting with Dentists 10-12 % of Health Centers in California Voucher programs for specialty care in some states Number of dental visits for health center patients has increased per UDS data Local dentists providing care to health center access points in rural areas via voucher programs, contracts and collaborations

14. © 2015 American Dental Association, All Rights Reserved 14 Dental School Update: 2015 Schools that opened in 2011 will graduate their first class this spring Health Policy Institute data shows supply of dentists will increase over the next 10 years. 90% of dental schools rotate dental students through community clinics and health centers 12 dental schools have opened since 1997 Over 3600 new graduates by Spring 2015

15. © 2015 American Dental Association, All Rights Reserved 15 Community Water Fluoridation—CRISIS MODE More rollback attempts last year alone than in the previous 30 years. House of Delegates $500,000 investment Supportive local efforts to implement or maintain community water fluoridation ADA staff provide local technical assistance 70 th Anniversary Celebration planned for july 2015

16. © 2015 American Dental Association, All Rights Reserved 16 A Three Prong Approach 3. Highlight Education and Prevention Ensuring more Americans have access to fluoridated drinking water Increasing number of Community Dental Health Coordinators Strengthening collaborations with other health professionals and organizations: for increased understanding of oral health value

17. © 2015 American Dental Association, All Rights Reserved 17 Promoting Prevention Community Water Fluoridation- continual challenges = need for Spokespersons Promotion of Medical-Dental collaboration (the age 1 dental exam; dental “home” establishment Community Dental Health Coordinators- for community based, culturally competent dental navigation and case management

18. © 2015 American Dental Association, All Rights Reserved 18 Medical –Dental Collaboration Partnering with AMA on Diabetes and Hypertension project Partnering with American Association of Family Practitioners on Oral Cancer topic Partnering with Nurse Practitioners, Physician Assistants and American Association of Pediatricians on Early Childhood Caries

19. © 2015 American Dental Association, All Rights Reserved 19 Supporting Organizations of ADH American Association of Family Practitioners National Association of Community Health Centers American Association of Oral and Maxillo Facial Surgeons American College of Emergency Physicians American Catholic Hospital Association and others

20. © 2015 American Dental Association, All Rights Reserved 20 ADA Legislative Advocacy Actions Funding efforts for Dental Schools Lobbying efforts for Student Loan Interest considerations Advocacy for funding for Indian Health Service, Community Health Centers, Medicaid Funding, Dental Research, Dental Residencies, Dental Programs in the Armed Services and Student Loan Repayment

21. © 2015 American Dental Association, All Rights Reserved 21 Questions– Comments—More Information Dr. Terry Buckenheimer buckenheimert@ada.org