1. Bassett Healthcare Network Pediatrics-School-Based Health Betsy Bray, RDH

2. Partnership between…..

3. Source: School-Based Health Alliance 2010-11 Census Report

4. School-Based Health Centers: Geography Matters

5. Bassett Healthcare Network and the School-Based Health Program BHN 6 hospitals, 26 outreach clinics in 9 counties covering 5,600 square miles 12,591 inpatient visits and 698,178 outpatient visits in 2013 SBHP 19 sites in 14 school districts in 4 counties 32,109 visits in 2013, 30% for mental health, 10% dental

6. School-Based Health Center Staff Nurse Practitioners Practical Nurses School Nurses** Physician Assistants Mental Health Workers Registered Dental Hygienists Patient Navigators Support Staff Physicians Dentist

7. What Does the SBHCs Provide? Comprehensive Primary Health Care Mental Health Care Preventive and Restorative Oral Health Care Health Education

8. Preventative Oral Health Care in School-Based Health Centers

9. Three delivery models SBHC- D NonSBHC- D SBHC- Comp. care Preventative CarePreventative Care Comprehensive Care RDH DMD

10. Dental education And referral services begin in SBHC Bassett offers sealants at all schools in Otsego Co. Restorative Dental Services offered at 4 Schools/6 SBHC

11. Educate and train pediatric healthcare staff within the Bassett system on: caries risk assessment the application of Fluoride varnish in the well child visit. Recipient of NY State Dental Foundation Give a Kid a Smile Award 2010

12. Primary care staff become fully engaged in oral health care: Caries Risk Assessments Mass and individual screenings Fluoride Varnish Application by LPNs Recipient of NASBHC’s Expansion of Preventative Dental Services Grant 2012

13. Care Integration Project Funded by HRSA Health Resources and Services Administration Support by National Maternal and Child Oral Health Resource Center Georgetown University 12 Programs across the country funded 2 in New York State- *Bassett Healthcare Network *North Country Family Health Center Four Year Project- 4 Bassett SBH Centers

14. New to Bassett SBH: Restorative Oral Health Care

15. The work Year 1- Research and Development Recruitment of Dentist Policy and Procedure Baseline data Year 2- Securing staff and equipment Purchasing Equipment and Supplies Hiring and Credentialing of Dentist Hiring and training staff

16. The work continues… Year 3- Fully operational 3 sites Electronic Dental Record Year 4- Self Sustainability, Best Practice Sharing Expanded Services Data collection

17. Summary of SBHC Dental Services Children Eligible to be served 4,982 Users1,388 28% Total visits by Dental Team2,125 # of patients receiving sealants 463 33% # of patients with sealants present 82660% # of patients with untreated caries 576 41% HP 2020 OH-12.3 Increase the proportion of adolescents aged 13 to 15 who have increased dental sealants on one or more of their permanent molar teeth Target 21.9% OH-12.2 Increase the proportion of children aged 6 to 9 years who have received dental sealants on one or more of their permanent first molar teeth Target 28.10%

18. On the horizon Expanding services to additional SBH enrolled students Teledentistry Pediatric Integration PCMH initiative- projected launch 2015 Study Asthma/inhaler use correlation

19. Dental Health Trade Alliance Funding Reduce incidence of ECC through increased assessment, broader application of fluoride varnish application, caregiver education, increase referrals. GOALS: Expansion of Oral Health Assessment in Pediatrics -Caries RAT in EMR- smart sets -Develop tool kit for mass screening-varnish application events in SBH -Provide Training to PCP and Nursing staff

20. Advocacy: Part of SBHC Work

23. Thank you! Betsy Bray, RDH Project Coordinator Pediatrics: School-Based Health- Dental Bassett Healthcare Network elizabeth.bray@bassett.org