1. Current Oral Health Workforce: Trends and Models Diane Brunson, RDH, MPH September 27, 2012

2. Objectives Describe national oral health workforce trends and their applicability to Colorado Outline how dental care financing impacts workforce trends What is the role of non-dental providers in oral health?

3. Dental Care Financing Procedures rather than disease diagnosis 22% of Colorado children are dentally uninsured No cost shifting

4. Dental Insurance Uninsured do not get dental care - usually 22% of INSURED also do not get needed care because of cost No grant funds to cover uninsured care Dental care financing credit card schemes

5. Relative Value Units (RVU)

6. CIVHC Focus Areas: – Data and transparency – Payment Reform – Delivery system redesign Palliative care Care transitions

9. U.S. Dental School Applicants and First-Year Enrollment Trends 1980 - 2008 Source: American Dental Education Association, U.S. Dental School Applicants and Enrollees, 2007 and 2008 Entering Classes

13. Race and Ethnicity

17. Dental Hygiene Education Programs: 2008 - 2009 University or Four-Year College Community or Junior College Technical College or Institute Vocational School Other School of Allied Health Sciences Dental SchoolSeparate Dental Department Other University or Four-Year College Institutions 30233017534412 Capacity 1,0298401345104,446925180626 Enrollment (First-year) 9877231294504,25280284263 DiplomaCertificateAssociate DegreeBaccalaureate Degree Baccalaureate Degree in Dental Hygiene OtherTotal N%N%N%N%N%N%N% 10.362.024782.193.0289.3103.3301100 Source: American Dental Association, 2008-2009 Survey of Allied Dental Education, Table 2 and Table 5

22. 2009 Dental Hygiene Job Market & Employment Survey - ADHA

23. Workforce Data

24. Access to Care

26. “Midlevel” Providers Dental Health Aide Therapist – AAPHD Curriculum: JPHD – http://www.dentalboard.state.mn.us/Default.aspx?tabid=1 165 http://www.dentalboard.state.mn.us/Default.aspx?tabid=1 165 Community Dental Health Coordinator – http://www.ada.org/4925.aspx http://www.ada.org/4925.aspx Advanced Dental Hygiene Practitioner – http://www.adha.org/downloads/competencies.pdf http://www.adha.org/downloads/competencies.pdf Extended Care Permit Hygienist III – KS – http://kslegislature.org/li/b2011_12/measures/documents /summary_hb_2631_2012.pdf http://kslegislature.org/li/b2011_12/measures/documents /summary_hb_2631_2012.pdf Advance Function Dental Auxiliary – WA – http://www.wsda.org/ http://www.wsda.org/ Study re: new provider - CA

27. www.niioh.org

28. Smiles for Life

30. Only in certain circumstances States with MEDICAID Funding for Physician Oral Health Screening and Fluoride Varnish Medicaid coverage approved Version: 8/11 Approved but not fully implemented Reimbursement not yet approved DE RI NJ DC WA OR CA NV AK HI ID MT WY UT AZNM ND SD NE CO KS TX OK MN IA MO AR LA WI IL IN MI MS AL GA TN KY OH PA NY ME FL SC NC VA WV VT NH MA RI CT NJ DE MD