1. DENTAL SERVICES OVERVIEW March 18, 2015

2. harrishealth.org2 OVERVIEW Harris County 2013 population was estimated at 4.3 million people, with 18% of those below the poverty level.

3. harrishealth.org3 Mission, Vision, Values Our mission is to improve the community’s health by delivering high quality healthcare to Harris County residents and by training the next generation of health professionals. Our vision is that we will create a healthier community and be recognized as one of America’s best community owned health care systems We value: Our patients, staff and partners Diversity and inclusion Compassionate care Trust Integrity Mutual respect Communication Education, Research and Innovation

4. harrishealth.org4 OVERVIEW Harris Health is a fully integrated health care system that cares for all residents of Harris County. We were the first healthcare institution in Harris County to be designated as a Patient Centered Medical Home. Our system consists of: – 3 hospitals (LBJ, Ben Taub, and Quentin Mease) – 16 community health centers, including the nation’s first freestanding HIV/AIDS treatment center – Dental Center – 5 school based clinics – 14 homeless shelter service locations – 6 mobile health units – Riverside Dialysis Center

5. harrishealth.org5 OVERVIEW All of our medical services are provided by two nationally recognized schools of medicine: Baylor College of Medicine and University of Texas Health Science Center at Houston (UTHealth). Oral surgery services at Ben Taub and LBJ Hospital are provided by the University of Texas Health Science Center Dental Branch at Houston.

6. harrishealth.org6 Overall Harris Health Statistics

7. harrishealth.org7 HISTORY Harris County Hospital District was created by voter referendum in 1966. Settegast Health Center was opened in 1967, followed quickly by several other Community Health Centers The Dental Center opened in 1980 (not in it’s current location).

8. harrishealth.org8 OVERVIEW Dental Services at Harris Health is comprised of a Dental Center and 9 dental clinics within ACS health centers. – Aldine – Acres Home – El Franco Lee – Gulfgate – MLK – Monroe (Same Day) – Settegast – Strawberry – Vallbona

9. harrishealth.org9 OVERVIEW OF SERVICES Harris Health dental services are dedicated to providing quality care in a friendly environment. We provide the following services – Urgent dental care (relief of pain or swelling) – Exams and x-rays – Preventive care (fillings and extractions) – Full Dentures and Partials (treatment offered at the Dental Center to patients who qualify)

10. harrishealth.org10 URGENT DENTAL CARE (EMERGENCY VISITS) The Dental Center treats patients with urgent dental needs. Treatment is available to new dental patients and established patients who have not received dental care within the past eighteen months, and are experiencing extreme pain. Patients without appointments are seen on a first come, first served basis. We receive a steady volume of urgent walk-ins.

11. harrishealth.org11 COST OF TREATMENT Patients eligible for the Harris Health System Financial Assistance Program pay for dental treatment based on their pay code. Financial assistance eligibility must be valid at the time of service to receive the discounted rates.

12. harrishealth.org12 DENTURE OVERVIEW Harris Health provides teeth replacement services for qualifying patients. Teeth replacement services are conducted at the Dental Center by our denture specialist. The denture team strives to create dentures that are close to the size, shape and color of the patients natural teeth.

13. harrishealth.org13 QUALIFYING FOR DENTURES To qualify for partial dentures, the patient must be missing four or more teeth either on the top or bottom. All general dental procedures must be completed before a mold or impression is taken. The patient must have the ability to meet the financial responsibility for treatment All other clinical criteria based on the denture provider consultation

14. harrishealth.org14 DENTAL SERVICES FOR OBSTETRIC PATIENTS

15. harrishealth.org15 TITLE V/EPHC We provide dental services for obstetric patients through the Expanded Primary Health Care grant. Services are offered at the Dental Center to pregnant and post-partum patients. Through this program, patients receive oral examinations, cleanings, extractions, fillings and replacement teeth if needed. Patients are referred to the Dental Center by completing a physician referral in Epic.

16. harrishealth.org16 DENTAL SERVICES THROUGH THE 1115 WAIVER DSRIP PROGRAM

17. harrishealth.org17 DSRIP OVERVIEW DSRIP is a federally-sponsored pay-for- performance initiative that aims to provide better care for individuals, better health for the population and lower cost through improvement and innovation. The program follows a rewards-based payment structure contingent on achieving health improvement goals. Harris Health has 100+ projects under this program.

18. harrishealth.org18 DENTAL DSRIP This project aims to expand adult dental services by establishing additional sites and expanding services at current sites. Any adult patient within the system who seeks dental care may benefit from this project. Harris Health System is reimbursed a specified amount if the project goals are met upon completion of the DSRIP year.

19. harrishealth.org19 NEED FOR THE DSRIP PROJECT Harris Health provides adult dental services at 8 community health centers, with the Dental Center providing urgent care, oral surgery & dentures. However, current access is not sufficient Bad oral health care increases the risk of heart disease, diabetes and stroke.

20. harrishealth.org20 QUESTIONS