1. Chapter Dental Public Health & Research Contemporary Practice for the Dental Hygienist Copyright ©2011 by Pearson Education, Inc. All rights reserved. Third Edition Dental Public Health & Research: Contemporary Practice for the Dental Hygienist, 3/e Christine Nielsen Nathe Strategies for Creating Dental Hygiene Positions in Dental Public Health Settings 21

2. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Dental Public Health & Research: Contemporary Practice for the Dental Hygienist, 3/e Christine Nielsen Nathe Objectives After studying this chapter, the dental hygiene student should be able to: List the populations most in need of dental hygiene care. Describe the paradigm for creating a dental hygiene position. Develop protocol for a newly developed dental hygiene position.

3. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Dental Public Health & Research: Contemporary Practice for the Dental Hygienist, 3/e Christine Nielsen Nathe Competencies After studying this chapter and participating in accompanying course activities, the dental hygiene student should be competent to do the following: Promote the values of oral and general health and wellness to the public and organizations within and outside the profession. Assess the oral health needs of the community and the quality and availability of resources and services.

4. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Dental Public Health & Research: Contemporary Practice for the Dental Hygienist, 3/e Christine Nielsen Nathe Competencies (cont'd) Provide screenings, referrals, and education to bring consumers into the health care delivery system. Provide community oral health services in a variety of settings. Facilitate client access to oral health services by influencing individuals and/or organizations for the provision of oral health care.

5. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Dental Public Health & Research: Contemporary Practice for the Dental Hygienist, 3/e Christine Nielsen Nathe Competencies (cont'd) Evaluate reimbursement mechanisms and their impact on the patient’s/client’s access to oral health care. Evaluate the outcomes of community-based programs and plan for future activities.

6. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Dental Public Health & Research: Contemporary Practice for the Dental Hygienist, 3/e Christine Nielsen Nathe History Dental hygiene was initially established to provide oral health care in the public health care arena. Most states have a difficult time containing health care costs while delivering quality care to all members of the population.

7. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Dental Public Health & Research: Contemporary Practice for the Dental Hygienist, 3/e Christine Nielsen Nathe

8. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Dental Public Health & Research: Contemporary Practice for the Dental Hygienist, 3/e Christine Nielsen Nathe Legislative Perspective Some states do not allow dental hygiene services to be provided in any setting other than private practice. A few states require dentists to have direct supervision over dental hygienists. Forty-five states currently allow dental hygienists to work without a dentist present in a variety of settings.

9. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Dental Public Health & Research: Contemporary Practice for the Dental Hygienist, 3/e Christine Nielsen Nathe Proposed Plan of Action for Dental Hygienists Establishing a Position Assessment Dental hygiene diagnosis Planning Implementation Evaluation

10. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Dental Public Health & Research: Contemporary Practice for the Dental Hygienist, 3/e Christine Nielsen Nathe Assessment Needs assessment of the population, facility, and funding Should include number, age, and medical needs of the individuals in the population Evaluation of administrative support and values toward dental care

11. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Dental Public Health & Research: Contemporary Practice for the Dental Hygienist, 3/e Christine Nielsen Nathe Assessment (cont'd) Evaluation of reimbursement mechanisms Assess specific state rules and regulations for dental hygienists Be clear about what services are being “sold”

12. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Dental Public Health & Research: Contemporary Practice for the Dental Hygienist, 3/e Christine Nielsen Nathe Dental Hygiene Diagnosis Develop a comprehensive dental hygiene diagnosis for the target population.

13. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Dental Public Health & Research: Contemporary Practice for the Dental Hygienist, 3/e Christine Nielsen Nathe Planning Requires the prioritization of goals and objectives, the development of strategies, and the development of a program blueprint Addresses issues such as staff support, space availability, reimbursement mechanisms, patient management systems, and dental health promotions

14. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Dental Public Health & Research: Contemporary Practice for the Dental Hygienist, 3/e Christine Nielsen Nathe Planning (cont'd) Should strengthen ties with the population by promoting the value of the program Development of evaluation methods

15. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Dental Public Health & Research: Contemporary Practice for the Dental Hygienist, 3/e Christine Nielsen Nathe

16. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Dental Public Health & Research: Contemporary Practice for the Dental Hygienist, 3/e Christine Nielsen Nathe Implementation Implementation involves the actual operations and includes constant revisions. During this stage, the dental hygienist should manage the program effectively.

17. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Dental Public Health & Research: Contemporary Practice for the Dental Hygienist, 3/e Christine Nielsen Nathe

18. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Dental Public Health & Research: Contemporary Practice for the Dental Hygienist, 3/e Christine Nielsen Nathe Evaluation This stage includes measurement of the intended outcomes and possible revisions to the program. Measurement is obtained through indices, records, and surveys.

19. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Dental Public Health & Research: Contemporary Practice for the Dental Hygienist, 3/e Christine Nielsen Nathe Evaluation (cont'd) Departments within the program can provide input on unmet needs. Documented reports are provided to administrators.

20. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Dental Public Health & Research: Contemporary Practice for the Dental Hygienist, 3/e Christine Nielsen Nathe Practice Management Issues Patient tracking Appointment scheduling Practice promotion

21. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Dental Public Health & Research: Contemporary Practice for the Dental Hygienist, 3/e Christine Nielsen Nathe Practice Management Issues (cont'd) Collection of fees Written patient records Bringing about the successful completion of specific project goals and objectives

22. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Dental Public Health & Research: Contemporary Practice for the Dental Hygienist, 3/e Christine Nielsen Nathe

23. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Dental Public Health & Research: Contemporary Practice for the Dental Hygienist, 3/e Christine Nielsen Nathe Proposal Development and Presentation A written description of the planned program or project Intended to motivate and persuade the administrators to open a position

24. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Dental Public Health & Research: Contemporary Practice for the Dental Hygienist, 3/e Christine Nielsen Nathe

25. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Dental Public Health & Research: Contemporary Practice for the Dental Hygienist, 3/e Christine Nielsen Nathe

26. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Dental Public Health & Research: Contemporary Practice for the Dental Hygienist, 3/e Christine Nielsen Nathe What Should a Proposal Include? Purpose of dental hygiene position Significance of position Program blueprint Detailed budget and financing section Presentation should be clear, concise, and organized

27. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Dental Public Health & Research: Contemporary Practice for the Dental Hygienist, 3/e Christine Nielsen Nathe Dental Hygiene Consultation and Policies The contract should contain a fixed price for dental hygiene services. It is an affiliation agreement between an agency and the dental hygienist.

28. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Dental Public Health & Research: Contemporary Practice for the Dental Hygienist, 3/e Christine Nielsen Nathe

29. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Dental Public Health & Research: Contemporary Practice for the Dental Hygienist, 3/e Christine Nielsen Nathe

30. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Dental Public Health & Research: Contemporary Practice for the Dental Hygienist, 3/e Christine Nielsen Nathe

31. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Dental Public Health & Research: Contemporary Practice for the Dental Hygienist, 3/e Christine Nielsen Nathe

32. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Dental Public Health & Research: Contemporary Practice for the Dental Hygienist, 3/e Christine Nielsen Nathe Summary There are many aspects to consider when creating a dental hygiene position in dental public health settings.