1. 2005 NATIONAL PRIMARY ORAL HEALTH CARE CONFERENCE HYATT REGENCY ATLANTA AUGUST 7-11, 2005 ATLANTA, GEORGIA

2. 2005 NATIONAL PRIMARY ORAL HEALTH CARE CONFERENCE ORAL HEALTH DISPARITIES PLENARY AUGUST 9 th, 2005 PRESENTER: HUONG N. LE,DDS CO-PRESENTERS: JANE GROVER, DDS CO-PRESENTERS: JANE GROVER, DDS and COLLEEN LAMPRON, MPH

3. 2005 NATIONAL PRIMARY ORAL HEALTH CARE CONFERENCE “HOW CAN WE HAVE GOOD HEALTH IF WE HAVE BAD TEETH?” AHS Patient AHS Patient

4. 2005 NATIONAL PRIMARY ORAL HEALTH CARE CONFERENCE ASIAN HEALTH SERVICES Medical clinic started 31 years ago Medical clinic started 31 years ago Dental clinic opened the doors in June 2003 Dental clinic opened the doors in June 2003 Besides primary medical and oral heath care, the center also provides other services including mental health, teen clinic, health education, some specialty care, advocacy, language and cultural access program, and many others Besides primary medical and oral heath care, the center also provides other services including mental health, teen clinic, health education, some specialty care, advocacy, language and cultural access program, and many others www.ahschc.org www.ahschc.org

5. 2005 NATIONAL PRIMARY ORAL HEALTH CARE CONFERENCE ASIAN HEALTH SERVICES DENTAL CLINIC The Dental Clinic operates 99% paperless, using Dentrix Enterprise systemThe Dental Clinic operates 99% paperless, using Dentrix Enterprise system Theclinic went through its Performance Review in DecemberThe clinic went through its Performance Review in December Selected oral health measure for Performance Review was the completion rate of patient cases who had a periodontal diagnosisSelected oral health measure for Performance Review was the completion rate of patient cases who had a periodontal diagnosis

6. 2005 NATIONAL PRIMARY ORAL HEALTH CARE CONFERENCE ASIAN HEALTH SERVICES DENTAL CLINIC Lessons learned from Performance Review process The process: data driven The process: data driven Good data allowed us to learn about the what’s, how’s and why’s of our practice and patients. Good data allowed us to learn about the what’s, how’s and why’s of our practice and patients. Great open discussions among team members and OPR Team helped to identify contributing and restricting factors to the success and effective ways to improve outcome measures Great open discussions among team members and OPR Team helped to identify contributing and restricting factors to the success and effective ways to improve outcome measures After Performance Review: The clinic implemented many new codes to help us learn much more about our patients, their oral health status and needs, and their health outcomes. From these results, we can plan better on how to accommodate our patients and develop a strategic plan for the future After Performance Review: The clinic implemented many new codes to help us learn much more about our patients, their oral health status and needs, and their health outcomes. From these results, we can plan better on how to accommodate our patients and develop a strategic plan for the future

7. 2005 NATIONAL PRIMARY ORAL HEALTH CARE CONFERENCE Examples of new codes: MULTI-CODE: NewPt MULTI-CODE: NewPt NoCaries NoCaries Caries Caries Sealants only Sealants only Fillings and sealants Fillings and sealants MULTI-CODE: Periodx MULTI-CODE: Periodx Periocomp Periocomp MULTI-CODE: Diabetic MULTI-CODE: Diabetic Diabwithperiodx Diabwithperiodx Diabperiocomp Diabperiocomp DiabeSMGoals DiabeSMGoals MULTI-CODE: Smoker MULTI-CODE: Smoker Refertobac Refertobac TobacF/U TobacF/U PerinatRef PerinatRef

8. 2005 NATIONAL PRIMARY ORAL HEALTH CARE CONFERENCE Additional Codes BPDiastolic over 100 BPDiastolic over 100 EdentNewPt EdentNewPt MULTI-CODE:ERInitialVisit MULTI-CODE:ERInitialVisit ERReturnF/U ERReturnF/U ERReturnfor FMX ERReturnfor FMX All Specialist referrals and Follow ups All Specialist referrals and Follow ups

9. 2005 NATIONAL PRIMARY ORAL HEALTH CARE CONFERENCE TRACKING DATA Periodically, we run reports for any measures we select Periodically, we run reports for any measures we select To verify for accuracy, IT has also set up a separate database to match with Dentrix To verify for accuracy, IT has also set up a separate database to match with Dentrix RVU’s are tracked RVU’s are tracked In February, we were able to use RVU’s to revise our fee schedule In February, we were able to use RVU’s to revise our fee schedule

10. 2005 NATIONAL PRIMARY ORAL HEALTH CARE CONFERENCE EXAMPLE of INTEGRATION using Electronic Health Record System: Diabetes Collaborative: Medical uses Centricity for their PCMS and PECS for Diabetes Registry Diabetes Collaborative: Medical uses Centricity for their PCMS and PECS for Diabetes Registry Dental can access for patient information from both systems electronically from dental clinic Dental can access for patient information from both systems electronically from dental clinic Patients are identified as diabetic patients when they are seen in dental. Patients are identified as diabetic patients when they are seen in dental. Their periodontal diagnosis is made by dental providers. Their periodontal diagnosis is made by dental providers. Reports can be run and results are then sent to medical providers regarding their registered diabetic patient’s periodontal diagnosis Reports can be run and results are then sent to medical providers regarding their registered diabetic patient’s periodontal diagnosis As part of Performance Review plan, we now will provide medical providers the periodontal diagnosis on ALL patients As part of Performance Review plan, we now will provide medical providers the periodontal diagnosis on ALL patients

11. 2005 NATIONAL PRIMARY ORAL HEALTH CARE CONFERENCE Another Example: Tobacco Education Tobacco Education Patients are identified as smoker from their medical history and information is entered in Dentrix as “smoker” Patients are identified as smoker from their medical history and information is entered in Dentrix as “smoker” Tobacco education is one of the oral health indicators Tobacco education is one of the oral health indicators Patients will be referred to Health Education for Tobacco Counseling and referral is recorded in the system Patients will be referred to Health Education for Tobacco Counseling and referral is recorded in the system Health Education gives dental reports on patients' progress including no show, which will be recorded in referral log of Dentrix Health Education gives dental reports on patients' progress including no show, which will be recorded in referral log of Dentrix

12. 2005 NATIONAL PRIMARY ORAL HEALTH CARE CONFERENCE TRACKING HAS NEVER BEEN THIS EASY! BUT… BUT…

13. 2005 NATIONAL PRIMARY ORAL HEALTH CARE CONFERENCE GARBAGE IN, GARBAGE OUT! GARBAGE IN, GARBAGE OUT!

14. 2005 NATIONAL PRIMARY ORAL HEALTH CARE CONFERENCE LEARN ABOUT OURSELVES OUR PRACTICE OUR PRACTICE OUR PATIENTS OUR PATIENTS SO THAT WE CAN IMPROVE OURSELVES OUR PRACTICE OUR PRACTICE HEALTH OUTCOMES OF OUR PATIENTS HEALTH OUTCOMES OF OUR PATIENTS

15. 2005 NATIONAL PRIMARY ORAL HEALTH CARE CONFERENCE DELIVERING THE CARE FOR OUR PATIENTS Involves Clinic staff and providers Clinic staff and providers Local partners: specialists, local dental society partners Local partners: specialists, local dental society partners Regional and state: Oral health organizations, councils and task forces, foundations, state dental associations, and other health professional organizations Regional and state: Oral health organizations, councils and task forces, foundations, state dental associations, and other health professional organizations WE CAN’T DO IT ALONE! WE CAN’T DO IT ALONE!

16. 2005 NATIONAL PRIMARY ORAL HEALTH CARE CONFERENCE THANK YOU FOR YOUR TIME AND ATTENTION! HUONG N. LE, DDS ASIAN HEALTH SERVICES OAKLAND, CA hle@ahschc.org