1. Eli Schwarz KOD DDS, MPH, PhD, FHKAM, FCDSHK, FACD, FRACDS
Telehealth in Dentistry: The School Based Setting as a Virtual Dental Home
Eli Schwarz KOD
DDS, MPH, PhD, FHKAM, FCDSHK, FACD, FRACDS
Telehealth Alliance of Oregon Summit, March 2016

2. Acknowledgments Paul Glassman Maureen Harrington Maysa Namakian
Linda Mann
Jon Klein
Meagan Kintz
Jennifer Clemens
I don’t think we need to add for this presentation, since Meredith will talk about it
Funding: Oregon Health Authority/
Office of Rural Health
Eli Schwarz
Richie Kohli
Eli Schwarz - School of Dentistry

3. What we will talk about today
Context: Access issues in dental care
Framework: State-wide workforce project
Virtual Dental Home concept
Capitol Dental Care telehealth project
Next steps
Eli Schwarz - School of Dentistry

4. Surgeon-General’s report on oral health, 2000
Oral Health in America
Oral health, like general health, has improved dramatically in recent decades ….
However, not all Americans are achieving the same degree of oral health ……. What amounts to “a silent epidemic” of oral diseases is affecting our most vulnerable citizens ..
Surgeon-General’s report on oral health, 2000
Eli Schwarz - School of Dentistry

5. The majority of underserved people with the majority of dental disease do not take advantage of the traditional dental care delivery system
Eli Schwarz - School of Dentistry

6. Access issues in dental care
Access – geographic – financial
Persistent problem in dental care
Health disparities – social determinants
Eli Schwarz - School of Dentistry

7. Eli Schwarz - School of Dentistry

8. State wide workforce dental pilot project
Eli Schwarz - School of Dentistry

9. Courtesy: Dr. Paul Glassman

10. Telehealth connected dental team
Community based oral health delivery system- preventive and simple therupetic restorations in the community
Edu, triage, case management., preventive, itr
Eli Schwarz - School of Dentistry

11. Equipment for asynchronous store and forward dental information transfer
Eli Schwarz - School of Dentistry

12. Courtesy: Dr. Paul Glassman
Eli Schwarz - School of Dentistry

13. Courtesy: Dr. Paul Glassman

14. Courtesy: Dr. Paul Glassman

15. The Virtual Dental Home comes to Polk County
Eli Schwarz - School of Dentistry

16. Capitol Dental Care telehealth project
The specific aims of this project are to:
Demonstrate the ability to create and deploy telehealth-connected oral health teams capable of reaching children who have not been receiving dental care on a regular basis and providing community-based dental diagnostic, prevention and early intervention services;
Undertake on-site data collection for diagnostic records and perform preventive procedures designed to keep children from developing advanced dental disease;
Demonstrate a reduced need for most children to be seen by dentists in stationary dental practices or clinics (the Virtual Dental Home);
Achieve the Triple Aim in oral health care in Oregon with people having better experiences of care, better oral health and doing so at a lower the cost per-capita; and
Develop lessons that can be used to disseminate the Virtual Dental Home
concept throughout Oregon.
Eli Schwarz - School of Dentistry

17. Preliminary outcomes after 6 months (One elementary school, 2nd grade)
Children examined;
N=113 (90%)
Consent forms sent out; N=265
No response; N=66 No
Cavities
28%
Untreated
Cavities
Treated
Cavities
Returned forms; N=199 (75%)
72%
No to participate; N=74
(67 reported, child had dentist)
43% of Children kept healthy in the community;
57% Referred to dentist
Yes to participate; N=125 (63%)
Last minute refusals; Absent from school N=12
Eli Schwarz - School of Dentistry

18. Next steps Oregon Health Authority approval of dental pilot project
with dental hygienist expanded duties
Extension of present project
Expansion of project to additional sites
Final evaluation
Eli Schwarz - School of Dentistry

19. The future: Hub and spoke system
Courtesy: Dr. Paul Glassman
Eli Schwarz - School of Dentistry

20. Thanks for your attention
Eli Schwarz - School of Dentistry