1. Eban Experience Session II June 17, 2011
HAPPY TEETH
Eban Experience Session II
June 17, 2011
Introduce yourself and the plan or plans available to the members. Let members know that you are happy to answer their questions.

2. Aim
Increase the Number of Publicly Insured Patients ages 0-12 that Receive a Fluoride Varnish Application by 20% at Each of their Recall Visits at the four clinics of focus By December 0f 2011.
Currently we are finding that less than three quarters of eligible children have applications applied.

3. Midway Dental Clinic Pre-Visit Receptionist does HIP Check (insurance,
demographics, etc.)
Receptionist
Selects the appropriate
quick plan appt. Enters
Info. into electronic pt.
chart
and saves info.
Receptionist
searches
for available appt.
Times for correct
appt. type
Parent/patient calls
receptionist to
schedule
NP Peds
Parent/patient
accepts
appt. time
Receptionist verifies
appt. time
with parent/patient
Receptionist reminds
parents to Arrive
10 min. earlier than appt.
time
Provider reviews pt.
chart prior to visit
and ensures correct
quick plan has been
entered for pt. visit

4. Midway Dental Clinic Day of Visit Receptionist registers patient
electronically alerts
provider
patient has arrived
Provider greets & escorts
pt./parent to TX area
Parent/patient arrives
at Midway Dental
Clinic
Provider reviews
health & dental history
w/parent and
documents
In chart
Provider prepares
the patient for
procedures
Provider completes x-rays
cleaning & pt./parent
education
Dentist completes exam
Provider documents dentist
findings in coordination
With exam

5. Midway Dental Clinic Day of Visit Dentist completes Pt.’s risk assess-
ment
Low Risk
Patient is
checked out
Parent/patient
leave the clinic
Moderate/High Risk
Provider manually adds
the varnish code to the
Electronic file and saves It
Provider applies
varnish
Provider gives
post-operative
Instructions to parent/
patient
Provider gives
post-operative
Instructions to parent/
patient

6. Midway Dental Clinic Day of Visit Provider chargers today’s procedures
before patient’s
Is checked out
Patient is
checked out
Parent/patient
leave the clinic

7. PDSA
Have not yet completed first cycle ( See barriers)

8. How have you integrated your community advisor into your improvement work?
Attended All Meetings and Contributed to Ideas
Been Active Members of and Contributed to the Discussions
Made Recommendations for System Changes To Increase Efficiency in Care
Members’ Background in QI and Research Are of Great Value

9. SUCCESSES
Have been able to communicate and articulate barriers to our Project Champion/Sponsor
Cohesive and enthusiastic team that strives for success

10. BARRIERS Turn around for requests
External resources are not always available
Funding
Clinic staffing issues