1. City of Portland, Maine Oral Health Program

2. Overview of Presentation
Purpose
Demographics
Community collaboration
Oral Health program overview
Integrated Homeless Health Clinic
Innovations
Open access
Case management
Outcomes

3. Purpose
To offer an overview of the program to suggest ways to help other clinics operate more effectively, including reducing lost provider time, accommodating emergencies, decreasing the time between appointments, and increasing collaboration with other providers.

4. Demographics Rural New England state Metropolitan population: 230,000
Homeless population: 5,000
Special populations served:
Refugee
HIV positive
Teenagers

5. Community Collaboration
Social service agencies
Mental Health
Halfway houses
Teen Center
Oral surgeons
Community dental clinics
Hospitals
Public Health Division of the City of Portland
State of Maine
Public Health nurses
Intensive case managers

6. Portland Oral Health Program
Homeless
Hygiene
Dental clinic
Denture laboratory contract
Low-income
Volunteer Dentists, Oral Surgeons, and Endodontists
Community clinic
Nursing home
Case Management

7. Homeless Health Clinic Overview
Integrated clinic
Dental
Primary care
Mental health
Substance abuse
Close to day shelter, soup kitchen, overnight shelter, social services agencies

8. Open Access No-shows vs. lost time Client working list Sit and wait
Emergencies
1 slot per day
Customer satisfaction
Control over pace of care
Always an option to engage services

9. Case Management Follow-up on no-shows Outside providers Outreach
Oral surgeons
Denture program
Outreach
Contact hard-to-reach patients
Teens
Street
Education
Health fairs
Progress in treatment
Resources
Volunteer dentists
Local philanthropic societies

10. Outcomes No-show rate/lost time Same-day/next-day service
Case management
Same-day/next-day service
Booking out maximum 2 weeks
Only with people who follow-up