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Reaching Our Most Remote Sites With Oral Health Services

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Presented at the National Academy for State Health Policy's 20th Annual State Health Policy Conference in Denver, Colorado. Author: Ron Nagel

Presented at the National Academy for State Health Policy's 20th Annual State Health Policy Conference in Denver, Colorado. Author: Ron Nagel

Published in: Health & Medicine, Business

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  • Transcript

    • 1. Reaching Our Most Remote Sites With Oral Health Services
      • Ron Nagel DDS MPH
      • Alaska Native Tribal Health Consortium
      • www.ANTHC.org
    • 2. Newtok Clinic Yukon Kuskokwim Health Corporation
    • 3.  
    • 4. Newtok Clinic, Yukon-Kuskokwim
    • 5. AFHCAN Cart Alaska Federal Health Care Access Network
      • Wireless Networking
      • Touchscreen
      • Mobile – Customized
        • Consultation
        • Patient education
        • Provider education
        • Health survey tool
      • WWW. AFHCAN.ORG
    • 6. Peripherals Supported
      • Digital Camera
          • Still images
          • Video Clips
      • TWAIN Devices
          • Scanners
          • Microscope Imagers
          • Specialty Scanners
      • Video Devices
          • Video Otoscope
          • Dental Camera
          • Other scopes …
      • ECG
      • Spirometer
      • Tympanometer
      • Audiometer
      • Vital Signs Monitor
          • Blood Pressure / Pulse
          • Pulsoximetry
          • Temperature
      • Video Conferencing
      • Under Development
          • Stethoscope
    • 7. Medicaid Study Decreased Travel = Cost Savings Note: For every $1 spent by Medicaid on reimbursement, $7.95 is saved on travel costs. 79 91 Quantity $48,467 Net Savings Realized by Medicaid $55,437
      • Telemedicine Prevented travel
        • Notes:
          • Only specialty clinic travel is being saved.
          • 86% of cases were from village  region
          • Assume all cases had an escort
          • Travel costs average $307.57 RT per person
          • No lodging / per diem calculated
      ($6,970) Claims paid by Medicaid Cost
    • 8. Clinical Guidance
    • 9. Dental Therapists
      • W.H.O. cites 52 countries that utilize Dental Therapists
      • Functions as part of the dental team under the supervision of a dentist
      • New Zealand has 88 yrs experience and Canada has over 38.
      • Exceptional safety record under general supervision for children and adults
      • They are equipped to help us provide the educational, preventive and safety net services that are most needed.
    • 10. Dental Therapy Scope
      • X-rays and exams
      • Cleaning , Sealants, Fluorides
      • Oral health education
      • Fillings and extractions
      • By addressing pain, infection, and function they develop relationships that change behavior to prevent disease
      • University of Washington MEDEX is now providing this training called DENTEX
    • 11.  
    • 12. Gambell Clinic, Norton Sound
    • 13. Future Directions – Pushing More Capability to the Clinics Ultra-Portable Telehealth Technology Home Health Extending more sophisticated technologies with midlevel providers
    • 14.