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Susan Kerr - iloralhealthconf_10-18-07.ppt


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Susan Kerr - iloralhealthconf_10-18-07.ppt

  1. 1. “ Workforce Funding” Statewide Oral Health Conference October 18, 2007 Susan Kerr, President
  2. 2. A Little History… <ul><ul><li>Foundation established in December 2002 </li></ul></ul><ul><ul><ul><li>Action of IL Attorney General’s office </li></ul></ul></ul><ul><ul><ul><li>Private Foundation </li></ul></ul></ul><ul><ul><li>Illinois’ only statewide foundation focusing on children’s health (one of only handful in U.S.) </li></ul></ul><ul><ul><li>Board of Directors in place Spring 2003 </li></ul></ul><ul><ul><li>Staff in place by May 2004 </li></ul></ul><ul><ul><li>First grants awarded in November 2004 </li></ul></ul>
  3. 3. ILCHF Structure… <ul><ul><li>Board of Trustees </li></ul></ul><ul><ul><ul><li>13 Directors </li></ul></ul></ul><ul><ul><ul><li>Represent health, business, education and children’s advocacy </li></ul></ul></ul><ul><ul><li>Staff </li></ul></ul><ul><ul><ul><li>President – Susan Kerr </li></ul></ul></ul><ul><ul><ul><li>Foundation Manager – Debra Pitts-Brown </li></ul></ul></ul><ul><ul><ul><li>Senior Program Officer – Anna Laubach </li></ul></ul></ul><ul><ul><ul><li>Program Officer – Bob Egan </li></ul></ul></ul>
  4. 4. ILCHF Structure (cont’d.)… <ul><ul><li>Outside Advisors </li></ul></ul><ul><ul><ul><li>Advisory Council </li></ul></ul></ul><ul><ul><ul><ul><li>30+ volunteers representing various areas of health, youth development, research, government – from state level down to community level </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Act as “eyes and ears” for Foundation throughout the state of Illinois </li></ul></ul></ul></ul><ul><ul><ul><li>Advisory Committee </li></ul></ul></ul><ul><ul><ul><ul><li>35 volunteers representing various areas of health from across the state </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Participate as reviewers during the evaluation process for proposals received </li></ul></ul></ul></ul>
  5. 5. ILCHF Giving… <ul><ul><li>Nearly $24 million in all est. by YE 2007 </li></ul></ul><ul><ul><ul><li>2004 grants = $5.9 million </li></ul></ul></ul><ul><ul><ul><li>2005 grants = $5.5 million </li></ul></ul></ul><ul><ul><ul><li>2006 grants = $6.1 million </li></ul></ul></ul><ul><ul><ul><li>2007 grants = est. $6.4 million </li></ul></ul></ul><ul><ul><li>Funding primarily in 3 areas: </li></ul></ul><ul><ul><ul><li>Oral Health (33%) </li></ul></ul></ul><ul><ul><ul><li>Mental/Behavioral Health (29%) </li></ul></ul></ul><ul><ul><ul><li>Screening/Care for Developmental Delays (12%) </li></ul></ul></ul><ul><ul><li>Other areas include: </li></ul></ul><ul><ul><ul><li>General Pediatric Services (20%) </li></ul></ul></ul><ul><ul><ul><li>Other health-related grants (6%) </li></ul></ul></ul>
  6. 6. ILCHF Giving…
  7. 7. New Oral Health Initiative… <ul><ul><li>Builds off Illinois Oral Health Plan’s five goals </li></ul></ul><ul><ul><li>$20 million over next 5 years for expanding access to oral health care </li></ul></ul><ul><ul><ul><li>Build capacity of the safety net system </li></ul></ul></ul><ul><ul><ul><li>Create greater awareness on the impact oral health has on overall health </li></ul></ul></ul><ul><ul><ul><li>Increase providers serving “underserved” </li></ul></ul></ul><ul><ul><li>$4.5+ million earmarked in funds through 6/07 RFP </li></ul></ul><ul><ul><li>Funding still available for other focus areas - $1.5+ yet to be awarded in 2007 </li></ul></ul>
  8. 8. Strategy 1: Building Capacity… <ul><ul><li>Goal: identify and fund establishment or expansion of services in qualified community-based sites (i.e. FQHCs, Look-Alikes, SBHCs, Rural/Critical Access Hospitals, public health department clinics) </li></ul></ul><ul><ul><li>Dollars cover staffing, construction, equipment, operations for start-up phase (15 months – 2 years) </li></ul></ul><ul><ul><li>Actively seek out and assist applicants that don’t now offer dental care, in overcoming barriers </li></ul></ul>
  9. 9. Strategy 2: Oral Health Awareness… <ul><ul><li>Goal: Create greater awareness about the impact oral health has on child’s overall health </li></ul></ul><ul><ul><li>Least developed strategy </li></ul></ul><ul><ul><li>Ideas include: </li></ul></ul><ul><ul><ul><li>Data/research to focus attention on issue </li></ul></ul></ul><ul><ul><ul><li>Education efforts targeting specific professional groups (i.e. primary care) </li></ul></ul></ul><ul><ul><ul><li>Targeted public communications </li></ul></ul></ul>
  10. 10. Strategy 3: Workforce Development… <ul><ul><li>Goal: Build number of OH professionals treating underserved children </li></ul></ul><ul><ul><li>Workforce Summit held in January </li></ul></ul><ul><ul><li>Initiative with IL dental schools under development </li></ul></ul><ul><ul><li>Researching other ideas to address maldistribution of professionals throughout the state </li></ul></ul><ul><ul><ul><li>Loan repayment </li></ul></ul></ul><ul><ul><ul><li>Role of pediatricians/other primary care profs. </li></ul></ul></ul>
  11. 11. The Dental Workforce… <ul><ul><li>Supply of Dentists fairly flat </li></ul></ul><ul><ul><ul><li>Nationally – about 53/100,000 over past 10 years </li></ul></ul></ul><ul><ul><ul><li>Illinois – about 75/100,000 statewide per ISDS </li></ul></ul></ul><ul><ul><ul><ul><li>Cook County = 73/100,000 </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Mercer County = 12/100,000 </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Union County = 27/100,000 </li></ul></ul></ul></ul><ul><ul><ul><li>MUA – most of state </li></ul></ul></ul><ul><ul><ul><ul><li>82 counties whole or partial </li></ul></ul></ul></ul><ul><ul><ul><ul><li>20 undesignated </li></ul></ul></ul></ul><ul><ul><ul><li>Problem characterized as a “maldistribution” of professionals </li></ul></ul></ul><ul><ul><li>Impending retirements will escalate issue to an even higher degree </li></ul></ul>
  12. 12. Addressing Workforce Issues… <ul><ul><li>Why aren’t more dentists practicing in “underserved” areas?? </li></ul></ul><ul><ul><ul><li>High debt from college education (vs. medical students) </li></ul></ul></ul><ul><ul><ul><li>Nature of their “business” – abut half of payments for dental services are out of pocket </li></ul></ul></ul><ul><ul><ul><li>Overhead is high – 60 cents of every $1 </li></ul></ul></ul><ul><ul><ul><ul><li>92% of dentists in private practice </li></ul></ul></ul></ul><ul><ul><ul><ul><li>60% in sole proprietorships </li></ul></ul></ul></ul><ul><ul><ul><li>Low reimbursement rates – difficulty in working with Medicaid population (i.e. no-show rates) </li></ul></ul></ul>
  13. 13. Potential Solutions… <ul><ul><li>Studies generally agree: </li></ul></ul><ul><ul><ul><li>Raise reimbursement rates - provide incentives </li></ul></ul></ul><ul><ul><ul><ul><li>Illinois approximately 52% to ADA 50 th percentile </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Ranges from 102.86% for sealant to 31.33% for w bitewing x-ray </li></ul></ul></ul></ul><ul><ul><ul><li>Impact the number of graduates </li></ul></ul></ul><ul><ul><ul><ul><li>IL dental schools graduated about 53% of all dentists currently practicing – remainder from a wide range of schools </li></ul></ul></ul></ul><ul><ul><ul><li>Expand loan/debt forgiveness programs </li></ul></ul></ul><ul><ul><li>Other Ideas?? </li></ul></ul>
  14. 14. Where We’re Going… <ul><ul><li>Partnerships with both dental schools </li></ul></ul><ul><ul><ul><li>Examination of programs to identify opportunities to impact number of graduates going into “community dentistry” </li></ul></ul></ul><ul><ul><ul><li>Focus is on everything between recruitment and graduation </li></ul></ul></ul><ul><ul><li>Still researching loan repayment options </li></ul></ul><ul><ul><li>Will lead effort to explore collaborative impact of policy work on reimbursement rates </li></ul></ul>
  15. 15. Moving Forward… <ul><ul><li>Monitoring progress over time </li></ul></ul><ul><ul><ul><li>Key indicators of success likely to be: </li></ul></ul></ul><ul><ul><ul><ul><li>Decrease in dental caries of targeted children </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Greater prevalence of sealants, varnish, other preventive measures yearly </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Reduction of age of “first visit” </li></ul></ul></ul></ul><ul><ul><ul><li>Other indicators identified by grantee partners </li></ul></ul></ul><ul><ul><ul><li>Grantee meeting in early 2008 </li></ul></ul></ul>
  16. 16. Happy to listen to your ideas… <ul><li>ILCHF </li></ul><ul><ul><li>ph. 630.655.2873 </li></ul></ul><ul><ul><li>fax 630.655.4725 </li></ul></ul><ul><ul><li> </li></ul></ul><ul><li>Susan Kerr - [email_address] </li></ul><ul><li>Anna Laubach - [email_address] </li></ul><ul><li>Bob Egan – [email_address] </li></ul>