This document discusses collaborative care in healthcare and dentistry's role within collaborative networks for sleep medicine. It begins by defining collaboration and describing healthcare reforms pushing for improved access, quality and lower costs. This has led to initiatives like patient-centered medical homes and accountable care organizations. The document then discusses how collaborative care integrates behavioral/mental health into primary care. It provides examples of organizations promoting collaborative family healthcare and reviews barriers and keys to success for collaborative networks. Finally, it outlines the dentist's role in successfully participating in and establishing collaborative sleep medicine networks, including recognizing the physician's oversight and being an expert on the treatment options they provide.

1. Ellen Crean RDH MS DDS PHD

2. Objectives
 Understand what “Collaboration “ means
 Gain insights into healthcare today and how
collaboration plays a role
 Review initiatives in healthcare relating to
collaborative care
 Discuss dentistry’s role in collaborative care
 Understand collaborative care networks in sleep
medicine
 Place the dentist into that collaborative network
 Review examples of existing networks in sleep
medicine
 Understand how dentists can establish and
participate in these networks

3. “ Collaboration”
Act of working together with one or more
people to achieve shared goals

4. Healthcare Reform- Push to
 Address cost of healthcare
 Improve quality of healthcare
 Increase access to healthcare

5. Healthcare initiatives that have arose to
meet the needs
 Integrated Patient Centered Medical
Home
 Developing accountable care
organizations
 Increasing focus on pay for performance
 Comparative effectiveness research

6. “ Collaborative Care in Healthcare”
A healthcare philosophy and movement
that includes the provider of mental health
, behavioral health ,and substance use in
primary care

7. Agency for Healthcare Research
and Quality
 Published overview of outcomes of
collaborative healthcare models and
research to support them
 Focus on treating whole person and
whole family

8. Collaborative Family Healthcare
Association
Promotes a comprehensive model of
healthcare delivery that integrates mind
and body , individuals and families,
patients , providers and community

9. CFHA Goals
 Develop Knowledge base of CFH
 Advocate for the CFH perspective
 Develop opportunities and projects in
healthcare related to CFH
 Create partnerships that will strengthen
the delivery of CFH

10. Collaborative Care in Dentistry
 For the longest time dentistry has
survived remaining isolated from the
collaborative healthcare care model –an
island all to itself.

11. Paradigm shift
 Patient centered care and total body
health is shifting the isolated model of
dentistry .
 Collaboration is occurring in disease
management ( diabetes, heart disease ,
pregnancy and fetal health , oral
medicine, head neck and facial pain ,
cancer, sleep breathing disorders.)

12. Collaborative care networks in
sleep medicine
 Patients
 Sleep MD
 PCP
 PA/NP
 Behavioral Sleep /PHD
 Sleep Centers
 RPSGT
 RT
 ENT
 Dentist
 Oral Myologists
 Nutritionists

13. Barriers to success in
collaborative networks
 Turf battles between professions
 Lack of models or systems utilizing
collaborative care
 Wide variations in regulations
 Lack of systems for referral and
communication
 Lack of evidence based protocols for
collaboration that provide basis for care

14. Key points for success in
collaborative networks
 Organizational mandate
 Clear sets of responsibilities
 Team structure
 Team process
 Shared goals and outcomes
 Mutual trust and respect
 Communication

15. Dentists Role in Successful
Collaborative Sleep Networks
 Recognize and acknowledge that the
physician oversees the treatment and
management of the sleep breathing
disorder
 Understand the role of all therapy
options available to patient and when
they are beneficial
 Be an expert on the treatment options
you can provide for the patient .

16. Dentists Role
 Have well defined systems and protocols for
the network relationship ( referral systems ,
communication systems , treatment protocols)
 Enhance patients access to care (become a
contracted provider for medical insurance)
 Propose and establish only medically /legal
structured relationships
 Be focused on patient care and patient
outcomes and not only on financial gain
 Be supportive of your other network providers
and understand how your role can build their
practices as well as yours.

17. Examples of Collaborative
Networks
 Hospital Based Program – Dentist part
of sleep center/ hospital staff. Runs
Awake group with RT and does grand
rounds presentation with Sleep medical
director.
 Sleep ENT group - Dentist and Oral
Myology evaluation done on all patients
 Sleep Center central hub for all
providers / manage patient referrals

20. Questions ?
 Contact
 ecrean@tritonmedicalsolutions.com