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Saskatchewan oral health professions (sohp) seniors oral health and long term care strategy

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May 1st 2013

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Saskatchewan oral health professions (sohp) seniors oral health and long term care strategy

  1. 1. Saskatchewan Oral Health Professions (SOHP) Seniors Oral Health and Long Term Care Strategy
  2. 2. How can we ensure that all seniors and residents of long term care homes have access to oral health care as a standard of care? Together we can make a difference
  3. 3. Update…since October 2012 Meetings: March 22, 2013 Laura Carney, SLP – Rural LTC
  4. 4. Plan - Early 2012 to present  Review Documents/Programs from around the world and decide on direction – “Made in Saskatchewan” model  Develop and Revise Strategy and Recommendations Revised based on feedback received at May 2012 OHC meeting  Apply for Funding – Received from SK Oral Health Professions Group  Documents to be developed – in process  Permission/Agreement with Australia established  Public Health Observatory – Research Unit asked to provide data on Aspiration Pneumonia, Cardio Pulmonary Disease and Diabetes to assess potential savings to government health spending  Pilot the training resource/Portfolio Training and Consultation with Long Term Care Homes  Strategy and Recommendations to government
  5. 5. Vision Oral health is an integral part of the overall health of residents in long term care homes and seniors in the community.
  6. 6. Recommendations 1. That the Saskatchewan Government, Ministry of Health endorses the Saskatchewan Seniors Oral Health and Long Term Care Strategy developed by the Saskatchewan Oral Health Professions collaboratively with Long Term Care.
  7. 7. Recommendations 2. That legislated Oral Health Care Policies/Standards for Long Term Care and Personal Care Homes are established based on best practice to strive for optimal oral and overall health for the people of Saskatchewan. Policies should ensure that every senior and long term care resident has the right and access to oral health care services: 2.1 An individualized oral health care plan 2.2 Basic oral hygiene supplies 2.3 Daily oral hygiene 2.3 Professional dental services 2.4 Oral health record included within the resident’s health record 2.5 Dental recommendations/orders are followed Note: As per Section 23 of the current Personal Care Home Regulation, each resident receive a dental examination, as necessary.
  8. 8. Recommendations 3. That an Oral Health Coordinator (OHC)(s), who is a licensed oral health professional, should be employed in each health region to facilitate the delivery of initial oral assessments, dental examinations and treatment, daily oral hygiene for residents and oral health education. The Oral Health Coordinator will work collaboratively with the long term care, multi-disciplinary team to improve the oral and overall health of residents.
  9. 9. Recommendations 4. That upon entry into a Long Term Care (LTC) home, an initial oral assessment must be completed by a licensed oral health professional, through the general/medical consent provided by the long term care home. 4.1 Oral assessments should be routinely performed every 6 months thereafter, by an oral health professional or a health care professional trained in oral health. 4.2 Non-oral health professionals performing oral health assessments or care will receive appropriate training developed by this project. 4.3 All training will be provided by oral health professionals.
  10. 10. Recommendations 5. That initial oral assessments may trigger a referral to a dentist for a full dental examination to include: 5.1 Personal client record, including consent for dental examination 5.2 Review of medical and dental history 5.3 Complete examination of the oral cavity, to include: 5.3.1 Assessment of hard and soft tissues 5.3.2 Assessment of oral hygiene care 5.3.3 Oral cancer screening 5.3.4 Denture Assessment 5.4 Treatment plan/progress notes 5.5 Estimate/Consent for financial responsibility 5.6 Consent for treatment
  11. 11. Recommendations 6. Treatment needs based on the dental examination, may be provided by dentists, denturists, dental hygienists, dental therapists and/or dental assistants. Residents may access dental services through their personal oral health professional or through dental services as available through the long term care home. 7. That the Saskatchewan government establish a safety net program for more equitable access to oral health services for low income residents (similar to Ministry of Health Supplementary Health/Family Health Benefits or Alberta’s Dental Assistance for Seniors Program through which low income seniors are eligible for up to $5000 every 5 years for those aged 65 and older). 8. That the Saskatchewan Seniors Oral Health and Long Term Care Strategy is incorporated into post-secondary educational health training programs, orientation, and continuing professional development (i.e. for physicians, nurses, care aides, etc).
  12. 12. Recommendations 9. That the standard for new long term care homes includes provision for a treatment room suitable for a variety of health professionals including access to portable dental equipment to facilitate dental treatment. 10. That the implementation of a Saskatchewan electronic health record includes an oral health component. 11. That surveillance, evaluation and continuous quality improvement be performed on an ongoing basis to demonstrate improved health and oral health status outcomes.
  13. 13. Next Steps  Documents to be finalized/completed  Vidya Shanmugam  Public Health Observatory – Research Unit asked to provide data on Aspiration Pneumonia, Cardio Pulmonary Disease and Diabetes to assess potential savings to government health spending  Pilot the training resource/Portfolio Training and Consultation with Long Term Care Homes  Strategy and Recommendations to government

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