WesleyLife partnership with Delta Dental of Iowa Foundation for mobile dental services. May 23, 2016

WesleyLife partnership with Delta Dental of Iowa Foundation for mobile dental services May 23, 2016 WesleyLife Communities • Karen Bentsen, Executiv...
Author: Barnard Davis
12 downloads 1 Views 998KB Size
WesleyLife partnership with Delta Dental of Iowa Foundation for mobile dental services May 23, 2016

WesleyLife Communities • Karen Bentsen, Executive Director – Heritage House in Atlantic, Iowa – [email protected]

• Chris Marshall, Executive Director – Halcyon House in Washington, Iowa – [email protected]

• About WesleyLife

Need for oral care services in long-term care setting • Relationship between dental wellness and overall resident health • Concern for those in rural nursing facilities who did not receive dental care of any kind due to barriers such as— – Accessibility to dental services for residents in wheelchairs – Accessibility for residents on Medicaid or those who were financially unable to pay

WesleyLife Miles of Smiles Mobile Oral Health Clinic • Began in Atlantic, Iowa, in 2007 • Successful partnership between Dr. Carrol Trewet and his team with Heritage House • Delta Dental grant made it possible for start-up of WesleyLife Miles of Smiles • Area of dental services coverage was anticipated to cover nursing facilities in Cass and surrounding counties

Scope of Services • • • • • • • • •

Examinations Prophys/Cleaning Fluoride varnish Tooth Extractions Some fillings Light Denture Repairs Treatment plans Complex issues completed offsite Six month intervals

Halcyon House Mobile Oral Health Clinic added in 2014 • Grant process for Halcyon House Miles of Smiles mobile dental services began in 2012 • Grant Process Steps – Complete application – Letters of recommendation – Communication with area dentists – Detailed budget of income and expenses – Answers to DDIF Grant Sub-Committee – Presentation to DDIF Board

Alignment with DDIF 2020 Strategic Vision

Grant Received • Halcyon House grant was for $65,000 • Some Items included: – – – – – – – – – – – –

X-ray equipment Mobile operatory and hand pieces Statim autoclave Cavitron Chair, stool Versatilt Computer and software Loops Ultrasonic sterilizer Supplies Insurance Numerous small items

Halcyon House Provided:

• Storage Space, Shelving, Refrigerator • Vehicle with ramp to transport all equipment to nursing facilities • Garage space for vehicle • Bookkeeper for billings and payment of wages

Vehicle purchased for the program

Lessons Learned from Atlantic Operation • Difficulty in transferring residents from wheelchairs to dental chair • Requirement that nurse aide complete transfer, sometimes caused wait times • Versatilt Option

Washington Dental Team • • • •

Dr. James Harris, DDS (paid per service) Debbie Leith, Dental Hygienist ($38/hr) Halcyon House Accounting Team (no fee) Fee Schedule: – Eval $35 – Prophy/Cleaning $75 – Varnish $25 – Extractions $145+ – Fillings $125+

Normal Operation • Nursing facilities provide private room with sink availability for dental services • Dental team transports mobile equipment via lift van to nursing facility; nursing facility team members provide assistance with bringing in equipment • Nursing facilities work with dental team to make sure appointments flow smoothly and help determine who should be seen and for what reasons • Any services beyond scope of mobile abilities would be scheduled at the office • Clean up of mobile equipment completed onsite • Clean up/sterilization of tools completed at Harris dental office

Resident billing • Paperwork with each resident or their representative completed for services • Services are tracked through dental software/computer • Halcyon House accounting office adds cost for private pay individuals to their monthly invoices • Halcyon House bills other facilities one lump sum for their facility resident charges • Halcyon House submits claims to Medicaid for its residents

Continuing Operation • Our purpose in adding mobile dental services was to give access to dental care for our residents and those of other nursing facilities who did not receive dental care; we did not and do not wish to affect existing relationships with dentists and their patients/our residents. • Expansion of services as well as continuing of dental services depends on availability of the dentist’s time each month, and also availability of a new dentist when the current dentist retires. • We are very pleased with our mobile dental operation and will continue to work to expand our services.

Questions?

www.wesleylife.org