238504 Evaluation of a Federally Qualified Health Center's (FQHC) oral health intervention program on preventable dental emergency department visits

Monday, October 31, 2011

Betty Smith-Campbell, PhD, RN , Associate Professor, School of Nursing, Wichita State University, Wichita, KS
Kelly Anderson, MHS, RDH , Department of Dental Hygiene, Wichita State University, Wichita, KS
Background/Purpose: Nationally and at the state level, government and private groups have been working on initiatives to improve oral health. Federally funded health centers have also begun increasing their services to meet the oral health needs of low-income and vulnerable populations. In the mid-2000's, Kansas initiated a collaborative effort of government and private agencies to improve oral health care. The purpose of this study was to assess the impact these funding policy initiatives had on one rural Federally Qualified Health Center's (FQHC) capacity and local preventable dental emergency department (ED) visits.

Methods: A retrospective study was conducted. Annual ED and FQHC data were collected prior to and after the FQHC received increased funding for their oral health program. Data from previous studies (2000-2007) and new data (2008-2010) were used to collect information on dental visits, insurance status, diagnosis, funding, costs and demographic data. ED visits were analyzed using the Agency for Health Quality and Research's classification of dental ambulatory care sensitive conditions (ACSC).

Results: Following increased funding of the FQHC's expanded oral health project there was an increase of dental providers and encounters; as well as a 25% decrease in ACSC uninsured and Medicaid dental ED visits (2005 to 2007). However, 2007 ED ACSC visits remained higher than earlier ED rates (2000-2004). Final analysis of new data (2008-2010) will be complete the summer of 2011.

Conclusions: Initial results found the new oral funding initiatives increased capacity at the FQHC, with some decrease in ED ACSC dental visits.

Learning Areas:
Conduct evaluation related to programs, research, and other areas of practice

Learning Objectives:
At the end of the session participants will be able to: Identify the impact of one rural Federally Qualified Health Center oral health expansion project on the local hospitalís preventable dental emergency department visits. Describe changes in one rural FQHCís oral health capacity following increased collaborative funding initiatives.

Keywords: Oral Health, Emergency Department/Room

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the PI for the research project submitted for presentation. I have had several research studies that have looked at the impact of Health Centers and ED use - this is the second project related to oral health.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.