260694 Increasing Access to Oral Health care through Dental Case Management

Monday, October 29, 2012

Kimberly Nelson, MSPH , Family Care Coordination, Cabarrus Health Alliance - Public Health Authority for Cabarrus County, NC, Kannapolis, NC
The purpose of this presentation is to describe the BlueCross BlueShield Foundation (BCBS) Oral Health Access Project at Cabarrus Health Alliance, the public health authority of Cabarrus County, NC. Cabarrus County is a melting pot of small towns and growing cities located in the Piedmont Region of NC. This presentation will demonstrate how a Case Management approach can be utilized to increase oral health care to low income children, their parents and pregnant woman that are Medicaid eligible through a collaborative effort with other community providers such as primary care physicians, pediatricians, child care center staff, school nurses, dentists, WIC staff and local care management systems. Although the dental case manager community approach has been utilized in other studies, North Carolina has added a wellness concept aimed at reducing the incidence of early childhood caries (ECC) as a direct result of the “Into The Mouths of Babes” (IMB) program, a North Carolina movement to end ECC. Dental caries is the most common chronic disease in children; improving the system will improve the overall health of children. The goal of this presentation will provide learners with an introduction to how a Dental Case Manager can strengthen the infrastructure of community providers. Currently only 31% of adults and 46% of children in Cabarrus County who are Medicaid eligible utilize it for dental services. Data from a 6 month period (approximately 1,500 patients) will be gathered reflecting the use of dental services for this group. Preliminary results will be presented to the group.

Learning Areas:
Planning of health education strategies, interventions, and programs
Public health or related education
Public health or related nursing
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
1. Discuss innovative community approach to building a partnership among health professionals in the medical and dental community following recommendations from IMB. 2. Identify the successes and challenges of primary care practices referring high risk children to the dentist at age one. 3. Evaluate the results of children that have completed needed dental treatment that has impacted children quality of life into the school years.

Keywords: Access to Care, Children's Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the Dental Case Manager of the Oral Health Access Project and I have over five years of experience in 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.