Online Program

Effective Interprofessional Collaborative Practice Model to Eliminate New Cavitations in Underserved Communities

Monday, November 2, 2015

Jessica Vergel de Dios, M.S., College of Dental Medicine, Western University of Health Sciences, Pomona, CA
Timothy Martinez, DMD, College of Dental Medicine, Western University of Health Sciences, Pomona, CA
Mary E. Foley, RDH, MPH, Medicaid-CHIP State Dental Association, Washington, DC
Marisa Watanabe, D.D.S., M.S., College of Dental Medicine, Western University of Health Sciences, Pomona, CA
Marc Bernardo, DMD (c), MPH, College of Dental Medicine, Western University of Health Sciences, Pomona, CA

Comprehensive health homes located within community and school-based health settings effectively reduce health disparities by improving access to primary care services for the families they serve.  These interprofessional models offer health care professional trainees the opportunity to gain experience, not only in their unique healthcare specialty, but also working in a collaborative team environment.  All 270 Western University of Health Sciences College of Dental Medicine (WUCDM) students are educated through an integrated curriculum, incorporating community based dental education, interprofessional collaborative practice, and practice management to eliminate new cavitations in patient’s ages 0-17 in Los Angeles County elementary schools. At the Mulhall Family Center comprehensive home, WUCDM dental students, El Monte City School District (EMCSD) family nurse practitioners and school nurses, psychologists, and social workers allow for bi-directional referral processing and the administering of total body health in an interprofessional environment. The primary care education incorporates a modern interprofessional approach for eliminating new cavitations in children by integrating DentaQuest continuous quality improvement measures. Over an 18 month period, 100% of the WUCDM patient’s ages 0-17 in EMCSD received a comprehensive examination including caries and periodontal risk assessments along with behavioral and educational tools to decrease childhood caries. Through the successful application of this model and completion of Phase I treatment, 48.6% of these patients have returned with no new cavitations at the 3 or 6 month recall appointment. This demonstrates an effective intercollaborative practice disease management model for providing quality care for children in disadvantaged communities.

Learning Areas:

Administer health education strategies, interventions and programs
Assessment of individual and community needs for health education
Chronic disease management and prevention
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Demonstrate how an interprofessional collaborative practice model effectively eliminate new cavitations of patient’s ages 0-17 in underserved communities. Describe an innovative approach of using continuous quality improvement measures to eliminate new cavitation amongst high risk patients within a comprehensive health home. Evaluate oral health behavioral and educational tools to obtain an improvement in new cavitation rates amongst patient’s ages 0-17 in an interprofessional practice.

Keyword(s): Oral Health, School-Based Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the primary poster presenter at the Medicaid State Dental Association Conference 2015 on the "Paradigm Shift of Dental Education in Integrative Healthcare", was a co-author in the poster presentation of "Collaborative Healthcare and Education System Partnerships" at the 2015 National School-Based Health Care Convention, and actively participate in research to improve the collaborative partnerships to have a caries-free child population.
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.

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