DENTAL SERVICES OVERVIEWMarch 18, 2015

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OVERVIEW

• Harris County 2013 population was estimatedat 4.3 million people, with 18% of those below the povertylevel.

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• Mission, Vision, Values

• Our mission is to improve the community’s health by delivering high quality healthcare to Harris County residents and by training the next generation of health professionals.

• Our vision is that we will create a healthier community and be recognized as one of America’s best community owned health care systems

We value:• Our patients, staff

and partners• Diversity and

inclusion• Compassionate care• Trust• Integrity• Mutual respect• Communication• Education, Research

and Innovation

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OVERVIEW

• Harris Health is a fully integrated health care system that cares for all residents of Harris County. We were the first healthcare institution in Harris County to be designated as a Patient Centered Medical Home. Our system consists of:– 3 hospitals (LBJ, Ben Taub, and Quentin Mease)– 16 community health centers, including the nation’s first

freestanding HIV/AIDS treatment center– Dental Center– 5 school based clinics– 14 homeless shelter service locations– 6 mobile health units– Riverside Dialysis Center

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OVERVIEW

• All of our medical services are provided by two nationally recognized schools of medicine: Baylor College of Medicine and University of Texas Health Science Center at Houston (UTHealth).

• Oral surgery services at Ben Taub and LBJ Hospital are provided by the University of Texas Health Science Center Dental Branch at Houston.

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64.1%21.9%

9.1%

4.9%

Payor Mix

Self PayMedicaid/CHIPMedicareCommercial/Other

• Overall Harris Health Statistics

56.7%26.5%

9.2%

5.2%2.4%

Patient Demographics

HispanicAfrican AmericanCaucasianAsianOther

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HISTORY

• Harris County Hospital District was created by voter referendum in 1966.

• Settegast Health Center was opened in 1967, followed quickly by several other Community Health Centers

• The Dental Center opened in 1980 (not in it’s current location).

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OVERVIEW

• Dental Services at Harris Health is comprised of a Dental Center and 9 dental clinics within ACS health centers.– Aldine– Acres Home– El Franco Lee– Gulfgate– MLK– Monroe (Same Day)– Settegast– Strawberry– Vallbona

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OVERVIEW OF SERVICES

• Harris Health dental services are dedicated to providing quality care in a friendly environment.

• We provide the following services – Urgent dental care (relief of pain or swelling)– Exams and x-rays– Preventive care (fillings and extractions)– Full Dentures and Partials (treatment offered at

the Dental Center to patients who qualify)

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URGENT DENTAL CARE (EMERGENCY VISITS)

• The Dental Center treats patients with urgent dental needs.

• Treatment is available to new dental patients and established patients who have not received dental care within the past eighteen months, and are experiencing extreme pain.

• Patients without appointments are seen on a first come, first served basis.

• We receive a steady volume of urgent walk-ins.

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COST OF TREATMENT

• Patients eligible for the Harris Health System Financial Assistance Program pay for dental treatment based on their pay code.

• Financial assistance eligibility must be valid at the time of service to receive the discounted rates.

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DENTURE OVERVIEW

• Harris Health provides teeth replacement services for qualifying patients.

• Teeth replacement services are conducted at the Dental Center by our denture specialist.

• The denture team strives to create dentures that are close to the size, shape and color of the patients natural teeth.

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QUALIFYING FOR DENTURES

• To qualify for partial dentures, the patient must be missing four or more teeth either on the top or bottom.

• All general dental procedures must be completed before a mold or impression is taken.

• The patient must have the ability to meet the financial responsibility for treatment

• All other clinical criteria based on the denture provider consultation

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DENTAL SERVICES FOR OBSTETRIC PATIENTS

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TITLE V/EPHC

• We provide dental services for obstetric patients through the Expanded Primary Health Care grant.

• Services are offered at the Dental Center to pregnant and post-partum patients.

• Through this program, patients receive oral examinations, cleanings, extractions, fillings and replacement teeth if needed.

• Patients are referred to the Dental Center by completing a physician referral in Epic.

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DENTAL SERVICES THROUGH THE 1115 WAIVER DSRIP PROGRAM

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DSRIP OVERVIEW

• DSRIP is a federally-sponsored pay-for-performance initiative that aims to provide better care for individuals, better health for the population and lower cost through improvement and innovation.

• The program follows a rewards-based payment structure contingent on achieving health improvement goals.

• Harris Health has 100+ projects under this program.

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DENTAL DSRIP

• This project aims to expand adult dental services by establishing additional sites and expanding services at current sites.

• Any adult patient within the system who seeks dental care may benefit from this project.

• Harris Health System is reimbursed a specified amount if the project goals are met upon completion of the DSRIP year.

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NEED FOR THE DSRIP PROJECT

• Harris Health provides adult dental services at 8 community health centers, with the Dental Center providing urgent care, oral surgery & dentures.

• However, current access is not sufficient

• Bad oral health care increases the risk of heart disease, diabetes and stroke.

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QUESTIONS