TELEDENTISTRY: REDEFINING PATIENT CENTERED CARESharity Ludwig, EPDH, MS

July 25, 2019

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TO REVOLUTIONIZE ORAL HEALTH FOR EVERYONE BY REDEFINING

PREVENTION AND CAREUltimately, we are driven to shift

the paradigm of oral health

care to revolve around

prevention across benefits,

care delivery and impact

Our purpose puts a bold new stake in the

ground, but our inclusive mission — to

improve the oral health of all —

remains the same

Beyond incremental

shifts in how we deliver,

we are innovating and

fundamentally

changing the system

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Why Teledentistry?

Care

Network

Community

Health

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STAFF BASED PRACTICE & TELEDENTISTRY

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Teledentistry Pilot Locations

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COMMUNITY CARE & TELEDENTISTRY

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Staff

• Manager, Community Care

• 13.5 FTE RCEPDHs

• 5 Outreach Assistants

Geographic Reach (2018)

• 30 Oregon Counties

• 622 sites

• 29,569 Unique Patients

• 74% Medicaid

• 26% non-Medicaid

Services

• Phase I

Oral Health Assessments

Fluoride varnish

Silver Diamine Fluoride

Protective restorations without

excavation

Coordination of Care

• Phase II

Hygiene services as allowed by

scope of practice

• Phase III

Telehealth

Community Care

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PRACTICAL CONSIDERATIONSPractice and Community Care

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Staff Based and Community Care

• Establish Tele-connected Team

• Staff training

• Scope of practice

• Billing

• ADA Guidelines

• State regulations

• Compliance

• Processes in place to audit

• Scope of practice

• Informed Consent

https://www.ada.org/~/media/ADA/Publications/Files/D9995andD9996_ADAGuidetoUnderst

andingandDocumentingTeledentistryEvents_v1_2017Jul17.pdf?la=en

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Community Care Specific

• Scope of Practice

• Community of awareness around oral health care

• Equipment

• Connectivity

• EDR connected