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Presentation for the University of Iowa College of Dentistry
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Doreen Chamberlin, MPH, RD
Bureau of Oral and Health Delivery Systems
Iowa Department of Public Health
http://www.idph.state.ia.us/hpcdp/ohds.asp
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Health Care and Public Health Facilities Hospitals
Clinics/Private Practice
Health Centers
Free Clinics
Local Public Health agencies and services
State Health Department
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Health Center Program Statute—Section 330 of the Public Health Service (PHS) Act (42 U.S.C. §254b)
Health centers are non-profit private or public entities that serve designated medically underserved populations/areas or special medically underserved populations comprised of migrant and seasonal farmworkers, the homeless, or residents of public housing
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Health center provides all required primary, preventive, enabling health services and additional health services as appropriate and necessary, either directly or through established written arrangements and referrals.
The health center has collaborative relationships with other appropriate providers and organizations in the area, including other Federally Qualified Health Centers (FQHCs).
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The Volunteer Health Care Provider Program (VHCPP)
hopes to increase volunteerism by offering protection to
eligible volunteer health care providers and eligible clinics
providing free health care services.
An individual health care provider establishes an
agreement with the Volunteer Health Care Provider
Program (VHCPP) and is provided the protection of an
employee of the state under Iowa Code chapter 669.
A clinic holding a current protection agreement with the
VHCPP is protection as an agency of the state under Iowa
Code chapter 669 and, in the event of a claim seeking
damages, will be provided defense by the Iowa
Department of Justice at no cost. Indemnification will be
provided to the full extent of any judgment brought
against the individual provider or protected clinic.
http://www.idph.state.ia.us/webmap/default.asp?map=vhcpp
Once on site, click on the map
To find free clinic locations.
9 http://www.iowadental.org/events_calendar/iowa_mission_of_mercy.cfm
Over 900
Dental
Volunteers
Serving over
1,200 people
In 2 full days!
You can play a role in removing barriers for at-risk populations (lower income, elderly, very young) to go to a dental office for care
Many Iowans experience barriers to access due to work schedules, inability to pay, and other difficulties. Public health programs must go to where the at-risk population is located to help them get care.
As a provider you can impact access to care for these underserved populations.
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Consider agreeing to be a public health supervision dentist for hygienists who provide preventive services in public health settings (e.g. WIC, head start, schools, nursing homes)
Consider contacting local nursing homes to become their dentist of record for residents – also offer to provide staff education on oral hygiene for residents, etc
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provide screenings, accept referrals
Meet with your local I-Smile Coordinator to learn how the I-Smile coordinator can be of assistance to you and your office
I-Smile – building local systems (care coordination, referrals, providing preventive services in public health settings for moderate-high risk children from birth, health promotion) to ensure early and regular dental care and that all children have a dental home that includes prevention, screenings, diagnosis, and treatment
http://www.ismiledentalhome.iowa.gov/
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Work with I-Smile Coordinator / local elementary and high school – provide gap-filling screenings/exams for children unable to get theirs via traditional means for school screening requirement
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Oral Health Center
Iowa Health Workforce Center
Center for Rural Health and Primary Care
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I-Smile™ Dental Home Initiative
Maternal and Child Health Program
School-Based Dental Sealant Program
School Dental Screening Requirement
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The Iowa Health Workforce Center coordinates statewide efforts to ensure a sustainable, competent, and diverse health workforce and an appropriate health care delivery infrastructure. Activities include:
• Development of biennial strategic plan to address access to health and long-term care services in our state,
• implementation of a credentialing and training system for all direct care professionals in Iowa,
• Coordination of a state-agency team to monitor and develop supply of health professionals,
• Support of statewide efforts to recruit and retain health care professionals through a website connecting health care professionals to Iowa communities, workshops for communities to learn best practices, and implementation of programs, grants, and directives related to development and maintenance of health care professionals in Iowa.
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• Primary Care Office - Coordinates Health Professional Shortage Area (HPSA) designations and the expansion of health care resources for vulnerable populations. Includes the J1-Visa waiver program, National Health Service Corps, and primary care initiatives.
• PRIMECARRE - Supports the recruitment and retention of primary care providers and manages the loan repayment program.
• State Office of Rural Health - Coordinates advocacy efforts, outreach services, and community health resources that target rural populations.
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Shortage Designations includes:
Health Professional Shortage Areas (HPSA) and Medically Underserved Areas (MUA), established under the US Public Health Service Act (Sections 330 and 332), are federal designations of geographic areas (population groups or facilities) which meet the criteria as needing additional primary health care services.
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There are three different types of HPSA designations, each with its own designation requirements:
Geographic Area
Population Groups
Facilities
http://bhpr.hrsa.gov/shortage/hpsas/updates/09012011dentalhpsas.html
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Must be rational areas for the delivery of dental services
Meet one of the following conditions
Have a population to full-time-equivalent dentist ratio of at least 5,000:1
Have a population to full-time equivalent dentist ratio of less than 5,000:1 but greater than 4,000:1 and unusually high needs for dental services
Dental professionals in contiguous areas are over utilized, excessively distant or inaccessible to the population
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Must reside in a rational service area for the delivery of dental care services
Have access barriers that prevent the population group from use of the area's dental providers
Have a ratio of the number of persons in the population group to the number of dentists practicing in the area and serving the population group of at least 4,000:
Members of Federally recognized Native American tribes are automatically designated. Other groups may be designated if the meet the basic criteria described above.
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Must be either Federal and/or State correctional institutions or public and/or non-profit medical facilities
Federal or State Correctional facilities must:
Have at least 250 inmates and
Have a ratio of the number of internees per year to the number of FTE dentists serving the institution of at least 1,500:1
Public and/or non-profit private dental facilities must:
provide general dental care services to an area or population group designated as having a dental HPSA and
have insufficient capacity to meet the dental care needs of that area or population group
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Programs and opportunities that can:
Assist in your job search
Provide scholarships
Provide loan repayment in three different programs
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The National Rural Recruitment and
Retention Network (3RNet) members are
not-for-profit organizations helping health
professionals find jobs in rural and
underserved areas throughout the country.
Some of the health professions we serve
and the kinds of jobs posted include:
Physician jobs
Dentist jobs
Nurse Practitioner jobs
Physician Assistant jobs
Registered Nurse jobs
Mental Health Professionals
Other Health Care Professional jobs
https://www.3rnet.org/
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The NHSC Loan Repayment Program (LRP) offers primary care medical, dental, and mental and behavioral health providers the opportunity to have their student loans repaid for serving communities in need.
http://www.nhsc.hrsa.gov/
Primary care providers can pay off student loans while serving in communities with limited access to health care.
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The NHSC Scholarship Program (SP) awards scholarships each year to students pursuing careers in primary care. In return, students commit to serving for two to four years, upon graduation and completion of training.
Last application cycle was November 2011 to May 2012. Next application TBA, rumor has it at January 2013.
Currently serving 14 LRP Dentists, one scholar, and 5 LRP Hygienists.
Interested ? Link directly to the e-mail sign-up page:
http://www.nhsc.hrsa.gov/emailsignup.html
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The Primary Care Recruitment and Retention Endeavor (PRIMECARRE) was authorized by the Iowa Legislature in 1994 to strengthen the primary health care infrastructure in Iowa. PRIMECARRE allocations currently support the Iowa Loan Repayment Program, with matching federal and state funds.
Sara Schlievert, BS, CPH PRIMECARRE Program Coordinator [email protected] 515/281-7630
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Offers two-year grants to primary care medical, dental, and mental health practitioners for use in repayment of educational loans.
Requires a two-year practice commitment in a public or non-profit site located in a health professional shortage area (HPSA).
To find out whether a particular area or facility is located in a HPSA, go to: http://hpsafind.hrsa.gov/.
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Provides up to $50,000 per year for full-time and $25,000 per year for part-time primary care physicians, psychiatrists, clinical psychologists, dentists, dental hygienists, physician assistants, registered nurse practitioners, certified nurse midwives, clinical social workers (LISW), and psychiatric nurse specialists.
PRIMECARRE applications are accepted annually through a Request for Proposal (RFP) process. The RFP packet is posted each fall on the Iowa Department of Public Health website. Contracts begin each January with approximately 5-8 successful applicants.
Currently the program has 3 LRP Dentists
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This program annually offers a $50,000 award for the repayment of dental education debt to be used over a three-year grant period.
The FIND program is an extension of the Delta Dental of Iowa Loan Repayment Program, which collaborates with communities on the recruitment and establishment of a private practicing dental office that is located in rural, underserved areas in Iowa for up to $100,000 loan repayment award.
In return, the selected dentist agrees to practice in one of Iowa's designated dental shortage areas and to allocate 35% of patient services to underserved populations.
For more information on the two loan repayment programs visit http://www.deltadentalia.com/publicbenefitprogram/find
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The ACCESS Update is a bi-monthly electronic newspaper published by the Iowa Department of Public Health's Bureau of Oral and Health Delivery Systems. It is distributed via email on the last Tuesday of the month.
The ACCESS Update provides news, calendar of events, and useful grant related information for health care professionals, hospitals, clinics and other health care related organizations and groups. There are numerous resources and tools to assist with program development, and community engagement. The newsletter captures the issues and challenges related to ACCESS to healthcare.
To subscribe to the ACCESS Update, send a blank e-mail message to [email protected]. You may receive an email response to your subscription. To confirm, you will need to "reply" to the confirmation email.
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NHSC Display at the Iowa Dental Practice Opportunity Fair.
Hosted by the University of Iowa, College of Dentistry and Iowa American
Student Dental Association
Date: October 11, 2012 Time: 5:00pm to 8:00pm
Iowa dental students are invited to attend this exhibit that's being held in
conjunction with the Iowa American Student Dental Association's (IASDA)
annual conference. This is an ideal time for dental students to network with
Iowa dental practices, many of which are NHSC-approved sites. There will
also be someone on hand to discuss National Health Service Corps
scholarship and loan repayment opportunities at the event.
Location: Holiday Inn Conference Center
1220 1st Ave.
Coralville, IA 52241
Contact: Deb Hoyle, Iowa Practice Coordinator, College of Dentistry
(319) 335-9865
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Community Day Open House and Celebration Reception.
Hosted by River Hills Community Health Center, (a current NHSC site).
Date: October 12, 2012 Time: 1:00pm to 2:00pm
Description: Open House/Reception to honor NHSC participants and
inform the community about the NHSC. Tori Squires, Senior Program
Director for the Iowa State Primary Care Association will speak regarding
the NHSC loan repayment and scholarship Programs. Community
members, members of the Iowa primary care community, and local
students are invited. Refreshments will be served.
Location: River Hills Community Health Center
201 South Market Street
P.O. Box 458
Ottumwa, IA 52501
Contact: Rick Johnson, CEO River Hills Community Health Center
(641) 683-5773 or Bonnie Grant, HRSA Regional Office
[email protected] (816)-426-2918
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