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SKYGEN USA

Changing Lives By Improving Dental Continuity of Care

SKYGENUSA Powering Healthcare for the Digital Age

AUTHOR: DR. SHIRLEY SPATER, SKYGEN USA CLINICAL DIRECTOR OF BENEFITS MANAGEMENT

 


 

Recently I had the privilege of speaking at the American Correctional Association’s 2019 Winter Conference in New Orleans on the topic of “Reducing Costs and Offender Reentry: Improving Dental Continuity of Care.” I co-presented with the Dental Supervisor for the Department of Corrections, State of Wisconsin.

While we looked at a number of issues, some of them very specific to a correctional institution (such as dealing with regulations and audits), there were some themes that are actually quite common across many underserved populations, including Medicaid dental patients, in the U.S. The overall impact good dental care has on an individual’s quality of life cannot be overstated.

One of the unique challenges around dental care for those who are in and out of the criminal justice system is continuity of care. Before they go to a facility, individuals may or may not see a dentist regularly. Once they are incarcerated, by federal mandate they are provided dental care.

The level of care required can be extensive depending on their prior history. Unfortunately, dentists within the correctional facility often have difficulty obtaining their patients’ dental records, making the work even more challenging. The goal is to bring those patients up to a designated level of oral health, including solving or managing chronic issues, which can help improve their overall health.

The problem is once they are released their dental health once again takes a back seat to priorities such as finding a job and a place to live, both of which can be difficult with a prison record (and the low self-esteem that comes with incarceration), or reconnecting with family. Many wind up back in the correctional system, often with the same dental issues they had before, or worse.


Introducing the Dental Home Model

 

 


Rather than simply releasing offenders and expecting them to fend for themselves, the concept we presented was the Dental Home Model. Under this model, using a robust provider data management system, a dentist’s practice is identified as the Dental Home prior to release, based on considerations such as where the patient plans to live. This dentist is then responsible for managing the oral health of that patient, including referrals to specialists.

The Dental Home works with the correctional facility, obtaining and sharing electronic health records from various providers (including those within the facility) to create a more complete view of the individual’s overall dental health. The Dental Home practice tracks appointments and identifies any gaps in dental care, contacting the patient to encourage him or her to close those gaps.

The ultimate goal is to ensure better dental and overall health, raising the individual’s self-esteem as well as making him or her more employable and able to contribute to society. Clearly, this same approach could easily be applied to the Medicaid population for facilitating scheduling and avoiding missed appointments. Having a Dental Home that actually manages the care could be a game-changer for many of America’s most under-served.


Utilizing Tele-dentistry in and out of correctional facilities

 


Another innovation we discussed is the use of tele-dentistry solutions that enable consultations and management of ongoing care via live streaming video. When a person in a correctional facility requires more care than the institution’s dental staff can provide, he or she must see a specialist. There are obvious security concerns and logistical challenges in transporting a patient to a non-secure location – not to mention the additional cost.

While that may be necessary to perform the actual work, tele-dentistry can help minimize the instances. It can be used to offer screenings, diagnostics, consultations, care management, referrals for preventive and restorative care, and provider and patient self-management education in all oral health care settings.

Again, this approach can also be applied to other populations as well. A Medicaid dental patient with serious issues may have difficulty traveling to see a specialist in a nearby city – not to mention taking time off from work to travel. Tele-dentistry can enable the consultation to be performed in the Dental Home’s office, or even from their own home (depending on what is required). Medicaid patients can also receive ongoing education about preventative care along with some chronic condition screenings from their own homes, saving time while increasing the chances they will keep their appointments.


Long term, sustainable solutions

The overall goal with these and other innovations is to create a higher level of continuity of care to ensure that the expensive care that is received while in a correctional facility, or in a dental provider’s office, is sustainable over the long-term and oral health is maintained.

Oral health is critical to an individual’s confidence and to their long-term health. Improving dental continuity of care can make a significant contribution to both.

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About dr. July Greenlea Taylor

 

Dr. Judy Greenlea Taylor, a native of Atlanta, GA has practiced dentistry in the public and private sectors for 28 years and currently operates a private practice in Union City, southwest of Atlanta. In addition to her ongoing role as practitioner and CEO of Greenlea Dental Center, PC, she serves as Dental Director for CareSource, a nationally recognized nonprofit managed care plan, serving Medicaid, Marketplace and Medicare beneficiaries in several state markets. With direct oversight and management of the Georgia Market dental operations, Dr. Greenlea Taylor provides strategic direction and development for dental policy and program design to ensure access to quality oral healthcare. She additionally, provides oversight of professional clinical review, quality management, utilization management and dental professional relations.

Dr. Greenlea Taylor’s extensive career includes key leadership positons and roles. These include serving as the 92ndPresident of the National Dental Association (NDA), a Consultant to the Department of Health and Human Services (HHS), a state board official appointed to the Georgia Department of Public Health by Governor Nathan Deal, where she served two terms and served as an Officer - Secretary. As the only dentist on the Board, she advised the Commissioner and department on issues related to oral health, policy and programs to improve oral and overall health in Georgia.  She additionally serves on numerous other boards and committees at local, state and national levels. She is a nationally recognized public health educator, lecturer and consultant.

She has received numerous honors and awards for both her professional and community service accomplishments. Some honors include esteemed fellowship into both the American College of Dentists and International College of Dentists. Atlanta’s WXIA TV 11ALIVE  Community Service Award; Outstanding Citizen Award from Secretary of State Brian Kemp (2015), affording her every courtesy as a Goodwill Ambassador from Georgia; proclamations and commendations from the State of Georgia, the City of Atlanta, City of Union City and the Georgia Department of Public Health. In addition, most recently, Hidden Figures Award recipient, honoring Women Leaders in STEM.

Dr. Greenlea Taylor earned her Bachelor of Science degree from Prairie View A&M University (Texas A&M University System) and historically was the first graduate of the Benjamin Banneker Honors College. She earned her D.D.S dental degree from University of Iowa, completed a General Practice/Oral Surgery Fellowship Residency at Emory University and a Master of Public Health Degree (MPH) from Emory University Rollins School of Public Health. She received course certification in health disparities research from Columbia University and a certificate in Cultural Competency with HHS, and serves as a facilitator trainer.

By:
David
Comment:

I am so happy to get this post. This is a nice post. I read your post.I think Its helps to patient.This is great Thanks for published this post.

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By:
Dental Guide
Comment:

Great post.Really informative. The concept of how a dental home is changing lives is explained in deep. The points you explained are informative. Keep posting this type of post. Thank you for sharing.

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