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HomeMy WebLinkAbout1998-07-13 98-283 ORDER-Council Action Date July 13 1998 Item so. 98-283 Item/Subject: MCH GRANT -- CHILDREN'S DENTAL CLINIC Responsible Department: Realth and Welfare This is the current renewal for the MCN Grant which the City Of Bangor has with the Department of Hunan Services for support of the Children's Dental Clinic. This grant is for one year - July 1, 1998 to June 30, 1999. The armunt of the grant, $16,000, remains unchanged. This is one of the furWing sources for the Clinic. The others being General ASsistanace, Medicaid and the General Fund. For your information, I have attached the Project Suamiary pages from the grant packet. yy� f A/ -_/'F Department Head Manager's Comments „liJrer�rsk� fl✓�rg City manager A6eociatCd In£ rawRaon: sJ/niplo n Budget Approval: Finance DILECCOr Legal Approval: (1� ��99�� City Solicitor 4v An Page 1 of_ IN Aamped to Counaor Farnham July 13, 1991 _ CITY OF BANGOR (TITLE.) @yhrl Amthorizip the_city Manager to, Exa c a crane ngraement... with the Maine Department of Human Services -- Children's Dental Clinic By Bu CNq C&UM440144 C4 o£Bnn/M: OEDEEED, TU? the City Manager is hereby authorized to apply for and accept from the State of Maine, Department of Human Services, bureau of Health a grant of $16,000 for the Children's Dental Clinic. IN CITY COUNCIL July 13, 1948 444 98-283 Passed ORDER OL, — Title. Authorizing the City Manager to CICLEM I Execute a Grant Agreement with the Maine Department of Human Services - Children's D'ehhar Mere ..•.............••••••" ...................................... (/�'gAsaiiggned to Cowcilman 98-383 RIDER A. III. SERVICE SPE IC EREORMANC GIODELMES lCONTINUED) B. Perlormanee Goals, IadieaWre. Smategien and Menus PERFORMANCE GOAL: MAINE CITIZENS WILL HAVE IMPROVED ORAL HEALTH THROUGH ACCESS TO EDUCATIONAL, PREVENTIVE AND TREATMENT SERVICES. PERFORMANCE INDICATOR 1: DENTAL DISEASE (DECREASE). STRATEGY 1: Continue the School Dental Health Education and Fluoride Program and plan more improvements in Hygenists' time management and efficiency. STRATEGY 2: The Hygenist will encourage referrals by word of mouth from Bangor eligible referrals from Bangor School Nurses and Bangor School Teachers. Clinic staff will encourage referrals in-house from Bangor Public Health Nurses, Bangor Health and welfare Department and W. R.C., again by in-person contacts and word of mouth. The Dentist will do the same for Bangor area physicians and dentists. Referrals sources are noted in patient charts. STRATEGY 3: Continue giving presentations on preventive dental health and hygiene via public service announcements on television and on radio, at local day careenters, preschools, young mother's group and at local hospitals. This draws eligible children of all ages to the Clinic for services. STRATEGY 4: Continue to print pamphlets and fliers that stress how the Clinic provides services for infants and very young children. Distribute these to community centers, day care enters, Head Start schools and to local pediatricians' offices. STRATEGY 5: Continue to give presentations to local day care centers, preschools and young mothers' groups stressing the importance of weaning children off night-time bottles once their first teeth erupt. STRATEGY 6: Continue to print and distribute pamphlets that stress the importance of dental checkups, fluoride treatments and oral hygiene instructions for infants and very young children. STRATEGY 7: use the media (newspapers, T.V. and r- io) to stress the dangers of day -long and/or night-time bottles in toddlers with teeth. 98-203 STRATEGY 8: Continue giving presentations On preventive dental health and early -intervention -preventive orthodontics to young mothers' groups community center functions and to health care providers at local hospitals. STRATEGY 9: Continue to give public service announcements at local radio, television studios and in the newspaper emphasizing the many benefits of early -inarvention - preventive -orthodontics. MEASURE 1: The number of children ages 6 month to 3 years and 12-18 years along with the number of children in R-8 that seek and receive e Clinic services will increase/remain the same as in 1990 - 1998. We u astandard monthly statistical report form to record each patient's visit at the clinic. MEASURE 2: The D.M.F.S. surface score of Bangor school children will remain the same or improve in the period between 1998 and 1999 compared to the D.M.F.S. surface scores recorded in previous years in Bangor. We will use a standard DMF statisical report form provided by the Oral Health Program t0 measure improvements. MEASURE 3: The Clinic will see the same or fewer c of Nursing Bottle Syndrome in 1998-1999 compared to previous years. We will capture data on patients with Nursing Bottle Syndrome via a standard monthly statistical report form. MEASURE 4: The oral health of Bangor school children whose restorative needs are served by the Clinic will stay the same, or improve as measured by the ratio of restorations per patient visit compared to 1999 - 1998. We will capture data on this, as we have in the past, via a standard monthly statistical report form. MEASURE 5: More preventive non -fixed appliance cases will be undertaken in 1998-1999 vs, comprehensive fixed appliance orthodontic cases. Early intervention preventive orthodontics reduces the need for comprehensive orthodontics. Fie will capture data on orthodontic procedures performed at the Clinic via a standard monthly statistical report form. PEEF7MnTrWRnueAS MANY ELIGIBLE SPECIAL NEEDS CHILDREN AL AGES) AS POSSIBLE WILL BE TREATED. CONTRACT STRATEGY: Continue to inform medical care providers &-d agencies within the Bangor area that the Clinic aped alines in preventive and restorative dental services i any and all eligible special needs children that a Bangor residents. Special needs children include tmose with any difficult to manage behavior pattern a- any MIltiple syndrome o medically coespromisinca There i o psychological or physiological condition that a Clinic -eligible child can have that would prevent that child from receiving first-rate preventive and/or restorative services at th. Bangor Children's Dental Clinic. Referral sources are noted an patient's chart. 98-283 MEASDRF 1: The recorded number of special needs children served at the Clinic will remain the s increase in 1998 - 1999. This increase will be a direct result of efforts on behalf of the Clinic to reach out into the medical services community with the message that the Clinic specializes i treating special needs children. We will capture data on special needs children seen at the Clinic via a standard monthly statistical report form. EVALUATION PLAN 1) An evaluation will be made quarterly via Monthly Reports to determine the number of children seen at the Clinic in all age groups. 2) An evaluation will be made yearly of the School Dental Health Education Program to measure the a) Number of children participating in the School Fluoride Mouthrinse Program. b) Number of children that attend classroom lessons. C) Number of notices and fliers that are sent to parents to encourage good oral habits at home. d) Number of referrals to the Clinic from the School Dental Health Program. 3) An evaluation will be made yearly of the number of referrals to the Clinic from Bangor Public Health Nurses, Bangor School Nurses, Bangor Health and Welfare Department, W.I.C. and Bangor area physicians, and dentists. n) An evaluation will be made yearly via a decayed, missing and filled epidemiological survey (D.M.F.B.) of approximately 50 randomly selected 30 an 11 year old Bangor school children to gather data on their rate of caries and to determine the amount of related treatment needed. 5) An evaluation will be made quarterly via Monthly Reports to more accurately determine how many special needs children are treated and the exact nature of their special needs. 6) An evaluation will be made quarterly of the number of initial visit patients exhibiting Nursing Bottle Syndrome. 7) An evaluation will be made quarterly to determine the number of children undergoing preventive orthodontic therapy. 8) An evaluation will be made quarterly to determine the number of children referred to local orthodontists for comprehensive _rthodoctic treatment (full band and brackets). 98-283 OUALITY ASSURANCE A) Physical Structure 1) The Clinic complies with all state and federal regulations for infection control, safety and physical access. 2) Oral health education materials (phamplets, f liers, posters and books) on a variety of topics are available in the waiting area and are appropriate in terms of subject, content and reading level for the population we serve. 3) Continuing dental education is available for all staff thri the Maine Dental Association Consortium for Continuing Education. n) There are written personnel policies of employment for all staff. 5) Regular, but informal, staff meetings are held to discuss office policies and resolve problems. 6) Access to care is facilitated by: a) hours of operation that promote attendance by our target population. b) cancelled and broken appointments being followed up by telephone and or mail. c) a clearly stated no-show and broken/cancelled policy which is presented to the guardian of each patient at the first appointment. d) no discrimination by payment source e) arrangements with other area health and social services agencies such as Public Health Nursing, WIC, General Assistance, local transportation services and other dental offices for oral surgery and orthodontics. 9) Patient records are kept consistent with current standards i dentistry and contain the data necessary for treatment planning, legal documentation and data requests from funding sources. M B1 Proc 1) New staff are oriented to clinic philosophies and procedures personally by the Clinic Director and by reviewing the Clinic manual. 2) Oral health materials on a variety of topic, is available in the r siting area and are appropriate in subject,content and reading level for the population served. 3) Health risks for patients (tobacco use, poor oral hygiene, ontact sports without the use of helmets and mouthguards) are undertaken and documented in charts. n) There are opportunities for patient/guardian feedback at each appointment. Staff encourage personal feedback and interaction with each patient. Also, we have a patient satisfaction survey form (attached). 5) parents are advised of their Childs treatment plan and of alternative approaches as appropriate. 6) All patient progress notes are legible and dated. 7) Orthodontic consultation services are provided by a local orthodontist (Dr. G. Kent Tableman) by contract with the City of Bangor. Dr. Tableman provides a second opinion on early intervention preventive orthodontic treatment planning for all patients with that need. C) Outcome 1) Data summaries are available monthly. 2) Systemic fluoride is prescribed when appropriate and is based n the results of well water tests. Topical fluoride dental cream and fluoride mouthrinses are prescribed regularly when appropriate. 3) Dental sealants are provided and placed appropriately. a) Patient satisfaction a red by personal interaction of staff with patients /guardians via verbal feedback has always been encouraged. Also, see patient satisfaction survey (attached). 5) We seek to complete all treatment plans with hones that each patient can demonstrate improved oral health. 6) Each patient is seen an nappropriate basis for maintenance and prevention at least every six (6) months.