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
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Department Head
Manager's Comments
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City manager
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Budget Approval:
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Legal Approval: (1� ��99��
City Solicitor
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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.