Orientation Pamela Alston DDS MPP LeadRegional Oral Health Specialist May 30 2017 OHWP Emphasis Early detection Diagnosis of oral health problems Basic oral health care Dental hygiene ID: 696209
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Job CorpsOral Health Personnel Orientation
Pamela Alston, DDS, MPPLead/Regional Oral Health SpecialistMay 30, 2017Slide2Slide3Slide4
OHWP EmphasisEarly detectionDiagnosis of oral health problemsBasic oral health careDental hygiene
Dental disease preventionOral health educationPRH-6.10, R2(a)Slide5
Your mission should you accept itElevate oral health literacy levelsMotivate good oral hygiene practicesMotivate good consumerism
Motivate making healthy choicesSlide6
Your mission should you accept itContribute to students’ employabilitySlide7
Oral Health and WellnessProgram DeliverySlide8
Oral HealthFoundation for good overall healthAffects employability and employmentAffects school attendance and trainingOut for reach for manySlide9
Low-income background
Low health literacy
Poor diets
Unavailable oral health care
Untreated oral diseaseSlide10
This webinar will:Describe what’s expected of youTell you more about your missionShare how the OHWP will be evaluatedSlide11
Job Corps MissionAttract eligible young adultsTrain themTeach them employability skillsPlacementSlide12
PRH-6.10, R2Oral Health & Wellness Program
ePRH.jobcorps.govSlide13
Job Corps Career Development Services System (CDSS)Includes four CDSS periods within which health and wellness services and activities are conducted:Outreach and Admissions (OA) Period Career Preparation Period (CPP)
Career Development Period (CDP)Career Transition Period (CTP)Slide14
Early Detection: JC Health QuestionnaireAre you under the care of a physician, dentist, or mental health professional?
How often do you go see the doctor or counselor?In the past 2 years, have you had a serious dental problem or problems (e.g., untreated dental infections, missing teeth, unresolved severe toothaches, etc.)?Slide15
Basic Oral CareRestorations Extraction of pathological teeth Root
canal therapy on anterior and other strategic teeth Removable prosthesis to replace missing upper anterior teeth Nonsurgical dental hygiene care to treat periodontal disease Slide16
Affirmative Answers to theJC Health QuestionnaireCenter File Review TeamCenter dentist’s recommendation
Oral Health Specialist ReviewDecision by the Regional DirectorSlide17
Early DetectionMedical History ReviewSlide18
Early Detection
Dental Readiness InspectionSlide19
Oral Exam Consent FormSlide20
Dental X-raysSlide21
Oral Exam FormSlide22
Job Corps Priority Classification System of Lesions
Priority 4Priority 4Priority 4Priority 3Priority 3
Priority 2
Priority 1 or 2
Source: Andréa Ferreira
Zandoná
and
Domenick
T. Zero, “Diagnostic Tools for Early Caries Detection,” JADA, 2006, 137(12); 1675-1684, Copyright © 2006 American Dental Association. All rights reserved. Reprinted by permission.Slide23Slide24
Informed Consent
Summary of
treatment plan
Risks of not
following
tx
plan
Benefits of
tx
plan
Alternatives to
Tx
plan
Student’s decision
SignatureSlide25
Community ResourcesCommunity health centersHIS and tribal health centersVolunteer clinicsDental schools
Dental hygiene programsHospital oral surgery residency programsSlide26
RestorationsSlide27
Third Molars (Wisdom Teeth)Slide28
Basic Oral CareRoot Canal Therapy
StayplateSlide29
Dental HygieneSlide30
Off-center arrangement for dental emergencies
PRH-6.10,R2(e)Slide31
Healthcare GuidelinesHealthcare Guidelines
Avulsed toothOral bleedingOral painOral infectionSymptomatic ManagementKnocked out toothOral bleedingOral painSlide32
Medical SeparationsInterfering pre-existing conditionComplicated condition to manageUnusually costly treatment Slide33
Medical Separation TypesMSWR
Condition can be treated within 180 daysCan be extendedMSCondition not treated in 180 daysStudent may reapply in 1 yearSlide34
8. e. Do you have braces on your teeth? Slide35
Prevention/EducationCareer Preparation Period presentation Slide36
cdc.govSlide37
Test the Autoclave at Least WeeklySlide38
Dental Equipment/SuppliesSlide39
Quality IndicatorsLocated at the end of PRH sectionsStudents aware of Wellness CenterStudents know how to seek careUnderstand individual conditions
Understand treatment plannedSlide40
Professional Standards of CareMaintain licenses, registrationsMaintain current professional liability insuranceComply with state practice actsDocument oral health encounters
Provide evidence-based carePRH-6.12, R5Slide41
Program Compliance Assessments (PCAs)Occur every 1 to 2 yearsPCA team comprise Health Specialists and AssessorsProgram Assessment Guide (PAG),
Policy and Requirements Handbook (PRH)Slide42
Health Directives
PRH Change Notices—Contain new or revised policy with instructions to delete, replace, or add pages to the PRH.Program Instructions—Provide one-time instructions with a designated expiration date and usually require center response (e.g., survey).Information Notices
—Provide one-time announcements with information that is of interest to centers (e.g., data summaries, meeting or training announcements).
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Job Corps Health & Wellness Website
https://supportservices.jobcorps.gov/Health/Pages/default.aspx Slide44
GuidanceSlide45
Oral Health SpecialistsProvide technical assistance Conduct center assessmentsProvide training to regional and center staffAvailable to answer your questions
Can help you understand policiesAssist you in meeting requirementsConduct monthly teleconferencesSlide46
Important ResourcesPRH—The Policy and Requirements HandbookPAG—The Program Assessment Guide
COP/SOP—Center or Standard Operating ProceduresDRG—Desk Reference GuideJob Corps Program Instruction Notices Oral Health personnel monthly teleconferencesJob Corps Health & Wellness website (https://supportservices.jobcorps.gov)Regional Oral Health SpecialistsSlide47Slide48Slide49
Life would be easier if everyone would…