The ADHA Perspective Evolution amp Revolution Ann Battrell MSDH ADHA Executive Director August 2012 The Dental Hygiene Landscape Advanced Dental Hygiene Practitioner ADHP 2004 ADHAs Role in the Development Evolution and Advocacy of New Oral Health Providers ID: 544564
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Slide1
Oral Health WorkforceThe ADHA Perspective: Evolution & Revolution
Ann Battrell, MSDH
ADHA Executive Director
August
2012Slide2
The Dental Hygiene LandscapeAdvanced Dental Hygiene Practitioner (ADHP) 2004ADHA’s Role in the Development, Evolution and Advocacy of New Oral Health Providers
Workforce Update
FrameworkSlide3
Background:The Dental Hygiene LandscapeThe workforce
Currently 150,000+ dental hygienists in the U.S.
One of the top 10 fastest growing health care professions
38% growth projected between 2010-2020
The educational infrastructure
334 entry level dental hygiene programs
58 degree completion programs
20 Masters programs
States expanding role for Dental Hygienists
35 states allow hygienists to initiate care in community settings
15 states directly reimburse hygienistsSlide4
Dental Hygiene Direct Access ExpandingDental hygienist initiate patient care without the presence of a dentist in settings outside of the private office
Many forms – collaborative practice, public health supervision, limited access permit, etc.
Utilizes the existing dental hygiene workforce to increase access
Resource: ADHA’s Chart on Direct Access States:
http://www.adha.org/governmental_affairs/downloads/direct_access.pdfSlide5
2004Slide6
ADHA Policies on WorkforceThe American Dental Hygienists’ Association advocates the creation of an advanced dental hygiene practitioner who provides diagnostic,
preventive
, restorative and therapeutic services directly to the public
.
Advanced Dental Hygiene Practitioner 4-04Slide7
2008Minnesota & Dental TherapistsSlide8
Minnesota Legislation:Passed in 2008/2009 – ADHA and MNDHA supported legislationCreated two new models: Dental Therapist (DT)
Advanced Dental Therapist (ADT)
ADT Masters program at Metropolitan State University is dental hygiene-based
Curriculum based, in part, on the ADHP Competencies
Graduates are dually licensed to provide dental hygiene and dental therapy services
First class graduated in June 2011 and are
currently
employedSlide9
2009ADHA WORKFORCE POLICIES BEGIN TO BROADEN & INCLUDE COLLABORATIONSlide10
The ADHA supports oral health care workforce models/providers
that
culminate in:
Graduation
from an accredited institution
Professional Licensure
Direct access to patient
care
ADHA Access
to
Care Policy 2009
4S-09Slide11
COLLABORATION & COALITIONS The American Dental Hygienists’ Association affirms its support for optimal oral health for all people and is committed to collaborative partnerships and coalitions that improve access to
oral health services
.
Access to Care 7S-09/27-74Slide12
2010ADHA Defines Midlevel Oral Health PractitionerSlide13
Mid-level Oral Health Practitioner: A licensed dental hygienist who has graduated from an accredited dental hygiene program and who provides primary oral health care directly to patients to promote and restore oral health through assessment, diagnosis, treatment, evaluation and referral services. The Mid-level Oral Health Practitioner has met the educational requirements to provide services within an expanded scope of care, and practices under regulations set forth by the appropriate licensing agency.
Dental Hygiene
Practice 2010
2-10Slide14
The American Dental Hygienists’ Association supports programs that inform stakeholders of the scope of dental hygiene practice and its contribution to health in collaboration with health care delivery providersAccess to Care 16-10/38-82Slide15
ADHA’s Approach to New Providers Policies afford ADHA flexibility in considering new provider models (not just the ADHP)
Consider on a
state-by-state
basis
Work in
partnership
with state dental hygiene associations
and numerous stakeholders
Focus on developing providers who are
appropriately educated, licensed
& deliver safe and quality oral healthcare
directly
to the public
Commitment to advocate in support of
dental hygiene-based
models
Slide16
Why Dental Hygiene-based?The workforce is educated, licensed, prepared and available
The educational infrastructure is
in place
Dental hygienists currently work in alternative settings to increase access
Patients will benefit from a practitioner who can provide both preventive and restorative services Slide17
Workforce Update…..Slide18Slide19
Kellogg’s Dental Therapist InitiativeWashington State, Kansas & VermontAdvocating dental hygiene-based models
Dental hygiene educators are active collaborators in effort
State dental hygiene associations actively engaged in advocacy in support of models
Ohio & New Mexico
Ongoing discussion about dental hygiene link in legislative efforts
State dental hygiene association and dental hygiene educators actively engagedSlide20
Other Legislative ProposalsConnecticut
Advanced Dental Hygiene Practitioner legislation
Maine
Coalition led effort to establish a dental-hygiene based model
State dental hygiene association actively engaged in advocacy effort
New Hampshire
Coalition led initiative to pilot test a new provider
State dental hygiene association is an active participant in coalition Slide21
Pilot ProgramsOregonThe Oregon Health Authority may approve pilots that teach new skills to existing dental providers and develop new providersCalifornia
Legislation pending to authorize pilots using dental assistants and dental hygienists with advanced training to provide restorative services under varying levels of supervision
Michigan
University of Detroit Mercy is developing a restorative function dental hygienist pilot programSlide22
ADHA Moving Forward…ADHA Accreditation Study CompletedTo study existing and potential options for the accreditation of programs that educate oral health
providers
ADHA Board of Trustees will consider the report in September
Potential Consideration of Defining Dental Hygiene Advanced PracticeSlide23
The Momentum in Support of New ProvidersAffordable Care Act Grants to Pilot Test Alternative Dental Health Care ProvidersContinued interest from policymakers, foundations, stakeholders, the public and the media
Continual data demonstrating safety and effectiveness of non-dentist providers
ADHA and our state associations remain committed partners in developing solutions to
increasing accessSlide24
American Dental Hygienists’ Association444 N. Michigan Ave., Suite 3400Chicago, IL 60611312-440-8900
www.adha.org
ADHA Resources
Dental Hygiene Education:
http://www.adha.org/careerinfo/index.html
Practice Issues:
http://www.adha.org/governmental_affairs/practice_issues.htm
ADHA Policies
http://www.adha.org/aboutadha/index.html