DENTAL PILOT PROJECT PROGRAM QUARTERLY REPORTING … · (e.g., 10/1/2016-1/3/2017): October 4 2016...

of 4

COVER SHEET DENTAL PILOT PROJECT PROGRAM QUARTERLY REPORTING PERIOD DUE DATE: [Check One Box Only: Double-Click Box, Under Default Value Change to Checked]

January 3, 2017

April 3, 2017

July 5, 2017

October 2, 2017

January 3, 2018

April 2, 2018

July 2, 2018

October 1, 2018

January 2, 2019

April 1, 2019

July 1, 2019

October 1, 2019

Project Name & ID Number:

Oregon Tribes Dental Health Aide Therapist Pilot Project Dental Pilot Project #100

Indicate Date Span of Reporting Period (e.g., 10/1/2016-1/3/2017):

October 4 2016 to January 3, 2016

Primary Contact Name and Title:

Christina Peters, Project Director

Telephone:

2063494364

Email Address:

[email protected]

Individual Completing Form:

Christina Peters

Submission Date: 1/4/17

Send completed Quarterly Report and attachments in one email. Each page of an attachment must be labeled per the submission instructions, ie. LL1 in upper right hand corner. Attachments must be in PDF format unless indicated otherwise. Email to: [email protected]

Contact Information: Sarah Kowalski, RDH Dental Pilot Project Coordinator CENTER FOR PREVENTION & HEALTH PROMOTION Oral Health Program, Oregon Health Authority 800 NE Oregon Street, Portland, Oregon 97232 Office: 971-673.1563 Work Cell: 509-413-9318 Fax: 971-673.0231

CENTER FOR PREVENTION AND HEALTH PROMOTION Oral Health Program

Kate Brown, Governor

mailto:[email protected]

of 4

On a Quarterly basis, please update the Oregon Health Authority, Dental Pilot Project Program, on the following:

Accomplishments/Highlights.

The students continue to excel in their studies.

Supervising dentist training at Coos Bay has been successful and the clinic feel ready to welcome their DHAT trainee in the summer of 2017

Coos Bay clinic expansion plans are at the planning phase

The Portland Area Indian Health Service Institutional review Board has granted approval of the Coos/Coquille evaluation and monitoring plan

Tribal councils at both sites have approved the evaluation and monitoring plans and the data sharing agreements

Third site has been recruited (NARA) and an experienced DHAT has accepted an offer to come and work at that site starting in early 2017

We have contracted with Dane Lenaker, DDS to enhance the monitoring plan in accordance with OHA feedback

1. Lessons Learned/Challenges. Our biggest challenge has been the approval of the evaluation plan. We have learned a lot through this process and appreciate the diligence of the Tribes, committees and OHA staff. Given our experience with the provider in Alaska, we have a strong level of confidence and comfort with the provider. It has been important for us to remember that others don’t have that same level of experience.

2. Timeline. Timeline updated – see attached revised timeline

3. Data. Baseline Data: NPAIHB requested an extension on the submission of a baseline data report due to the delay in the finalization of the Evaluation and Monitoring Plan

a) Revised Due Date: January 15, 2017 b) Approved by Oregon Health Authority c) Likely extension to be requested due to continued delay in the finalization of Evaluation

and Monitoring Plan

4. Training/Didactic. The Alaska Dental health Aide Therapist (DHAT) Education Program is a 2-year program that provides students with the educational experiences necessary to become oral health providers. DHAT students attend classes in Anchorage during their first year of education. The students relocate to Bethel, Alaska for their second year of education. The first year is largely didactic. The 2nd year is primarily a clinical year where students practice dentistry on patients for at least half of each day. They also are engaged in village

of 4

projects in villages in Alaska. They are exposed to different practice settings and discuss cases daily and weekly with their professors. The Oregon Tribes Dental Health Aide Therapist Pilot Project, Dental Pilot Project #100 presently has 4 trainees in the Alaska DHAT education program Trainees: Naomi Petri is an enrolled member of the Confederated Tribes of Coos, Lower Umpqua, and Siuslaw Indians. She is in her 2nd year of training Marissa Gardner is an enrolled member of the Confederated Tribes of Coos, Lower Umpqua and Siuslaw Indians. She is in her 1st year of training. Jason Mecum is an enrolled member of the Coquille Indian Tribe. He is in his 1st year of training. Alexandria Jones is an enrolled member of the Coquille Indian Tribe. He is in his 1st year of training.

5. Employment/Utilization. At this time all of the trainees are in the didactic/training phase of the project. There are no trainees currently providing services in the State of Oregon.

6. Patient Safety. Trainee Competency. At this time all of the trainees are in the didactic/training phase of the project. There are no trainees currently providing services in the State of Oregon. All trainees are under the direct supervision of their supervising dental instructors

7. Complaints. At this time all of the trainees are in the didactic/training phase of the project. There are no trainees currently providing services in the State of Oregon. There have been no reported complaints.

8. Adverse Events. At this time all of the trainees are in the didactic/training phase of the project. There are no trainees currently providing services in the State of Oregon. There have been no reported adverse events.

9. External Evaluation.

NPAIHB evaluation and monitoring plan is still under review by the OHA.

The Portland Area Indian Health Service Institutional review Board has granted approval

Tribal councils at both sites have approved the evaluation and monitoring plans and the data sharing agreements

Continued challenges are centered on how quality will be measured. We are submitting a revised plan that we believe will address those concerns.

10. Financial Status Update There have been no changes to the financial status of the dental pilot project. The project is financially sound.

11. Miscellaneous.

A third site has signed a MOA with NPAIHB and once approved will begin the process of training their staff. Recruitment for students for that site have begun.

Dr. Rodgers has completed her 2nd DHAT supervising training in Bethel, Alaska.

of 4

Submission. Follow submission instructions as outline on page 3 of this document.

NPAIHB Project Timeline FS2

1

Pilot Site

Year

Timeframe

Activity

Responsible Staff Completed/Update (Jan 2017)

Confederated Tribes of

Coos, Lower

Umpqua and

Siuslaw

Indians = 1

2015

April-June

Recruit DHAT trainee

HHS Director,

Continuing Ed

counsellor

Completed – Oct 16 Two trainees, Naomi Petri (Class of 2017) and Marissa Gardner (Class of 2018) (CTCLUSI)

1

2015

July

DHAT Trainee begins training in AK

Trainee, AK Teaching staff

Completed – Oct 16

1

2015

Oct-Dec

Hire DHAT Coordinator

Tribal Health

Director (THD)

Completed September 2016

Coquille

Indian Tribe =

2

2015

Oct-Dec


HHS Director,

Tribal Health

Director (THD)

Completed May 2016

2015

Oct-Dec

Identify researchers to implement monitoring and evaluation plan

(PD) Project

Specialist (PS)

Completed – Mekinak signed contract April 2016

1

2015

Oct-Dec

Build Communications Plan/Execute

Coordinator (DC),

Other pilot site

Completed Oct 16– NPAIHB works closely with DHAT coordinator and communications team onsite to amend and execute existing communication plan

1&2

2016

Jan-Jun

Collect Baseline Data (Report baseline data in June)

Researcher,

Dental team

Delayed to Jan-Feb 2017

1&2

2016

Jan-Apr

Recruit DHAT trainee from local community,

HHS Director, Continuing Ed

counsellor

Completed – Oct 2016 Two Trainees Jason Mecum and Alexandria Jones (both Class of 2018) (Coquille)


2

1

2016

Jan-Apr

Start recruiting process for experienced DHAT


counsellor

Cancelled Jan 2017– Site 1 will not employ full time experienced DHAT – experienced DHAT for site 3 will work part time at site 1 leading up to the arrival of Naomi and in the first months after her arrival.

1&2 2016 May Trainees begins prerequisites for DHAT training program in AK (in OR) Trainee Completed – Oct 16

1

2016

June

Train supervising dentist, Hygienist and dental support staff

AK Teaching staff,

DHAT, Supervising

Dentist (SD),

Hygienist (Hyg),

Dental Support

Staff (DSS)

Completed – Jan 17, first level of dental team training completed May 2016 (Dentist + Hygienist) Next level of supervising dentist training to be completed Nov 2016 Outstanding – Training dental support staff – this will happen in summer of 2017

1 2016 Jun-Jul Experienced DHAT arrives and begins community education campaign DHAT Delayed to end of 2017

1&2

2016

July

DHAT Trainees begins training in AK AK Teaching Staff, Trainee

Completed- Oct 16

1 2016 Jul-Aug Experienced DHAT begins providing services DHAT Delayed to June/July 17 3 2016 September Learning tour to Alaska for potential 3rd site THD, Dentist,

NPAIHB Staff Completed – Jan 17

3

2016

Aug-Dec


HHS Director, THD, THR

Third site TBD – likely early 2017 In Process – Jan 17


3

2

2016

Oct-Dec

Build Communications Plan/Execute PS, DC, Other pilot site staff

Completed Oct 16– NPAIHB works closely with DHAT coordinator and communications team onsite to amend and execute existing communication plan

All Pilot Sites

2016

Oct-Dec

Annual Assessment (Report to OHA in December)

Researcher, PD, DC, Other Pilot

Site Staff, Dental

team

Delayed – first report of baseline data due November 2016 Delayed – first report of baseline data due January 15, 2016

1 2017 Jan-Dec Experienced DHAT providing services with dental team DHAT Delayed to summer 2017

All Pilot Sites

2017

Jan-Apr

Updated – Funding agreement between tribe and IHS amended to allow for reimbursement of services provided by DHAT to be eligible for reimbursement. Work with OHA on mechanism for DHAT Medicaid reimbursement – answer question – private insurance billing?

PD, PA, THD, other pilot site

staff + OHA

Tribal liaison

and staff

In process

2 & 3 (TBD)

2017

Jan-Apr

Recruit DHAT trainee from local community


counsellor

Site 2 – Complete Oct 2017 Site 3 – Recruiting in process

2

2017

Jan-Apr

Start recruiting process for AK DHAT


counsellor

Delayed – Site 2 construction through 2017

All Pilot Sites 2017 May Updated – continue work with OHA on DHAT billing PD + OHA 2 & 3 2017 May Trainees begins prerequisites for DHAT training program in AK (in OR) Trainee

2

2017

June


AK Teaching staff, DHAT, SD, Hyg,

DSS

Delayed – Site 2 construction through 2017

2

2017

June-July Experienced DHAT arrives at pilot site 2 and begins community education campaign

DHAT Delayed – Site 2 construction through 2017

2&3

2017

July


2 2017 July-Aug Experienced DHAT begins providing services DHAT Delayed – Site 2 construction through 2017


4

4

2017

Aug-Dec

Hire DHAT Coordinator HHS Director, THD, THR

1

2017

Sept

DHAT trainee returns to begin preceptorship with supervising dentist

DHAT, Supervising

Dentist

3

2017

Oct-Dec

Build Communications Plan/Execute PS, DC, Other pilot site staff

NPAIHB

2017

Oct-Dec

Apply for continued funding from existing funders PD, PS, Project Analyst (PA), DC

All Pilot Sites

2017

Oct-Dec



Site Staff, Dental

team

NPAIHB

2018

Jan-Mar Pilot Project Assesment - Where are the projects, where are we on the plan, do we need to make any changes, future planning for years 2-5

PD, PS, PA, DC, Pilot Site Staff

1 & 2 2018 Jan-Dec Experienced DHAT providing services with dental team DHAT NPAIHB 2018 Jan-Dec Begin work to create a DHAT Training program in Oregon PD, PA, PS, DC

3

2018

Jan-Apr

Updated – Funding agreement between tribe and IHS amended to allow for reimbursement of services provided by DHAT to be eligible for reimbursement.


staff,

3 & 4 (TBD)

2018

Jan-Apr



counsellor

3

2018

Jan-Apr

Start recruiting process for AK DHAT to come to


counsellor

3 2018 May Updated – continue work with OHA on DHAT billing if necessary Pilot site staff 3&4 2018 May Trainees begins prerequisites for DHAT training program in AK (in OR) Trainee

3

2018



DSS

3 2018 June-July Experienced DHAT arrives and begins community education campaign DHAT

3&4

2018

July


3 2018 July-Aug Experienced DHAT begins providing services DHAT

5

2018

Aug-Dec

Hire DHAT Coordinator HHS Director, THD, THR


5

1 & 2

2018

Sept

DHAT trainees return to begin preceptorship with supervising dentist

DHAT, Supervising

Dentist

4

2018

Oct-Dec

Build Communications Plan/Execute PS, PA, DC, Other pilot site staff

All Pilot Sites

2018

Oct-Dec



Site Staff, Dental

team

1 2019 January Contract with Experienced DHAT expires

2 & 3 2019 Jan-Dec Experienced DHAT providing services with dental team DHAT

4

2019

Jan-Apr



staff

4&5 (TBD)

2019

Jan-Apr



counsellor

4

2019

Jan-Apr

Start recruiting process for AK DHAT (UPDATED - likely to use existing DHAT already in Oregon)


counsellor

NPAIHB 2019 Jan-Dec Continue work to create a DHAT training program in Oregon PD, PA, PS, DC 4 2019 May Updated – continue work with OHA on DHAT billing if necessary Pilot site staff

4&5 2019 May Trainees begins prerequisites for DHAT training program in AK (in OR) Trainee

4

2019

June



DSS

NPAIHB

2019

June

Pilot Project Assesment - Will we continue to add pilot sites after 2020, Where are the projects, where are we on the plan, do we need to make any

changes, future planning for years 2-5


4&5

2019

July

DHAT Trainees begins training in AK

AK Teaching Staff, Trainee


2&3

2019

Sept- DHAT


DHAT, Supervising

Dentist

4

2019

Oct-Dec

Build Communications Plan/Execute

PS, PA, DC, Other pilot site staff


6

All Pilot Sites

2019

Oct-Dec



Site Staff, Dental

team

2 2020 January Contract with Experienced DHAT expires

3&4 2020 Jan-Dec Experienced DHAT providing services with dental team DHAT

NPAIHB

2020

Jan-Jun

Next 5 years of Pilot Project Planning, Pilot Project Assessment - Where are the projects, where are we on the plan, do we need to make any changes,

future planning for years 5 and beyond

PD, PS, PA, DC,

Pilot Site Staff

5

2020

Jan-Apr



staff

5

Jan-Apr



counsellor

5

2020

Jan-Apr

Start recruiting process for AK DHAT (UPDATED - likely to use existing DHAT

already in Oregon)


counsellor

5 2020 May Updated – continue work with OHA on DHAT billing if necessary Pilot site staff 5 May Trainees begins prerequisites for DHAT training program in AK (in OR) Trainee

5

2020

June



DSS


5

2020

July



3&4

2020

Sept- DHAT


DHAT, Supervising

Dentist

All Pilot Sites

2020

Oct-Dec



Site Staff, Dental

team

DENTAL PILOT PROJECT PROGRAM QUARTERLY REPORTING … · (e.g., 10/1/2016-1/3/2017): October 4 2016...

Documents

Transcript of DENTAL PILOT PROJECT PROGRAM QUARTERLY REPORTING … · (e.g., 10/1/2016-1/3/2017): October 4 2016...