Community: Chapter 3

The number of dental care services actually consumed, not just desired, which can be important when speculating on the available supply of personnel to meet the demand and/or need

Utilization

What are some Dental Workforce Issues?

Barriers to oral health care access, lack of insurance or payment options, tremendous growth of the aging population, limited means of transportation, and insufficient availability of dental providers

DHAT

Dental health Aid Therapist

Describe DHAT

In Alaska, student completes a two year program and focuses on providing restorative care in patients in remote areas under teh supervision of a dentist who is responsible for writing standing orders and being the point of contact for the therapists through telehealth

delivery of health services using telecommunications, such a sa non-dentist providing care in an unsupervised setting and communication any questions to the dentist via the telephone or computer

Telehealth

ADHP (Advanced Dental Hygiene Practitioner)

mid level provider will provide diagnostic, preventive, therapeutic, and restorative services as well as referrals to dentists and other health care providers in a variety of settings

CDHC (Community Dental Health Coordinator)

would perform many duties such as OHI, coronal polishing but must be supervised by a dentist at all times

What has been recognized as a major unmet need in the United States?
a. Geriatric awareness
b. Oral health
c. Access to health care
d. all of the above

b. oral health

What branch of the federal government has a direct impact on dental care delivery?
a. legislative
b. executive
c. judicial
d. all of the above

b. executive

Who or what directs the US Public Health Services?
a. US Surgeon General
b. CDC
c. John Hopkins University
d. Dental Public Health Committee

a. US Surgeon General

Which organization provides a system of health surveillance to monitor and prevent outbreak of diseases and maintain national health statistics?
a. National Institute of Health
b. CDC
c. FDA
d. Indian Health Services

b. CDC

Which organization is responsible for the Head Start program?
a. Administration on Aging
b. Centers for Medicare and Medicaid Services
c. Administration for Children and Families
d. Indian Health Services

c. Administration for Children and Families

Refers to the way dental care is provided to the public

dental care delivery

Providers of Dental Care in the US are divided into three groups

Federal
Nongovernment
State

Federal

Departments of the Federal Governmetns

Nongovernment

Private practice institutions, schools, insurance-based models

State

Departments of State State prisons, Community Clinics, Schools

Providers who construct and deliver removable oral prosthesis directly to the patient

denturists

With Federal Structure, this department is responsible for many entities providing dental care

Department of Health and Human Services (HHS)

Government's principal agency for protecting the health of all Americans and providing essential human services, especially for those who are least able to help themselves

HHS

Officers commissioned in this profession, works to improve and advance the health of our nation's people

US Public Health Service (PHS)

Government's medical research organization

National Institutes of Health

ensures the safety of foods and cosmetics as well as the safety and efficacy of pharmaceuticals, biological products, and medical devices

FDA

provides a system of health surveillance to prevent the outbreak of diseases and monitor any that do occur

CDC

providing medical and dental care to Native Americans including Alaskan Natives

Indian Health Service (IHS)

Provides health resources for medically underserved populations and works to build the health care workforce, the workers whose members deliver health care to the public

HRSA

Supports research on health care systems, health care quality and cost issues, access to health care, and effectiveness of medical treatments.

Agency for Healthcare Research and Quality (AHRQ)

Principal agency designated to carry out the provisions of Older Americans Act of 1965 and is responsible for enhancing and supporting the older populations independence

Administration on Aging (AOA)

responsible for federal programs that promote the economic and social well-being of families, children, individuals, and communities and is responsible for the Early Head Start and Head Start programs

Administration for Children and Families (ACF)

Federal agency responsible for administering the Medicare, Medicaid, CHIP, HIPAA, Clinical Laboratory Improvement Amendments, and other programs

Centers for Medicare and Medicaid Services

What % does Medicare and Medicaid account for with federal health care programs

80%

What are some other federal dental health programs?

Department of Defense
Federal Bureau of Prisons
US PHS
Civil servants
Independent contractors
VA
Bureau of Labor Statistics
Peace Corps

Defined as a normative, professional judgement as to the amount and kind of health care services required to attain or maintain health

Need