VIable

Recommendations

Info

NDHI NAT IONAL DIALOGUE FOR Healthcare Innovation Marshfield Dental Initiative Organization Overview • Marshfield Clinic Health System is a not-for-profit healthcare system with over 50 care locations, an expansive medical group practice, an ambulatory footprint, and a health plan • The health system covers the entire spectrum of care from wellness to end of life care, with an emphasis on efficient and effective patient-centered care in both public and commercial markets Background Studies have shown that dental care is closely linked to broader physical health, affecting diabetes, heart disease, systemic infection, and pregnancy outcomes. Further, individuals who have significant oral health disease and cannot obtain dental care experience increased difficulty in finding gainful employment and in job progression. In 2000, the Surgeon General released a report detailing disparities in access to oral health services among the poor and called for integration of dental and medical health. The Marshfield Clinic responded by partnering with the Family Health Center, a federally-funded community health center, to launch the Marshfield Dental Initiative in 2002. This program enables both partner organizations to better address comorbid conditions, increase community health, and improve the employability and productivity of the low-income population. Over 90% of services are provided to individuals at or below 200% of the federal poverty level. Program Details The Dental Initiative not only increases access to dental care, but also integrates medicine and dentistry to provide a holistic care experience to patients. Key aspects of the program include: • Formation of a group practice model to share expertise and improve quality • Development of an integrated dental and medical electronic health record, enabling coordinated treatment for patients with complex conditions • Establishment of an Advanced Education in General Dentistry program to train dental residents in integrated EHR and bi-directional management of oral health and chronic health conditions • Creation of a dedicated training space, training room, and classroom for training dental students • Development of decision support that allows physicians to differentiate patients based on their dental help-seeking behavior, in order to facilitate counseling and referrals for dental services Value Delivered The Marshfield Clinic Dental Initiative has improved the overall healthcare system by providing significant clinical and economic value to patients and communities: • Established 10 dental centers, with 45 dentists, 3 oral surgeons and 41 hygienists, and provided dental services to over 127,000 patients from all 72 counties in the state An Initiative of the 75 | Marshfield Dental Initiative
NDHI NAT IONAL DIALOGUE FOR Healthcare Innovation • Reduced the incidence of urgent pediatric dental needs in Rusk County, the location of the first Marshfield dental center, from 4% to 0% of surveyed students • Regionalized dental care services in rural counties • Hosted trainings for nursing staff and students from other dental schools, to improve care outcomes and grow Marshfield’s dental network, especially in rural areas • Improved patient outcomes through medical-dental integration, as evidenced by individual patient cases The potential cost impact of coordinated dental care on healthcare costs is hard to overstate. A two year study of 144,000 insured patients by Aetna found that earlier periodontal treatment reduced overall medical care costs by 9% for diabetics, 16% for patients with coronary artery disease, and 11% in patients with cerebral vascular disease. As diabetes accounts for $116 billion annually in direct medical costs, a 9% cost reduction would result in $10.4 billion savings annually. Path Forward • Two additional dental centers are planned • When the Dental Initiative is fully complete, it will provide care for between 100,000-120,000 residents throughout Wisconsin Marshfield Dental Initiative | 76
Page 1:
VIable Solutions Private Sector Pro
Page 4 and 5:
Contents Foreword .................
Page 6 and 7:
Foreword The U.S. healthcare indust
Page 9 and 10:
Section 1 Collaborations to Enable
Page 11 and 12:
NDHI NAT IONAL DIALOGUE FOR Healthc
Page 13 and 14:
Page 15 and 16:
Page 17 and 18:
Page 19 and 20:
Page 21 and 22:
Page 23 and 24:
Page 25 and 26:
Page 27 and 28:
Page 29 and 30: NDHI NAT IONAL DIALOGUE FOR Healthc
Page 47: NDHI NAT IONAL DIALOGUE FOR Healthc
Page 99 and 100: Section 3 Policy Reform to Shape th
show all

VIable

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?