CareOregon Dental supplied $430,000 in funding and provided ongoing technical assistance and support to Neighborhood Health Center (NHC) throughout the two-year project duration. NHC aimed to integrate their dental and medical services and improve engagement with dental care and home oral health routine for pregnant women, infants and young children. They planned to meet this goal through reforming the structure and culture of their care delivery using an occupational science informed patient activation approach during well child and dental care visits, and through development of community partnerships.
- Redesign of their delivery systems to integrate medical and dental care for pregnant women and children ages 0-5 years.
- To provide risk-informed interventions to support the establishment of daily healthy behaviors and skills to promote wellness across the lifespan.
- Develop and implement workflows and plans:
- Develop workplan in consultation with dental consultant
- Develop Outreach and Engagement Plan
- Adopt a quality improvement (QI) plan to follow a Plan, Do Study, Act (PDSA) cycle of improvement for workflows and care processes regarding risk assessment and stratification and risk-informed care pathways
- Hire credentialed occupational therapist
- Hire credentialed health home coordinator
- Hire dental assistant
- Create and utilize parent activation materials
- Staff assessment of Interprofessional Care Competencies (IPCC) using Interprofessional Collaborator Assessment Rubric (ICAR)
- Develop and implement of training curriculum to include QI, patient activation, occupational science, trauma-informed care and interprofessional care
- Implement community partnership agreements
- Execute monthly health home team meeting schedule, group visit curriculum and risk stratified care pathways
- Train staff on QI, patient activation, occupational science, trauma-informed care and interprofessional care and readiness assessed
- Develop and adopt parent activation materials
- Adopt risk assessment and risk stratification algorithm
- Implement health home care with one PCP team
- Adopt monthly health home team meeting schedule
- Adoption of group visit curriculum
- Integration of 15-month health home group visit
- Evaluate access trends among patients with missed appointments