Session Length: 60 minutes
- Computer and compatible LCD projector to play the PowerPoint presentation
- Internet connection to access the module video
- Copies of the handout referenced in this module (should be printed out and distributed to each person).
SLIDE 1: Background of the SPNS Innovations in Oral Health Care Initiative
- Sponsored demonstration projects at 15 sites across the country
- Provided oral health care to underserved HIV-positive individuals in 12 States and one U.S. Territory
- Ran from 2006–2011
- Tools for Creating Innovative Oral Health Care Programs https://targethiv.org/ihip/oral-health-care
- The Health and Disability Working Group at the Boston University School of Public Health was chosen to lead the multisite evaluation, which occurred under the project Evaluation Center on HIV and Oral Health (ECHO). https://ciswh.org/project/echo/.
SLIDE 2: Objective of the SPNS Oral Health Initiative and Medical Care Outcomes
- The overall goal of the initiative was to expand access to comprehensive oral health care provided in accordance with professional standards to improve oral health outcomes of PLWHA.
- Other important objectives of the SPNS Oral Health Initiative included integrating medical and dental care, and sustaining programs beyond the life of the grant.
- Initiative outcomes
– 2,500 PLWHA who had been out of oral health care for 1 year or more were served
– 14,500 visits occurred
– 26,000 dental procedures were performed.
SLIDE 3: Patient Testimonial to the Benefits of SPNS Oral Health Care
“[Oral health care has] definitely helped me. Because when [the Harbor Health dental staff] did the top teeth, I guess I had an infection in there probably for about a year and a half. So, my T cells once this was all done jumped 100 points. So yeah, and I feel a lot better. Now that I don’t have any pain, I’ve been in pain for like, I don’t know 8 years. I was used to it, you know.”
— SPNS Grantee Patient at Harbor Health in Provincetown, Massachusetts
Slide 4: Changing Lives Through Good Oral Health Video
Video: Watch the video, “Changing Lives Through Good Oral Health”.
- After the video, the Trainer should lead the group in discussion of reactions to the video.
– What was your overall impression of the video?
Is there anything you learned about the impact of oral health on PLWHA that you did not know before watching this video?
Slide 5: Organizational Models Studied
- Each demonstration site had to determine which organizational model(s) they would use, how they would recruit and train clinical staff, and how they would recruit and retain patients into care.
- Six organizational models were used across the sites (many utilized various combinations):
1. Increasing services at their existing clinics
2. Building satellite clinics
3. Collaborating with clinics in dental hygiene schools or community colleges
4. Fee-for-service dental reimbursement with contracted providers
5. Leasing space at existing private offices/clinics, and
6. Purchasing mobile dental units.
The Trainer should distribute the table of organizational model pros and cons shown below as a handout so that participants can take notes on the models during the following discussion of slides. Please read the pros and cons within the table.
OVERVIEW OF THE SIX SPNS ORGANIZATIONAL MODELS STUDIED
services at their
with clinics in
|Leasing space at
*While HIV Alliance was the only grantee to use relationship with dental program as their program model, several other grantees established formal or informal relationships with dental professional schools.
**Mobile dental units used by grantees ranged from $144,000 for a one-chair unit to $330,000 for two-chair unit.
***All grantees who employed a mobile dental unit experienced frequent mechanical, electrical, and vacuum system problems.
SLIDES 6–8: Overview of Pros, Cons, and Important Considerations for the Six Organizational Models
The following slides review the pros, cons, and important considerations of each of the six organizational models studied by grantees during the SPNS Oral Health Initiative.
Review of models from the SPNS Innovations in Oral Health Care Initiative. Chapter in Implementing Oral Health Care into HIV Primary Care Settings, presenting insights