# Presentation: 671075

## Managing the Oral Health and Wellness Program

**Hilton O. Hosannah, DDS, MPH**
**Regional Dental Consultant**

- Boston Region Health and Wellness Conference
- September 27, 2006

## There are 122 Job Corps Centers throughout the United States and Puerto Rico operated by both federal agencies (United States Department of Agriculture [USDA] and the United States Department of Interior [USDI]) and private corporations.  These Job Corps centers are distributed in six regions. 

- There are 122 Job Corps Centers throughout the United States and Puerto Rico operated by both federal agencies (United States Department of Agriculture [USDA] and the United States Department of Interior [USDI]) and private corporations.  These Job Corps centers are distributed in six regions.

## In Region 1, there are 20 Job Corps centers.

Job Corps is the nation’s largest and most comprehensive residential education and job training program for economically challenged youth, ages 16 through 24. 

Since 1964, the program has provided more than 1.2 million disadvantaged young people with the integrated academic, vocational, and social skills training that they need to gain independence and get quality, long-term jobs or further their education. 

- In Region 1, there are 20 Job Corps centers.
- Job Corps is the nation’s largest and most comprehensive residential education and job training program for economically challenged youth, ages 16 through 24.
- Since 1964, the program has provided more than 1.2 million disadvantaged young people with the integrated academic, vocational, and social skills training that they need to gain independence and get quality, long-term jobs or further their education.

## A Regional Dental Consultant (RDC) is assigned to the Regional Office to conduct assessments of the health and wellness programs for quality and compliance with the PRH 
Provide technical assistance (TA) to the health and wellness staff
Share best practices

- A Regional Dental Consultant (RDC) is assigned to the Regional Office to conduct assessments of the health and wellness programs for quality and compliance with the PRH
- Provide technical assistance (TA) to the health and wellness staff
- Share best practices

## Assist in the recruitment of health professionals

Review Dental and Dental Hygiene Subcontracts

Provide training for the health and wellness staff

Coordinate center visits with Regional Office and center staff

Follow-up on recommendations made during previous center assessments

- Assist in the recruitment of health professionals
- Review Dental and Dental Hygiene Subcontracts
- Provide training for the health and wellness staff
- Coordinate center visits with Regional Office and center staff
- Follow-up on recommendations made during previous center assessments

## Centers shall provide basic oral health and wellness services to include:

Cursory oral examination within 48 hours of arrival on center

A mandatory oral examination between student’s 45th and 75th day on center 

Prioritized restorative and prophylactic treatment 

Job Corps shall not pay for student orthodontics 

- Centers shall provide basic oral health and wellness services to include:
- Cursory oral examination within 48 hours of arrival on center
- A mandatory oral examination between student’s 45th and 75th day on center
- Prioritized restorative and prophylactic treatment
- Job Corps shall not pay for student orthodontics

## Cursory oral examination and history
Mandatory oral examination 
Emergency oral care 
Routine restorative oral care
Periodontal care and oral prophylaxis
Limited off-center oral health services by referral

- Cursory oral examination and history
- Mandatory oral examination
- Emergency oral care
- Routine restorative oral care
- Periodontal care and oral prophylaxis
- Limited off-center oral health services by referral

## Infection control
Safety and health
Oral health care for pregnant students
Oral health and wellness education
Continuous quality improvement
Student satisfaction and center outreach

- Infection control
- Safety and health
- Oral health care for pregnant students
- Oral health and wellness education
- Continuous quality improvement
- Student satisfaction and center outreach

## Equipment and supplies
Nutrition and oral health
Tobacco use prevention information
Employability, employment, and oral health
Assessing community and private dental services
Recruiting dental personnel
Staffing

- Equipment and supplies
- Nutrition and oral health
- Tobacco use prevention information
- Employability, employment, and oral health
- Assessing community and private dental services
- Recruiting dental personnel
- Staffing

## The core oral health and wellness team consists of one dentist, one dental hygienist and one dental assistant.  Staffing can be increased dependent on the size of the center.
In most of our centers, the dentist has worked according to the dental subcontract agreement.  Most dentists have worked for over five years.
Before employment the dentist must provide the center with a current Curriculum Vitae, current DEA registration, current dental license, current liability insurance and in Puerto Rico a fee schedule. Except for DEA registration, the dental hygienist is required to submit such documents also. The dental assistant is not required to submit such documents. 

- The core oral health and wellness team consists of one dentist, one dental hygienist and one dental assistant.  Staffing can be increased dependent on the size of the center.
- In most of our centers, the dentist has worked according to the dental subcontract agreement.  Most dentists have worked for over five years.
- Before employment the dentist must provide the center with a current Curriculum Vitae, current DEA registration, current dental license, current liability insurance and in Puerto Rico a fee schedule. Except for DEA registration, the dental hygienist is required to submit such documents also. The dental assistant is not required to submit such documents.

## The Regional Dental Consultant assesses the operation of the oral health and wellness  program and provide assistance through   on-site visits and by telephone.

The National Office is responsible for developing, implementing and monitoring oral health and wellness program policies and goals.

- The Regional Dental Consultant assesses the operation of the oral health and wellness  program and provide assistance through   on-site visits and by telephone.
- The National Office is responsible for developing, implementing and monitoring oral health and wellness program policies and goals.

## 2005-2007 OHW Goals

- Students will be educated to make informed decisions about soft drink consumption.
- 2.	Students will receive a documented pain assessment every oral health care visit.
- 3.	Students will receive an oral health and wellness plan each mandatory oral examination.

## In addition to providing consultation to the Oral Health and Wellness Program, the RDC may assess other health and wellness program components:

TEAP  
TUPP 
Mental Health Program
Disability Program

- In addition to providing consultation to the Oral Health and Wellness Program, the RDC may assess other health and wellness program components:
- TEAP
- TUPP
- Mental Health Program
- Disability Program

## Identity of providers nametag on employee
Clean orderly environment with wall charts, etc.
Providers appropriately dressed
Sign Health Care Guidelines for health staff, and Symptomatic Management guidelines for non-health staff
Medical and dental records combined - Standard Form 603
Only standard dental terminology to be used

- Identity of providers nametag on employee
- Clean orderly environment with wall charts, etc.
- Providers appropriately dressed
- Sign Health Care Guidelines for health staff, and Symptomatic Management guidelines for non-health staff
- Medical and dental records combined - Standard Form 603
- Only standard dental terminology to be used

## All dental services based on the Priority System of dental care
Mandatory oral examinations are done between the 45th and 75th day
All oral health services rendered are dated and signed by the provider; entries are legible
All mandatory oral examinations are accompanied by a treatment and wellness plan
All students are assigned a priority classification and it is updated as it changes

- All dental services based on the Priority System of dental care
- Mandatory oral examinations are done between the 45th and 75th day
- All oral health services rendered are dated and signed by the provider; entries are legible
- All mandatory oral examinations are accompanied by a treatment and wellness plan
- All students are assigned a priority classification and it is updated as it changes

## All refusals of oral health care are documented
All medications are entered on the medication sheet
A lead apron is worn routinely for all dental x-ray exposure
The x-ray unit must be currently registered
Pregnant females be exempt from x-ray exposure except when necessary
Emergency oral health operations be preceded by        x-rays
All Priority I students receive treatment within 14 days after classification

- All refusals of oral health care are documented
- All medications are entered on the medication sheet
- A lead apron is worn routinely for all dental x-ray exposure
- The x-ray unit must be currently registered
- Pregnant females be exempt from x-ray exposure except when necessary
- Emergency oral health operations be preceded by        x-rays
- All Priority I students receive treatment within 14 days after classification

## The Priority System of oral health and wellness care be structured so that each category can be identified separately and the number of students in each category can be identified
The appointment system be based on the Priority System of oral health and wellness care
Strategies are in place to encourage students to keep their appointments
Confidentiality of patients’ records be emphasized
Students’ records be kept on center no more than five days after separation	

- The Priority System of oral health and wellness care be structured so that each category can be identified separately and the number of students in each category can be identified
- The appointment system be based on the Priority System of oral health and wellness care
- Strategies are in place to encourage students to keep their appointments
- Confidentiality of patients’ records be emphasized
- Students’ records be kept on center no more than five days after separation

## No student be treated for orthodontic conditions
All referrals be documented in the students chart as
	well as appropriate follow-up
The program is integrated with the overall center health and wellness program
The program receives center-wide support
There is an emphasis on the connection between “oral health” and “employability” 

- No student be treated for orthodontic conditions
- All referrals be documented in the students chart as
- 	well as appropriate follow-up
- The program is integrated with the overall center health and wellness program
- The program receives center-wide support
- There is an emphasis on the connection between “oral health” and “employability”

## Tooth brush and tooth paste be distributed to each student
Service data be presented in a timely fashion
Center equipment and supplies be maintained and protected
All students and staff be treated with dignity and respect      
Discriminations of any sort including race, sex, religion, age, color, creed, illness or origin are not tolerated

- Tooth brush and tooth paste be distributed to each student
- Service data be presented in a timely fashion
- Center equipment and supplies be maintained and protected
- All students and staff be treated with dignity and respect
- Discriminations of any sort including race, sex, religion, age, color, creed, illness or origin are not tolerated

## Develop programs to motivate students to seek dental care
Develop incentives to persuade students to seek dental care
All staff performs those duties as designate by the State Board of Dentistry
All oral health and wellness personnel participate in continuing education

- Develop programs to motivate students to seek dental care
- Develop incentives to persuade students to seek dental care
- All staff performs those duties as designate by the State Board of Dentistry
- All oral health and wellness personnel participate in continuing education