January 25, 2020 is the 75th anniversary of community water fluoridation, a practice that helps significantly improve oral health. Join Pennsylvania Coalition for Oral Health and other organizations in celebrating this important public health achievement by spreading the word on Facebook and Twitter. The American Fluoridation Society created free graphics to use to promote the anniversary on social media. There will be a “Twitter Storm” on Friday, January 24 from 10 a.m. to 10:30 a.m. to celebrate the anniversary. During this time, fill Twitter with community water fluoridation anniversary posts. Be sure to use #fluoride4health75 in all posts!
Exploring Alternative Payment Models for Oral Health Care
An examination of the cost and utilization of alternative payment models for oral health care over a patient’s lifetime.
By Sean G. Boynes, DMD, MS, Carolyn Brown, DDS, MEd and Eric P. Tranby, MA, PhD
According to a report by the Commonwealth Fund, the United States pays the most for health care and achieves the lowest performance among comparable countries.1,2 In fact, dissatisfaction with U.S. health care continues to shape political talking points. It also encourages disruptive business models and drives demand for greater transparency, accountability and consumerism.3–6 This changing health ecosystem also affects dentistry. Agencies, organizations and care teams are shifting operational and financial constructs to better align with the changing health care landscape. Currently, the transition includes a switch from a silo-based construct driven by tertiary care to a person-centered format based on inclusive, holistic health care and enhanced quality of life.7–11
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Oral health assessment of children in rural Pa. demonstrates disparities
UNIVERSITY PARK, Pa. — While the overall supply of dentists in Pennsylvania is sufficient to meet the current demand when assuming equal access for all residents, geographic access to oral health services is not equal across rural and urban areas. In a report, researchers in the Pennsylvania Office of Rural Health (PORH) at Penn State found that urban rates of dentist supply are nearly twice that of rural rates, and that inequalities exist between areas of higher socioeconomic status and those of lower socioeconomic status.
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Nonprofits, Medical Profession Tackle Human Trafficking as a Health-care Crisis
Washington Post, Jan. 4, 2020 at 7:30 a.m. EST
Because of a lack of data, it’s difficult to estimate how many victims live in the United States. In 2018, the National Human Trafficking Hotline, which is operated by an anti-trafficking nonprofit group called Polaris, helped identify more than 23,000 survivors. That’s thought to be just a tiny fraction of the real number.
Trafficking doesn’t just jeopardize human freedom — it threatens public health. Victims experience injuries, sexually transmitted diseases and problems with everything from cardiovascular health to teeth. Post-traumatic stress disorder, depression, anxiety and other mental health conditions are also common.
Trafficking happens under the table, but its survivors come into contact with health-care workers more than you might think. One study found that nearly 88 percent of victims interacted with a health-care worker while being trafficked.
There’s a growing push among doctors, paramedics and other health-care professionals to help end trafficking. Organizations such as HEAL Trafficking, a group of survivors and professionals in 35 countries, are teaching health-care systems to identify potential victims and respond to their needs.
In 2018, Congress passed legislation that created a federally sponsored trafficking-related continuing education program for health-care workers. The SOAR protocol trains health-care workers to Stop, Observe, Ask and Respond to potential trafficking and teaches them how to connect victims to needed care and relevant services. Data collection also is improving because of recently implemented diagnostic codes that allow health-care providers to identify cases of suspected and confirmed trafficking.
It will take more work to end trafficking, but change could well start in the doctor’s office.
If you are being trafficked or suspect someone else is, contact the National Human Trafficking Hotline at 888-373-7888, or text “HELP” or “INFO” to 233733.
Differences in Preventive Care Among Rural Residents by Race and Ethnicity
Rural areas have long been racially and ethnically diverse. Yet most research on rural health focuses on rural-urban disparities without an explicit focus on within-rural differences in health by race and ethnicity. In that research on rural-urban disparities in health, rural residents tend to fare worse on most measures, including mortality, health status, access to care, and use of preventive services. Less is known about whether there are differences in healthcare use among rural residents by race and ethnicity. In this from the University of Minnesota Rural Health Research center, researchers examine differences in preventive care among rural residents by race and ethnicity. The brief can be accessed here.
Severe Maternal Morbidity and Hospital Transfer Among Rural Residents
Rural residents often travel farther to access medical care, especially obstetric care, and are more likely to be uninsured or underinsured than urban residents, contributing to higher rates of maternal morbidity. To raise awareness and increase understanding of the relationship between transfer, delivery hospital location, and severe maternal morbidity and mortality (SMMM) for rural residents, researchers at the University of Minnesota Rural Health Research Center compared data for rural and urban residents who gave birth between 2008 and 2014, to describe the relationship between a need to transfer patients for specialized care and increased risk for maternal morbidity and mortality. The report can be accessed here.
Hospitals Selected for Small Rural Hospital Transition Project
In an effort to better prepare and assist small rural hospitals in moving from a fee-for-service and volume-based payment system to one that is drive by value and quality, the Federal Office of Rural Health Policy (FORHP) administers the Small Rural Hospital Transition Project (SHRT). The program provides technical assistance through onsite consultations to eligible hospitals that have 49 beds or less and are located in a federally-designated persistent poverty county. Core areas of technical assistance include: 1) financial operational assessment, and 2) quality improvement projects. Last month, nine hospitals were identified through the objective review process to receive this assistance in the 2019-2020 cohort of the project. Now in its fifth year, the SHRT program shares what’s learned on issues relevant to rural health stakeholders through the National Rural Health Resource Center. See the full list of hospitals by clicking here.
CDC Reports on Rural Health
The Centers for Disease Control and Prevention (CDC) recently released two reports that compare health issues between metropolitan and nonmetropolitan areas of the U.S. In Potentially Excess Deaths from the Five Leading Causes of Death, researchers found that the gap in the percentages of preventable deaths between rural and urban counties widened over the eight-year study period for cancer, heart disease, and chronic lower respiratory disease, remained relatively stable for stroke, and decreased for unintentional injuries. A study on Lung Cancer Incidence found that rates decreased in both urban and rural areas during the ten year period from 2007-2016, but the smallest decrease occurred among females living in nonmetropolitan counties. Click here to access the report.
Flex Program Support for Rural EMS
This document is a practical guide for ambulance services to use in their pursuit of sustaining effective and efficient delivery of patient care and developing into an integrated system with other agencies. It provides insights from agencies to promote integration to the benefit of the agencies, the staff, and, most importantly, to the patients. The guide can be accessed here.
Rural Community Ambulance Agency Transformation Toolkit Released
The primary goal of the Rural Community Ambulance Agency Transformation Readiness Assessment and associated resources is to help ambulance agency leaders in rural America assess the state of their agency’s readiness in the core competency areas outlined below. This assessment follows the Critical Access Hospital (CAH) Blueprint for Performance Excellence, adapted specifically for rural ambulance agencies, from the Baldridge Excellence Framework for Health Care. It provides resources and tools to assist rural ambulance agency leaders to succeed with moving from volume to value in their agency’s culture and operations. Leaders are encouraged to complete the assessment periodically to monitor their progress and receive updated resources to guide their journey. The toolkit can be accessed here.