Presentation for the University of Iowa College of Dentistry

1. Doreen Chamberlin, MPH, RD
Bureau of Oral and Health Delivery Systems
Iowa Department of Public Health
http://www.idph.state.ia.us/hpcdp/ohds.asp
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2.  Health Care and Public Health Facilities
 Hospitals
 Clinics/Private Practice
 Health Centers
 Free Clinics
 Local Public Health agencies and services
 State Health Department
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4.  Health Center Program Statute—Section 330 of
the Public Health Service (PHS) Act (42 U.S.C.
§254b)
 Health centers are non-profit private or public
entities that serve designated medically
underserved populations/areas or special
medically underserved populations comprised
of migrant and seasonal farmworkers, the
homeless, or residents of public housing
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5.  Health center provides all required primary,
preventive, enabling health services and additional
health services as appropriate and necessary, either
directly or through established written arrangements
and referrals.
 The health center has collaborative relationships with
other appropriate providers and organizations in the
area, including other Federally Qualified Health
Centers (FQHCs).
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7.  The Volunteer Health Care Provider Program (VHCPP)
hopes to increase volunteerism by offering protection to
eligible volunteer health care providers and eligible clinics
providing free health care services.
 An individual health care provider establishes an
agreement with the Volunteer Health Care Provider
Program (VHCPP) and is provided the protection of an
employee of the state under Iowa Code chapter 669.
 A clinic holding a current protection agreement with the
VHCPP is protection as an agency of the state under Iowa
Code chapter 669 and, in the event of a claim seeking
damages, will be provided defense by the Iowa
Department of Justice at no cost. Indemnification will be
provided to the full extent of any judgment brought
against the individual provider or protected clinic.

8. Once on site, click on the map
To find free clinic locations.
http://www.idph.state.ia.us/webmap/default.asp?map=vhcpp

9. Over 900
Dental
Volunteers
Serving over
1,200 people
In 2 full days!
http://www.iowadental.org/events_calendar/iowa_mission_of_mercy.cfm
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10.  You can play a role in removing barriers for at-
risk populations (lower income, elderly, very
young) to go to a dental office for care
 Many Iowans experience barriers to access due
to work schedules, inability to pay, and other
difficulties. Public health programs must go to
where the at-risk population is located to help
them get care.
 As a provider you can impact access to care for
these underserved populations.
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11.  Consider agreeing to be a public health supervision dentist
for hygienists who provide preventive services in public
health settings (e.g. WIC, head start, schools, nursing
homes)
 Consider contacting local nursing homes to become their
dentist of record for residents – also offer to provide staff
education on oral hygiene for residents, etc

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13. provide screenings, accept referrals
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14.  Meet with your local I-Smile Coordinator to learn how
the I-Smile coordinator can be of assistance to you and
your office
 I-Smile – building local systems (care coordination, referrals, providing
preventive services in public health settings for moderate-high risk
children from birth, health promotion) to ensure early and regular dental
care and that all children have a dental home that includes prevention,
screenings, diagnosis, and treatment
 http://www.ismiledentalhome.iowa.gov/
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15.  Work with I-Smile
Coordinator / local
elementary and high
school – provide
gap-filling
screenings/exams
for children unable
to get theirs via
traditional means for
school screening
requirement
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16.  Oral Health Center
 Iowa Health Workforce Center
 Center for Rural Health and Primary Care
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17.  I-Smile™ Dental Home Initiative
 Maternal and Child Health Program
 School-Based Dental Sealant Program
 School Dental Screening Requirement
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18. The Iowa Health Workforce Center coordinates statewide efforts
to ensure a sustainable, competent, and diverse health workforce
and an appropriate health care delivery infrastructure. Activities
include:
• Development of biennial strategic plan to address access to health and
long-term care services in our state,
• implementation of a credentialing and training system for all direct care
professionals in Iowa,
• Coordination of a state-agency team to monitor and develop supply of
health professionals,
• Support of statewide efforts to recruit and retain health care
professionals through a website connecting health care professionals to
Iowa communities, workshops for communities to learn best practices,
and implementation of programs, grants, and directives related to
development and maintenance of health care professionals in Iowa.
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19. • Primary Care Office - Coordinates Health Professional Shortage
Area (HPSA) designations and the expansion of health care
resources for vulnerable populations. Includes the J1-Visa waiver
program, National Health Service Corps, and primary care
initiatives.
• PRIMECARRE - Supports the recruitment and retention of primary
care providers and manages the loan repayment program.
• State Office of Rural Health - Coordinates advocacy efforts,
outreach services, and community health resources that target
rural populations.
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20.  Shortage Designations includes:
 Health Professional Shortage Areas (HPSA) and
Medically Underserved Areas (MUA), established
under the US Public Health Service Act (Sections
330 and 332), are federal designations of geographic
areas (population groups or facilities) which meet
the criteria as needing additional primary health
care services.
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21.  There are three different types of HPSA
designations, each with its own designation
requirements:
 Geographic Area
 Population Groups
 Facilities
 http://bhpr.hrsa.gov/shortage/hpsas/update
s/09012011dentalhpsas.html
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24.  Must be rational areas for the delivery of dental
services
 Meet one of the following conditions
 Have a population to full-time-equivalent dentist
ratio of at least 5,000:1
 Have a population to full-time equivalent dentist
ratio of less than 5,000:1 but greater than 4,000:1 and
unusually high needs for dental services
 Dental professionals in contiguous areas are
over utilized, excessively distant or inaccessible
to the population
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25.  Must reside in a rational service area for the delivery of
dental care services
 Have access barriers that prevent the population group
from use of the area's dental providers
 Have a ratio of the number of persons in the
population group to the number of dentists practicing
in the area and serving the population group of at least
4,000:
 Members of Federally recognized Native American
tribes are automatically designated. Other groups may
be designated if the meet the basic criteria described
above.
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26.  Must be either Federal and/or State correctional
institutions or public and/or non-profit medical facilities
 Federal or State Correctional facilities must:
 Have at least 250 inmates and
 Have a ratio of the number of internees per year to the
number of FTE dentists serving the institution of at
least 1,500:1
 Public and/or non-profit private dental facilities must:
 provide general dental care services to an area or
population group designated as having a dental HPSA
and
 have insufficient capacity to meet the dental care needs
of that area or population group
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28.  Programs and opportunities that can:
 Assist in your job search
 Provide scholarships
 Provide loan repayment in three different
programs
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29. The National Rural Recruitment and
Retention Network (3RNet) members are
not-for-profit organizations helping health
professionals find jobs in rural and
underserved areas throughout the country.
Some of the health professions we serve
and the kinds of jobs posted include:
Physician jobs
Dentist jobs
Nurse Practitioner jobs
Physician Assistant jobs
Registered Nurse jobs
Mental Health Professionals
Other Health Care Professional jobs
https://www.3rnet.org/
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31.  The NHSC Loan Repayment Program (LRP)
offers primary care medical, dental, and mental
and behavioral health providers the
opportunity to have their student loans repaid
for serving communities in need.
 http://www.nhsc.hrsa.gov/
 Primary care providers can pay off student
loans while serving in communities with
limited access to health care.
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32.  The NHSC Scholarship Program (SP) awards
scholarships each year to students pursuing careers in
primary care. In return, students commit to serving for
two to four years, upon graduation and completion of
training.
 Last application cycle was November 2011 to May
2012. Next application TBA, rumor has it at January
2013.
 Currently serving 14 LRP Dentists, one scholar, and 5
LRP Hygienists.
 Interested ? Link directly to the e-mail sign-up page:
 http://www.nhsc.hrsa.gov/emailsignup.html
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33.  The Primary Care Recruitment and Retention
Endeavor (PRIMECARRE) was authorized by
the Iowa Legislature in 1994 to strengthen the
primary health care infrastructure in Iowa.
PRIMECARRE allocations currently support
the Iowa Loan Repayment Program, with
matching federal and state funds.
 Sara Schlievert, BS, CPH
PRIMECARRE Program Coordinator
Sara.schlievert@idph.iowa.gov 515/281-7630
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34.  Offers two-year grants to primary care medical,
dental, and mental health practitioners for use
in repayment of educational loans.
 Requires a two-year practice commitment in a
public or non-profit site located in a health
professional shortage area (HPSA).
 To find out whether a particular area or facility is
located in a HPSA, go to: http://hpsafind.hrsa.gov/.
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35.  Provides up to $50,000 per year for full-time and
$25,000 per year for part-time primary care physicians,
psychiatrists, clinical psychologists, dentists, dental
hygienists, physician assistants, registered nurse
practitioners, certified nurse midwives, clinical social
workers (LISW), and psychiatric nurse specialists.
 PRIMECARRE applications are accepted annually
through a Request for Proposal (RFP) process. The RFP
packet is posted each fall on the Iowa Department of
Public Health website. Contracts begin each January
with approximately 5-8 successful applicants.
 Currently the program has 3 LRP Dentists
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36.  This program annually offers a $50,000 award for the repayment
of dental education debt to be used over a three-year grant
period.
 The FIND program is an extension of the Delta Dental of Iowa
Loan Repayment Program, which collaborates with communities
on the recruitment and establishment of a private practicing
dental office that is located in rural, underserved areas in Iowa
for up to $100,000 loan repayment award.
 In return, the selected dentist agrees to practice in one of Iowa's
designated dental shortage areas and to allocate 35% of patient
services to underserved populations.
 For more information on the two loan repayment programs visit
http://www.deltadentalia.com/publicbenefitprogram/find
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39.  The ACCESS Update is a bi-monthly electronic newspaper
published by the Iowa Department of Public Health's Bureau of
Oral and Health Delivery Systems. It is distributed via email on
the last Tuesday of the month.
 The ACCESS Update provides news, calendar of events, and useful
grant related information for health care professionals, hospitals,
clinics and other health care related organizations and groups.
There are numerous resources and tools to assist with program
development, and community engagement. The newsletter
captures the issues and challenges related to ACCESS to
healthcare.
 To subscribe to the ACCESS Update, send a blank e-mail message
to join-HCA@lists.ia.gov. You may receive an email response to
your subscription. To confirm, you will need to "reply" to the
confirmation email.
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42. NHSC Display at the Iowa Dental Practice Opportunity Fair.
Hosted by the University of Iowa, College of Dentistry and Iowa American
Student Dental Association
Date: October 11, 2012 Time: 5:00pm to 8:00pm
Iowa dental students are invited to attend this exhibit that's being held in
conjunction with the Iowa American Student Dental Association's (IASDA)
annual conference. This is an ideal time for dental students to network with
Iowa dental practices, many of which are NHSC-approved sites. There will
also be someone on hand to discuss National Health Service Corps
scholarship and loan repayment opportunities at the event.
Location: Holiday Inn Conference Center
1220 1st Ave.
Coralville, IA 52241
Contact: Deb Hoyle, Iowa Practice Coordinator, College of Dentistry
debra-hoyle@uiowa.edu
(319) 335-9865
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43. Community Day Open House and Celebration Reception.
Hosted by River Hills Community Health Center, (a current NHSC site).
Date: October 12, 2012 Time: 1:00pm to 2:00pm
Description: Open House/Reception to honor NHSC participants and
inform the community about the NHSC. Tori Squires, Senior Program
Director for the Iowa State Primary Care Association will speak regarding
the NHSC loan repayment and scholarship Programs. Community
members, members of the Iowa primary care community, and local
students are invited. Refreshments will be served.
Location: River Hills Community Health Center
201 South Market Street
P.O. Box 458
Ottumwa, IA 52501
Contact: Rick Johnson, CEO River Hills Community Health Center
(641) 683-5773 or Bonnie Grant, HRSA Regional Office
bgrant@hrsa.gov (816)-426-2918
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