Performance Objectives for Red River

Valley Dental Access Project

 

Goals:  2002-2003

Evaluation Date:  October 31, 2003

 

Policy 1: Governance

Goal:   Facilitate the Board annual review of Board Governance Policies by December

31, 2002. 

Policy 2:  Budget/Financial

Goal:  1.  Develop financial/funding plans (including contingency plans) to address the

     future of the RRVDAP and each of its projects by December 31, 2002. 

2.  Secure funding needs determined by the plan by March 31, 2003.

 Policy 3:  Recruitment (Expanding and Developing the Workforce)

 Goal 1: Continue to develop a grassroots “recruitment clearinghouse” concept that

  positions RRVDAP in an integral and productive role of increasing the workforce

  in the broader RRVDAP by: 

a.  gathering information from communities in catchment area of current needs  

b.  develop and maintain contacts with those who are aware of or are potential

     dentists, or auxiliary staff; such as dental schools, undergraduate programs,

     dental hygiene and assisting programs, or other means as identified, etc.  

            c.  collaborate with others, such as the ND and MN dental associations in

     activities toward to Coordinated strategies to expand the workforce.    

d.  collaborate with communities and others to expand the dental workforce

     through means such as Economic Development activities, loan repayment,

     tax breaks, transitional plans for purchasing practice, etc. 

           e.  Explore opportunities to collaborate with Dental Schools such as the U of MN

                on strategies to prepare students to work with public sector and in rural

                settings.   

            f.   identifying any opportunity that presents itself that has potential for

                recruitment such as the U of MN Mobile Dental Clinic 

2. Evaluate revenue-producing opportunities for recruitment activities.  

 

Policy 4. Education/Prevention

Goal:  Achieve goals as described in the Health Tomorrows HRSA grant by end of first

grant year, February 28, 2003.

 

Goal #1:  Remove barriers that prevent access to dental care

Objective 1

Develop a case-management model designed to assist in the attainment of dental appointments

1/2002

Objective 2

Secure 5 providers willing to accept new Medicaid clients through the Healthy Smile for the Red River Valley project

2/2002

Objective 3

Have 10 providers willing to accept new Medicaid clients through the Healthy Smiles for the Red River Valley project

6/2002

Objective 4

15% of infants participating in MCH programs in Clay County and Fargo-Cass Public Health receive dental appointments at age one.

9/2003

Objective 5

30% of infants participating in MCH programs in Clay County and Fargo-Cass Public Health receive dental appointments at age one.

9/2004

 

Goal #2:  Provide parents and caregivers with appropriate knowledge regarding proper

oral hygiene practices.

 

Objective 1

Develop/acquire one culturally appropriate handout for target population

9/2001

Objective 2

Integration of oral health component into MCH programs in Fargo-Cass and Clay County Public Health

3/2002

Objective 3

30% of mothers participating in prenatal care at Clay County and Fargo-Cass Public Health will be receiving oral hygiene counseling

9/2002

Objective 4

50% of mothers participating in prenatal care at Clay County and Fargo-Call Public Health will be receiving oral hygiene counseling

3/2003

Objective 5

Integrate oral hygiene component into MCH programs in two additional counties

9/2003

Objective 6

80% of mothers participating in prenatal care at Clay County and Fargo-Cass Public Health will be receiving oral hygiene counseling

3/2004

Objective 7

100% of mothers participating in prenatal care at Clay County and Fargo-Cass Public Health will be receiving oral hygiene education

3/2005

 

Goal #3:  Provide dental screening to determine children at high-risk for oral health complications.

   

Objective 1

Oral hygiene students at Northwest Technical College trained to provide dental screenings using the Basic Screening Model: an Approach to Community Assessment

4/2002

Objective 2

Dental screenings completed at 3 areas determined to be at highest need

9/2002

Objective 3

School nurses in the Fargo and Moorhead school districts trained to provide dental screenings

1/2003

Objective 4

Dental screening completed at 3 additional areas

6/2003

Objective 5

Biannual dental screenings at Head Start programs, WIC programs, and area elementary schools

2/2006

Policy 5 & 6:  Assuring Services

(Donated Dental Services, Emergency Care Services)

Donated Dental Service Program

 

Goal 1:  Demonstrate growth of DDS program in Red River Valley area through

   increase in number of providers and dollars of dental treatment provided 

Goal 2:  Assess opportunities for the RRVDAP involvement in the statewide DDS

              program.

Emergency Care Services

Goal 1:  Develop comprehensive marketing/communication plan for UC program by

              September 30, 2002. 

Goal 2:  Complete guest licensure process of all participating ND licensed dentists by

              October 31, 2002. 

Goal 3:  Evaluate UC utilization and determine appropriate time to implement second

             clinic.   

Goal 4:  Measure, analyze and report utilization and effectiveness of program using the 

             below measures and goals. 

 

Measure

Goal

Visits to the emergency/walk in clinics of MeritCare and Innovis Hospitals

Decrease ER visits by 15%

Number of visits to this clinic

624 visits during the first year

Number of emergency calls to FHC and Apple Tree Dental

Decrease emergency calls by 15%

(Subjective assessment – unable to track in meaningful comparative means)

Number of Nurse phone line calls at MeritCare

Able to refer 15% of calls to this program because they meet criteria (subjective assessment – unable to track through MeritCare system)

Satisfactions surveys will be given to each patient

90% overall satisfaction

Satisfaction surveys to dentists given to them each time they volunteer during first six months.

90% overall satisfaction

Survey to each staff member within 3 months of starting (staff expected to be consistent)

90% overall satisfaction

 

Anesthesia Care

Goal 1: Research issues related to anesthesia care for uninsured, medical assistance

  and special populations and identify opportunities for resolution.

Advocacy

Goal 1:  Gather information and survey all counties identified in the project (primary     sources to be; public health, dentistry and hospitals), compile and communicate report to the RRVDAP Board of
current dental access issues in these communities. 

Goal 2:  Assess appropriate data to measure access, collect data and communicate
outcomes to RRVDAP Board.  

Goal 3:  Develop a systematic communication process with policy makers to communicate issues related to oral healthcare, advocating for issues of converge, Medicaid reimbursement, etc.   

Goal 4:  Coordinate a “Dental Access Summit” to gain input and identify issues in the RRV.