Agenda - 09-21-2010 - 7a - Laserfiche WebLink

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ATTACHMENT 1 3 ~~r~ otu-~~ couNrir HEALTH DEPARTMENT Rosemary 1. Summers, MPH, DrPH Health Direcb~r Rkhard E. Whiffed Human Services center 300 West Tryon St2et Post office Box 81$1 Hillsborough, NC 27278 Phone: (919) 245-2411 Fax: {919) fi44-3067 nwvw co. orange. ~ u~heal ~- BOARD OF HEALTH Anissa vines, MS, PhD Chair ChtisNarlan, RIH Vke-diair Steve Yuhasz, Commissioner Paul Chelmin~ry, MPH, MD DeWana Anderson, DVM Tony Whitaker, PE ChristopherCooke,.MA, MS 1esska Y. l..ee, DDS, MPH, Drf Jim Stefanadis, BS Pharm Michat~ Carstens, OD Michael Wood, MS To: Valerie Foushee, Chair Orange County l3oard of Commission rs From: Anissa Vines, Chair Orange County Baard of Health Re: Dental Heaith Ciinica! Services Report and Recommendations Date: April 27, 2010 This memorandum and report are in follow-up to the joint Board of Commissioners and Baard of Health meeting held in early March. During February, March and April the Board of Heaith studied the issues associated with providing dental clinical services fo !ow income and uninsured Orange County residents who do not otherwise have access to dental clinical services. Attached to this memorandum are some of the documents that were used by the Soard of Heaith in studying this issue. The following factors were considered in making recommendations: • Provides dental clin(gl services to bath Medicaid and uninsured Orange County residents . • Preserves access to comprehensive dental services far Medicaid and uninsured residents - • Enables the most efficient service delivery • Considers the distribution of current patients and travel distances • Considers the current county's financial status for providing services The Board of Health's primary recommendation for optimal access to dental services for the underserved population is to operate two fully staffed dental clinics. Because of the current financial status of the county, the Board formulated a series of staged recommendations/decisions that it wishes the Board of Commissioners to consider far action. Recommendation 1: Exercise Option 2 beginning July 1, 2011. (See Attachment 1- Optionsfor Providing Dental Treatment Services in Orange County) Option 2 is a single 8 chair clink at the Whined Building utilizing the current staff complement, traiisitioning those being served at Carr Mill to the Whitted site by providing transportation vouchers. - This allows sufficient time for renovation of Whined for denta! services after the personal hearth clinical space is renovated and allows an orderly transition from providing services at Carr Miil prior to the (ease expiration {October 2011). Recommendation 2: Facercise Option 3 beginning July 1, 2012. (See Attachment 1) Option 3 is a single 8 chair clinic at the Whiffed Building with increased staff {additional dentist, hygienist, and dental assistant). This maxim'szes the services that can be delivered for an 8 chair clinic. Exercising this option allows for full transition to a single location and provides time to recruit new staff. Because of recruitment and orientation times, new staff may not be fully productive during the first year of operation. Recommendation 3: Exercise Option 1 no later than the beginning of July 1, 2021. Option 1 is two fait time clinics at different locations (one south and one north) in the county. This option provides the best access to comprehensive dental services for county residents and is the preferred option of the Baard of Health.