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Berrien County Dental Clinic

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Berrien County Dental Clinic

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    1. Berrien County Dental Clinic Presented to Berrien County Board of Commissioners, PHS By: Theresa Green Berrien County Health Department April 9, 2009

    2. The Need for Dental Care Poor oral health has been associated with cardiovascular risk, higher risk of coronary heart disease, increased risk of cancer mortality and exacerbated systemic conditions, such as diabetes and respiratory diseases. Oral health is critical for good quality of life and acceptable social support

    3. Behavior Risk Factor Survey 2005 Finally, Berrien Health Plan enrollees were asked what locations they would be willing to visit if a low-cost dental clinic were to open in the area. Respondents were allowed to choose more than one location. 81.4% of enrollees thought they would visit the clinic if it was located on M-139 across from Target.Finally, Berrien Health Plan enrollees were asked what locations they would be willing to visit if a low-cost dental clinic were to open in the area. Respondents were allowed to choose more than one location. 81.4% of enrollees thought they would visit the clinic if it was located on M-139 across from Target.

    4. Reason for Not Visiting Dentist (of those who had not 32.4% of Berrien) Adults who had not visited the dentist in the past 12 months were asked their main reason for not visiting the dentist, and 37.5% of them reported that cost was the number one factor in preventing them from seeking dental.Adults who had not visited the dentist in the past 12 months were asked their main reason for not visiting the dentist, and 37.5% of them reported that cost was the number one factor in preventing them from seeking dental.

    5. Dental Survey Berrien Health Plan-B Enrollees (<150% of Poverty) Susan Holcomb, the medical social worker, is surveying enrollees in the Berrien Health Plan about their oral health. As of Monday, she had contact with 43 enrollees. The survey they are asked to complete includes questions about when they last visited the dentist, whether or not they have a dental home, reasons why they have not visited the dentist, whether they need dental care, and where they would be willing to visit a low-cost dental clinic. The data I am going to present is from this survey. This is a convenience sample of Berrien Health Plan enrollees willing to participate, but I think that the data is very alarming. Of those surveyed, only 25.6% had been to the dentist in the past year and 55.8% had not been to the dentist in over five years. 71.4% reported having no regular dentist or dental office home.Susan Holcomb, the medical social worker, is surveying enrollees in the Berrien Health Plan about their oral health. As of Monday, she had contact with 43 enrollees. The survey they are asked to complete includes questions about when they last visited the dentist, whether or not they have a dental home, reasons why they have not visited the dentist, whether they need dental care, and where they would be willing to visit a low-cost dental clinic. The data I am going to present is from this survey. This is a convenience sample of Berrien Health Plan enrollees willing to participate, but I think that the data is very alarming. Of those surveyed, only 25.6% had been to the dentist in the past year and 55.8% had not been to the dentist in over five years. 71.4% reported having no regular dentist or dental office home.

    6. Dental Survey BHP-B Enrollees 90.7% survey respondents claimed that they wanted or needed dental care at this time Even though, only one quarter of survey respondents reported visiting the dentist in the past year, 90.7% of survey respondents claimed that they wanted or needed dental care at this time. The main reason that Berrien Health Plan B Enrollees surveyed were not going to the dentist is cost. Respondents were allowed to choose more than one answer as a reason for not visiting the dentist. All of the enrollees who answered the question felt that cost was their number one deterrent from going to the dentist.Even though, only one quarter of survey respondents reported visiting the dentist in the past year, 90.7% of survey respondents claimed that they wanted or needed dental care at this time. The main reason that Berrien Health Plan B Enrollees surveyed were not going to the dentist is cost. Respondents were allowed to choose more than one answer as a reason for not visiting the dentist. All of the enrollees who answered the question felt that cost was their number one deterrent from going to the dentist.

    7. The Need for Dental Services In 2005, 48.6% of Berrien County adults reported not having dental insurance Cost is the number 1 reason residents of Berrien give for not visiting a dentist There are only three dental practices in Berrien County that serve Medicaid adults Only 22% of the 27,375 Medicaid participants (adults and children) are getting dental care

    8. Need for Providers Accepting Medicaid There are 83 dentists in Berrien County Of those, 19 saw a Medicaid client in 2007 Of those, 9 had > 50 Medicaid visits Of those, only 5 provide preventive care on adult Medicaid clients (10,016 eligible) 3 of those are at InterCare

    9. Impact to Providers

    10. Berrien County Dental Clinic The clinic will serve adults and children on Medicaid and low-income (<200% of poverty) who do not have dental insurance using a reduced fee schedule (about 40% of usual rates)

    11. Expenses to Berrien Need a building Need equipment ($150,000) Start up costs $35,000 non-refundable for IT, $40,000 refundable for salaries and benefits (??) Maintenance, personnel, dentists, etc

    12. How does it work? Full Cost Reimbursement (IGT Match) LHD submits the total Medicaid Fee for Service Payments MI Medicaid calculates a payment based on total average commercial rates (Delta Dental) The difference is what is owed LHD 60% paid by federal match 40% submitted from local health department (we pay this and Medicaid provides the match)

    13. Location of the Clinic Current Southwest MI Clinics

    14. Location of Clinic Where is the Need?

    16. Questions?? Theresa Green, AA-C, MBA Berrien County Health Department Director of Community Health Planning tgreen@berriencohlthdept.org 269-927-5607

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