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Improving the Health and Well-Being of North Carolinians

Dental Services in the Emergency Department December 12, 2012. Improving the Health and Well-Being of North Carolinians. Scope of the Problem. Pew Report: .

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Improving the Health and Well-Being of North Carolinians

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  1. Dental Services in the Emergency Department December 12, 2012 Improving the Health and Well-Being of North Carolinians

  2. Scope of the Problem

  3. Pew Report: • 1997: 62,000 emergency dental visits by Medicaid enrollees in North Carolina that could have been avoided if these patients had received preventive care from a dentist. • 2009: >69,000 ER visits to North Carolina hospitals due primarily to disorders of the teeth or jaw. The 10th most common reason for emergency trips in the state. • http://www.pewtrusts.org/uploadedFiles/wwwpewtrustsorg/Reports/State_policy/Pew_Report_A_Costly_Dental_Destination.pdf

  4. National Findings • 936,000 ED visits; 13,000 admissions for dental in 2009 • 16% increase from 2006 • 25-29 yo largest age demographic • Payer Mix: • 40% uninsured (vs 17% of all ED visits) • 30% Medicaid (vs. 25%) • 19% private insurance (vs. 33%) • Rural populations visited at rates twice that of urban (480 per 100,000 vs 217 per 100,000) • Accessibility of dental workforce a driving factor • Ernest Moy, U.S. Agency for Healthcare Research and Quality (AHRQ). From databases for EDs in 29 states.

  5. Local Findings • 1,013 visits with a dental complaint (1.3% of all visits) July 2010- June 2011. 4 resulted in admission • Mean patient age of 32 • 61% self-pay (vs. 22% all ED visits); 11% private (medical) • 97% treated and released; 10% dental procedure performed • 81% opiate at discharge; 69% antibiotic at discharge • No evidence based on days of week/time of day that patients presented when dental offices were closed • Michael Hocker et al: NCMJ: Dental Visits to a North Carolina Emergency Departmenthttp://www.ncmedicaljournal.com/wp-content/uploads/2012/09/NCMJ_73502_FINAL.pdf

  6. BCBSNC Commercial Population

  7. Claims & Dental Workforce Distribution

  8. Local Solutions

  9. Partnerships to improve access • Blue Ridge Community Health Center & Pardee Hospital, Hendersonville, NC • Traci Spence Director of Operations, BRCHS 828.692.4289 Ext. 2460 tspence@brchs.com

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