{"id":553,"date":"2018-03-06T18:33:14","date_gmt":"2018-03-06T18:33:14","guid":{"rendered":"https:\/\/sites.udmercy.edu\/pa161\/?p=553"},"modified":"2018-03-06T18:33:14","modified_gmt":"2018-03-06T18:33:14","slug":"our-original-home-page","status":"publish","type":"post","link":"https:\/\/sites.udmercy.edu\/pa161\/2018\/03\/06\/our-original-home-page\/","title":{"rendered":"Our Original Home Page"},"content":{"rendered":"<blockquote><p>Placing registered dental hygienists in OBGYN medical clinics to provide care for pregnant mothers, meeting patients where they are to improve access and outcomes.<\/p><\/blockquote>\n<h2>Purpose of the Project<\/h2>\n<p>The purpose of the Michigan Initiative for Maternal and Infant Oral Health is to improve oral health of mothers and children in under-served areas.\u00a0 The grant-funded effort began as a 1-year project at 6 pilot sites.\u00a0 The initial aim was to examine the feasibility and impact of placing a registered dental hygienist within an OBGYN medical clinic.\u00a0 While the approach was an important first step toward reaching patients in the inaugural year, it was essential to strategically plan a more robust sustainable model while concurrently building the new program.<\/p>\n<p><iframe loading=\"lazy\" width=\"840\" height=\"473\" src=\"https:\/\/www.youtube.com\/embed\/LiQy4ANZPv8?feature=oembed\" frameborder=\"0\" allow=\"autoplay; encrypted-media\" allowfullscreen><\/iframe><\/p>\n<h3>Quality Care<\/h3>\n<p>Hardworking well-educated healthcare clinicians who provide medical and dental services to families often experience difficulties in care delivery due to loosely organized inter-professional collaborations.\u00a0 Prioritizing the environment and processes at clinics can help ensure better quality care.\u00a0 Healthcare quality is generally measured by five characteristics: safe, timely, effective, efficient, equitable, patient-centered (<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK222273\">STEEEP<\/a>).\u00a0 While specific applications of these components vary, the Michigan Initiative for Maternal and Infant Oral Health addressed all five during implementation and strategic planning.<\/p>\n<h3>Implementation<\/h3>\n<p>The Grace Health Model for Pregnant Mothers began in November 2014 when dental hygienists started seeing patients in the OB\/GYN department.\u00a0 This successful program established a template for five other Federally Qualified Health Center (FQHC) pilot sites to build from and mimic throughout Michigan.<\/p>\n<h3>Strategic Planning<\/h3>\n<p>Other pilot sites contributed input to (i) enhance and standardize current workflow; (ii) expand the scope of services rendered; and (iii) include pregnant mothers and their children up to age 3 years.\u00a0 The Muskegon Family Care Dental Coach Model supplemented the Grace Health Model and bridged the gap between the OBGYN and pediatric clinical teams.\u00a0 New processes help all family members establish a dental home.<\/p>\n<h3>Mission and Vision<\/h3>\n<p>The University of Detroit Mercy School of Dentistry, Michigan Department of Health and Human Services, and Michigan Primary Care Association will improve oral health outcomes for mothers and children through organization quality care.<\/p>\n<figure id=\"attachment_86\" aria-describedby=\"caption-attachment-86\" style=\"width: 1432px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-86\" src=\"https:\/\/sites.udmercy.edu\/pa161\/wp-content\/uploads\/sites\/110\/2017\/11\/Pilot-Sites.png\" alt=\"Pilot Sites\" width=\"1432\" height=\"806\" srcset=\"https:\/\/sites.udmercy.edu\/pa161\/wp-content\/uploads\/sites\/110\/2017\/11\/Pilot-Sites.png 1432w, https:\/\/sites.udmercy.edu\/pa161\/wp-content\/uploads\/sites\/110\/2017\/11\/Pilot-Sites-300x169.png 300w, https:\/\/sites.udmercy.edu\/pa161\/wp-content\/uploads\/sites\/110\/2017\/11\/Pilot-Sites-768x432.png 768w, https:\/\/sites.udmercy.edu\/pa161\/wp-content\/uploads\/sites\/110\/2017\/11\/Pilot-Sites-1024x576.png 1024w, https:\/\/sites.udmercy.edu\/pa161\/wp-content\/uploads\/sites\/110\/2017\/11\/Pilot-Sites-1200x675.png 1200w\" sizes=\"auto, (max-width: 709px) 85vw, (max-width: 909px) 67vw, (max-width: 1362px) 62vw, 840px\" \/><figcaption id=\"caption-attachment-86\" class=\"wp-caption-text\">Pilot Sites<\/figcaption><\/figure>\n<p><em>Disclosure: The content in this section is adapted from the grant application submitted to the Michigan Department of Health and Human Services titled \u201cAt-Risk Mothers and Children Dental Program.\u201d<\/em><\/p>\n<p>During pregnancy, physical and physiological changes occur that can adversely affect the mouth.\u00a0 Gingivitis is the most common oral condition of pregnancy, effecting about 3 in 4 pregnant women.<a href=\"#_ftn1\" name=\"_ftnref1\">[1]<\/a>\u00a0 Left untreated, gingivitis may progress to periodontal disease which may destroy both soft and hard tissues.\u00a0 Other oral conditions commonly occurring during pregnancy include benign oral gingival lesions, tooth mobility, tooth erosion and dental caries (cavities). \u00a0Pregnant women are at high risk for dental caries due to a variety of reasons including inadequate amounts of fluoride, high intake of sugary food or beverages, and a lack of oral health care.<\/p>\n<p>To effectively improve oral health among pregnant women and children, it is important to understand and address two contributing factors: health literacy and oral health disparities by race, ethnicity and income.\u00a0 Often, those with low levels of health literacy are found among these same vulnerable populations.\u00a0 Several national organizations have undertaken efforts to promote oral health among pregnant women and children. \u00a0They developed statements, guidelines, educational materials, and tools to improve oral health.\u00a0 These include: the American Congress of Obstetricians and Gynecologists (ACOG), the American Academy of Pediatric Dentistry (AAPD),<a href=\"#_ftn2\" name=\"_ftnref2\">[2]<\/a> the American Academy of Pediatrics (AAP),<a href=\"#_ftn3\" name=\"_ftnref3\">[3]<\/a> the American Academy of Periodontology, the American Academy of Physician Assistants (AAPA), the American College of Nurse-Midwives (ACNM), the Society of Teachers in Family Medicine (STFM), and the American Dental Association (ADA).<\/p>\n<p>In 2008, an expert panel convened by the U.S. Maternal and Child Health Bureau (MCHB) developed strategies for improving perinatal oral health. \u00a0One strategy was to \u201cpromote the use of guidelines addressing oral health during the perinatal period and to disseminate guidelines to Maternal and Child Health and Oral Health professionals.\u201d \u00a0This led to the development of a national consensus statement in collaboration with ACOG and the ADA \u201cOral Health Care during Pregnancy: A National Consensus Statement,\u201d as well as a Committee Opinion from ACOG \u201cOral Health Care During Pregnancy and Through the Life Span.\u201d \u00a0Several states including New York, California, South Carolina, and Washington developed statewide practice guidelines for perinatal oral health.<\/p>\n<p>Health professionals often do not provide oral health care to pregnant women and pregnant women often do not seek or receive oral health care. \u00a0Some pregnant women and health professionals do not understand that oral health care is an important component of a healthy pregnancy. \u00a0Early childhood caries is a preventable infectious disease, and this project proposes to provide perinatal and prenatal preventative oral health care to high-risk populations. \u00a0We will study the attitudes of high risk populations and their physician providers to educate them about the importance of an oral health program as a part of the comprehensive oral health plan.<\/p>\n<h2>Goals<\/h2>\n<ol>\n<li>Pregnant women are provided dental services and referrals made to the dental providers for follow-up care<\/li>\n<li>Develop and\/or locate materials to educate pregnant women who receive services and\u00a0chair-side curriculum to educate pregnant women<\/li>\n<li>Collect demographic, caries risk, and dental disease data using EHR<\/li>\n<li>Collect saliva samples from participants<\/li>\n<li>Develop a brief, plain language client satisfaction survey or equivalent evaluation methodology<\/li>\n<\/ol>\n<h2>Measurements<\/h2>\n<ol>\n<li># of women who participate in the program, number of women who receive services and pre- and post-natal oral health education<\/li>\n<li># of women who have received the educational material<\/li>\n<li>Data for all participants will be collected<\/li>\n<li>Database will be maintained<\/li>\n<li>Report will be completed on patient experiences and satisfaction<\/li>\n<\/ol>\n<h4>Sources<\/h4>\n<p><a href=\"#_ftnref1\" name=\"_ftn1\">[1]<\/a>Patton LL. The ADA Practical Guide to Patients with Medical Conditions. John Wiley &amp; Sons; 2015.<\/p>\n<p><a href=\"#_ftnref2\" name=\"_ftn2\">[2]<\/a>Guideline on Perinatal and Infant Oral Health Care. Pediatric Dentistry. 2016;38(6):150-154.<\/p>\n<p><a href=\"#_ftnref3\" name=\"_ftn3\">[3]<\/a>American Academy of Pediatrics, American College of Obstetricians and Gynecologists Committee on Obstetric Practice. Guidelines for Perinatal Care. American Academy of Pediatrics; 2017.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Placing registered dental hygienists in OBGYN medical clinics to provide care for pregnant mothers, meeting patients where they are to improve access and outcomes. Purpose of the Project The purpose of the Michigan Initiative for Maternal and Infant Oral Health is to improve oral health of mothers and children in under-served areas.\u00a0 The grant-funded effort &hellip; <a href=\"https:\/\/sites.udmercy.edu\/pa161\/2018\/03\/06\/our-original-home-page\/\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Our Original Home Page&#8221;<\/span><\/a><\/p>\n","protected":false},"author":82,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-553","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/sites.udmercy.edu\/pa161\/wp-json\/wp\/v2\/posts\/553","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sites.udmercy.edu\/pa161\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sites.udmercy.edu\/pa161\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sites.udmercy.edu\/pa161\/wp-json\/wp\/v2\/users\/82"}],"replies":[{"embeddable":true,"href":"https:\/\/sites.udmercy.edu\/pa161\/wp-json\/wp\/v2\/comments?post=553"}],"version-history":[{"count":1,"href":"https:\/\/sites.udmercy.edu\/pa161\/wp-json\/wp\/v2\/posts\/553\/revisions"}],"predecessor-version":[{"id":554,"href":"https:\/\/sites.udmercy.edu\/pa161\/wp-json\/wp\/v2\/posts\/553\/revisions\/554"}],"wp:attachment":[{"href":"https:\/\/sites.udmercy.edu\/pa161\/wp-json\/wp\/v2\/media?parent=553"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sites.udmercy.edu\/pa161\/wp-json\/wp\/v2\/categories?post=553"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sites.udmercy.edu\/pa161\/wp-json\/wp\/v2\/tags?post=553"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}