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97 Cards in this Set
- Front
- Back
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Fee for service
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PT or ins pays fee set by office
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Capitation plans
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contracts w/a program to procide care for subscribers. Monthly payment based on # of pts
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Encounter fee plans
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each visit costs the same
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Barter system
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negotiate payment w/o using money
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Dental service corporations
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good payment
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Health service corp
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limited dental coverage
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PPO
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contact w/insurance to lower fees
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Individual practice associations
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pre-paid dental services
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What codes are used for billing?
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ADA CDT codes for service
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What government agency provides funding for water fluoridation?
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local government
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Which comes from a trust fund?
Medicare Medicaid |
Medicare
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This covers medical care for elderly and disabled but will typically only provide dental care for these patients in a hospital setting
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medicare
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Money to fund this program comes from fed, state and local taxes
Medicare Medicaid |
Medicaid
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Covers dental care for low income, aged, blind, disabled
Medicare Medicaid |
Medicaid
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What does SCHIP stand for?
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State Children's Health Insurance Program
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How is SCHIP funded?
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fed and state, provides insurance for children up to 19 that don't qualify for medicaid
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What is the income level to qualify for SCHI{P?
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less than 2x the poverty level
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What was developed based on a set of oral health indicators from Health People 2010?
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A National Oral Health Surveillance System, used to monitor burden of oral disease, dental care delivery system and fluoridation
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What is health promotion?
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informing and motivating people to adopt health behaviors. Include health education and literacy. Useful in making people aware of health ideas and concepts
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“any planned combination of educational, political, regulatory, and organizational supports for actions and conditions of living conducive to the health of individuals, groups or communities.”
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health promotion
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This health model includes:
Physical Mental Social Spiritual Emotional |
Five Dimensional Health Model
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This model is based on the theory that behaviors are directed by perceptions and beliefs.
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Health Belief Model, includes susceptibility (vulnerable), severity (impactful), beneficial (actions can prevent disease), benefits outweigh barriers to action
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What learning model is this?
Habit Action Involvement Self-Interest Awareness Unawareness |
Stages of learning/learning ladder
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This model is:
Precontemplation Contemplation Preparation Action Maintenance |
Transtheoretical Model
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Also known as stages of change model
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Transtheoretical Model
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This model focuses on the belief that people make rational decisions based on intent (the combination of knowledge, values and attitudes)
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theory of reasoned action
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Theory of Reasoned Action
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Attitude towards the behavior (I think ___ about flossing)
Subjective Norms ( I wonder if ___ ) Perceived Behavioral control (i can) Intention ( I want to) Behavior ( I am now...) |
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This theory assumes that people learn through their experiences and by observing the actions of others
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social learning theory
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AKA Social Cognitive Theory
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Self-Efficacy theory
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What is the self- efficacy theory?
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Knowledge, behavior and environment act together to affect each other. also says that social pressure is most powerful factor in influencing social norms
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What are the factors that influence motivation?
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driving force/attitude
need/goal stimulation/action satisfaction competence ( when you gain control over your environment) |
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Maslow's hierarchy of needs are based on a pyramid of basic needs, psychological needs and self-fulfullment needs. What are they?
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Basic: physiological (food, water, warmth, rest), Safety (security)
Psychological: Belongingness and love, Esteem Self-fulfillment: self-actualization (one's full potential) |
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Classical conditioning
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react to stimuli (positive feedback)
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Operant Conditioning
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rewards and punishments
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Modeling (behavioral conditioning)
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learning by imitation (seeing and then doing)
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Human Needs Model of Patient Care
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Protection from Health Risks
Freedom from STresss Wholesome facial image Skin and mucous membrane integrity of head and neck biologically sound dentition conceptualization and problem solving Freedom from head and neck pain responsibility for oral health |
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Project Planning Process
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Assessment
Diagnosis Planning Implementation Evaluation |
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Assess...
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Target population (age, race, background, life situation)
Demographics, needs, interests, abilities, dental knowledge Assess recourses, funding, manpower |
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Diagnosis
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Analyze data and figure out needs that can be fulfilled through DH ed. Prioritize goals
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Planning
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based on diagnosis
broad goals--specific objectives, select teaching methods, develop detailed timeline |
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What is Bloom's Taxonomy?
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AKA three domains of learning, psychomotor, cognitive, affective
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Levels of learning
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knowledge, application, problem solving
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SMART formula
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Specific
Measureable Appropriate Realistic/Related Time Bound |
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4 parts of a blue print
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Objective, Methods, Evaluation, Alternative
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How is a blueprint different from a lesson plan?
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Lesson plan is more specific, prioritized, and mapped out
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the #1 issue affecting dental public health
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access to care
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Department of Health and Human Services
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agency for protecting the health of americans and providing essential human services
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Two main divisions of dept of health and human services
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Public Health Service Operating Division
Human Services Operating Division |
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National Institutes of Health
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gov medical reasearch organization
Public Health Service Operating Division |
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FDA
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safety of foods and cosmetics and safety of pharm and med devices
Public Health Service Operating Division |
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CDC
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health surveillance to prevent outbreak
Public Health Service Operating Division |
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Agency for Toxic Substances and Disease Registry (ATSDR)
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prevent harmful exposures to toxic substances
Public Health Service Operating Division |
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Human Services Operating Division
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Medicaid and Medicare
Administration for Children and FAmilies (ACF)--head start Administration on Aging (AOA) |
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Under what federal department does WIC fall under?
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Agriculture
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Preceptorship
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on the job training for supragingival scaling
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Common Law
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created and changed by courts
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Statutory Law
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created/changed by legislature (dental hygiene practice act)
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Constitutional Law
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created/changed by people (the most powerful law, takes presence over common and statutory)
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Administrative Law
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delegation of legislative power to an administrative agency ( state dental boards)
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State Dental Hygiene Practice Act
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sometimes referred to as statute
Includes: supervision status, licensing requirements, disciplinary procedures |
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What are the different supervision types?
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Unsupervised (no dds on premise to TX, referral needed, Independent or Collaborative Practice)
General Supervision-- tx w/o DDS phsyically there Indirect supervision-- DDS in facility Direct Supervision-- DDS sometimes must be in operatory |
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What are the supervision laws in WA?
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General Supervision except LA must be indirect supervision
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Definition of Senior Center
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community facility operated by a non-profit org or gov. to people 60 years or older.
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Definition of DH in senior center
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licensed
2 years clinical experience w/a DDS in past 5 years |
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Formative
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internal eval process during planning phase
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Summative
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after project is done
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Traditional nonclinical measurements
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interviews, surveys
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Clinical methods (evaluation)
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dental screenings
dental indices |
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Reversible Indices
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measuring something that can be reversed (ex plaque, inflammation)
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Irreversible indices
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measuring irreversible things (perio)
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Simple indices
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measures presence or absence of disease (bleeding)
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Cumulative indices
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all evidence of a condition past or present (decayed teeth)
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Validity
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measures what it should
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Reliability
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repeatable
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Clarity, simplicity and objectivity
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clear and easy to administer
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Quantifiable
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must be able to be analyzed statistically
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Sensitivity
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detect clinically relevant changes
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Acceptability
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should not be unnnecessarily painful or demeaning
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What are the ramfjord teeth?
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3, 9, 12, 19, 25, 28
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O'Leary's Plaque Recorrd
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M, B, D, L
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PLI
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Plaque Index of Silness and Loe
6 teeth (NOT Ramfjord) 3,7,12,19,23,28 (close to ramford, but uses lateral instead) Plaque 0-3 on 4 surfaces 0 great 0.1-.9 good 1-1.9 fair 2-3 poor |
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OHI-S
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Simplified Oral-Hygiene Index
Plaque, material alba, and food and calculus 6 teeth (not ramfjord), B of 3 and 14 F 8 and 24 (opposite used for ramfjord) L 19 and 30 Includes DI (oral debris index 0-3) Includes CI (calculus index 0-3) |
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How do you calculate the OHI-S using the DI and CI?
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add the DI and CI together
0-1.2 good 1.3-3 fair 3.1-6 poor |
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What is considered good OHI in DI and CI scores?
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0.0-0.6 good
0.7-1.8 fair 1.9-3.0 poor |
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Modified Quigley and Hein Plaque index
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Plaque index--disclosed
B and L surfaces rated 0-5 done by surfaces |
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PHP index
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Patient Hygiene Performance
Have patient brush then disclose 3,8,14,19,24,30 (same teeth as OHI-S) Surfaces divided into M, D, O, Middle, Gingival on each B or L 0-1 debris or not add scores for all sections and divide by total # of surfaces |
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What two plaque indices use the same teeth #'s but different surfaces?
a. Silness & Loe and PLI b. O'Leary's and OHI-S c. OHI-S and Modified Quigley & Hein d. PLI and PHP e. OHI-S and PHP |
a. Silness & Loe and PLI (is the same thing)
b. O'Leary's and OHI-S (o'leary's uses all the teeth, OHI-S 3, 14, 8, 24, 19, 30) c. OHI-S and Modified Quigley & Hein (OHI-S 3, 14, 8, 24, 19, 30 and the other uses all teeth) d. PLI and PHP (PLI all teeth and PHP 3,14,8,24,19,30) -->e. OHI-S and PHP <--- (both use 3, 14, 8, 24, 19, 30 but OHI does B of Max molars, L of Mand molars and F of Incisors and the other uses all B and L surfaces) |
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What was the first index used based on bleeding?
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SBI
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SBI
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sulcus bleeding index
M, D, F, L probed and observed 30 sec 0-5 1-4 bleeding 1 no color change 2 color change, no swelling 3-4 swelling 5 spontaneous bleeding, swelling no ulceration |
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GI
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Gingival Index
Inflammation and Bleeding B, L, M, D of ramfjord teeth? (check book) 0-3 0-1 no bleeding 2-3 inflammation and bleeding Divide by # of surfaces |
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PDI
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Ramfjord Periodontal Disease Index
Ramjford teeth (obviously) Gingivitis- 0-3 Perio 4: 3mm, 5: 3-6 mm, 6: 6mm + |
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non ramfjord PDI and PI
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not valid
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CPITN
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Community Periodontal Index of Treatment Needs
Examined by sextant, no 3rd molars WHO probe 0-5 and * up to 3 black visible but within 1 bleeds 2 calc * furcations, mobility, recession, MGD |
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PSR
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Periodontal Screening and Recording System
One code per sextant Was modified from the CPITN |
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What is the main difference between PSR and CPITN?
a. one is a plaque index and one is a periodontal index b. PSR has guidelines for treatment and CPITN does not c. CPITN does not use the WHO probe but PSR does d. CPITN scores 0-3 while PSR scores from 0-5 |
a. one is a plaque index and one is a periodontal index (both perio indices)
-->b. PSR has guidelines for treatment and CPITN does not <-- c. CPITN does not use the WHO probe but PSR does (both do) d. CPITN scores 0-3 while PSR scores from 0-5 (they both score 0-4 and *) |
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If you would like to do a DMFT or a deft but the client has a mixed dentition, what do you do?
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Don't mix, always do two indices
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RCI
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Root Caries Index
decayed and filled root surface/all root surfaces |
