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Glicken Hartnett Morisseau Interprofessional Education
Glicken Hartnett Morisseau Interprofessional Education
Nurse Dental
Practitioners Hygienists
Speech &
Nurse- Language
Midwives Pathologists
Patient
Podiatrists Nutritionists
Physicians Social
Assistants Workers
Increased Oral
and Overall
Health
Outcomes
Community
National
Oral Health
Needs Adapted from : World Health Organization (WHO). (2010). Framework for Action on
Interprofessional Education & Collaborative Practice. Geneva: World Health Organization
Successful Interprofessional Innovations
HRSA Teaching Oral-Systemic Health
(TOSH) Grant
Thomas Riles, MD Judith Haber, PhD, APRN, BC, FAAN Edwidge Thomas, DNP, ANP-BC
NYU Langone Medical Center NYU College of Nursing NYU College of Nursing
Kellie Bryant, DNP, WHNP-BC Erin Hartnett, DNP, APRN-BC, CPNP Kenneth Allen, D.D.S., M.B.A.
NYU College of Nursing NYU College of Nursing NYU College of Dentistry
Social Networking for Oral Health
2,290 Visits
March 1, 2012 – July 31, 2013
IP Education & Collaborative Practice
Faculty and Preceptor Development
Curriculum Integration
Health History
Physical Health Exam (HEENOT)
Oral-Systemic Risk Assessment
Action Plan (preventive interventions, management within scope of
practice)
Collaboration
Referral
HEENT to HEENOT
Interprofessional Oral Health
Teaching-Learning Strategies
• Competencies for nursing students: conduct an oral health history; recognize normal and
pathological variations of oral structures; demonstrate head and neck and oral exams
•Competency:
Implement an inter professional
population-focused health care
initiative by nursing, dental
hygiene, and dental students
D2 Contributes with...
D3 asks a...
Hygiene Contributes...
D4 Concludes with...
D4 Continues...
Nursing discusses
patient systemic
health management
Service Learning Programs
Who participates:
DDS, PG- Dental and Dental Hygiene students; BS, NP-Nursing students
NYUCN / NYUCD faculty
D4 Honors Course
Interprofessional Oral Systemic
Education Experience at NYSIM
Erin Hartnett, DNP, Julia Lange-Kessler, Donna Hallas, Amr M. Moursi, Jill B Fernandez, Neal G Herman, D.D.S., Mark Wolff, D.D.S,
APRN-BC, CPNP MS, CM, RN, IBCLC PhD, RN, PNP-BC, D.D.S., Ph.D. RDH,MPH FAAHD Ph.D. , Professor
Director, OHNEP and Clinical Instructor CPNP, FAANP Associate Clinical Associate Clinical Professor Cariology and
TOSH Coordinator, Nurse Clinical Professor Professor and Professor Pediatric Dentistry Comprehensive
Midwifery Program Coordinator, Chairman Pediatric Dentistry Care
Advanced Practice Pediatric Dentistry
OHNEP IP Oral-Systemic Health Seed Grants
2. IP Oral - Systemic Health Course for Nursing and Dental Hygiene Students
PI - Jacquelyn J. McClendon, PhD, APRN
College of Health Professions, School of Nursing, Wichita State University
3. Oral Health in the Palliative Care Patient: Care throughout the Continuum of Illness
PI - Rose Anne Indelicato, MSN, ANP-BC, ACHPN, OCN
Sound Shore Medical Center
4. Refinement of an Existing Oral-Systemic Health Instructional Resource for Interprofessional Geriatric Education
PI - Pamela Stein, DMD, MPH
College of Dentistry, University of Kentucky
2. University of Tennessee
3. University of Nebraska
4. University of Maryland
5. University at Buffalo
6. University of Louisville
Interdisciplinary Strategies to
Reduce the Risk of Early
Childhood Caries:
Implementation of a Postnatal Donna Hallas, PhD, PNP-BC, FAANP
Clinical Professor NYUCN
Foundation.
• Institute of Medicine. (2011). Advancing oral health in America. Washington, DC: The National Academies Press. Retrieved
from http://www.iom.edu/Reports/2011/Advancing-Oral-Health-in-America.aspx
• Institute of Medicine. (2011). Improving access to oral health care for vulnerable and underserved populations. Washington,
DC: The National Academies Press. Retrieved from http://www.iom.edu/Reports/2011/Improving-Access-to-Oral-Health-
Care-for-Vulnerable-and-Underserved-Populations.aspx
• Institute of Medicine. (2013). Oral Health Literacy. Washington, DC: The National Academies Press. Retrieved from
http://www.iom.edu/Reports/2013/Oral-Health-Literacy.aspx
• Interprofessional Education Collaborative Expert Panel. (2011). Core competencies for interprofessional collaborative
practice: Report of an expert panel. Washington, DC: Author. Retrieved from
http://www.aacn.nche.edu/Education/pdf/IPECReport.pdf
• United States Department of Health and Human Services. (2010). Oral Health, HealthyPeople 2020. Retrieved from
http://healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=32
• Oral Health Care During Pregnancy Expert Workgroup. 2012. Oral Health Care During Pregnancy: A National Consensus
Statement. Washington, DC: National Maternal and Child Oral Health Resource Center. Retrieved from:
http://www.odh.ohio.gov/~/media/ODH/ASSETS/Files/ohs/oral%20health/NMCOHRCOralHealthPregnancyConsensus4_13.a
shx
• Judith Haber, Sheryl Strasser, Madeleine Lloyd, Caroline Dorsen, Rose Knapp, Carolyn Auerhahn, Robert Kennedy, Michael C.
Alfano, Terry Fulmer. The Oral-Systemic connection in Primary Care. Nurse Practitioner. 2009 March; 34(3): 43–48.
• Maria C. Dolce, Judith Haber, Donna Shelley. The Oral Health Nursing Education and Practice Program. Nurs Res
Pract. 2012; 2012: 149673.
• Madeleine Lloyd, Caroline Dorsen. Grand Rounds: Man, 61, With Painful Oral Ulcerations. Clinician Reviews. 2012;22(3):12-
13, 15-17
CAVITY FREE AT THREE
PRIMARY CARE PERSPECTIVE
N OV E M B E R 1 2 , 2 013
BACKGROUND
1. Medical education
2. Health needs seen in practice
3. How to develop a program to address these
needs and work in collaboration with the
dental community
PROGRAM GOALS
Cavity Free at Three aims to educate
health professionals about the
consequences of early childhood
caries and their role in preventing
this disease
44
ORAL HEALTH IN THE MEDICAL OFFICE
Must include:
Risk Assessment
Oral examination
Education of primary caregiver
Fluoride varnish application
Must be provided with well child exam
Additional codes are age specific
See Medicaid rules
RISK
ASSESSMENT
46
KNEE TO KNEE EXAM
GOAL
SETTING
48
STATES WITH MEDICAID FUNDING FOR
PHYSICIAN ORAL HEALTH SCREENING
AND FLUORIDE VARNISH
49
CONTACT INFORMATION
www.cavityfreeat3.org
karen.savoie@ucdenver.edu
LIMITATIONS
Well child visits are loaded with topics to be covered
Growth and developmental assessments
Home safety
Physical exam
Immunizations
Anticipatory guidance on future development
Getting provider by-in critical to success
Time factor impacts motivational interviewing – see less behavior
changes
Limited access to dental providers who will see patient with acute
need (lack of insurance, dental provider uncomfortable with
young children, rural site with limited dental services)
ACCOMPLISHMENTS AND NEXT STEPS
1.Many underserved clinics now screening and educating
highest risk patients!
2.Training programs at medical, dental, midlevel institutions
have incorporated oral health into curriculums, including
residency programs.
3.Consistency of message from both medical and dental
providers
4. Over 1900 medical providers have been trained in this oral
health program.