Click on the session title to see a description of that session.  

Agenda

    • Sunday, October 13, 2019
    •  

      Intensive Learning - $200

      8:00 AM  -  12:00 PM
      Intensive Learning: Anatomy Flashback A  (CDE 4.0 Clinical)
      Roman I & III - Promenade Level
      This course will review the relevant anatomy for a general community based dentist and apply that knowledge to common procedures and therapies completed in the CHC setting. This fast paced session will include hands on, active learning with high quality artificial skulls and interactive activities and learning. Topics will include:
      • A review of innervation and blood supply to the oral cavity
      • Attachments, actions and innervation of the muscles of mastication
      • Basic TMJ anatomy
      • Relevant anatomy of the floor of the mouth, tongue, palate and paranasal sinuses

      Learning objectives:
      1) Describe the origin and course of the blood supply and innervation to the bone, gingiva and teeth of the mandible and maxilla, the tongue and palate.
      2) Describe the attachments and actions of all 5 of the muscles of mastication
      3) Describe the functional anatomy of the TMJ
      4) Describe the surgical anatomy of the floor of the mouth


      Speakers:
      Capacity Full  Total Capacity: 40
       

      Leadership - $50 Registration fee

      8:00 AM  -  5:00 PM
      From Vision to Success in Oral Health: Empowering the C-Suite  (No CDE)
      Florentine IV - Promenade Level

      This daylong session geared especially toward health center CEOs, COOs, CFOs and other administrative leaders will provide concrete and actionable information designed to educate and empower health center leaders to structure and manage successful FQHC oral health programs. The day will begin with a session designed to take participants through the process of setting realistic, achievable and meaningful program goals, followed by sessions addressing the common issues and concerns we hear from our C-Suite clients, including broken appointments, emergencies, demand for care, sustainability, maximizing productivity and access, risk management, setting appropriate fees and discounts, staffing considerations, scope of service, billing and collections, program evaluation and expansion of oral care beyond the dental chair.

      If you’re a health center administrator looking for practical, real-world information to help you become more knowledgeable and confident in managing an FQHC dental program that is results-oriented, efficient and hardwired for success, this is the session for you!   

      Learning Objectives:

      1-Understand how to set realistic, meaningful and achievable goals for your dental program
      2-Learn how to use those goals to develop a sound plan for financial sustainability
      3-Learn strategies for reducing broken appointments and managing emergencies and demand for care
      4-Learn strategies for increasing access and provider productivity
      5-Learn strategies for excellence in billing and collections
      6-Understand the importance of evaluating dental program performance and getting staff buy-in and accountability
      7-Understand the important components of integration of oral health into overall health
      8-Understand how to assure quality of care and minimize risk in your dental program

      The course fee includes morning and afternoon breaks.  Attendees are encouraged to eat breakfast before the course.  A lunch break will be given for participants to secure their own lunch. 

      (Dental providers who are department leaders are encouraged to register instead of this course for the Fundamentals of Leading Health Center Oral Health Program session occurring Sunday afternoon or one of the two Digging Deeper sessions. All persons who register for this course will be verified as C Suite before the conference.)

      Speakers:
       

      Leadership - No additional fee

      12:30 PM  -  5:30 PM
      Fundamentals of Leading a Health Center Oral Health Program  (CDE: 4.5 Administrative)
      Palace I & II - Emperors Level
      Back by popular demand, NNOHA is once again offering this fundamentals course on the basics of running an effective oral health program. Topics include: Financials, Health Center Fundamentals, Leadership, Quality, Risk Management and Workforce & Staffing.

      Learning Objectives:
      1) Understand how Health Centers fit into a larger system of health care.
      2) Recognize the importance of oral health as an integral part of primary care.
      3) Understand the parameters of a Dental Director position and responsibilities regarding quality assurance and improvement, risk management, and financial oversight.
      4) Identify factors that affect staff management and productivity.

       

      Intensive Learning - $200

      1:00 PM  -  5:00 PM
      Intensive Learning: Anatomy Flashback B  (CDE 4.0 Clinical)
      Roman I & III - Promenade Level
      This course will review the relevant anatomy for a general community based dentist and apply that knowledge to common procedures and therapies completed in the CHC setting. This fast paced session will include hands on, active learning with high quality artificial skulls and interactive activities and learning. Topics will include:
      • A review of innervation and blood supply to the oral cavity
      • Attachments, actions and innervation of the muscles of mastication
      • Basic TMJ anatomy
      • Relevant anatomy of the floor of the mouth, tongue, palate and paranasal sinuses

      Learning objectives:
      1) Describe the origin and course of the blood supply and innervation to the bone, gingiva and teeth of the mandible and maxilla, the tongue and palate.
      2) Describe the attachments and actions of all 5 of the muscles of mastication
      3) Describe the functional anatomy of the TMJ
      4) Describe the surgical anatomy of the floor of the mouth

      Speakers:
      Capacity Full  Total Capacity: 40
       

      Digging Deeper Workshops - $75 Registration fee

      1:00 PM  -  5:00 PM
      Digging Deeper: Operational Site Visit  (CDE: 4.0 Administrative)
      Florentine I - Promenade Level
      Preregistration is Required

      Is your health center dental program ready for an Operational Site Visit? Is your dental program in compliance with each of the 19 program guidelines? Do you know what the “hot button” items are for Site Surveyors? Would you be ready for an FTCA audit? Learn all of this and more. Bring your toughest questions to the experts, meet peers who have successfully completed a recent OSV and learn about the myths vs. reality when it comes to FTCA.

      Learning Objectives:
      1) Understand the 19 HRSA program guidelines as they relate to dental
      2) Understand the purpose and process of an Operational Site Visit
      3) Identify steps to be better prepared for an Operational Site Visit
      4) Understand the fundamentals of FTCA malpractice insurance

      1:00 PM  -  5:00 PM
      Digging Deeper: Sliding Fees, Financials and Grant Writing...Oh My!  (CDE: 4.0 Administrative)
      Florentine II - Promenade Level

      Preregistration is Required

      This session will take a deep dive in the financials of a health center dental program. Speakers will go beyond the basic fundamentals of financials, review sliding fee scales, and discuss grant writing for outside grant opportunities. This session will offer interactive activities in grant writing and financials. This session is open to a wide range of staff members including dental program managers, dental directors, CFO's, and COO's.

      Learning Objectives:
      1) Describe the sliding fee scale for health center dental programs.
      2) Describe effective ways to write grants for outside funding opportunities.
      3) Provide an in-depth review of financials for health center dental programs. 

       

      Social/Networking

      6:00 PM  -  8:00 PM
      Opening Reception
      Neptune Pool

      Join us for a Vegas-style evening of food, drink and fun by the poolside to kick off the 2019 NNOHA Annual Conference! It's a great way to reconnect with colleagues and make new friends. This is included as part of your conference registration, but you may purchase additional guest tickets prior to check out.  

      Conference registration is required to attend the reception so please wear your name badge.  If you arrive late and don't have your badge yet, please check with NNOHA Staff at the reception entrance. 

      Don't miss this fun event!!  

      Sponsored by DentaQuest Partnership & NNOHA

    • Monday, October 14, 2019
    •  
      7:00 AM  -  8:00 AM
      Breakfast in the Exhibit Hall
      Palace Pre-function - Emperors Level

      Join us in the Exhibit Hall for breakfast and networking time with our vendors!

      8:00 AM  -  8:30 AM
      Welcome and Opening Remarks
      Palace I & II - Emperors Level
      Opening remarks from NNOHA President, NNOHA Executive Director, and USPHS Chief Dental Officer
       

      Plenary

      8:30 AM  -  10:00 AM
      Plenary Session: What Must We Do Differently Tomorrow to Improve Oral Health?  (CDE: 1.5 Administrative)
      Palace I & II - Emperors Level
      What is the value society places on oral health? What is the return on investment for both the public and private sector for interventions that improve oral health? What does it really mean to say you can not be healthy without good oral health? This session discusses how our current dental care system might need to change and adapt in order to drive sustained improvements in oral health. It also highlights some of the economic arguments for investing in oral health and new opportunities emerging to integrate oral health with mainstream health and wellness interventions. The session will bring together diverse viewpoints for a lively debate.

      Learning Objectives:
      1) Understand current trends and developments in oral health of key population segments
      2) Re-conceptualize the value proposition for improved oral health from a broad stakeholder perspective 
      3) Discuss how the private sector can play an enhanced role in promoting the value of oral health

      Speakers:
       

      Social/Networking

      10:00 AM  -  10:30 AM
      Break in Exhibit Hall & Coffee House
      Palace Pre-function - Emperors Level

      Grab some coffee, tea and snacks and visit with our sponsors and exhibitors in the Exhibit Hall.


      Coffee House:
      The Art of Leadership with Mark Doherty, DMD, PMH, CCHP and Clifton Bush, MS (Venice Room)

       

      Clinical

      10:30 AM  -  12:00 PM
      Drug Addiction is not Fiction: What the Dental Team Needs to Know  (CDE: 1.5 Clinical)
      Palace I & II - Emperors Level
      Opioid overdose is currently the leading cause of accidental death in the United States. This lecture will focus on the existing state of the opioid epidemic, including the etiology, deaths from prescription and illicit opioids, prescribing trends and the national and state response to address the crisis. The dental team will learn how to recognize signs of substance use disorders and potential prescription drug diversion schemes. The basics of dental pain management and appropriate prescribing for acute post- operative dental pain will be reviewed. Finally, this course will cover safe storage and proper disposal of unused medication in order to decrease the risk of diversion and misuse.

      Learning Objectives:
      1) Understand Substance Use Disorder in the Dental Office
      2) Understand the causes that have contributed to Opioid Epidemic and History of Opioids in Dentistry
      3) Understand Federal, State and local response to the Opioid Epidemic
      4) Understand how to recognize substance use disorders and drug diversion schemes
      5) Understand Prescribing Guidelines for Management of Acute Dental Pain


      Speakers:
       

      Innovative Practices

      10:30 AM  -  12:00 PM
      CareOregon:FQHC Partnerships to Transform Healthcare/An Interprofessional Approach to QI  (CDE 1.5 Administrative)
      Palace III - Emperors Level

       This session contains two presentations:

      1) CareOregon: FQHC Partnerships to Transform Healthcare by Promoting Dental Engagement and Integration Through the Oral Health Integration Projects (OHIP) and Learning Collaborative 

      This session will present CareOregon Dental, a Medicaid plan, which collaborates with co-located FQHC provider partners on strategies for oral health integration, improved dental utilization, shared goals and achievement of the Quadruple Aim.  CareOregon's Oral Health Integration Projects (OHIP) strategy builds and supports the development of clinical infrastructure for improved integrated care-delivery with an overarching goal to increase dental utilization and bidirectional integration. OHIP is designed to break down silos and strengthen interdisciplinary collaboration, leading to ultimate healthcare transformation. OHIP Learning Collaborative participant, Virginia Garcia Memorial Health Centers (VGMHC), will discuss their initiative, Happy Mouth Happy Body, which supports patient-centeredness and improved patient care.

       

      Learning Objectives:
      1) Gain an understanding of plan and provider collaboration for increased performance metrics and integrated care delivery systems
      2) Describe bidirectional integration efforts between primary care, behavioral health, and oral health
      3) Provide an overview of plan and provider learning collaborative for integration project sharing and spread

      2)An Interprofessional Approach to Quality Improvement: Readying for ACO 2.0

      The session will present the MORE Care framework developed to promote interprofessional practice. Practical applications how a Dental Managed Care Organization utilized the framework to engage local communities to collaborate for oral health integration using real-time data to understand opportunities for improvement.

      Learning Objectives:
      1) Describe collaborative opportunities to support the improvement of oral health in rural populations.
      2) Improve basic understanding of opportunities and benefits with oral health integration and coordination of oral health care
      3) Identify practical applications that could be utilized within an organization to integrate oral health into overall health.
      4) Improve basic understanding of how data measurement and interpretation can be utilized to improve oral health care

       

      Leadership/Operational

      10:30 AM  -  12:00 PM
      Introduction to the Health Center Dental Dashboard®  (CDE: 1.5 Administrative)
      Roman Ballroom - Promenade Level

      Delta Dental of Colorado Foundation and the Arcora Foundation worked with NNOHA, Health Center experts and test groups to develop the Health Center Dental Dashboard, which is a set of measures that is a tool for Health Centers to use as part of their quality improvement program. This session will feature an overview of these dental measures, as well as recommendations for application at your Health Center. Come and experience real-life examples of how the Dental Dashboard can improve performance within your Health Center.

       

      Learning Objectives:

      1) Understand how Health Centers can monitor, measure and use oral health data to improve patient care
      2) Explain how to access the Dental Dashboard template and User's Guide
      3) Recognize best practices and successes in using dashboards and possible barriers with gathering and using data.

      Speakers:
      10:30 AM  -  12:00 PM
      Wellness and Life Balance: In Pursuit of the Whole Life  (CDE: 1.5)
      Florentine Ballroom - Promenade Level

      Work/life balance has been explained as a misguided metaphor for grasping the relationship between work and the rest of life. The image forces one to think in terms of trade-offs instead of the possibilities for harmony. It's no secret—managing all the things you must do as an adult is a challenge. A unified perspective of work and life is needed. Instead of balance, we need to integrate work and the rest of life.

      In this session, participants will discuss what it means to pursue the “whole life" and identify actions steps to begin balancing the quality of that whole life.

      Speakers:
       
      12:00 PM  -  1:30 PM
      Lunch On Your Own

      Grab some lunch on your own at the hotel food court, in the Forum Shops or one of the other many restaurants in the area.  Check out the 2019 NNOHA Conference mobile app for a list of suggestions!

       

      Clinical

      1:30 PM  -  3:00 PM
      HIV and Oral Health: An Update and a Refocus  (CDE: 1.5 Clinical)
      Palace III - Emperors Level

      HIV is no longer a death sentence and widely considered a chronic, manageable disease. Rapid HIV diagnosis and treatment are needed to ensure declines in HIV incidence. With advances in prevention (i.e., pre-exposure prophylaxis) and biomedical science (i.e., undetectable = untransmittable), we now have the tools to end the epidemic. State and federal government agencies are using these tools and data to establish ending the epidemic strategic plans with the goal of addressing the public health crisis of HIV.

      Surveillance data, however, suggests that 15% of people living with HIV in the United States are unaware of their HIV infection and remain at risk of transmitting HIV infection. Dentists and dental hygienists were among the first to recognize oral manifestations in people living with HIV in the early days of the epidemic and may still have a role in helping to identify new cases by administering rapid HIV testing in the dental setting. Administering chair-side screenings in the dental setting may help improve health outcomes, address health inequalities, and improve the quality of life of persons at risk for and living with HIV.

       

      Learning Objectives:

      1. Describe the epidemiology of HIV/AIDS in the United States
      2. Discuss advances in HIV prevention, care, and treatment
      3. Outline state and federal strategies to end the HIV/AIDS epidemic
      4. Define the rapid HIV testing process
      5. Summarize research of dentist, dental hygienist, and dental patient attitudes toward rapid HIV testing in the dental setting

      Speakers:
       

      Leadership/Operational

      1:30 PM  -  3:00 PM
      An Evolving Oral Health Industry: Opportunities for Health Centers  (CDE: 1.5 Administrative)
      Palace I & II - Emperors Level
      A large number of people in the U.S. population do not take advantage of the traditional dental care system. At the same time telehealth technology is having an increasing role in the delivery of health care services nationally. It is now possible to reach many members of these underserved groups through expanded,
      telehealth-connected teams. This presentation will focus on strategies for expanding the reach of health center dental practices using telehealth-connected teams and Virtual Dental Homes. Experiences will be shared from four states engaged in actively adopting this model of care with partners and support from various sectors of the dental industry. Information will be presented about cost-effective methods for expanding practices by incorporating currently underserved populations in a telehealth-connected delivery system. It will include a description of partnership support and training strategies and considerations for health centers to lead and be successful in an era of change in oral heath delivery, science, and payment systems.

      Learning Objectives:
      1) Describe the major trends shaping the future of the oral health industry
      2) Describe the concept of "Disruptive Innovation" and ways that the oral health industry will be disrupted in the future
      3) List the opportunities for health centers in this changing environment

      Speakers:
      1:30 PM  -  3:00 PM
      Redesign #1: Defining and Measuring Success  (CDE: 1.5 Administrative)
      Roman Ballroom - Promenade Level

      We’ve all heard the old adage: if you’ve seen one health center, you’ve seen one health center. The first step in creating a successful dental program is determining what we mean by success and how we will measure that success. This session will discuss the important measures of success (finance, access and outcomes), common benchmarks and provide guidance in how each health center administrative and leadership team can establish and track their own unique, meaningful and achievable dental goals.

       

      Learning Objectives:

      1. Describe the common FQHC benchmarks relevant to oral health
      2. Discuss how to set appropriate goals for your dental program
      3. Identify what data to track in order to evaluate the performance of your dental program
      4. State where this data is often found
      5. Demonstrate how to create an effective process for dental program evaluation
      Speakers:
      1:30 PM  -  3:00 PM
      Wellness and Life Balance Workshop I: How to Find Balance, Beat Burnout, and Be Happy  (CDE: 1.5)
      Florentine Ballroom - Promenade Level

      No matter your walk of life, it's an exciting time -- but it can often be a very testing one as well. What is the link between burnout and happiness? Burnout can be caused by being over-strained, being exhausted. Happiness is the buffer against burnout.

      In this session, participants will 1) explore why burnout, depression, and stress has resurfaced; 2) participants will assess their level of burnout; and 3) formulate strategies that address the crisis of burnout to challenge efficiency of whole life balance, a culture of wellness, and personal resilience.

      Speakers:
      Capacity Full  Total Capacity: 50
       
      3:00 PM  -  3:30 PM
      Break in Exhibit Hall & Coffee House
      Palace Pre-function - Emperors Level

      Grab some coffee, tea and snacks and visit with our sponsors and exhibitors in the Exhibit Hall or join the Coffee House discussion in the Venice Room of the Emperors Level.

      Coffee House: Learn more about the Dental Dashboard and meet with and learn from other EDR users. Hosted by subject matter experts and EDR super users!

      • Colleen Lampron, MPH of AFL Consulting
      • Matt Horan, DMD, MPH of Harbor Health (NextGen user)
      • Carsten Frey, DDS of Eastern Shore Rural Health System (Open Dental user)
      • Amir Jafari, DMD of Denver Health (Epic Wisdom user)
      • Angela Relf, DDS of Mountain Park Health Center (eClinicalWorks user)
      • Domenic Caluori, DMD of Santa Barbara Neighborhood Clinics (NextGen user)
      • Ryan Tuscher, DDS of PCC Community Wellness Center (Dentrix user)
       

      Clinical

      3:30 PM  -  5:00 PM
      Managing Complex Medical Patients  (CDE: 1.5 Clinical)
      Palace I & II - Emperors Level
      Patients today are living well into advanced age, and with multiple chronic illnesses. Just as there are aspects of oral health that impact systemic health, the same is also true. However, sometimes it can become overwhelming to recall all of the biomedical science knowledge you learned once upon a time. In this presentation, we will review how to stratify patients based on a medical risk assessment. We will then delve more deeply into medical conditions that may impact bleeding, wound healing, and risk of infection.

      Learning Objectives:
      1) Assess a patient's medical risk and suitability for urgent and elective dental care.
      2) Discuss the main medical conditions and medications that impact the risk of bleeding, wound healing, and infection.
      3) Determine if modifications are necessary to dental treatment or management based on the patient’s medical status.

      Speakers:
       

      Innovative Practices

      3:30 PM  -  5:00 PM
      Advanced Access and Empanelment/Practicing Lean Dentistry  (CDE 1.5 Adminsitrative)
      Palace III - Emperors Level

       This session contains two presentations

      1)Advanced Access & Empanelment: Using Team to Redesign Dental Scheduling 

      Patient-centered, high-continuity care is core to Clinica Family Health, and we achieve this by focusing on empanelment and Advanced Access principles in partnership between clinical and operations. With so many scheduling rules, carve-outs and exceptions, dental scheduling is too complicated and cumbersome, which makes it difficult for staff to do their jobs and patients to receive care when they want and need it.  Utilizing Advanced Access scheduling principles that include empanelment and schedule simplification, participants will learn best practices for working in partnership to develop and implement efficient processes for patient access, patient continuity, and patient and staff satisfaction. 

      Learning Objectives:

      1. Learn best practices for empanelment and its relationship to continuity and staff/patient satisfaction.
      2. Understand the importance of removing the barriers to access to provide prevention-focused patient-centered health home services.
      3. Understand Advanced Access scheduling principles and how increased access improves patient health outcomes.
      4. Understand how members of the care team work together to develop and implement innovative Advance Access scheduling principles.

      2) Practicing Lean Dentistry

      Lean management is an approach to running an organization that supports the concept of continuous improvement, a long-term approach to work that systematically seeks to achieve small, incremental changes in processes in order to improve efficiency and quality.

      Learning Objectives:

      1) How to maximize your patient care with your dental team
      2) Understanding your teams scope of practice
      3) Understanding Lean Transformation
      4) How to advocate for scope changes
       

      Leadership/Operational

      3:30 PM  -  5:00 PM
      Teledentistry: Breaking Down Barriers to Care  (CDE: 1.5 Administrative)
      Roman Ballroom - Promenade Level

      This course will describe the features of one of the largest school-based teledentistry program since 2016 and how it can reduce school absenteeism and bring care to children that would never get to the dentist otherwise.

       

      Learning Objectives:

      1. Access to Care: Understand common barriers to dental care and how to eliminate them. These include work schedules, limited access to reliable transportation, and low oral health literacy.
      2. Continuity of Care: Learn why continuity of care has been shown to improve quality of care.
      3. Quality Care: Learn the importance of developing tools such as a Daily Dashboard and Quality Assurance Reports. In this way, a field program can track cavity rates and treatment completion across several sites.
      4. Sustainability: Learn how to structure a sustainable field program using telehealth technology. We will share lessons learned and ways to improve efficiency.
      3:30 PM  -  5:00 PM
      Wellness and Life Balance Workshop II: The Wellness Leadership Revolution  (CDE: 1.5)
      Florentine Ballroom - Promenade Level

      Life is about being able to set a vision and persist over the long haul as you lead yourself and others to break barriers and move toward the finish line. Health and wellness are key components of being an effective leader. Wellness is defined as "the quality or state of being healthy in body and mind, especially as the result of deliberate effort."

       

      Learning Objectives:

      In this session, participants will-

      1) Explore the dimensions of wellness and their relationship to leadership

      2) Evaluate where they are along each dimensions of wellness and identify the areas of strengths and vulnerabilities.

      3) Develop strategies to help improve areas of vulnerability.

      Speakers:
      Capacity Full  Total Capacity: 50
      5:15 PM  -  6:15 PM
      Poster Session with Presenters  (CDE: 1.0 Clinical)
      Palace Pre-function Area 1 - Emperors Level

      Posters will be displayed Monday with this dedicated time on Monday evening to interact with and discuss posters with their presenters. Descriptions of each poster can be found below in the "Poster Description" attachment

       

      Learning Objectives:

      1) Identify areas in which medical/dental collaboration can be implemented to improve the oral health and overall health status of the community
      2) Identify ways to improve the oral health status within the community across the lifespan through awareness raising and/or direct intervention
      3) Identify ways to evaluate progress and improve oral health outcomes through better use of available data

       
      6:15 PM  -  10:00 PM
      Dinner On Your Own
    • Tuesday, October 15, 2019
    •  
      6:00 AM  -  7:00 AM
      NNOHA Fun Run/Walk
      Meet at Pronto by Giada for a group run/walk!
      7:00 AM  -  8:00 AM
      Breakfast in the Exhibit Hall
      Palace Pre-function - Emperors Level
      Join us in the Exhibit Hall for breakfast and networking time with our vendors!


      8:00 AM  -  8:30 AM
      John Rossetti Centers of Excellence Awards
      Palace I & II - Emperors Level

      Community health centers truly represent the patient-centered health home. Over 80% of community health centers provide primary medical, dental and behavioral health services under one roof, integrating and coordinating care for the whole patient. The DentaQuest Partnership for Oral Health Advancement is committed to the success of oral health programs at community health centers, many of whom face significant financial challenges in their efforts to meet the mission of providing quality care to those in need. This is challenging work, so the DentaQuest Partnership celebrates the work of exemplary safety net dental programs as a John Rossetti Center of Excellence. Each has made significant contributions to high-quality oral health care. We congratulate the 2019 award winners.

       

       

      Sponsored by the DentaQuest Partnership for Orl Health Advancement

      Speakers:
       

      Plenary

      8:30 AM  -  10:00 AM
      Plenary Session: Nobody Caries  (CDE: 1.5 Clinical)
      Palace I & II - Emperors Level
      The expanding landscape of the oral microbiome is redefining our understanding of oral health and disease. With the rapid increase in new therapeutics and bioactive restorations, it appears we may be engaged in practicing preventive rather than reparative dentistry very soon. Is our clinical system ready to embrace the era of oral healthcare, and what will become of the clinical empire when nobody has caries?

      Learning Objectives:
      1) Conserve tooth structure
      2) Observe less recurrent decay at recare exams
      3) Apply evidence-based treatment recommendations to end the “restorative cycle”
      4) Pursue the quadruple aim in clinical practice

      Speakers:
       

      Social/Networking

      10:00 AM  -  10:30 AM
      Break in Exhibit Hall & Coffee House
      Palace Pre-function - Emperors Level
      Grab some coffee, tea and snacks and visit with our sponsors and exhibitors in the Exhibit Hall

      Coffee House: Recruitment Strategies with Janine Burkhardt, DMD and Domenic Caluori, DDS (Venice Room)

       

      Clinical

      10:30 AM  -  12:00 PM
      Endodontic Therapy: There's a Lot More to it Than Just Doing Root Canals!  (CDE: 1.5 Clinical)
      Florentine Ballroom - Promenade Level

       This course will provide a review of endodontic diagnosis, principles of canal access and location. We will consider how the latest in clinical research can guide our use of new technology to achieve optimal endodontic results. The use of Adaptive Motion Technology to prepare the root canal system to permit safe effective chemical cleansing of the canal system and predictable obturation.

      Learning Objectives

      After completing this endodontic course, the participant will be able to:

      · Describe how canal location influences access approach

      · Determine how working length and canal morphology impacts file choices

      · Understand the importance of safe, effective canal debridement

      · Describe why obturation in all dimensions is important

       

      Sponsored by Kavo-Kerr

      Speakers:
      10:30 AM  -  12:00 PM
      Oral Squamous Cell Carcinoma: From Etiology to Therapy  (CDE: 1.5 Clinical)
      Roman Ballroom - Promenade Level

      Squamous cell carcinoma (SCC) is the most common malignancy to occur in the oral cavity and oropharynx. The clinical presentation is varied and can range from a relatively benign-appearing lesion to an overtly malignant tumor. A broader understanding of the underlying etiology associated with SCC in the orofacial region has been recently gained, particularly as it pertains to the role of oncogenic viruses in development of pharyngeal SCC. In the course, we will discuss the epidemiology, etiology, clinical presentation, and microscopic features of oral SCC. A brief introduction to diagnostic methods will be provided, as well as an overview of management approaches used in this treatment of this condition.

       

      This session will open with Kathleen Titus sharing a personal experience from having experienced oral cancer.

       Learning Objectives:

      Upon completion of this course, participants should be able to:
      1. Better understand the diverse etiology and risk factors associated with the development of oral squamous cell carcinoma (OSCC);
      2. Recognize the clinical, radiographic, and microscopic features of OSCC;
      3. Appreciate the range of diagnostic and therapeutic approaches used in the management of this disorder.

      Speakers:
      Presenters:
      10:30 AM  -  12:00 PM
      Speak Up for Patient Health: Critical Conversations on Controversial Issues  (CDE: 1.5 Clinical)
      Palace III - Emperors Level
      What challenging conversation is on your schedule today? Successful communication with adolescents on sensitive issues can positively impact their oral health – and overall well-being – but they aren’t easy! Dental professionals find it challenging to talk with adolescent patients and parents/caregivers about a host of medical conditions and lifestyle choices related to oral health, including obesity, eating disorders, substance use, transgender choices, sexual practices, pregnancy and STIs. Based on the results of a 2019 survey of pediatric dentists, this session discusses difficult topics that arise in conversations with adolescents and assesses the biggest barriers to communicating about sensitive issues. It offers practical advice on how to hold effective conversations on potentially embarrassing topics, engage adolescents in more open conversations and provide much needed information on vital health concerns. A must-attend session for every member of the clinical team who wants to go beyond shrugs and eye rolls while serving the adolescent patient population.
      Speakers:
       

      Leadership/Operational

      10:30 AM  -  12:00 PM
      Redesign #2: Harnessing the Power of the Dental Schedule  (CDE: 1.5 Administrative)
      Palace I & II - Emperors Level

      Scheduling is a critically important tool dental programs have to ensure their success. However, patient appointments are often scheduled without a great deal of thought or planning. The result is often days where we fail to meet our key strategic goals of access, outcomes and finance. There are many reasons why scheduling doesn’t help us achieve the success we want and need for our dental programs. This session will provide specific guidance on how to use the dental schedule thoughtfully to support dental program success.

      Learning Objectives:

      1. Explain why scheduling is so important to dental program success
      2. Understand the common scheduling pitfalls and how to avoid them
      3. Discuss how to create provider scheduling templates that support the attainment of key dental program goals
      4. Describe how to define a scheduling process for your health center that is a win for patients, for providers and dental staff and the dental program
      Speakers:
       
      12:00 PM  -  1:30 PM
      Lunch On Your Own
      Grab some lunch on your own at the hotel food court, in the Forum Shops or one of the other many restaurants in the area.  Check out the 2019 NNOHA Conference mobile app for a list of suggestions!
       

      Clinical

      1:30 PM  -  3:00 PM
      Dentistry through the Ages, From the Very Young to the Very Young at Heart (A)  (CDE 1.5 Clinical)
      Florentine II & III - Promenade Level
      Come join us for an interactive session on patient centered treatment planning for complex pediatric and elderly patients. In this course we will discuss how to gather the appropriate patient information and assess the patient’s risk of oral disease to make your treatment planning decision process easier. For pediatric patients we will focus on understanding when and how to use medical caries management and what the current treatment recommendations are for children with early childhood caries. In elderly patients we will learn what patient centered rational treatment planning looks like and how and when to use it. We will also discuss working with patients with special health care needs at all stages of life as part of your general practice.



      Learning Outcomes:

      1. Review risk assessment strategies and how these assessments can be incorporated into your treatment plan.

      2. Identify appropriate treatment strategies for patients during all stages of life.

      3. Become familiar with rational treatment planning and understand when it can be applied in your dental patients.
      Capacity Full  Total Capacity: 30
      1:30 PM  -  3:00 PM
      Oral Health Integration in Medication Assisted Treatment (Substance Use Disorder) Patients  (CDE 1.5 Clinical)
      Palace III - Emperors Level

      This course will provide an overview of the opioid crisis focusing on the oral manifestations of substance use disorder, the integration of oral health services in Medication Assisted Treatment (MAT) program and dental treatment considerations for patients enrolled in MAT programs.

      Learning Objectives:

      1. Understand the scope of the opioid crisis and define substance use disorder.
      2. Identify oral manifestations of substance use disorder.
      3. Understand how to identify the partners and how to integrate oral health services into MAT programs.
      4. Understand the effects of suboxone (buprenorphine) on the oral cavity
      5. Identify prevention techniques to minimize the effects of suboxone on the oral cavity.
      6. Identify treatment techniques to reduce dental treatment post-operative pain and complications for patients in MAT programs.

      Speakers:
       

      Innovative Practices

      1:30 PM  -  3:00 PM
      Oral Health for Patients with Developmental Disabilities/Children with Special Needs & Oral Health  (CDE: 1.5 Clinical)
      Roman Ballroom - Promenade Level

      This session contains two presentations:

      1) Oral Healthcare for Patients with Intellectual and Developmental Disabilities: Increase your Comfort Level While Watching your Colleagues Develop their Skills 

      Through a series of videos of actual patient treatment, participants will be able to learn techniques to provide care for people with intellectual and developmental disabilities. The providers shown will include novice clinicians, experienced clinicians, dental students and dental auxiliaries. This presentation will allow participants to feel as if they are right in the treatment area observing patient care. Comments and discussion during the presentation are welcome.

      Learning Objectives:
      1) Understand behavior management techniques that can facilitate improved dental care for people with intellectual and developmental disabilities.
      2) Identify challenging patient behaviors which can be reduced so as to provide effective care.
      3) Describe dental materials and treatment techniques to maintain optimum oral health for patients with intellectual and developmental disabilities.

      2) Children with Special Needs and Oral Health: Results of Implementing New Materials and Training with Early Interventionists

      Children with special needs often have unmet oral health needs and their parents cite finding a dentist as being more difficult than finding specialty medical care. Parents may not be aware of how to care for their child's mouth or the importance of oral health to their child's overall health. McMillen Health conducted a qualitative study with parents of children with special needs and used parent input, along with input from early interventionists, home visitors, and pediatric dentists to develop specialty oral health materials for this audience, with a focus on health literacy. 

      Learning Objectives:
      1) Understand how to be responsive to the concerns and barriers parents of children with special needs face with providing daily oral hygiene and establishing a dental home.
      2) Increase knowledge of leveraging relationships with non-oral health professionals to provide oral health education to at-risk children.
      3) Develop awareness of new specialty resources for the high-risk population of children with special needs.

      1:30 PM  -  3:00 PM
      Preventing Oral Disease in School-Based Setting/Integrated ED Referral Value  (CDE: 1.5 Clinical)
      Palace I & II - Emperors Level

      This session contains two presentations:

      1) Preventing Oral Disease in a School-Based Setting: Sealants, Varnish and SDF

      This presentation will describe an integrated approach to providing dental care to children served by school-based health centers. In this model, the diagnostic, educational and preventive services are provided on site in schools with portable equipment, a part-time dentist, dental hygienist and dental assistant.  Children needing restorative dental care are transported to fixed school-based dental centers. This practice model minimizes time out of class for students and saves valuable chair time in dental centers for the more complex procedures.

      Learning Objectives:
      1) Describe the role of the school nurse in identifying the need for oral health care, promoting education and coordinating the process of linking students to needed care.
      2) Identify the steps to providing on-site dental education, diagnostic, treatment planning and preventive services in a portable setting.
      3) Describe the process involved in prioritizing children for dental treatment and monitoring  to ensure that all treatment needs are met.

      2)Integrated ED Referral Value: A Medical-Dental Team Approach to Reduce Opioid Use and Increase Access to Care

      This session provides a comprehensive profile of a successful "dentally driven" ED Referral program developed within a dental residency program which includes effective strategies to address opioid abuse issues and access to care dilemmas. Resolving ED dental utilization addresses substance abuse issues, while connecting pregnant women, diabetics, and autistic patients to dental homes. It also has meaningful impact in the medical community, educating them on pathways to collaborate professionally within a well designed interdisciplinary system.

      Learning Objectives:
      1) Understand the development and operational approach of the Definitive Care Concept
      2) Recognize evidence based approaches to pain management including pre-operative, perioperative and post operative approaches
      3) Recognize the benefits of creating tools to improve identification of at-risk patients, encourage early treatment referrals, establish acute withdrawal protocols and provide more efficient access to available PDMP

       

      Social/Networking

      3:00 PM  -  3:30 PM
      Break in Exhibit Hall & Coffee House
      Palace Pre-function - Emperors Level
      Grab some coffee, tea and snacks and visit with our sponsors and exhibitors in the Exhibit Hall

      Coffee House: Scheduling Strategies with Dori Bingham, BA and Yogita Thakur, DDS, MS

       

      Clinical

      3:30 PM  -  5:00 PM
      Dentistry through the Ages, From the Very Young to the Very Young at Heart (B)  (CDE 1.5 Clinical)
      Florentine II & III - Promenade Level
      Come join us for an interactive session on patient centered treatment planning for complex pediatric and elderly patients. In this course we will discuss how to gather the appropriate patient information and assess the patient’s risk of oral disease to make your treatment planning decision process easier. For pediatric patients we will focus on understanding when and how to use medical caries management and what the current treatment recommendations are for children with early childhood caries. In elderly patients we will learn what patient centered rational treatment planning looks like and how and when to use it. We will also discuss working with patients with special health care needs at all stages of life as part of your general practice.



      Learning Outcomes:

      1. Review risk assessment strategies and how these assessments can be incorporated into your treatment plan.

      2. Identify appropriate treatment strategies for patients during all stages of life.

      3. Become familiar with rational treatment planning and understand when it can be applied in your dental patients.
      Capacity Full  Total Capacity: 30
      3:30 PM  -  5:00 PM
      Infection Prevention and Control 2019  (CDE: 1.5 Clinical)
      Palace I & II - Emperors Level

      The goal of an infection prevention and control program is to prevent health-care associated infections among patients, and injuries and illnesses in healthcare personnel. This presentation will discuss strategies for ensuring compliance with relevant Centers for Disease Control and Prevention (CDC) guidelines, Occupational Safety and Health Administration (OSHA) regulations and other relevant recommendations and regulations and standards pertaining to instrument reprocessing and sterilization. The CDC Summary of Infection Prevention Practices in Dental Settings – Basic Expectations for Safe Care will be used to demonstrate how to monitor and evaluate a site-specific infection prevention and safety program. Resources from the Organization for Safety, Asepsis and Prevention (OSAP), will also be shared with participants, including information on the new Infection Control Coordinator Certificate Program.

      Learning Objectives:

      1) Differentiate guidelines, regulations, standards and best practices.

      2) Explain the roles and responsibilities of an infection control coordinator

      3) Describe strategies and tools to monitor and evaluate a site-specific infection prevention and control program

      4) Identify proper steps of instrument reprocessing

       

      Sponsored in part by Hu-Friedy
       

      Leadership/Operational

      3:30 PM  -  5:00 PM
      2019 Annual Update to the UDS Sealant Measure  (CDE 1.5 Administrative)
      Roman Ballroom - Promenade Level
      This year’s presentation will highlight the most successful strategies to increase the percentage of children receiving sealants and increase the HRSA UDS Sealants Measure percentage. Results and trends from the first four years of data for the measure will be shared. Work-arounds to address data collection and reporting will be briefly described for those health centers that are not yet using an EDR vendor-developed solution to collect the data elements of the measure (age, patient of record, risk status, exclusions, and sealants placed). Commwell Health, an FQHC, will also discuss how they have improved their UDS Sealants Measure through their work in the NNOHA Sealants Improvement Collaborative. Bring your HRSA UDS Sealants Measure questions!

      Learning Objectives:
      1) Review national and state-level results for the 2018 HRSA UDS Sealants Measure
      2) Recognize how your health center can improve the accuracy of the denominator for the UDS Sealants Measure
      3) Describe strategies for improving on UDS Sealants Measure outcomes
      4) Learn the strategies one health center has developed to increase it's UDS Sealants Measure percentage

       

       

      3:30 PM  -  5:00 PM
      Redesign #3- Developing a Winning Strategy: Top 10 Priorities for Dental Success  (CDE: 1.5 Administrative)
      Palace III - Emperors Level

      Dental programs are complex and challenging to manage successfully. There are so many variables that need to be controlled; how does a leader keep all those balls in the air? The truth is that not all dental variables play an equal role in the success of a dental program. This session will focus on the top 10 variables that are integral for dental program success, why they are important and how they can and should be managed.

       

      Learning Objectives:

      1. Understand the top 10 priorities for dental program success
      2. Name strategies to remove barriers to success and optimize opportunities
      3. Describe how to structure an FQHC dental program that is results-oriented, effective and HRSA-compliant
      Speakers:
       
      5:15 PM  -  6:15 PM
      NNOHA Membership Meeting
      Roman Ballroom - Promenade Level

      Please join NNOHA leadership for a report on the activities and accomplishments of YOUR organization. The agenda will include:

      1) an update on NNOHA's evaluation of its effectiveness and steps toward publishing a "Value Statement" of our programs

      2) results from the 2019 Membership Survey and Advocacy Survey

      3) announcement of NNOHA Board election results

      4) a look at the new Strategic Plan

      5) a report on advocacy concerns in Washington

      6)Prizes will be given, including announcing the winners of the Passport to Prizes drawing

      7) Plus -  snacks to tide you over until dinner!

      Other surprises are in the works -  Stay tuned!

    • Wednesday, October 16, 2019
    •  
      7:00 AM  -  8:00 AM
      Breakfast in the Florentine Ballroom
      Florentine Ballroom - Promenade Level
      Join us in the Florentine Ballroom for breakfast and networking time with your peers!


      8:00 AM  -  8:30 AM
      2019 NNOHA Awards Presentation
      Roman Ballroom - Promenade Level
      Speakers:
       

      Plenary

      8:30 AM  -  10:00 AM
      Plenary Session: Allegories on Race and Racism: The Cliff of Good Health  (CDE: 1.5)
      Roman Ballroom - Promenade Level
      Dr. Jones opens with a Cliff Analogy for understanding three levels of oral health intervention, including addressing racism and other systems of structured inequity.  She defines racism and illustrates three levels of racism with her Gardener’s Tale allegory.  Identifying three principles for achieving health equity, she motivates and equips participants to organize and strategize to act.

      Learning Objectives:
      1) Describe three dimensions of health intervention using a Cliff Analogy.
      2) Define racism as a system and identify three impacts of that system.
      3) Illustrate three levels of racism using a Gardener’s Tale.
      4) Name three principles for achieving health equity.

      Speakers:
       

      Social/Networking

      10:00 AM  -  10:30 AM
      Break
       

      Clinical

      10:30 AM  -  11:30 AM
      Cancer Patients - Ready or Not, Here They Come  (CDE: 1.0 Clinical)
      Roman I & II - Promenade Level
      This seminar will prepare the participant to handle the interface with the cancer care team. Oral side effects are the number one reason why patients cannot complete their treatment protocol. This session will give you the knowledge and confidence to treat this most neglected subset of patients.

      Learning Objectives:
      1) Integrating patients' oral health into their cancer treatment protocols
      2) Recognizing the oral side effects of chemo therapy and head and neck radiation
      3) Treating the oral side effects of cancer treatment
      4) Making the oral health care team an integral part of the patient's cancer treatment plan

      Sponsored by Colgate

      Speakers:
      10:30 AM  -  11:30 AM
      It All Starts With Water: DUWL  (CDE: 1.0 Clinical)
      Florentine Ballroom - Promenade Level

      It All Starts with Water: DUWL

      Providing clean, safe dental water is critical to implementing and maintaining effective infection control protocols. Understanding and implementing a proactive not reactive approach to water compliance is critical. Discussion will include compliance with current guidelines related to microbiological water standards and protocol recommendations for best treatment of DUWL protocols to ensure patient and clinician safety.

      Learning Objectives:

      Discuss various treatments and monitoring to achieve dental unity waterline quality that will meet CDC/ADA recommendations.

      Sponsored by Crosstex

      Speakers:
       

      Leadership/Operational

      10:30 AM  -  11:30 AM
      Contracting for Dental Services  (CDE: 1.0 Administrative)
      Roman III & IV - Promenade Level

      One strategy of expanding access to dental services for health center patients is through contracting for dental services. This session will review how health centers programs can contract for dental services. Dr. Tim Martinez will discuss how Borrego Health contracts for dental services outside of their health center. Dr. Nick Rogers will offer his unique perspective as a dental provider who contracts with health centers.

      Learning Objectives:

      1. Describe why and how health centers contract with outside dental providers.
      2. Discuss how to establish successful contracting relationships with outside dental programs.
      3. Describe the infrastructure of an outside dental program's contracting program with health centers.
      4. Describe a successful contracting relationship with outside dental programs.

      Speakers:
       

      Social/Networking

      11:30 AM  -  11:45 AM
      Break
       

      Innovative Practices

      11:45 AM  -  12:45 PM
      Bringing Pediatric (and Any!) Dental Specialists to Your Community Clinics  (CDE: 1.0 Administrative)
      Florentine Ballroom - Promenade Level
      Enhance the patient experience by increasing scope of services and minimizing external referrals. This session will guide participants to successfully arrange and sustain mutually beneficial relationships with academic programs to develop an ongoing system for recruiting and maintaining dental specialists. The program model also includes mentorship and professional development for existing general practitioners, attenuating exhaustive recruitment and retention efforts.

      Learning Objectives:
      1) Design an accountable and financially sustainable program with academic programs to increase patient scope of services
      2) Implement programs to recruit dental specialists
      3) Identify funding opportunities
      4) Use outcomes data to assess and improve patient experience

      11:45 AM  -  12:45 PM
      Community Health Worker Roles in Improving Access/Partnering with a Long Term Care Facility  (CDE: 1.0 Administrative)
      Roman III & IV - Promenade Level

      This session contains two presentations:

      1) Community Health Worker (CHW’s) vital roles in improving oral health access for children in WIC: Findings from the Massachusetts Oral Health Equity Project

      The Massachusetts Oral Health Equity Project (OHEP) is a 5-year Department of Health and Human Services-funded initiative that aims to increase the percentage of Black and Hispanic youth aged 0-14 seen by a dental provider by 10% in the communities of Worcester and Holyoke. As part of the OHEP, two community health centers (CHC) hired Community Health Workers (CHWs) to work in their respective CHC dental departments who were tasked with building and piloting referral models between their CHCs and their referral sources including Early Intervention, Women Infants and Children (WIC), public schools, and portable dental programs.

      Learning Objectives:
      1) Understand the Oral Health Equity Model being developed in Massachusetts
      2) Explore the possible collaboration between oral health care access and WIC
      3) Describe the expanding role of CHWs in improving oral health access for children in WIC

      2) Partnering with a Long-term Care Facility to Effectively Provide Dental Access

      This session will describe how one health center in WA state partnered with a long-term care facility to bring access to dental care in a meaningful, effective, and efficient manner. Learn what challenges they overcame, both clinical and operational, to develop a sustainable program that led to improved oral health outcomes for a special population.

      Learning Objectives:
      1) Understand why it is important for community health centers to provide access to dental care for residents of long-term care facilities.
      2) Develop ideas for how a partnership program could be implemented in your community.
      3) Understand the challenges of treating special patient populations.
      4) Be better prepared to troubleshoot anticipated challenges with program development.

      Speakers:
       

      Leadership/Operational

      11:45 AM  -  12:45 PM
      Integrated Care Models: Dental Providers Embedded in the Medical Clinic  (CDE: 1.0 Administrative)
      Roman I & II - Promenade Level

      Integration of oral health and primary care practice has been a strategy to increase access to oral health care for health center patients. An emerging trend for medical and dental integration is the use of dental providers in the medical setting. This session will review the results from the 2019 Integrated Models survey, assessing for health centers' use of an embedded dental provider in the medical clinic. It will also review strategies to integrate oral health and primary care practice. Finally, this session will feature a panel of three health centers who will provide promising practices on how they have successfully integrated a dental provider into the medical clinic for early detection of oral disease and to increase access to preventive interventions.

       

      Learning Objectives:


      1. Understand the two different models of integration of oral health and primary care practice.

      2. Review the results from NNOHA’s 2019 Integrated Models survey.

      3. Learn the strategies from health centers that have embedded dental providers in their medical clinic to promote medical and dental integration and increase access to dental services.

      Speakers:
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