Mom young

ROANOKE MISSION OF

MERCY Presented by: Pat Young, Co-Chair Operations

Our story….

• http://www.vdaf.org/

Addressing the Oral Health Needs of

Adults in Our Community

• Lack of affordable services, safety net providers

• Minimal reimbursement by Medicaid/Medicare

• Uninsured and low-income adults using Emergency

Departments for dental care

Community Based Health Care Coalition

Advocate for improved

access to dental care

Responsible for the

Carilion Pediatric Clinic

In 2006, led a

grassroots effort for a

Roanoke Mission of

Mercy Project

Goal of the Roanoke

Mission of Mercy ◦ Increase community

awareness of the problem

◦ Provide direct services to

those in need

◦ Develop long-term

solutions to oral health

crisis

Must haves…

• Virginia Dental Association

• VCU School of Dentistry Support

• Virginia Western Community College School of Dental Hygiene

• NC Dental Association

• Lion’s Club

• Local Partners

• Leadership Team

MOST IMPORTANTLY….

Our dental champions!!

Community Based Health Care

Coalition (CBHCC)

CBHCC Executive Committee

Project Management

(Council of Community Services)

Volunteers Food

Health Screening

Dental Services

Pharmacy Services

Patient Registration

Patient Exit

Data Collection

Logistics Finance

Publicity

Financial and In-kind Support

• Roanoke Women’s Foundation

• Delta Dental

• Carilion Clinic

• Foundation of Roanoke Valley

• United Way of Roanoke Valley

• WalMart Foundation

• Lions Club

• Advanced Auto

• Private cash donations

• Annual budget ~$75,000 to $85,000

Logistics- Ticketing

Tickets for Friday and Saturday

with registration packets

distributed one week prior to the

event

Logistics- Facility and Set-up

Logistics- Patient Flow

Logistics- Food & Lodging

• Food for volunteers

• Lunch on Thursday (set-up)

• Ovations Catering (Friday & Saturday)

• Pizza on Saturday (break down)

• Reception on Saturday evening for students, faculty,

and guests

• Food for patients

• Bagged lunches both days

• Lodging

• Sheraton Roanoke Hotel & Conference Center

Logistics- Other Support Services

• Volunteer registration and check in

• Security and EMS

• Compressors (VDOT)

• Biohazardous Waste Disposal

• Post-exposure Evaluation and Treatment

Patient Registration, Exit, & Data

Collection • Complete registration and releases

• Identify latex allergies and Coumadin therapy

• Apply wrist bands (color coded by day or if escort present

with patient)

• Collect patient records at the end of the visit

• Administer patient satisfaction surveys

• Data entry of patient records into Access database

Health Screenings

• Health history

• Medication review

• Blood sugar

• Blood pressure

• Pulse

• Reported BMI

• PT/INR

• Medical follow-up when needed

Pharmacy Services

• Pre-medications • Antibiotics

• Analgesic prior to oral surgery

• Medical support • Insulin

• Anti-hypertensive

• Epi-pen

• Exit counseling

• Post-op prescriptions • Dispensed at participating CVS Pharmacies

• No cost to patients

Dental Services

• Triage

• X-ray

• Dental Hygiene

• Restorations

• Oral Surgery

• Endodontics (off-site)

• Dentures

• Follow-up the week after the event • All ED’s are notified of the

MOM

• Thursday • 1 p.m. to 5 p.m.

• Friday prescreening identified by community partners

• Dentures

• Friday • 5:30 a.m. to 6 p.m.

• Health screenings begin at 5:30 a.m.

• Saturday prescreening begins at 11 a.m.

• Saturday • 6 a.m. to 2 p.m.

Roanoke Mission of Mercy

2013 Stats

• 696 patients; 739 patient visits

• 499 volunteers • Dental – 230

• Medical – 64

• Pharmacy – 14

• General – 191

• 5513 volunteer hours; 11 hours per volunteer average

• Value of volunteer services $270,564

• Value of dental services $589,279

• Value of pharmacy services $11,672

• Value of medical services $15,159

• Total value of patient services $616,110

• Value per patient $885

The picture remains the same…

Low-income adults served without dental insurance

Live primarily in the Roanoke Valley

Overwhelming majority of those served required oral surgery 53% of patients in 2012

had extractions Average of 5.4 teeth

pulled per patient for a total of 2361 teeth pulled

Is the Roanoke Mission of Mercy Project

enough? The project has clearly demonstrated the need for

access to affordable dental services for adults.

However…there is still a need for on-going,

comprehensive services that provide a “dental home” to

the thousands who need care.

Community Based Health Care Coalition, Healthy

Roanoke Valley and safety net partners are currently

working on a community-based dental clinic business

plan that is cost-effective and offers continuity of care.