fluoride varnish improves the financial viability of a ...€¦ · fluoride varnish improves the...
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FLUORIDE VARNISH IMPROVES THE FINANCIAL VIABILITY OF A SCHOOL
BASED SEALANT PROGRAM
Natalie A. Hagel, RDH, MS
Boston University School of Dental Medicine
Supported by: National Institute of Dental and Craniofacial Research U54 DE 14264
The Oral Health Foundation
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CoAuthors
l Michelle M. Henshaw, DDS, MPH Boston University School of Dental Medicine
l Brandon Leickly, BS Boston University School of Dental Medicine
l Lynn A. Bethel, RDH, BSDH, MPH Massachusetts Dept. of Public Health
l Kathryn Dolan, RDH, MEd Tufts University School of Dental Medicine
l Michael Monopoli, DMD, MPH, MS DSM, Delta Dental of Massachusetts
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Statewide Oral Health Survey
l Conducted by the Massachusetts Department of Public Health
– Office of Oral Health
l Conducted in the year 2003
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Boston Children have Poorer Oral Health than the StateWide Average
2003 Statewide Oral Health Survey
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Survey Results
l 27% of Massachusetts third graders had untreated decay
l 43% of Boston third graders had untreated decay
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Compared with the statewide average Boston’s children have…
l 16% greater untreated decay
l 16% greater history of disease
l 17% less sealants placed
l 5% greater need for urgent treatment
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Boston Sealant Program Smart Smiles Inception: 2004
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Smart Smiles Partners
l Boston Public Health Commission l Boston University l Delta Dental of Massachusetts l Forsyth School for Dental Hygienists l Harvard University l Massachusetts Department of Public Health l Tufts University
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Smart Smiles Program
l Focus on Second & Third Grades l Components Include
– Education – Screenings – Sealant Placement – Fluoride Varnish
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Program Expansion
l Y1 20042005 20 Elementary Schools
l Y2 20052006 48 Elementary Schools
l Y3 20062007 59 Elementary Schools
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82% of the Boston Public Schools’ second and third
grade families in our program are eligible for the free and reduced lunch
program
Population Served
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Insurance Status
0%
20%
40%
60%
80%
100%
19% Children with private insurance 21% Uninsured children 60% Children with Medicaid
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Evidence Based
Based on the study by Dr. Jane Weintraub: Efficacy in Preventing Early Childhood Caries
Fluoride Varnish Applications were introduced in Y2
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Cost of Fluoride Varnish in 20052006
$3,180 Total cost of FVs applied
X $2.70 Application
Cost of one FV application (Materials & Labor)
1178 Number of FVs applied
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Potential Revenue for FV Applications
931 Number of FVs billable to insurance (79%)
X $20.70/FV Application
Medicaid fee
$19,264 Billable Income
$16, 084 Billable income potential
Net revenue
$ 3,180 Minus cost of FV (100%)
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Potential Revenue with FV applications
Net Revenue $32,168 Fluoride Varnish two applications a year
Net Revenue $16,084 Fluoride Varnish one application a year
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Fluoride Varnish Applications
l Takes only 12 minutes to apply l Nets $18.00 an application l Enhances Financial Viability of Sealant Program so that we may work towards a self sustaining program
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Fluoride Varnish
WINWIN SITUATION
FV not only improves financial viability of our Smart Smiles program
but most importantly prevents tooth decay in our Boston Public Schools’ Children
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Thank You!