maine dds program 4th quarter report

7/30/2019 Maine DDS Program 4th Quarter Report

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MAINE DONATED DENTAL SERVICES (DDS) PROGRAM

Annual Report for July 1, 2011 - June 30, 2012And Fourth Quarter Activities for April 1, 2012 - June 30, 2012

Funded by the Oral Health Program, Division of Population Health, MaineCenter for Disease Control and the Maine Dental Association Charitable

Foundation

Program HistoryMany Maine residents with disabilities or who are elderly or

medically fragile have serious dental problems because they cannot affordtreatment. As a result of their ages or disabilities, many cannot work anddepend on government assistance for their health care. Medicare, however,does not provide dental coverage and Maines Medicaid program provideslimited dental benefits to adult recipients. Moreover, many dentists do notaccept Medicaid. Other individuals with disabilities or who are aged or

medically fragile and can work often earn too much to qualify for Medicaid,but not enough to afford dental insurance or costly dental care. As a result,many suffer in agonizing pain from serious dental problems and havenowhere to turn.

Performance Snapshot

PatientsTreated92

97

0

50

100

Annual Goal Ac t ual

DonatedTreatment$250,000

$309,758

$0

$100,000

$200,000

$300,000

Annua l Goa l Ac t ua l

Annual Activity Highlights

Enabled 97 individuals with special needs to get $309,758 worth of care,exceeding the goal.

Received additional funding to increase the Coordinators hours by eighthours per week, facilitating more care to more vulnerable individuals.

Became members of the Maine Dental Access Coalition.


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The DDS Program in Action

Fifty-five-year-old Mr. L. lives inFairfield with his wife and facessignificant health challenges. He is inremission from Leukemia, is

neutropenic, suffers from diabetes andarthritis and has seven stents in hisheart. Sadly, aggressive arsenictreatment to fight the leukemia causedsevere decay to his teeth. Moreover, 3of his teeth were chipped and broken,two of which anchored his partialdenture. Mr. L.s dental situation wasvery serious, as any infection couldcompromise his overall health.

While Mr. L. desperately neededdental treatment, he simply could notafford it. He is unable to work and he

and his wife survive on Social SecurityDisability benefits and help from alocal food pantry. His health was injeopardy and it seemed the treatmenthe truly needed was out of reach.

Thankfully, Inland Hospitalreferred Mr. L. to the DDS program,and three generous volunteers cameto his aid. An oral surgeon extractednine teeth and a general dentistdonated a full upper denture. Avolunteer laboratory also helped by

fabricating the denture at no charge. Itseemed Mr. L. received treatment justin time. The oral surgeon discoveredan infection that may have had graveconsequences had it not beenaddressed. Thanks to this team ofDDS volunteers, Mr. L. received$3,064 in free care that restored hisoral health and helped preserve hisoverall health! He wrote to expresshis true appreciation for this life-changing gift.

I could never thank you enough forwhat you did for me. I am theluckiest man on earth. I have beenthrough a lot in my life with theleukemia and the arsenic theytreated me with. You and DDS tookaway the pain and anxiety I had withmy teeth. You gave me more timewith my family and life. Thank you somuch.

In 1999, the Maine Dental Association (MDA) andDental Lifeline Network launched a statewide DonatedDental Services (DDS) program to help these people (theNational Foundation of Dentistry for the Handicappedchanged its name to Dental Lifeline Network in January

2011 and the local organization is now called DentalLifeline Network Maine.).

Since the programs inception, 981 vulnerableindividuals have received $2,382,757 worth of free dentaltreatmentfrom 159 dentists and 49 dental laboratoriesthat volunteer statewide.

Maines DDS program is similar to other programsdeveloped by Dental Lifeline Network in 39 other states thatcollectively generated more than $24 million in donated

care for nearly 7,400 individuals during the fiscal year thatended June 30, 2012.

Accomplishments

This fiscal years goal was to help 92 individualswith disabilities or who are aged or medically fragile toaccess $250,000 worth of donated treatment. During thefiscal year, 97 patients received $309,758 in donated care,exceeding the goal! Each patient received an average of$3,193 worth of dental treatment; comprehensive care thatillustrates the generosity of the volunteer dentists and labs.In addition to these 97 patients, 104 individuals had beenreferred to volunteer dentists and were receiving care at theend of the June 30th reporting period (i.e., active cases).

A second goal was to provide $21,000 worth ofdonated lab services. Volunteer labs donated $33,200 worthof fabrications during the fiscal year, also exceeding thegoal. We are so grateful for the generous contributions ofthe volunteer laboratories.

Applications

During the fiscal year, we received 114 applications,and 249 people were waiting to be referred to a dentist at theend of the fiscal year (the 249 people waiting reflects theapplications received this year plus applicants from prioryears who have still not been helped).


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Sta te Den ta l Assoc ia t i on Members w ho a re DDS

Vo lun tee rs28 %

17 %

0%

5%

10%

15%

20%

25%

30%

Ma ine Na t ion a l Avera ge

When the waiting list gets too long, the Coordinator must spend a significant amount oftime responding to requests for applications and to subsequent questions from applicants; timethat instead could be spent referring people to dentists and coordinating services. We continuallymonitor the waiting list and assess whether and where we are able to accept applications. Doingso helps the Coordinator process applications more efficiently so she has sufficient time to refer

people to the volunteers. We inform the various human service agencies that refer applicants tothe DDS program and ask them to help prioritize their clients needing care. Currently, we areaccepting applications in Hancock, Piscataquis and Sagadahoc counties.

Staffing

Ms. Ann Caron is the part-time DDS Coordinator and manages day-to-day services,working 24 hours a week (increased from 16 hours per week as of January 1st) from an office inManchester generously donated by the Maine Dental Association (MDA). Ms. Caron determinesapplicant eligibility, links patients with nearby volunteer dentists, monitors each patients

progress, arranges laboratory services and the help of specialists as necessary, and thanks thevolunteers when they complete cases. Resolving problems that may interfere with care is,perhaps, her most important duty.

Leadership Council

The Maine DDS Leadership Council helps ensure the continued success of the program.Dr. Michael Bufo chairs the Council that is comprised of volunteers from around the state aswell as advisors from the Maine Dental Association. The Council members primaryresponsibilities are to serve as ambassadors for the DDS program and to recruit more volunteerdentists. Their work, along with support from the Maine Dental Association, has brought thetotal number of volunteers to 159 dentists statewide.

Volunteers

The volunteers are the backbone of the DDS program, and we are truly grateful to the159 dentists and 49 dental laboratories that volunteer. Twenty-eight percent of the dentists in thestate dental association participate in DDS, compared with an average of 17 percent in otherstates with DDS programs.


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Genera l

Den t i s t s

69%

Spec ia l i s ts

31 %

Pending Applicants vs. Volunteers by County

0

10

20

30

40

50

Androscoggin

Aroostook

Cumberland

Franklin

Hancock

Kennebec

Knox

Lincoln

Oxford

Penobscot

Piscataquis

Sagadahoc

Somerset

Waldo

Washington

York

Volunteer Dentists

Pending Applications

Of the 159 dentists, 50 are specialists,leaving only 109 general dentists for initialreferrals. As the chart below indicates,applicants and dentists do not always aligngeographically, especially in the vast rural

regions of the state. With 97 patients treated thisfiscal year, 249 patients on our waiting list and104 active cases, the dentists are well utilized,and as mentioned above, more are still needed.

Consequently, recruitment is a priority. In September, we joined the Maine DentalAccess Coalition and Ms. Caron attended the meeting and spoke about the DDS programsimpact. In addition to ongoing efforts with the MDA including encouraging new memberdentists to volunteer the Academy of General Dentistry (AGD) ran an advertisement in itspublication to encourage its members to participate in DDS. Also, this fiscal year we beganengaging larger, group dental practices and expect to see participation grow even further in thenext fiscal year. In addition, we are exploring a partnership with the new dental school openingin Portland in 2014.

Forty-nine dental laboratories also volunteer, but only 18 are located in Maine and mostof these do not fully donate the fabricationsthey only offer discounts. To supplement, some labservices are coordinated through our national Dental Lifeline Network affiliate and 31


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Value of Dol lars Spent t o Donat ed Care

$1

$7.69

$0

$1

$2

$3

$4

$5

$6

$7

$8

$9

Dollar s Spe n t Dona t ed Ca re

laboratories from other areas of the country help in Maine too. To increase the number of localvolunteer labs and represent dental labs across Maine, Ms. Kathryn Young of Denture Designsjoined the Maine DDS Leadership Council. Also, Ms. Young was instrumental in greatlyreducing the wait list in Lincoln County by encouraging local dentists to participate in DDS.

Financial Information

During the fiscal year, volunteers contributed $7.69 worth of care for every dollarspent!

Though the dentists and many of the laboratories donate their services, we need to raisefunds to support their volunteer efforts and pay for the part-time Coordinator, laboratory billswhen we cannot find labs to donate, and other program expenses such as office supplies andpostage. The State Oral Health Program has provided this needed funding that is then leveragedinto thousands of dollars worth of contributed treatment. The Maine Dental AssociationCharitable Foundation provided a grant this year that allowed us to increase the Coordinatorstime by eight hours per week as of January 1, 2012. Northeast Delta Dental Foundation has alsogenerously provided grants to supplement the state government support for some of thelaboratory fabrications when we have needed more lab services than expected.

Future Plans

In the next fiscal year July 1, 2012 to June 30, 2013 our goal is to help 92 peoplewith disabilities or who are aged or medically at-risk receive at least $260,000 worth of freedental care, including $23,000 worth of donated laboratory fabrications.

Attachments

We have attached a financial statement for the fiscal year along with a program servicessummary for the last four quarters. Also included are reports that show treatment provided bycity and disability.


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Maine Donated Dental Services (DDS) ProgramFourth Quarter Report of Services

April 1, 2012 June 30, 2012

CATEGORY

FY121

stQtr.

7/11-9/11

FY122

ndQtr.

10/11-12/11

FY123

rdQtr.

1/12-3/12

F4

th

4/12PATIENTS

# of Active Cases 85 83 99 # Referrals 26 21 46 # Deceased or Otherwise Withdrew 0 0 0 # of Patients Treated 21 28 24

APPLICANTS# Received 46 23 33 # Not Eligible 3 0 60 # of Applications pending (as of 6/30/12) 348 358 286

VOLUNTEERS# of Volunteer Dentists 156 157 162

# involved with completed case 23 28 27 # of Volunteer Labs 45 48 49 # involved with completed case 6 9 7

FINANCIALValue of Care to Patients Treated $49,932 $82,227 $72,148 $105Average Value of Treatment/Case $2,378 $2,937 $3,006 $3Value of Donated Lab Services

3$5,485 $7,846 $6,835 $13

Value of Paid Lab Services $0 ($1,398) $323 Operating Costs $8,454 $7,330 $10,564 $13Ratio/Donated Treatment per dollarof Operating Costs $5.91 $11.22 $6.83 $

TOTAL SINCE START OF PROJECT (1999)Total Patients Treated 981Total Value of Care to Patients Treated $2,382,757

1 Total is less then the sum of the quarterly periods because it represents an unduplicated count of patients for the year, wherecounted in more than one quarter.2 Total may be lower than sum of quarterly periods because some dentists and labs donate services to more than one patient duonly once.3 Value also included in Value of Care to Patients Treated.


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Printed 7/12/2012Treatment by City 7/1/2011Thru7/1/2012 For Ann Caron

City # of Transactions Treatment Value

Albion 1 $1,700.00

Auburn 2 $3,075.00

Augusta 4 $9,310.00

Bangor 4 $8,171.00

Bath 3 $6,627.00

Berwick 1 $4,365.00

Biddeford 2 $10,115.00

Biddiford 1 $200.00

Blue Hill 1 $1,700.00

Bluehill 1 $2,857.00Brooks 1 $811.00

Brunswick 3 $16,686.00

Camden 1 $2,460.00

Canton 1 $2,940.00

Cherryfield 2 $1,245.00

Chesterville 1 $3,000.00

Cushing 1 $2,982.00

Easton 2 $8,823.00

Eddington 1 $922.00

Fairfield 2 $2,886.00Fryeburg 1 $307.00

Gardiner 2 $4,035.00

Gorham 2 $890.00

Gray 4 $10,862.00

Hancock 1 $3,619.00

Harrison 1 $3,600.00

Hartford 2 $3,694.00

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Printed7/12/2012Treatment by City 7/1/2011Thru7/1/2012 For Ann Caron


Jackson 2 $7,835.00

Kittery 1 $1,923.00

Lebanon 1 $5,905.00

Leeds 1 $840.00

Lewiston 4 $6,410.00

Limerick 2 $5,507.00

Lincolnville 1 $145.00

Lisbon 2 $2,270.00

Madison 1 $4,788.00

Millinocket

1

$518.00

Monticello 1 $1,750.00

Moody 1 $3,330.00

Old Orchard Beach 1 $3,278.00

Orrington 1 $1,500.00

Portland 10 $19,533.00

Portsmouth 1 $2,500.00

Readfield 1 $2,110.00

Richmond 1 $219.00

Rockland 7 $11,066.00

Rockport 1 $17,656.00Saco 4 $11,339.00

Sanford 1 $4,148.00

Scarbourogh 2 $1,209.00

Sidney 1 $4,418.00

So. China 2 $6,076.00

South China 1 $85.00

South Portland 1 $5,500.00

Stuben 2 $4,276.00

Topsham 3 $15,799.00

Troy 1 $308.00

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Printed7/12/2012Treatment by City 7/1/2011Thru7/1/2012 For Ann Caron


Unity 3 $1,997.00

Waldoboro 3 $5,111.00

Waterville 1 $4,761.00

Wells 1 $2,265.00

West Gardiner 2 $3,845.00

Windham 3 $11,214.00

Windsor 1 $4,654.00

Winslow 1 $1,394.00

Winthrop 1 $4,394.00

Summary

Total Patients Treated97 Total Treatment$309,758.00

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Printed7/12/2012Treatment by Disability 7/1/2011Thru7/1/2012 For Ann Caron

Disability # of Transactions Treatment Value

Acquired Immune Deficiency 2 $9,206.00

Brain Damage/Disorders/Diseases 4 $11,761.00

Cancer 13 $34,351.00

Circulatory Disorders 5 $9,350.00

Chronically Mentally Ill 8 $29,459.00

Developmental Disabilities or Delays 4 $7,514.00

Diabetes 1 $3,005.00

Elderly 2 $4,094.00

Epilepsy or Seizure Disorders 2 $872.00

Hearing Impaired/Deaf 1 $3,094.00Heart Disease 13 $28,346.00

Auto-Immune Diseases 3 $7,563.00

Intestinal Disorders 3 $3,082.00

Kidney/Renal Diseases 17 $28,906.00

Muscle Disorders 2 $5,636.00

Neurological Disorders 3 $14,938.00

Obesity 3 $7,413.00

Orthopedic Disabilities 10 $29,693.00

Other Disorders/Disabilities/Diseases 23 $55,152.00

Respiratory Disorders 2 $8,823.00Spinal Cord Injuries 1 $5,000.00

Visually Impaired/Blind 1 $2,500.00

Summary

Total Patients Treated97 Total Treatment$309,758.00

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maine dds program 4th quarter report

Documents