Episode 109 – Dr. Jane Grover – The ADA’s Alternative to Dental Therapy: Community Dental Health Coordinators

On this week’s episode of RTBB Dr. Zeller interviews Dr. Jane Grover. Dr. Grover is currently the Director of Council on Access, Prevention, and Relations at the American Dental Association. Dr. Grover is the expert on the ADA’s program for Community Dental Health Coordinators. This program is a module based curriculum  intended to give members of the dental community the skills to help better navigate and coordinate the dental system for patients and dental teams. She compares the training to that acquired by community healthcare workers, crucial members of healthcare teams throughout the world. Dr. Grover believes that this program addresses access to care issues in dentistry.

Topics of discussion include:

  • Meet our guest
  • History of Community Dental Health Coordinator program
  • International use of community health workers
  • How to improve navigation and coordination of dental care
  • Stakeholders in CDHC program
  • Description of training program
  • Program currently offered to hygienists, dental assistants, and community health workers.
  • Examples of dental-medical integration
  • How to integrate CDHC’s in your community
  • Measuring success
  • Obstacles for integrating CDHC’s
  • Trainee satisfaction

 

Jane S. Grover, D.D.S., M.P.H. currently acts as the Director to the Council on Access, Prevention and Interprofessional Relations (CAPIR) in the division of Government/Public Affairs at the American Dental Association (ADA). Dr. Grover provides leadership, vision, management and coordination of the ADA’s activities in the areas of access to dental care, fluoridation and preventive activities, and integrating oral health as an essential part of overall health.

Dr. Grover most recently served as the dental director for the Center for Family Health, a federally qualified health center in Jackson, Mich. In addition, she is an adjunct faculty member of the University of Michigan School of Dentistry and Lutheran Medical Center of New York. She has been active in organized dentistry, first as a trustee of the Michigan Dental Association, and also on the ADA Strategic Planning Committee in the 1990s. She completed five years on the ADA Political Action Committee, serving 2003-2005 as chair. She served as vice-president of the ADA from October 2006 until October 2008.

Dr. Grover received her D.D.S. degree from the University of Michigan School of Dentistry and her M.P.H. degree from the University of Michigan School of Public Health.

Episode 108 – Jason Faler, MSJ, MHA – Dental Therapy and the Cost of Quality of Care: An Unbiased Perspective

Dental Therapy Part 4 – An Unbiased Perspective

On this week’s episode of Removing the Bite Block Dr. Zeller interviews Jason Faler. As the first and only non-dental guest from Season 1, Jason has no skin in the dental therapy game, making his assessments less emotional and more objective. His experience in healthcare systems across the nation have provided him with many lenses in which to view this issue.

We discuss the following topics:

  • Meet our guest

  • Ultimate motivation behind dental therapy and importance of remembering this goal during entire discussion

  • Free market

  • Student debt

  • Scope of practice vs standard of care

  • Legislation of scope of practice

  • Four elements of medical malpractice – GETTING SUED!

  • Historical case in which standard of care was redefined by the courts

  • Are mid-level providers held to the same standard as general dentists? Are general dentists held to the same standard as specialists?

  • Is the cost worth the difference in quality of care?

  • Utility in providing value of oral health to overall health and it’s economic impact

  • Working at top of license

  • The VALUE of access to care

  • Are we overtraining general dentists?

  • Jason Faler gets unblocked

Jason has worked with several healthcare delivery systems on both the east and west coasts of the United States to include Atlantic Health, Salem Health and most recently, Providence Health & Services in Portland, Oregon, most recently as the Director of Business Development in the Strategic Management Services Division.

Jason Faler has been an Adjunct Assistant Professor at Portland State University since 2007. His teaching responsibilities include courses in Healthcare Law as well as Strategic Management.  Jason holds a Bachelor of Arts in Political Science from the College of Liberal Arts at Oregon State University. He is also a graduate of Seton Hall University in South Orange, New Jersey, where he earned a Master of Healthcare Administration degree, and the Seton Hall University School of Law in Newark, New Jersey, where he earned a Master of Science in Jurisprudence with a health law concentration.  Jason is also a Fellow of the American College of Healthcare Executives.

Jason is a field grade commissioned officer in the Reserve Component of the US Army where he has served since 1999, including service in support of combat operations in Southwest Asia and the Horn of Africa.  Among his awards and decorations are the Combat Action Badge and the Bronze Star Medal.

In addition to healthcare, Professor Faler maintains an interest in Middle Eastern and International Affairs and Policy. He speaks Arabic and studied at the American University in Cairo (Egypt) in 1999 and 2003.

In 2008, Jason founded The Checkpoint One Foundation, a not-for-profit, charitable organization benefiting Iraqi and Afghan nationals who face threats in their homeland as a result of their assistance to US and coalition entities since 2001.  In 2009, he was nominated by Senator Ron Wyden (D-OR), and was named a finalist for the Above and Beyond Citizen Honors Award, administered by the National Medal of Honor Society.  Jason and the Foundation have been featured by numerous national and international media outlets, and have been commended on the floor of the United States Senate.

Degrees:

Master of Science in Jurisprudence (MSJ), Health Law, The Seton Hall University School of Law, Newark, NJ
Master of Healthcare Administration (MHA), Seton Hall University, South Orange, NJ
Bachelor of Arts (BA), Political Science, Oregon State University, Corvallis, OR

Episode 106 – Dental Therapy Part 2 – Founding and Current Director of the Minnesota Dental Therapy Program – Dr. Karl Self

In Part 2 of the Dental Therapy Series Dr. Zeller interviews Dr. Karl Self, the founding and current director of the University of Minnesota Dental Therapy Program. Dr. Self has spent most of his life in Minnesota, developing a thorough understanding of the access issues for Minnesotans. He is an expert in the dental therapy model and believes it is the best available solution for meeting unmet dental needs in his state. Dr. Zeller and Dr. Self discuss the following issues:

  • Defining access to care

  • Health literacy

  • Minnesota’s access problems

  • Reimbursement rates

  • Implementing dental therapy into the University of Minnesota School of Dentistry

  • Dentists in Minnesota opposing the dental therapy model

  • Standard of Care

  • Where dental therapists can practice

  • Dental therapists taking jobs from dentists

  • Measuring success in dental therapy

  • Response to Dr. Robert Roda’s editorial

  • Organized dentistry opposing dental therapy

  • Teaching dental therapy and dental students side by side

  • Advise for dental students

Dr Self earned his DDS degree from the University of Minnesota’s School of Dentistry, and a MBA from the University of Minnesota’s Carlson School of Management. During his professional career he has been engaged in a variety of dental practice types including private practice and large group practice, yet he has spent most of his professional life in a community clinic. Other professional roles include a consultant for the Department of Human Services’ Medical Assistance program, the director of Diversity and Inclusivity for the School of Nursing, and executive director of a Federally Qualified Healthcare Center in Minneapolis. Dr Self serves on the board of a number of non-profit dental focused organizations and has been involved in improving oral healthcare in Africa.

Dental Therapy Multi-Episode Series

Dental Therapy is one of, if not the most controversial topic in dentistry right now. Dr. Zeller interviews experts that support and oppose the dental therapy model in her multi-episode series.

 

Both educational and uncomfortable. While listening to these episodes, Dr. Zeller challenges you to stay open. First with your mind, then with your mouth.

 

#unblocked

 

Episode 105 – Dental Therapy Part 1 – Arizona Dental Association President Opposes Dental Therapy

On this week’s episode of Removing the Bite Block Dr. Zeller interviews president of the Arizona Dental Association, Dr. Robert Roda. Dr. Roda is an endodontist in Scottsdale, AZ. In April of 2018 Dr. Roda wrote an editorial that was published in the ADA news titled, “MyView: State’s Failed Dental Therapy Experiment”. At this time the state of Arizona was considering the licensing of dental therapists. In an attempt to block this bill, Dr. Roda describes his view on how, “…Dental therapists are a distraction. They solve nothing.” He also states that the Minnesota dental therapy model, “…is really nothing more than a few people standing around waving sparklers.” Dr. Zeller and Dr. Roda discuss this editorial, along with some of the following topics:

  • Dr. Roda’s idea for Quality Assurance permits
  • How the dental community responded to his editorial
  • How some patients simple make “bad decisions”
  • The power of interactive study clubs
  • The Pew Foundation
  • Defining “success” when providing access to care
  • Zombies
  • Getting more involved in organized dentistry

Dr. Roda received his BS in Biology (1977) and DDS degrees (1981) at Dalhousie University in Halifax, Canada and practiced as a general dentist in Nova Scotia for 10 years. He earned his MS in Oral Biology and Certificate of Specialty in Endodontics at Baylor College of Dentistry in Dallas in 1993 and became a Diplomate of the American Board of Endodontics in 1998.

Dr. Roda is a Past President of the American Association of Endodontists and the current President-Elect of the Arizona Dental Association. He is an Endodontic Consultant to the Arizona State Board of Dental Examiners, Visiting Lecturer in the Endodontic Department at the Arizona School of Dentistry and Oral Health, and Associate Editor of the Journal of Endodontics . He is a member of the American Dental Association (ADA), American Association of Endodontists (AAE), the Canadian Acadamy of Endodontics, and the Central Arizona Dental Society (CADS).

A link to his editorial published in the ADA News about the Minnesota Dental Therapy Model can be found here.

Seven States Now Allow Dental Therapists

Last week Arizona was officially the seventh state to pass a bill allowing the practice of dental therapists. Dental therapists are midlevel dental providers aimed at addressing the problem of access for many Americans. They have been operating in Alaska since 2004 and in Minnesota since 2011. Approximately 12 other states are considering laws that would allow dental therapists. There is much controversy surrounding midlevel providers in dentistry, creating questions of scope of practice, patient safety, and licensing requirements.