The URL can be used to link to this page

Home My WebLink AboutAgenda - 10-16-2018 7-b - Dental Health Services in Southern Orange County Proposal 1 ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: October 16, 2018 Action Agenda Item No. 7-b SUBJECT: Dental Health Services in Southern Orange County Proposal DEPARTMENT: Health ATTACHMENT(S): INFORMATION CONTACT: Dental Health Services in Southern Quintana Stewart, 919-245-2412 Orange County Presentation Dr. Michael Day, 919-245-2406 Rebecca Crawford, 919-245-2414 PURPOSE: To present a proposal highlighting potential options for dedicated dental health services in southern Orange County. BACKGROUND: Prior to June 30, 2011, the Orange County Health Department Dental Clinic operated in two locations. Services were offered two days per week at Carr Mill Mall in Carrboro and 2 '/2 days per week in Hillsborough. Because the annual rent for the space at Carr Mill Mall was approximately $62,000 and the space was in great need of renovation, the Orange County Board of Commissioners voted to close the Carr Mill Mall Clinic when the lease expired on June 30, 2011. The dental clinic located in Hillsborough was renovated to include eight dental chairs, began operating five days per week, and continues to do so today. Since the closure of the dental clinic in Carrboro, there has been a desire to bring back a dental clinic to the southern part of the County by adding a permanent facility at the Southern Human Services Center (SHSC) location. The upcoming renovations to the SHSC brings the opportunity to make this possible. The attached presentation highlights expanding dental services via a mobile dental clinic that would visit schools, community centers, and nursing homes two days per week, and be located at SHSC 2 '/2 days per week to deliver services. FINANCIAL IMPACT: The chart below compares the financial impact to expenditures and projected revenue for both the proposed permanent dental clinic at SHSC and the proposed mobile dental clinic. The permanent clinic would be staffed with all new positions while the mobile clinic would be staffed with shared positions from the Hillsborough clinic. The potential decrease in revenue at the Hillsborough clinic would be recovered by revenue received through the mobile clinic. 2 Financial Impact Table Permanent Dental Clinic Permanent Dental Mobile Dental Clinic Mobile Dental Expenditure Name Clinic Expenditure Expenditure Name Clinic Cost Cost Construction* $115,000 Vehicle Purchase* $456,825 Equipment Included New Staff(Dentist, $355,443 New Staff(0.5 FTE $47,412 Hygienist, Dental Assistant, Driver/Office Assistant) Office Assistant Equipment (Medical, $139,158 Insurance, Maintenance, $6,912 Technological, and and Fuel Furniture)* Supplies (Medical and $30,000 Supplies (Medical and $15,000 Office) Office) Other (Training, $19,410 Other (Advertising, $3,800 Advertising, Interpreters, Uniforms, Interpreters) Telephone, Repairs, Uniforms Total Year 1 $659,011 Total Year 1 $529,949 Total Subsequent Years $404,853 Total Subsequent $70,324 Years Projected Annual $224,297 Projected Annual $103,169 Revenue Revenue *One-time costs in Year 1 SOCIAL JUSTICE IMPACT: The following Orange County Social Justice Goal is applicable to this item: • GOAL: ENSURE ECONOMIC SELF-SUFFICIENCY The creation and preservation of infrastructure, policies, programs and funding necessary for residents to provide shelter, food, clothing and medical care for themselves and their dependents. RECOMMENDATION(S): The Manager recommends that the Board receive a proposal for the provision of dental health services in southern Orange County. Dental Health Services in "44 -.Mad Southern Orange County Quintana Stewart, Health Director � ORANGE COUNTY Dr. Michael Day, Dental Director � HEALTH DEPARTMENT a Background ➢ Prior to June 30, 20111 Orange County Health Department Dental Clinic operated in two locations — 2 days per week at Carr Mill Mall in Carrboro and 2 %z days per week in Hillsborough. ➢ Carr Mill Mall Clinic closed when lease expired June 30, 2011. ➢ Rent was $62,000/yr ➢ Space needed lots of renovation ➢ Carr Mill Mall clinic served 1,495 patients in the last year in operation ➢ To absorb the former patients from the Carrboro Clinic, the Hillsborough Dental Clinic was renovated to include 8 dental chairs and began operating 5 days per week and continues to do so today. ➢ Plans to add a dental clinic to the Southern Human Services site during their upcoming renovations to reinstate health department dental services in the Southern part of the County 5 Current Situation ➢ 39% of current patient population at Hillsborough Dental Clinic ( 1, 199 patients) have a mailing address in either Chapel Hill or Carrboro. ➢ Dental Services in Orange : ➢ Piedmont Health Services (x2) ➢ UNC School of Dentistry ➢ UNC SHAC ( limited services) 6 Propose . ➢ OCHD asks Commissioners to consider a change to proposed SHSC renovations to include procurement of a Mobile Dental Clinic rather than the permanent build of a dental clinic. The mobile unit frees up additional needed space for DSS at SHSC ➢ Allows for County Dental Services to be made available in Southern Orange as well as other parts of the County ➢ Expands the OCHD Dental Program 7 Mobile Dental Clinic • $456,825 (equipment included) • 2 operatories, MSV Series 4000-37-102 ( Matthews Specialty Vehicles) • Staffing — Hillsborough Staff and 1 additional 0.5 FTE ( Driver/Office Assistant) 8 Mobile Clinic Examples .1 The mobile clinic would - be fully branded, inside and out, as the Orange 4 Count y Mobile Dental ;I Clinic r I r r � OCH D proposes a r contest with the school , systems to name the mobile clinic r 9 Proposed Schedule & Services ➢ 2 days per week in the community ➢ 2 %2 days per week at SHSC ➢ Procedures offered on Mobile Clinic (same as Hillsborough Clinic): • Exams • Cleanings • Sealants _7 • Fluoride � . • Fillings t • Extractions , •� • Simple Root Canals &L �► '� Mobile Clinic in Community estmaed patient visits per 2 Days Per Week on the Road to visit : \ year • Schools with highest number of children on free and reduced cost lunch • OC and Chapel Hill Carrboro Head Starts • Senior Centers and Community Centers ( including the Northern part of county and areas historically noted with access/transportation issues) • Assisted living facilities and nursing homes with ambulatory patients 11 Mobile Clinic at SHSC 2 and Y2Days Per Week at SHSC ➢ Will see patients in the mobile clinic while parked next to the medical clinic Dedicated time for patients living in the southern part of Orange County 12 Financial Impact Permanent Dental Clinic Mobile Dental Clinic Expenditure Type Expenditure Cost Expenditure Name Expenditure Cost Construction* $115,000 Vehicle Purchase* $456,825 New Staff $355,443 New Staff $47,412 Equipment* $139,158 Insurance, $6,912 Maintenance, Fuel Supplies $30,000 Supplies $15,000 Other $19,410 Other $3,800 Total Year 1 $659,011 Total Year 1 $529,949 Total Subsequent $404,853 Total Subsequent $70,324 Years Years Projected Annual $224,297 Projected Annual $103,169 Revenue Revenue * One time costs in Year 1 13 Opportunities • Enhance community partnerships with Aging Community, Schools, local Head Start, Community Centers, etc. • Increase access to Dental Services throughout the County, not just in Southern part. • Brand and promote OCHD Dental Program • Fall into alignment with NC Oral Health Strategic Plan ( https ://www. ncminoritvhealth . org/data/doc uments/Oral Health Equity-9 . 24. 18-WEB . pdf) 14 The Unknowns • Transition of current 39% of Chapel Hill/Carrboro patients to SHSC for dental services, leaving a decrease in patient volume in Hillsborough . • Permanent Dental Clinic at SHSC volume considering current dental resources in Southern Orange • Ability to sustain Dental Staff at SHSC 15 lip 16 Contacts Quintana Stewart, Health Director qstewart@orangecountync.gov 919-245-2412 Dr. Michael Day, Dentist mday @orangecountync.gov 919-245-2406