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The National Nework for Oral Health Access has developed a user’s guide that provides a structure, options, and suggestions to help Health Centers develop programs to implement oral health competencies that integrate oral health care into primary care practice, which increases access to oral health care and improves the oral health status of the populations Health Centers serve.

To provide for pertussis prophylaxis by the Registered Nurse to avoid pertussis infection and spread of clinical disease in patients served by the LSCHC.
To establish a procedure by which a patient may have antibiotics for prophylaxis ordered without a provider visit.
A description of dental appointment and scheduling terms for dental receptionists.
Checklist of delineation of privileges for either dentists or dental hygenists for applicants or new hires.
To establish a procedure by which a LSCHC dentist may refer a patient to the medical clinic for a nurse only visit (without a medical provider visit) to have parenteral antibiotics for an emergency dental abscess.
To establish a procedure by which a patient may have referral for emergency dental problem without a provider visit.
Any patient presenting or calling with any of the following conditions will receive immediate attention. If present in the clinic, the patient will be taken to an exam room immediately and the RN, PA , or physician will be called to make further evaluation. If the patient calls, the urgent call message will be taken director to the provider and in their absence, to the clinical coordinator or available RN for a plan of care.

This article pubished in Modern Healthcare Online, October, 2008 discusses the role of physicians in Federally Funded Health Clinics. The opening paragraph of the article states "Community health centers that serve low-income and uninsured patients have always been a landing spot for mission-driven physicians. Now they have also become a haven for some who are feeling squeezed by malpractice insurance costs and other dministrative burdens of private practice."

To assist health center leaders with implementing an Oral Health Collaborative, the faculty and participating teams of the Pilot program developed the “Oral Health Disparities Collaborative Implementation Manual”.  The manual contains a number of useful tools as well as real life strategies for improving dental care.  

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