Workforce Models - Arkansas State Dental Association

Workforce Models - Arkansas State Dental Association

Review of Workforce Models 2010 Conference on Workforce Issues Chicago, Illinois July 18, 2010 Specific Workforce Model (SWM) Location: State (Enacted, proposed, pilot) Population: Public, private Settings: Office, clinic, schools, unspecified Education: Post secondary Supervision: From direct to collaborative

Surgical: Yes, no Diagnosis: Yes, no Comment: Additional pertinent fact 2010 American Dental Association, All Rights Reserved Expanded Function Dental Assistant (EFDA) Location: 27 states have some form of EFDAs Population: Public and private Settings: Clinic and Office Education and/or OJT: Two years (Varies by state) Supervision: Direct and/or indirect

Surgical: No Diagnosis: No Comment: Different states use different acronyms* *(7 use EFDA, 5 use EDDA, 5 use DAQEF, 4 use RDAEF, 6 use unique acronyms) 2010 American Dental Association, All Rights Reserved Dental Health Aide Therapist (DHAT) Location: AK (Not licensed by state)* Population: 85,000 native people of all ages Settings: Clinics in remote tribal villages Education: Two years (DENTEX in Anchorage)

Supervision: Public health Surgical: Yes Diagnosis: Yes Comment: DHAT scope is competency based *(Certified under Tribal Health Authority) 2010 American Dental Association, All Rights Reserved Dental Therapist (DT) Location: MN (Enacted 2009) Population: Patients with access barriers* Settings: Clinic and office

Education: Four to six years (28 month program) Supervision: Indirect and collaborative Surgical: Yes Diagnosis: No Comment: Scope differs with level of supervision *(Low-income, uninsured, underserved ) 2010 American Dental Association, All Rights Reserved Advanced Dental Therapist (ADT) Location: MN (Enacted 2009; no ADTs yet) Population: Patients with access barriers*

Settings: Clinic and office Education: Two add. years? (Masters program) Supervision: Collaborative Surgical: Yes Diagnosis: No (May assess, authorized by DDS) Comment: Must be DT with 2000 hours to apply *(Low-income, uninsured, underserved ) 2010 American Dental Association, All Rights Reserved Advanced Dental Hygiene Practitioner (ADHP)

Location: Proposed in several states Population: Unspecified Settings: Unspecified Education: Six years (Two year MS degree) Supervision: Collaborative Surgical: Yes Diagnosis: Yes Comment: ADHA model, certified as ADHP 2010 American Dental Association, All Rights Reserved Community Dental Health Coordinator (CDHC)

Location: OK, CA, PA (University pilot programs)* Population: Underserved Settings: Public Health Education: 18 months (12 mo. didactic) Supervision: Direct and/or indirect Surgical: No Diagnosis: No Comment: Community health with dental skills *(ADA pilot programs at U of OK, UCLA, Temple U ) 2010 American Dental Association, All Rights Reserved

Oral Preventive Assistant (OPA) Location: Undetermined Population: Unspecified Settings: Office, Clinic, Schools Education: Three month program post DA Supervision: Direct, indirect (General for pt. educ.) Surgical: No Diagnosis: No Comment: DANB is preparing to certify COPAs* *(DANB functions: Coronal Polishing, Sealant Application, Fluoride Application , Topical Anesthetic Application, No Scaling)

2010 American Dental Association, All Rights Reserved Pediatric Dental Therapist (PDT) Location: ME (State bill introduced in 2009) Population: Limited to children age 0-12 Settings: Fed-designated dental shortage areas Education: Two years Supervision: Indirect Surgical: Yes Diagnosis: No Comment: Licensed by dental board

2010 American Dental Association, All Rights Reserved Dental Nurse Practitioner (DAPRN) Location: NYU (Proposed) Population: Unspecified Settings: Office Education: Six years (Two year MS degree) Supervision: Joint or independent practice model Surgical: Unspecified Diagnosis: Unspecified Comment: NYU merge DDS & nursing students

2010 American Dental Association, All Rights Reserved Dental Hygienist Therapist (DHT) Location: WA (will be discussed at WSDA HOD) Population: Working poor, indigent Settings: Clinics (Public health facilities) Education: Three years (Assoc. hygienist + one ) Supervision: Close and limited general Surgical: Yes Diagnosis: No Comment: Regulated by DQAC*

*(WSDA model would be regulated by the Dental Quality Assurance Commission) 2010 American Dental Association, All Rights Reserved Advanced Dental Hygienist Therapist (ADHT) Location: WA Population: Unspecified Settings: Unspecified Education: Five years (Bachelor hygienist + one) Supervision: Off-site supervision via agreement Surgical: Yes Diagnosis: Yes

Comment: Regulated by DHEC* *(WSDHA model would be regulated by a Dental Hygiene Examining Committee) 2010 American Dental Association, All Rights Reserved State of the States 2010 Conference on Workforce Issues Chicago, Illinois July 18, 2010 States With Workforce Issues

July, 2010 2010 American Dental Association, All Rights Reserved

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