A.1 DENTAL PROGRAM POLICIES AND PROCEDURES
The purpose of the dental program is to provide quality clinical dental services in a professional and efficient manner to those eligible for care at [Facility] Health Department. This manual will act as a guide of policies to follow procedures set by the [Facility] Health Department, and the Dental Clinic.
The [Facility] Health Department is dedicated to the healing and well being of the individual, family and community.
To commit ourselves to continuously improve all that we do.
To provide our patients with the best possible health care and to support them in their healing process.
To support healthy lifestyle choices and educate on health related issues.
To focus our daily affairs on our staff and community in order to provide quality services and information in a trustworthy manner.
The dental department will serve as an integral part of the [Facility] Health Department providing services in the diagnosis, treatment and prevention of oral disease. This treatment may include emergency care, preventive services, oral surgery, restorative procedures, root canal therapy and prosthetics.
Services will be based on established priorities as listed in the Schedule of Oral Health Services for the Indian Health Service and on available appointments.
The dental clinic will also serve as a referral center.
Referrals will be made based on established priorities and available resources.
The policy of the dental department will be implemented through an organizational chart,
(See Policy A.2), and through a series of policies and procedures that follow. This department is part of the entire facility and works within its guidelines. This department does not function independently. Many patients seen by the dental clinic and staff of the dental clinic require services from other departments of the facility.
The organizational structure of the facility and the department do not allow this department to work independently when delivery of care is comprehensive in its nature. The mouth and oral structures are only a portion of the patient and the total patient is our concern. Medical complications, patient education
, and treatment of that patient in the dental department are coordinated with all patient care delivery departments and support departments.
The dental department is a portion of the clinical division of that is supervised by the health director. Scheduled meetings are held to discuss concerns and interaction with the Support Services Division. Organizational tables will outline this interaction and will follow this section.
Short Range Goals:
Short term planning looks at departmental activities over the next two to five years. Short-term goals are devised as a process to attain the Long Range Planning Goals.
Short Range Planning include the following:
Increased presence in community based activities such as schools, senior citizen facility, head start and other congregations of community members.
Increased communications with tribal officials and community in addressing their concerns for dental care.
Increase monitoring of services provided in the clinic and activities outside the dental clinic.
Increase patient interaction and determination of treatment offered. Use of patient input to solve delivery of dental care inadequacies.
Long Range Goals:
Departmental planning is tied to resources and planning of the entire Facility. This planning includes annual review of equipment
, personnel, and patient demand. This is actually a strategic planning procedure
that is used to function within a five year plan. Additions and modifications to this plan affect both clinical and community components of the dental department. Plans for staffing, procurement and departmental renovation are submitted to facility administration for approval and funding. Committees of the departments or services involved accomplish planning for projects that concern or run jointly.
This long-range plan includes:
More aggressive third party participation. This includes Patient Registration, Benefits Coordination, Coding and Billing.
Expansion of community contact to include screening and educational programs for target populations that include the elderly, the young, those with specific medical needs; for example diabetics and other groups requiring primary attention of this community.
Continued interaction with the private and public sector dental colleges and organizations, including Federal and State.
Become more patient oriented in action and policy.
The departmental budget is developed each fiscal year. This planning includes the recurring allowance and expected expenditures for salary, transportation, training, supplies, and equipment. This budget is developed by the health director. Budgeted items that are planned by several departments are negotiated prior the beginning of the fiscal year.
Staffing levels are determined by the tasks involved in delivery of oral health care to this community and these levels are also determined by a budgetary component with remote decisions affecting the number of employees in this department. Recommend staffing levels include (state desired staffing levels).
Staff competency is measured by multiple means. Positions descriptions are in place for all staff. Each position also has a performance appraisal plan to measure the incumbent's performance and is done annually. Other factors include annual continuing education for all employees necessary to maintain licensure and as required by the [State] and the [Facility] Health Department.
A.2 ORGANIZATIONAL CHART