Factors that have contributed to improving the data:
There is growing awareness of the "problem" and high costs of ED Visits for oral health issues • State Medicaid (AHCA) has been charged w/ increasing access for Medicaid clients (children) which may result in an increased number of providers taking Medicaid
Factors that restrict the data:
There is a lack of access to care for both Medicaid and uninsured adults and children • A limited number of dentists participate in Medicaid • There is a lack of providers who participate in Medicaid • A lack of oral health literacy (lack of knowledge of self-care) exists • A lack of knowledge of community dental resources exists. • There is no follow up in the ED to refer for dental treatment. • People use EDs as primary care physicians (for non-emergent medical and dental issues) • There is a lack of knowledge regarding the proper use of the ED • Limited adult dental Medicaid benefit exists in Florida • There is a lack of resources for uninsured adults • There is usually no definitive treatment or follow up care for dental problems in hospital emergency rooms • There is a limited amount of sources for low cost care • Unknown status around health equity.
Educate and utilize health navigators in EDs• Establish focus groups to implement navigation in the community Create education program for when/how to use ED• Create community resource guides for dental • Partner with 211 Association to incorporate statewide oral health Identify and implement best practices for increasing Medicaid providers and expanding Medicaid benefits • Bring in national speaker to OHF about best practices • Work with AHCA to incorporate best practices into the Medicaid system resources into their its network.