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Resource Overview

Patient portals, sometimes also referred to as personal health record systems (PHR) are web-based portals commonly attached to electronic health record systems (EHRs). These patient-centered portals provide patients with the ability to login and review health information related to their care. Common patient portal services include ways in which to schedule appointments, send messages to their care providers, review test results and refill prescriptions.

Outside of the benefits to the patient, implementation of patient portals had come to the attention of healthcare providers due to the inclusion of Meaningful Use of objectives centered on the use of patient portals and electronic engagement with patients.  Stage 3 requirements are still being explored and the impact it will have on Health Centers is unknown. Therefore, it is a challenge for small practices and Health Centers to determine how to best derive value from Patient Portals and effectively implement them into their workflow.

The tools and articles posted below are meant to provide examples, templates and strategies that can assist Health Centers in understanding how patient portals can better engage their patients in self-management of their care, and after an initial investment in time and money can decrease the burden on their clinical and administrative staff.

Patient Portal Resources
Event date: 5/12/2020 3:00 PM - 4:15 PM Export event
Implementing Teledentistry During COVID-19
Alyssa Carlisle
/ Categories: Telehealth, Webinars, Archived

Implementing Teledentistry During COVID-19

During this national emergency, teledentistry has become an emerging strategy to continue providing preventive dental care and triage for dental emergencies. During this webinar, attendees learned from a subject matter expert on effective implementation strategies for teledentistry. Then, three health centers shared their experience in teledentistry during COVID-19 including their lessons learned and specific state regulations. This webinar was 1 hour and 15 minutes. 

Speakers:

Paul Glassman, DDS, MA, MBA – California Northstate University

Maryman Mahmood, DMD, MPH – Sun Life Family Health Center, AZ

Jonathan Hall, DMD – Neighborhood Health Center, OR

Ryan Tuscher, DDS – PCC Community Wellness Center, IL

Objectives:

  1. Discuss methods to implement teledentistry during a national emergency.
  2. Describe teledentistry and its uses to ensure continuity of care.
  3. Learn how health centers have engaged in teledentistry in response to COVID-19.

HITEQ Webinar Takeaways:

  • Current use of teledentistry varies from advice/referrals to full-service care (e.g., integrated network of providers who provide on-site care).
  • Described the California Northstate University College of Dental Medicine “Virtual Dental Home” model. Team (comprised of a dental hygienist and assistant) who travel with portable equipment and collect full set of diagnostic images (e.g., radiographs, photographs, etc.). Images stored in a cloud-based EHR that is utilized by off-site dentists. Off-site dentists determine if services should be provided by allied on-site personnel (e.g., prevention and early intervention procedures, case management) or on-site dentists. Concept model of “Virtual Dental Home” available on slide 24 of the webinar slideset. Program has been successful in reaching patients, lowering costs, and implementing preventative care. Many states are currently utilizing VDH systems or VDH-funded projects.
  • California Northstate University College of Dental Medicine shared the ADA's COVID-19 Coding and Billing Interim Guidance and guide they developed titled, “Using Teledentistry to Maintain Services and Contact with Patients During the time of COVID‐19 Physical Distancing”.
  • Neighborhood Health Center (NHC) shared the Telehealth and Teledentistry Guide they have developed. 
  • NHC uses MyChart with Zoom embedded. For video visits, patients download the MyChart app and use it to “check in”, review medical history, and consent to treatment. Not currently providing virtual preventative services, just urgent/emergency at this time. All patients requesting an in person appointment must first be triaged via a virtual visit by a dentist to determine appropriate follow-up measures. Created a format specifically for televisits in Wisdom.
  • PCC Community Wellness Center primarily offers emergency (D0140) teledentistry visits and some preventive (D1330, D1310). Created and utilize a teledentistry visit template in Dentrix. Includes: consent, reason for visit, history and medical decision making, provider’s confirmation of patient’s location and emergency contact, other persons present (i.e. guardian) when indicated, duration of session, mode of telehealth, progress note, referrals as indicated, next visit or follow up.
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Acknowledgements

This resource collection was cultivated and developed by the HITEQ team with valuable suggestions and contributions from HITEQ Project collaborators.

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