Public Health

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Public Health

• Jennifer Houng DDS
• OneWorld Community Health Centers
• Omaha, NE

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Community Health Centers

• Dental is integrated with medical
• Government support and community funding are
  needed to sustain CHC
• Places where residents practice under supervision
  and externships for both medical and dental are
  available

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OneWorld Community Health Centers

• History
• - started in late 1960s
• - Lutheran Church and Creighton University
• Mission Statement
• OneWorld Communty Health Centers, in partnership
  with the community, provide culturally
  respectful, quality health care to the
  underserved.

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Diversity of Patients
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OneWorld

• Provides
• Medical, dental, mental health services
• WIC nutrition programs
• Health Promotora program (diabetes, asthma,
  hypertension, high cholesterol, and young
  first-time mothers
• Medication Assistance Hope Pharmacy
• Every Woman Matters cancer prevention program
• Social Services

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New Location
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OneWorld

• OneWorld CHC moved to the Livestock Exchange
  Building late 2005
• The NEW Dental Clinic started to see patient in
  Sept 2005

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Medical
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OneWorld

• In 2004, we served over 9,000 patients
• We had over 70,000 patient visits
• Over 27, 000 were medical visits
• Over 3,000 were dental visits
• 97 of OneWorlds patients live at 200 or more
  below poverty level
• 93 are best served in a language other than
  English
• 95 of the patients are minorities

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OneWorld - Dental

• We had 3 dental chairs at the old location, now
  we have a state of the art dental clinic with 7
  chairs functioning (12 total)

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OneWorld - Dental

• Preventive care and dental education is our
  primary focus
• Cleanings and x-rays
• Fillings
• Extractions
• limited root canal therapy
• Currently no orthodontics, crown and bridge, or
  dentures
• Emergency care
• Pregnant women
• Pediatric patients
• Homeless patients
• Patients from drug rehab programs

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OneWorld - Dental
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OneWorld - Dental
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OneWorld Dental
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OneWorld - Dental
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Soon to come

• Ronald McDonald House of Charities and OneWorld
  collaborated and well be receiving a Care mobile
  that will travel to the underserved elementary
  schools in Omaha and surrounding area.

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Other Community Health Clinics

• In Nebraska only
• Central Community College Dental Hygiene Clinic
  Hastings, NE
• Charles Drew Health Center Omaha, NE
• Douglas County Health Dept Dental Clinic Omaha,
  NE
• Good Neighbor CHC Columbus, NE
• Lincoln-Lancaster County Health Dept Lincoln,
  NE
• OneWorld CHC Omaha, NE
• Panhandle Community Services Dental Clinic
  Gering, NE
• Peoples Health Center Lincoln, NE

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Benefits

• Loan Repayment Programs
• You are an employee
• Health and Dental Insurance coverage
• Disability Insurance coverage
• Retirement Plan available
• Paid Time Off available
• Continue Education Reimbursement

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Cons

• Take time for things to get approved and done
• Earning potential is limited
• Limitation to the type of dentistry practiced

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Loan Repayment

• Three Types of Loan Repayments
• Federal
• State
• Site

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Federal Loan Repayment

• National Health Service Corps
• Another branch of the service
• Service Commitment
• You may receive loan as a scholar or loan
  recipient

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Federal Loan Repayment

• Scholar
• Service commitment of 4 years at a site that is
  federally approved
• Entire professional education is paid for by the
  scholarship
• Income is negotiated with the site

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Federal Loan Repayment

• Loan recipient
• Used to reduce dental education debt load
• Sites must be federally approved
• Money given is tax free.
• First 2 years 25,000 per year
• Second 2 years 35,000 per year
• So, in 4 years you have 120,000 paid off in
• In your education loans.

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State Loan Repayment

• Three year commitment
• Must be a site selected by the Nebraska Rural
  Health Advisory Commission
• 20,000 per year (half from the state and half
  from the site)
• Must pay taxes

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Site Loan Repayment

• Site negotiated amount
• Income is negotiated with the health center
• For example, OneWorld CHC pays 5000 annually for
  student loan repayment

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Community Health Clinics

• Carl T. Curtis Health Education Center Macy, NE
• Fred LeRoy Health and Wellness Dental Clinic
  Omaha, NE
• Santee Dental Clinic Niobrara, NE
• Winnebago Dental Clinic Winnebago, NE
• (above four clinic are for tribally enrolled
  Native Americans only)

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Indian Health Service

• Loan Repayment Program
• 24,000 per year
• Tax free
• Individuals are eligible for amounts up to an
  additional 24,000 per year for each year of
  service until school loans are completely repaid

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Helpful Websites

• www.hhs.state.ne.us
• http//bhpr.hrsa.gov/
• Find Health Professional Shortage Area (HPSA)
  score

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Any Questions???