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News Bulletin : ADA News Bulletin December 2010
21 DECEMBER 2010 ii. A regulatory framework for practitioners imposed by the Dental Board of Australia. iii. National Safety and Quality Health Service Standards. The ADA has questioned with AHMAC the necessity for this. It has asked AHMAC to consider: • If there are demonstrable clear benefits to patients for PA which are evidence-based and have a cost structure that is sustainable. • The significant financial and time burden that will be imposed upon dentists with the introduction of PA which will be passed on to consumers (the patients) increasing the cost of dental services. • If this additional layer of regulation is warranted. There is a fine balance to be struck here between the interests of the public, those of regulators and the profession. The ADA will be meeting with the respective bodies to ensure that what is developed is both practical and beneficial for our members and the delivery of dental services. EARLY ADOPTERS PILOT SCHEME The response from members to the request for practices to participate in the EAS has been significant. So much so that all practices which indicated a willingness to participate may not be able to participate. The ADA may need to select a restricted number of practices to participate further. What the ADA will seek to do is choose practices that will provide as wide a demographic of practices as possible. What was evident from the response is that members seem accepting of PA and like the ADA want to ensure that what is created is effective and efficient. Participation in EAS will provide a valuable insight into the practical implications (impact on safety and quality; cost; ease of application to practice settings and effectiveness) of PA upon dentistry. Currently, ADA is working with ACSQHC and QIP on the development of resources that will assist EAS participants take up PA. Members of the SPC and others have drafted some initial guides and templates for approval. These will be evaluated and when suitable will form part of the PA process through QIP. When the materials are finalised, the chosen EAS participants will be contacted by ADA to facilitate the initial roll out of PA to this group. EAS volunteers should therefore await contact from ADA. As advised in the letter advising members of the EAS, those participating will not be required to undergo an on-site practice survey visit initially but will participate in a desk top audit. When the Standards are ratified an on-site survey may be conducted. Successful participants will be granted accreditation for one year, and have an additional 12 months to transition to the next stage of the accreditation scheme. The EAS participants will have accreditation completed by 30 June 2011. A single fixed practice accreditation fee for all dental practices to participate in the EAS and later accreditation process will be created. This fee will be set regardless of size and location. Further reports of developments will be published. These will firstly appear on the ADA member website and later in the ADA News Bulletin. Robert Boyd-Boland Chief Executive Officer November 2010 The Australian Institute of Health and Welfare (AIHW) has reported that nearly four in five Australian adults rated their oral health as good, very good or excellent. However, just over one in five rated their oral health as poor or fair and many of these Australians fell into categories of low economic status. The AIHW report titled, Self-rated oral health of adults, is just that -- a self- rated assessment which is not an indicator of good oral health. The ADA warns that these results should not be taken too lightly. Self-assessment of oral health is very unreliable. The statistics may well be worse if the assessment was made by a dental professional. Dr Shane Fryer, Federal President of the Australian Dental Association Inc. (ADA) said "While the report is not conclusive, what is evident is that the more disadvantaged a person is, the more likely they will not seek dental treatment or even a check- up. The good news is that with regular care from a dentist, the majority of oral health problems are preventable". "Oral health is an important part of quality of life. Lower income and education levels are tied to poor dental health. The lower a person's income and education level, the more likely that person would suffer from severe periodontitis, or advanced gum disease that can lead to tooth loss", said Dr Fryer. In June 2010, the ADA presented a proposal to Government called DentalAccess which will provide funding to the 30 per cent of Australians who are disadvantaged (economically, geographically or otherwise) and will deliver to them a suite of services that will enable them to achieve long-term good oral health -- not just basic dental care. This would also address the one in five issue as discussed above in the AIHW report which is the main goal of DentalAccess. "There is much more work that needs to be done to address the oral health concerns of all Australians", said Dr Fryer. "The Teen Dental Plan results released this week also fall short of expectations. The inclusion of some treatment options focussed to the financially disadvantaged under this Plan would also assist in addressing the one in five issue." For more information on the ADA's proposals visit www.ada.org.au Fiona Morrisby Manager, Policy and Media Relations ADA warns not to be complacent about ORAL HEALTH
ADA News Bulletin November 2010
ADA News Bulletin February 2011